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 |
|---|---|---|---|---|
| Antinuclear antibodies CPT 86038 | $105.95 | $163.00 | $11.72 – $163.00 | 45 |
| Antinuclear antibodies titer CPT 86039 | $85.80 | $132.00 | $10.81 – $132.00 | 45 |
| Antipsychotics nos 1-3 CPT 80342 | $183.30 | $282.00 | $74.45 – $282.00 | 42 |
| Antistreptolysin o screen CPT 86063 | $48.75 | $75.00 | $5.59 – $75.00 | 45 |
| Antithrombin iii activity CPT 85300 | $135.20 | $208.00 | $11.49 – $208.00 | 45 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $14,664.50 | $14,664.50 | $5,013.11 – $14,664.50 | 95 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $393.90 | $606.00 | $98.96 – $606.00 | 111 |
| Application multi layer compression below knee (both sides) CPT 29581 | $612.30 | $942.00 | $153.82 – $628.00 | 111 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $310.00 | $310.00 | $4.29 – $29.28 | 768 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,783.02 | $4,281.57 | $1.72 – $2.64 | 29 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,185.25 | $1,185.25 | $1.68 – $1,185.25 | 111 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $129.35 | $199.00 | $27.67 – $199.00 | 45 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,163.85 | $3,329.00 | $330.23 – $2,219.00 | 111 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,701.70 | $2,618.00 | $98.96 – $1,745.00 | 111 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $514.15 | $791.00 | $58.20 – $791.00 | 111 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,478.30 | $2,478.30 | $76.92 – $2,478.30 | 95 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $2,360.80 | $3,632.00 | $290.55 – $2,421.00 | 111 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $18,623.27 | $2,339.00 | $0.96 – $6,352.30 | 769 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $2,878.00 | $2,878.00 | $37.24 – $288.16 | 768 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $21,931.44 | $2,979.00 | $0.96 – $6,352.30 | 769 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $27,866.36 | $2,280.00 | $0.96 – $14,087.30 | 769 |
| Ascenda two piece catheter HCPCS C1772 | $15,324.40 | $23,576.00 | $56.19 – $86.44 | 29 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,748.50 | $2,690.00 | $593.78 – $1,793.00 | 111 |
| Assay of prostaglandin CPT 84150 | $162.50 | $250.00 | $40.47 – $250.00 | 45 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $276.90 | $426.00 | $58.94 – $426.00 | 45 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $43.55 | $67.00 | $4.14 – $67.00 | 45 |
| Ast/sgot CPT 84450 | $526.00 | $91.00 | $5.02 – $91.00 | 45 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $35,811.20 | $35,811.20 | $89.08 – $35,811.20 | 111 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $46.00 | $46.00 | $14.20 – $21.85 | 29 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,652.05 | $7,157.00 | $271.69 – $417.99 | 29 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $5,925.40 | $9,116.00 | $5,925.40 – $9,116.00 | 29 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $11,850.80 | $18,232.00 | $6,868.44 – $18,232.00 | 111 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,470.55 | $6,470.55 | $94.26 – $6,470.55 | 111 |
| Azacitidine injection HCPCS J9025 | $207.00 | $207.00 | $134.55 – $207.00 | 29 |
| Azathioprine 50 mg tablet HCPCS J7500 | $66.00 | $66.00 | $0.65 – $2.14 | 95 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $23.50 | $23.50 | $2.61 – $8.75 | 95 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $225.40 | $225.40 | $26.70 – $141.20 | 95 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,156.90 | $3,156.90 | $160.92 – $3,156.90 | 32 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $164.85 | $164.85 | $107.15 – $164.85 | 29 |
| Baclofen eval charges CPT 97750 | $154.70 | $238.00 | $24.81 – $238.00 | 45 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $63.46 | $97.63 | $45.60 – $70.16 | 29 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $3,519.00 | $199.00 | $26.48 – $199.00 | 45 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $648.70 | $998.00 | $166.03 – $998.00 | 111 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $460.85 | $709.00 | $166.03 – $709.00 | 111 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $338.00 | $520.00 | $166.03 – $520.00 | 111 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.23 | $0.35 | $0.23 – $0.35 | 29 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $19.11 | $29.40 | $19.11 – $29.40 | 29 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.44 | $0.67 | $0.44 – $0.67 | 29 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $0.26 | $0.40 | $0.26 – $0.40 | 29 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $1.10 | $1.69 | $1.10 – $1.69 | 29 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $47.64 | $73.30 | $0.44 – $0.67 | 29 |
| Bausch health Ultrasound surg HCPCS V2788 | $744.25 | $1,145.00 | $32.50 – $50.00 | 29 |
| B cells total count CPT 86355 | $131.30 | $202.00 | $36.56 – $202.00 | 45 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $864.15 | $864.15 | $3.21 – $864.15 | 111 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,849.40 | $4,849.40 | $3.81 – $4,849.40 | 111 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,005.85 | $11,005.85 | $52.79 – $3,302.00 | 111 |
| Belt ostomy lg 34-65in HCPCS A4367 | $0.49 | $0.75 | $0.48 – $0.74 | 29 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $14,338.95 | $14,338.95 | $2.01 – $14,338.95 | 111 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,945.90 | $11,945.90 | $13.38 – $11,945.90 | 111 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,355.30 | $8,355.30 | $12.58 – $8,355.30 | 111 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $19,642.40 | $19,642.40 | $3,070.00 – $19,642.40 | 95 |
| #_benzodiazconfur CPT 80346 | $99.45 | $153.00 | $40.39 – $153.00 | 42 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $108.55 | $167.00 | $24.66 – $167.00 | 45 |
| Beta-2 microglobulin CPT 82232 | $96.20 | $148.00 | $15.68 – $148.00 | 45 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $175.75 | $175.75 | $34.45 – $175.75 | 95 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,390.85 | $2,390.85 | $72.16 – $2,390.85 | 111 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,925.35 | $1,925.35 | $23.36 – $1,925.35 | 111 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $6,770.50 | $6,770.50 | $25.28 – $6,770.50 | 111 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,364.35 | $2,099.00 | $290.55 – $1,399.00 | 111 |
| Bilirubin direct CPT 82248 | $42.90 | $66.00 | $4.87 – $66.00 | 45 |
| Bilirubin total CPT 82247 | $129.00 | $99.00 | $4.87 – $84.00 | 45 |
| Bladder Catheter Insertion (simple) CPT 51702 | $312.00 | $312.00 | $125.94 – $312.00 | 111 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $488.00 | $488.00 | $22.87 – $263.10 | 95 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $17,670.55 | $17,670.55 | $144.64 – $17,670.55 | 111 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $9,830.88 | $15,124.43 | $0.01 – $0.01 | 29 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $4,840.11 | $7,446.33 | $25.97 – $39.95 | 29 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,036.55 | $3,133.15 | $435.82 – $670.49 | 29 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,619.02 | $5,567.73 | $34.78 – $53.50 | 29 |
| Bln press regulation 71-80cm HCPCS C1815 | $10,109.53 | $15,553.13 | $2,948.58 – $4,536.28 | 29 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,815.54 | $2,793.14 | $1,141.56 – $1,756.25 | 29 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $1.82 | $2.80 | $1.82 – $2.80 | 29 |
| Blood Clotting (PT/INR) Test CPT 85610 | $353.00 | $66.00 | $4.16 – $66.00 | 45 |
| Blood Clotting (PTT) Test CPT 85730 | $786.00 | $99.00 | $5.82 – $135.93 | 111 |
| Blood Count (CBC) Test CPT 85025 | $662.00 | $112.00 | $7.53 – $112.00 | 45 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $605.00 | $87.00 | $6.27 – $87.00 | 45 |
| Blood Culture Test CPT 87040 | $411.00 | $183.00 | $9.09 – $183.00 | 45 |
| Blood Draw (Venipuncture) CPT 36415 | $29.25 | $45.00 | $9.05 – $45.00 | 45 |
| Blood gases o2 saturation direct measurement CPT 82805 | $220.35 | $339.00 | $76.33 – $339.00 | 45 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $42.90 | $66.00 | $15.42 – $66.00 | 45 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $23.40 | $36.00 | $4.10 – $36.00 | 45 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $32.50 | $50.00 | $4.24 – $50.00 | 45 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $56.55 | $87.00 | $5.15 – $87.00 | 45 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $38.35 | $59.00 | $3.68 – $59.00 | 45 |
| Blood Transfusion CPT 36430 | $2,798.00 | $1,197.00 | $417.60 – $1,197.00 | 111 |
| Blood typing abo CPT 86900 | $83.85 | $129.00 | $73.53 – $258.30 | 111 |
| Blood typing ag donor ea ag CPT 86902 | $6,873.00 | $360.00 | $181.21 – $695.89 | 111 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $90.35 | $139.00 | $79.23 – $695.89 | 111 |
| Blood typing rh (d) CPT 86901 | $681.00 | $69.00 | $9.09 – $72.51 | 111 |
| Blood typing rh phenotype complete reference CPT 86906 | $148.20 | $228.00 | $35.35 – $228.00 | 111 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $1,983.96 | $3,052.25 | $16.06 – $80.31 | 37 |
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.