MercyOne Newton Medical Center
204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $115.05 | $177.00 | $11.17 – $177.00 | 45 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $27.30 | $27.30 | $6.00 – $27.30 | 95 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $28.50 | $28.50 | $3.51 – $28.50 | 95 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $29.90 | $29.90 | $14.00 – $26.35 | 95 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $26,637.70 | $26,637.70 | $24.02 – $26,637.70 | 111 |
| Natriuretic peptide CPT 83880 | $204.10 | $314.00 | $38.05 – $314.00 | 45 |
| Natural killer cells total count CPT 86357 | $99.45 | $153.00 | $36.56 – $153.00 | 45 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $78.65 | $121.00 | $27.38 – $121.00 | 108 |
| Ndl insj without njx 3+ musc CPT 20561 | $63.05 | $97.00 | $27.38 – $97.00 | 108 |
| Ndl round specialty proguide HCPCS C1715 | $1,221.47 | $1,879.19 | $23.04 – $35.45 | 29 |
| Nebulizer Breathing Treatment CPT 94640 | $32,708.86 | $304.00 | $9.09 – $425.12 | 111 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $189.15 | $291.00 | $82.37 – $291.00 | 111 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,506.05 | $2,317.00 | $98.96 – $2,317.00 | 111 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,764.80 | $5,792.00 | $330.23 – $5,792.00 | 111 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,547.35 | $3,919.00 | $225.85 – $3,919.00 | 111 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $251.55 | $387.00 | $82.37 – $387.00 | 111 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $351.00 | $540.00 | $98.96 – $540.00 | 111 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $438.75 | $675.00 | $98.96 – $675.00 | 111 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,547.70 | $5,458.00 | $330.23 – $5,458.00 | 111 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,970.15 | $3,031.00 | $166.03 – $3,031.00 | 111 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,603.55 | $2,467.00 | $166.03 – $2,467.00 | 111 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,277.25 | $1,965.00 | $98.96 – $1,965.00 | 111 |
| New Patient Office Visit (level 5) CPT 99205 | $402.00 | $402.00 | $93.00 – $388.00 | 768 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $27.30 | $27.30 | $17.75 – $27.30 | 95 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $112.50 | $112.50 | $14.20 – $112.50 | 95 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $24,305.85 | $24,305.85 | $31.59 – $4,051.00 | 111 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $94,382.55 | $94,382.55 | $183.98 – $94,382.55 | 111 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,229.80 | $1,892.00 | $378.41 – $1,892.00 | 111 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,474.20 | $2,268.00 | $378.41 – $2,268.00 | 111 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,329.25 | $2,045.00 | $513.95 – $2,045.00 | 111 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,924.00 | $2,960.00 | $513.95 – $2,960.00 | 111 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $798.20 | $1,228.00 | $378.41 – $1,228.00 | 111 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $208.65 | $321.00 | $82.37 – $321.00 | 111 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,913.30 | $4,482.00 | $47.50 – $4,482.00 | 781 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $272.00 | $272.00 | $60.11 – $272.00 | 768 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $455,355.55 | $455,355.55 | $1,187.16 – $455,355.55 | 111 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $28,351.00 | $28,351.00 | $79.99 – $28,351.00 | 111 |
| Observation direct referral from physician office for admission HCPCS G0379 | $150.15 | $231.00 | $150.15 – $1,156.17 | 111 |
| Observation per hour HCPCS G0378 | $97.50 | $150.00 | $70.20 – $108.00 | 29 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $216.45 | $333.00 | $72.58 – $333.00 | 45 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $179.40 | $276.00 | $72.58 – $276.00 | 45 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $198.90 | $306.00 | $72.58 – $306.00 | 45 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $65,142.90 | $65,142.90 | $62.03 – $65,142.90 | 32 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $10.85 | $10.85 | $1.22 – $2.15 | 95 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $19,011.30 | $19,011.30 | $195.19 – $12,696.00 | 111 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $1,810.15 | $1,810.15 | $699.90 – $1,810.15 | 95 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $725.10 | $1,115.54 | $725.10 – $1,115.54 | 29 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $51.25 | $51.25 | $33.31 – $51.25 | 29 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $7,768.80 | $7,768.80 | $44.59 – $7,768.80 | 111 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $10.70 | $10.70 | $0.04 – $1.00 | 95 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $4.10 | $4.10 | $0.36 – $3.00 | 95 |
| Optx radial shaft fracture CPT 25515 | $2,320.00 | $2,320.00 | $32.16 – $245.60 | 768 |
| Optx ulnar shft fx int fixj CPT 25545 | $2,168.00 | $2,168.00 | $30.35 – $230.08 | 768 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $28,018.60 | $28,018.60 | $42.20 – $28,018.60 | 111 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,978.20 | $5,978.20 | $29.11 – $5,978.20 | 32 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $55.20 | $55.20 | $9.45 – $55.20 | 95 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $899.04 | $1,383.14 | $899.04 – $1,383.14 | 29 |
| Osmolality blood CPT 83930 | $77.35 | $119.00 | $6.41 – $119.00 | 45 |
| Osmolality urine CPT 83935 | $74.75 | $115.00 | $6.61 – $115.00 | 45 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $128.70 | $198.00 | $44.48 – $198.00 | 45 |
| Ot re-evaluation patient/family CPT 97168 | $146.90 | $226.00 | $47.90 – $226.00 | 45 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $133.25 | $205.00 | $17.81 – $205.00 | 45 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $128.70 | $198.00 | $18.89 – $198.00 | 45 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $14.50 | $14.50 | $3.28 – $14.50 | 95 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,200.00 | $1,200.00 | $149.47 – $229.95 | 29 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $6.85 | $6.85 | $0.87 – $6.85 | 95 |
| P-32 chromic phos ther per mci HCPCS A9564 | $1,730.00 | $1,730.00 | $1,124.50 – $1,730.00 | 29 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,383.10 | $1,383.10 | $179.12 – $1,383.10 | 95 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $14,528.90 | $22,352.16 | $14,528.90 – $22,352.16 | 29 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $190.00 | $190.00 | $3.60 – $36.70 | 95 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,924.05 | $3,924.05 | $8.02 – $3,924.05 | 111 |
| Pad repl cerv collr univ adult HCPCS L0999 | $60.66 | $93.32 | $35.46 – $54.55 | 29 |
| Palonosetron hcl HCPCS J2469 | $161.00 | $161.00 | $104.65 – $161.00 | 29 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $136.60 | $136.60 | $11.16 – $66.45 | 95 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $20,996.10 | $20,996.10 | $162.13 – $5,249.05 | 111 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.25 | $10.25 | $1.89 – $4.55 | 95 |
| Parathormone (pth) intact CPT 83970 | $238.55 | $367.00 | $40.00 – $367.00 | 45 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $221.06 | $340.09 | $0.49 – $2.43 | 37 |
| Passy muir valve metal trach HCPCS L8501 | $242.47 | $373.03 | $51.13 – $78.66 | 29 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.35 | $0.54 | $0.35 – $0.54 | 29 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $94.19 | $144.91 | $94.19 – $144.91 | 29 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $17,709.85 | $17,709.85 | $120.38 – $17,709.85 | 111 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $10,830.70 | $10,830.70 | $130.39 – $10,830.70 | 111 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $20,144.40 | $20,144.40 | $158.75 – $20,144.40 | 111 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $11,866.15 | $11,866.15 | $2,749.32 – $11,866.15 | 95 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,801.40 | $4,801.40 | $96.89 – $4,801.40 | 111 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $11,497.50 | $11,497.50 | $124.68 – $11,497.50 | 111 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $95,364.75 | $95,364.75 | $3,610.60 – $95,364.75 | 111 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,740.05 | $2,677.00 | $166.03 – $2,677.00 | 111 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,986.00 | $1,986.00 | $98.96 – $1,986.00 | 111 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,833.70 | $5,898.00 | $330.23 – $5,898.00 | 111 |
| Pelvic MRI (without contrast) CPT 72195 | $2,063.75 | $3,175.00 | $225.85 – $3,175.00 | 111 |
| Pelvic Ultrasound (complete) CPT 76856 | $598.00 | $920.00 | $98.96 – $920.00 | 111 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $763.00 | $349.00 | $98.96 – $349.00 | 111 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $505.05 | $777.00 | $98.96 – $777.00 | 111 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $18,047.05 | $18,047.05 | $57.42 – $18,047.05 | 111 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $5,906.25 | $5,906.25 | $3.52 – $1,181.25 | 111 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,928.25 | $1,928.25 | $21.71 – $1,113.35 | 111 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $63.00 | $63.00 | $0.88 – $3.25 | 95 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $13,529.89 | $20,815.21 | $32.50 – $50.00 | 29 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.