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 |
|---|---|---|---|---|
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $150.15 | $231.00 | $61.12 – $231.00 | 111 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $19.50 | $30.00 | $7.94 – $30.00 | 108 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $43.55 | $67.00 | $17.73 – $67.00 | 111 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $20.80 | $32.00 | $8.47 – $32.00 | 108 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $53.95 | $83.00 | $21.96 – $83.00 | 108 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $142.35 | $219.00 | $57.95 – $219.00 | 111 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $499.85 | $769.00 | $33.39 – $769.00 | 111 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $31.20 | $48.00 | $11.03 – $48.00 | 108 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $180.70 | $278.00 | $55.60 – $278.00 | 103 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $161.20 | $248.00 | $161.20 – $248.00 | 95 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $142.35 | $219.00 | $43.80 – $219.00 | 103 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $382.20 | $588.00 | $117.60 – $588.00 | 103 |
| Vaccine mmr live subcutaneous CPT 90707 | $466.05 | $466.05 | $79.30 – $122.00 | 95 |
| Vaccine mmrv live subcutaneous CPT 90710 | $403.65 | $621.00 | $124.20 – $621.00 | 103 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $556.15 | $556.15 | $105.31 – $398.00 | 111 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $499.85 | $769.00 | $203.48 – $769.00 | 111 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $477.10 | $734.00 | $194.22 – $734.00 | 111 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $559.00 | $860.00 | $227.56 – $860.00 | 111 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $36.40 | $56.00 | $36.40 – $56.00 | 95 |
| Vaccine rabies im CPT 90675 | $2,145.80 | $1,998.80 | $312.03 – $1,667.00 | 111 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $251.55 | $387.00 | $77.40 – $387.00 | 103 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $421.85 | $649.00 | $129.80 – $649.00 | 103 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $421.85 | $649.00 | $129.80 – $649.00 | 103 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $239.20 | $368.00 | $73.60 – $368.00 | 103 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $115.05 | $177.00 | $35.40 – $177.00 | 103 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $97.50 | $150.00 | $97.50 – $150.00 | 95 |
| Vaccine tdap >=7 years im CPT 90715 | $231.55 | $231.55 | $39.71 – $178.00 | 95 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $57.20 | $88.00 | $36.37 – $88.00 | 95 |
| Vaccine typhoid vicps im CPT 90691 | $113.75 | $175.00 | $101.32 – $175.00 | 95 |
| Vaccine varicella live subcutaneous CPT 90716 | $148.85 | $229.00 | $45.80 – $229.00 | 103 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $130.65 | $201.00 | $130.65 – $201.00 | 95 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $6,388.06 | $9,827.78 | $6,388.06 – $9,827.78 | 29 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $18.05 | $18.05 | $2.34 – $3.60 | 29 |
| Valproic acid total therapeutic drug level CPT 80164 | $131.95 | $203.00 | $13.12 – $203.00 | 45 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $215.00 | $215.00 | $0.15 – $3.00 | 95 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $21.30 | $21.30 | $13.85 – $21.30 | 29 |
| Vancomycin peak therapeutic drug level CPT 80202 | $159.90 | $246.00 | $13.12 – $246.00 | 45 |
| Varicella zoster antibody igg CPT 86787 | $90.35 | $139.00 | $12.48 – $139.00 | 45 |
| Varicella-zoster immue globin im CPT 90396 | $1,916.20 | $2,948.00 | $1,916.20 – $2,948.00 | 95 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $726.75 | $726.75 | $53.85 – $82.85 | 29 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $30,326.10 | $30,326.10 | $20.94 – $30,326.10 | 111 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $7,637.95 | $7,637.95 | $1,520.72 – $7,637.95 | 95 |
| Ventilator each subsequent day CPT 94003 | $2,122.90 | $3,266.00 | $584.77 – $3,266.00 | 111 |
| Ventilator Management (first day) CPT 94002 | $2,653.95 | $4,083.00 | $584.77 – $4,083.00 | 111 |
| Verify external neurostimulato HCPCS A4290 | $730.60 | $1,124.00 | $730.60 – $1,124.00 | 29 |
| Vest large holster HCPCS Q0498 | $779.19 | $1,198.75 | $779.19 – $1,198.75 | 29 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | $134.93 | $207.59 | $120.91 – $186.02 | 29 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $454.35 | $699.00 | $166.03 – $699.00 | 111 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $244.80 | $244.80 | $57.90 – $244.80 | 95 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $87.15 | $87.15 | $8.60 – $85.75 | 95 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $223.55 | $223.55 | $40.37 – $62.10 | 29 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $926.45 | $511.00 | $8.04 – $225.00 | 111 |
| Vitamin b-12 CPT 82607 | $94.90 | $146.00 | $14.62 – $146.00 | 45 |
| Vitamin D Test CPT 82306 | $174.85 | $269.00 | $28.68 – $269.00 | 45 |
| Volume measurement urine timed CPT 81050 | $21.45 | $33.00 | $3.53 – $33.00 | 45 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $561.40 | $561.40 | $15.60 – $561.40 | 95 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $272,036.50 | $272,036.50 | $4,909.37 – $272,036.50 | 111 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $92.30 | $142.00 | $22.00 – $142.00 | 45 |
| Warde 1003990 aldosterone CPT 82088 | $287.30 | $442.00 | $39.48 – $275.00 | 45 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $182.00 | $280.00 | $26.94 – $280.00 | 45 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $108.55 | $167.00 | $12.51 – $124.00 | 45 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $128.05 | $197.00 | $24.47 – $197.00 | 45 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $74.75 | $115.00 | $15.02 – $115.00 | 45 |
| Warde 1015200 kappa light chain free CPT 83521 | $126.10 | $194.00 | $16.92 – $194.00 | 42 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $64.35 | $99.00 | $7.77 – $99.00 | 45 |
| Warde 3008005 oligoclonal bands CPT 83916 | $120.90 | $186.00 | $26.54 – $186.00 | 45 |
| Warde 3016000 west nile virus antibody CPT 86788 | $79.30 | $122.00 | $16.33 – $122.00 | 45 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $87.75 | $135.00 | $13.94 – $135.00 | 45 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $70.85 | $109.00 | $11.87 – $109.00 | 45 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $59.80 | $92.00 | $8.63 – $92.00 | 45 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $35.10 | $54.00 | $17.42 – $54.00 | 45 |
| Warde 3400852 arsenic CPT 82175 | $71.50 | $110.00 | $18.38 – $110.00 | 45 |
| Warde 3708165 mercury urine CPT 83825 | $65.00 | $100.00 | $15.76 – $100.00 | 45 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $115.05 | $177.00 | $17.83 – $177.00 | 45 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $109.85 | $169.00 | $7.85 – $169.00 | 45 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $243.75 | $375.00 | $37.42 – $375.00 | 45 |
| Warde aldolase CPT 82085 | $85.80 | $132.00 | $9.40 – $132.00 | 45 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $242.45 | $373.00 | $16.35 – $373.00 | 45 |
| Warde amiodarone therapeutic drug level CPT 80151 | $90.35 | $139.00 | $18.06 – $139.00 | 45 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $343.20 | $528.00 | $158.88 – $528.00 | 45 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $125.45 | $193.00 | $50.95 – $193.00 | 39 |
| Warde anti-mullerian hormone CPT 82166 | $199.55 | $307.00 | $37.42 – $307.00 | 45 |
| Warde apolipoprotein b CPT 82172 | $120.25 | $185.00 | $20.44 – $185.00 | 45 |
| Warde bile acids CPT 82239 | $52.00 | $80.00 | $16.59 – $80.00 | 31 |
| Warde calcitonin CPT 82308 | $112.45 | $173.00 | $25.96 – $173.00 | 45 |
| Warde calculus (stone) infrared CPT 82365 | $125.45 | $193.00 | $12.51 – $193.00 | 45 |
| Warde clozapine therapeutic drug level CPT 80159 | $122.85 | $189.00 | $19.52 – $189.00 | 45 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $111.15 | $171.00 | $21.28 – $171.00 | 45 |
| Warde complement total hemolytic CPT 86162 | $108.55 | $167.00 | $19.69 – $167.00 | 45 |
| Warde copper CPT 82525 | $65.00 | $100.00 | $12.03 – $100.00 | 45 |
| Warde cryoglobulin CPT 82595 | $60.45 | $93.00 | $6.27 – $93.00 | 45 |
| Warde erythropoietin CPT 82668 | $140.40 | $216.00 | $18.21 – $216.00 | 45 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $226.20 | $348.00 | $11.72 – $348.00 | 45 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $121.55 | $187.00 | $9.40 – $187.00 | 45 |
| Warde gastrin CPT 82941 | $94.90 | $146.00 | $17.09 – $146.00 | 45 |
| Warde growth hormone (hgh) CPT 83003 | $117.65 | $181.00 | $16.16 – $181.00 | 45 |
| Warde helminth antibody strongyloides igg CPT 86682 | $82.55 | $127.00 | $12.61 – $127.00 | 45 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $76.70 | $118.00 | $12.47 – $118.00 | 45 |
| Warde hepatitis be antibody CPT 86707 | $91.65 | $141.00 | $11.21 – $141.00 | 45 |
| Warde hepatitis delta agent antibody CPT 86692 | $156.65 | $241.00 | $16.63 – $241.00 | 45 |
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.