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 |
|---|---|---|---|---|
| Pentamidine 300 mg solution for injection HCPCS J2516 | $792.75 | $792.75 | $515.29 – $792.75 | 29 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $14,509.25 | $14,509.25 | $2,486.35 – $14,509.25 | 111 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $393.60 | $393.60 | $255.84 – $393.60 | 29 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $20,666.10 | $20,666.10 | $15.59 – $20,666.10 | 111 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $43,628.35 | $43,628.35 | $59.74 – $29,084.40 | 111 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $96.38 | $148.28 | $72.29 – $111.21 | 29 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,246.15 | $8,071.00 | $1,353.53 – $8,071.00 | 111 |
| Pet CT whole body initial CPT 78816 | $5,246.15 | $8,071.00 | $1,353.53 – $8,071.00 | 111 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $54,744.57 | $84,222.41 | $0.01 – $0.01 | 29 |
| Ph body fluid CPT 83986 | $52.65 | $81.00 | $3.47 – $41.00 | 45 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $201.80 | $201.80 | $27.36 – $180.95 | 95 |
| Phenobarbital therapeutic drug level CPT 80184 | $120.90 | $186.00 | $14.83 – $186.00 | 45 |
| Phentolaine mesylate inj HCPCS J2760 | $2,253.40 | $2,253.40 | $412.15 – $2,253.40 | 111 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $9.20 | $9.20 | $1.95 – $3.00 | 29 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $5.75 | $5.75 | $0.66 – $3.00 | 95 |
| Phenytoin total therapeutic drug level CPT 80185 | $100.10 | $154.00 | $12.84 – $154.00 | 45 |
| Phlebotomy therapeutic CPT 99195 | $306.80 | $472.00 | $125.94 – $472.00 | 111 |
| Phosphorus CPT 84100 | $52.00 | $80.00 | $4.59 – $62.00 | 45 |
| Phosphorus 24 hour urine CPT 84105 | $76.05 | $117.00 | $5.60 – $117.00 | 45 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $196.95 | $303.00 | $74.80 – $303.00 | 45 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $222.95 | $343.00 | $74.80 – $343.00 | 45 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $194.35 | $299.00 | $74.80 – $299.00 | 45 |
| Physical Therapy Re-Evaluation CPT 97164 | $162.50 | $250.00 | $50.60 – $250.00 | 45 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $22.60 | $22.60 | $2.84 – $19.80 | 95 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $781.90 | $1,202.93 | $37.27 – $186.36 | 37 |
| Pin caspar distraction 12mm HCPCS C1821 | $24,304.88 | $37,392.12 | $0.01 – $0.01 | 29 |
| Pinworm exam CPT 87172 | $33.80 | $52.00 | $4.14 – $52.00 | 45 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $89.80 | $89.80 | $2.22 – $5.95 | 95 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $247.65 | $381.00 | $247.65 – $381.00 | 29 |
| Platelet aggregation each agent teg CPT 85576 | $134.55 | $207.00 | $24.13 – $207.00 | 45 |
| Platelet automated CPT 85049 | $32.50 | $50.00 | $4.35 – $50.00 | 45 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,504.10 | $2,314.00 | $693.90 – $2,314.00 | 111 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $245.05 | $377.00 | $141.37 – $377.00 | 111 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $397.15 | $611.00 | $185.80 – $611.00 | 111 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,001.00 | $1,540.00 | $1,001.00 – $1,540.00 | 29 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,170.65 | $1,801.00 | $493.38 – $1,801.00 | 111 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $953.55 | $1,467.00 | $501.36 – $1,467.00 | 111 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,231.75 | $1,895.00 | $667.00 – $1,895.00 | 111 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,053.00 | $1,620.00 | $595.28 – $1,620.00 | 111 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $306.15 | $471.00 | $306.15 – $724.45 | 111 |
| Plug insert indwelling 16f HCPCS L8511 | $153.33 | $235.90 | $153.34 – $235.90 | 29 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $221.00 | $340.00 | $25.27 – $339.00 | 45 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $59,184.30 | $59,184.30 | $122.12 – $12,682.40 | 111 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,024.15 | $6,191.00 | $812.85 – $6,191.00 | 111 |
| Positioner proc acufex leg acs HCPCS E0190 | $197.14 | $303.30 | $60.66 – $303.30 | 37 |
| Potassium 24 hour urine CPT 84133 | $53.95 | $83.00 | $4.58 – $83.00 | 45 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $35.00 | $35.00 | $0.17 – $3.00 | 95 |
| Potassium serum/plasma/whole blood CPT 84132 | $393.00 | $67.00 | $4.61 – $67.00 | 45 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $282.29 | $434.29 | $282.29 – $434.29 | 29 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | $0.28 | $0.43 | $0.28 – $0.43 | 29 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | $0.38 | $0.59 | $0.31 – $0.47 | 29 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $67.84 | $104.37 | $0.32 – $0.49 | 29 |
| Powder prem protct 1oz HCPCS A4371 | $0.45 | $0.70 | $0.46 – $0.70 | 29 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $20,954.78 | $18,232.00 | $0.96 – $18,232.00 | 111 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $411.85 | $411.85 | $86.70 – $411.85 | 95 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,445.00 | $2,445.00 | $20.01 – $264.00 | 768 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $256.00 | $256.00 | $13.00 – $245.00 | 768 |
| Prealbumin CPT 84134 | $73.45 | $113.00 | $14.14 – $113.00 | 45 |
| Pr ecg 12 lead report only CPT 93010 | $26.00 | $26.00 | $2.67 – $17.00 | 768 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $83.00 | $83.00 | $11.29 – $83.00 | 768 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $24.95 | $24.95 | $0.81 – $4.40 | 95 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.00 | $1.00 | $0.65 – $1.00 | 29 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $732.55 | $1,127.00 | $30.03 – $1,127.00 | 781 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $549.90 | $846.00 | $29.61 – $846.00 | 781 |
| Pregnancy Ultrasound (limited) CPT 76815 | $632.45 | $973.00 | $9.80 – $973.00 | 781 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $129.35 | $199.00 | $39.80 – $330.76 | 97 |
| Pretreat rbc absorption reference CPT 86978 | $118.95 | $183.00 | $55.84 – $183.00 | 111 |
| Pretreat rbc density gradient separation reference CPT 86972 | $75.40 | $116.00 | $66.12 – $330.76 | 111 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $88.40 | $136.00 | $27.20 – $136.00 | 97 |
| Pretreat rbc w enzyme reference CPT 86971 | $59.80 | $92.00 | $52.44 – $330.76 | 111 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $483.00 | $536.00 | $78.75 – $536.00 | 780 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $328.00 | $328.00 | $67.25 – $276.00 | 768 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $241.00 | $241.00 | $47.50 – $175.00 | 768 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $255.00 | $323.00 | $31.50 – $323.00 | 780 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $173.00 | $239.00 | $31.50 – $239.00 | 781 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $106.00 | $106.00 | $28.12 – $104.00 | 768 |
| Pr incision & drainage abscess simple/single CPT 10060 | $9,255.40 | not published | $0.16 – $389.51 | 83 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $13,539.55 | $2,738.00 | $0.96 – $3,791.04 | 769 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,097.91 | $6,304.48 | $273.98 – $421.50 | 29 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,889.60 | $2,889.60 | $122.53 – $692.51 | 111 |
| Procalcitonin CPT 84145 | $258.70 | $398.00 | $26.38 – $398.00 | 45 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $24.95 | $24.95 | $2.52 – $24.95 | 95 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.00 | $1.00 | $0.35 – $1.00 | 95 |
| Progesterone CPT 84144 | $107.25 | $165.00 | $20.22 – $165.00 | 45 |
| Prolactin CPT 84146 | $149.50 | $230.00 | $18.78 – $230.00 | 45 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.00 | $1.00 | $0.12 – $1.00 | 95 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $46.50 | $46.50 | $5.98 – $9.20 | 29 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $9.20 | $9.20 | $5.98 – $9.20 | 95 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $2,365.32 | $3,638.95 | $0.18 – $0.89 | 37 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $462.69 | $711.83 | $39.47 – $60.73 | 29 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $150.50 | $150.50 | $41.00 – $150.50 | 95 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,580.71 | $5,508.79 | $3,548.35 – $5,459.00 | 29 |
| Protein c activity CPT 85303 | $119.60 | $184.00 | $13.41 – $184.00 | 45 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $74.75 | $115.00 | $10.40 – $115.00 | 45 |
| Protein s total CPT 85305 | $63.05 | $97.00 | $11.25 – $97.00 | 45 |
| Protein total 24 hour urine CPT 84156 | $48.75 | $75.00 | $3.56 – $75.00 | 45 |
| Protein total body fluid CPT 84157 | $46.15 | $71.00 | $3.88 – $71.00 | 45 |
| Protein total serum plasma whole blood CPT 84155 | $1,440.00 | $85.00 | $3.56 – $45.00 | 45 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $126.75 | $195.00 | $3.81 – $195.00 | 45 |
| Provox xtraflange 17fr HCPCS L8499 | $84.23 | $129.58 | $67.42 – $103.73 | 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.