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 |
|---|---|---|---|---|
| Prp i/hern init block >5 yr CPT 49507 | $18,343.87 | not published | $0.96 – $6,951.03 | 83 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $190.00 | $190.00 | $39.02 – $159.00 | 768 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $11,126.45 | not published | $18.18 – $3,206.43 | 83 |
| PSA (Prostate) Test CPT 84153 | $122.20 | $188.00 | $17.82 – $188.00 | 45 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $102.05 | $157.00 | $13.90 – $157.00 | 45 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $87.75 | $135.00 | $10.53 – $135.00 | 45 |
| Pt application of modality traction mechanical CPT 97012 | $70.85 | $109.00 | $12.97 – $109.00 | 45 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $213.20 | $328.00 | $28.35 – $328.00 | 45 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $74.75 | $115.00 | $11.77 – $115.00 | 43 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $68.90 | $106.00 | $19.95 – $106.00 | 45 |
| Pt wheelchair management each 15 minutes CPT 97542 | $128.70 | $198.00 | $23.91 – $198.00 | 45 |
| Pulse ox continuous overnight monitoring CPT 94762 | $291.85 | $449.00 | $121.80 – $449.00 | 111 |
| Pulse ox multiple CPT 94761 | $156.00 | $240.00 | $2.81 – $240.00 | 779 |
| Pulse ox single CPT 94760 | $50.70 | $78.00 | $50.70 – $78.00 | 29 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $367.13 | $564.81 | $124.86 – $192.09 | 29 |
| Punc of shunt for asp or inj CPT 61070 | $899.60 | $1,384.00 | $668.16 – $1,384.00 | 111 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $494.00 | $175.00 | $9.09 – $258.30 | 111 |
| Puncture spinal lumbar diagnostic CPT 62270 | $603.85 | $929.00 | $18.75 – $1,370.41 | 781 |
| Quest t3 uptake CPT 84479 | $48.10 | $74.00 | $6.27 – $74.00 | 45 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,213.80 | $3,213.80 | $274.35 – $3,213.80 | 111 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $507.10 | $507.10 | $127.77 – $507.10 | 111 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $22,849.50 | $22,849.50 | $71.62 – $4,569.90 | 111 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $16,770.95 | $16,770.95 | $375.70 – $3,354.20 | 108 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $73,649.25 | $73,649.25 | $220.31 – $20,086.15 | 111 |
| Rbc count only automated CPT 85041 | $18.20 | $28.00 | $2.93 – $28.00 | 45 |
| Rbc deglycerolized each unit HCPCS P9039 | $71.50 | $110.00 | $71.50 – $110.00 | 29 |
| Reconstruction knee CPT 27427 | $25,449.97 | $2,453.00 | $2.88 – $14,087.30 | 769 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $572.00 | $880.00 | $572.00 – $880.00 | 29 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $486.20 | $748.00 | $244.41 – $748.00 | 111 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $2,788.00 | $654.00 | $181.21 – $654.00 | 111 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $457.60 | $704.00 | $260.10 – $704.00 | 111 |
| Red blood cells washed each unit HCPCS P9022 | $429.00 | $660.00 | $361.21 – $740.85 | 111 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $92.00 | $92.00 | $11.56 – $92.00 | 95 |
| Release palm contracture CPT 26123 | $2,902.00 | $2,902.00 | $249.11 – $1,892.00 | 768 |
| Release palm contracture CPT 26125 | $917.00 | $917.00 | $145.48 – $666.42 | 768 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $3,543.15 | $3,543.15 | $5.91 – $3,543.15 | 111 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $7,399.55 | not published | $1,490.03 – $3,056.08 | 82 |
| Removal implant superficial separate procedure CPT 20670 | $586.00 | $586.00 | $24.02 – $431.76 | 768 |
| Removal of adenoids CPT 42830 | $9,224.86 | not published | $0.18 – $6,436.67 | 83 |
| Removal of bone for graft CPT 20900 | $1,346.00 | $1,346.00 | $8.10 – $62.56 | 768 |
| Removal of implant deep CPT 20680 | $18,623.27 | $1,446.00 | $0.96 – $6,352.30 | 769 |
| Removal of sperm cord lesion CPT 55520 | $16,306.54 | not published | $1.92 – $6,951.03 | 83 |
| Remove pilonidal cyst compl CPT 11772 | $1,886.00 | $1,886.00 | $182.86 – $1,320.00 | 768 |
| Remove spine eltrd perq aray CPT 63661 | $9,209.85 | $14,169.00 | $9,209.85 – $14,169.00 | 29 |
| Remove tonsils and adenoids CPT 42820 | $11,382.01 | not published | $0.36 – $11,492.83 | 83 |
| Remove wrist tendon lesion CPT 25111 | $10,603.65 | $1,134.00 | $0.32 – $3,121.78 | 769 |
| Renal function panel CPT 80069 | $94.25 | $145.00 | $8.42 – $145.00 | 45 |
| Repair biceps tendon CPT 23430 | $2,569.00 | $2,569.00 | $34.65 – $266.56 | 768 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $8,460.30 | $851.00 | $31.45 – $789.21 | 769 |
| Repair elbow deb/attch open CPT 24359 | $2,296.00 | $2,296.00 | $196.71 – $1,493.00 | 768 |
| Repair ing hernia sliding CPT 49525 | $14,791.77 | not published | $1.92 – $6,951.03 | 83 |
| Repair of ankle ligament CPT 27695 | $34,203.50 | not published | $1.92 – $14,087.30 | 83 |
| Repair/revise wrist joint CPT 25320 | $3,416.00 | $3,416.00 | $37.48 – $357.44 | 768 |
| Repair rotator cuff acute CPT 23410 | $2,825.00 | $2,825.00 | $37.48 – $292.80 | 768 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $5,680.00 | $5,680.00 | $10.84 – $5,680.00 | 32 |
| Reticulated platelet assay CPT 85055 | $52.00 | $80.00 | $34.63 – $80.00 | 45 |
| Reticulocyte automated CPT 85045 | $47.45 | $73.00 | $3.87 – $73.00 | 45 |
| Reticulocyte direct measurement automated CPT 85046 | $44.85 | $69.00 | $5.40 – $69.00 | 45 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $45,114.00 | $45,114.00 | $29.43 – $45,114.00 | 111 |
| Revise spine eltrd perq aray CPT 63663 | $9,414.60 | $14,484.00 | $9,414.60 – $14,484.00 | 29 |
| Revision of calf tendon CPT 27687 | $31,597.66 | not published | $0.96 – $14,087.30 | 83 |
| Revision of knee joint CPT 27446 | $3,926.00 | $3,926.00 | $37.48 – $405.44 | 768 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $9,209.85 | $14,169.00 | $9,209.85 – $14,169.00 | 29 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $10,657.15 | $10,657.15 | $10.60 – $10,657.15 | 108 |
| Rheumatoid factor qualitative CPT 86430 | $54.60 | $84.00 | $47.88 – $84.00 | 29 |
| Rheumatoid factor quantitative CPT 86431 | $70.20 | $108.00 | $5.50 – $108.00 | 45 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $294.95 | $294.95 | $74.55 – $294.95 | 95 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $151.45 | $233.00 | $82.83 – $233.00 | 95 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $494.00 | $760.00 | $98.96 – $760.00 | 111 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $507.65 | $781.00 | $98.96 – $781.00 | 111 |
| Rib X-ray (3 views, both sides) CPT 71110 | $261.95 | $403.00 | $98.96 – $403.00 | 111 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $82.10 | $82.10 | $9.60 – $82.10 | 95 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | $0.66 | $1.01 | $0.66 – $1.01 | 29 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,052.12 | $1,618.64 | $74.10 – $114.00 | 29 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $0.33 | $0.51 | $0.33 – $0.51 | 29 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $30,071.50 | $30,071.50 | $14.63 – $30,071.50 | 111 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $14,092.80 | $14,092.80 | $73.27 – $14,092.80 | 111 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $22,548.30 | $22,548.30 | $36.14 – $19,729.75 | 111 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $12,035.25 | $12,035.25 | $29.54 – $2,407.05 | 111 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,300.55 | $8,300.55 | $74.05 – $1,660.15 | 32 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $9,889.65 | $9,889.65 | $13.00 – $1,978.00 | 111 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $8,826.40 | $8,826.40 | $30.29 – $8,826.40 | 111 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17,344.00 | $17,344.00 | $10.83 – $4,336.10 | 108 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $13,801.85 | $13,801.85 | $11.40 – $13,801.85 | 111 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.50 | $188.50 | $0.60 – $3.25 | 95 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $56,796.70 | $56,796.70 | $22.32 – $56,796.70 | 111 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $14,711.42 | not published | $1.92 – $12,568.36 | 83 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $16,049.96 | not published | $1.92 – $6,951.03 | 83 |
| Rubella antibody igg CPT 86762 | $76.70 | $118.00 | $13.94 – $118.00 | 45 |
| Rubeola antibody igg CPT 86765 | $48.10 | $74.00 | $12.48 – $74.00 | 45 |
| Russell viper venom diluted CPT 85613 | $81.90 | $126.00 | $9.28 – $126.00 | 45 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $7,844.35 | $7,844.35 | $33.65 – $7,844.35 | 111 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $222.95 | $343.00 | $98.96 – $343.00 | 111 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $166.78 | $165.00 | $26.18 – $165.00 | 768 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $221.00 | $221.00 | $56.64 – $221.00 | 768 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $824.20 | $1,268.00 | $23.86 – $1,268.00 | 781 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $479.70 | $738.00 | $14.91 – $738.00 | 781 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $735.80 | $1,132.00 | $98.96 – $1,132.00 | 111 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $686.40 | $1,056.00 | $14.27 – $1,056.00 | 781 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $503.10 | $774.00 | $98.96 – $774.00 | 111 |
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.