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 |
|---|---|---|---|---|
| Warde immunofixation electrophoresis urine CPT 86335 | $191.10 | $294.00 | $28.76 – $294.00 | 45 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $92.30 | $142.00 | $11.17 – $142.00 | 45 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,573.00 | $2,420.00 | $249.47 – $2,420.00 | 45 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $141.05 | $217.00 | $22.84 – $217.00 | 45 |
| Warde lipoprotein (a) CPT 83695 | $96.85 | $149.00 | $13.87 – $149.00 | 45 |
| Warde mitochondrial antibody each CPT 86381 | $110.50 | $170.00 | $24.66 – $170.00 | 45 |
| Warde neutralization rabies CPT 86382 | $93.60 | $144.00 | $16.38 – $144.00 | 45 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $130.65 | $201.00 | $12.84 – $201.00 | 45 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $185.90 | $286.00 | $22.26 – $286.00 | 45 |
| Warde protein c antigen CPT 85302 | $131.95 | $203.00 | $11.64 – $203.00 | 45 |
| Warde sex hormone binding globulin CPT 84270 | $149.50 | $230.00 | $21.05 – $230.00 | 45 |
| Warde somatomedin CPT 84305 | $139.75 | $215.00 | $20.60 – $215.00 | 45 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $40.30 | $62.00 | $5.33 – $62.00 | 45 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $119.60 | $184.00 | $15.27 – $184.00 | 45 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $222.95 | $343.00 | $49.29 – $343.00 | 45 |
| Warde topiramate therapeutic drug level CPT 80201 | $81.25 | $125.00 | $11.55 – $125.00 | 45 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $180.05 | $277.00 | $25.27 – $277.00 | 45 |
| Warde viscosity CPT 85810 | $113.10 | $174.00 | $11.31 – $174.00 | 45 |
| Warde vitamin a CPT 84590 | $155.35 | $239.00 | $11.25 – $239.00 | 45 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $163.80 | $252.00 | $20.57 – $252.00 | 45 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $203.45 | $313.00 | $27.23 – $313.00 | 45 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $69.55 | $107.00 | $9.59 – $107.00 | 45 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $209.30 | $322.00 | $37.31 – $322.00 | 45 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $147.55 | $227.00 | $13.74 – $227.00 | 45 |
| Warde zinc CPT 84630 | $97.50 | $150.00 | $11.04 – $150.00 | 45 |
| Wbc automated CPT 85048 | $26.65 | $41.00 | $2.46 – $41.00 | 45 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $273.65 | $421.00 | $273.65 – $421.00 | 29 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $436.80 | $672.00 | $148.55 – $672.00 | 111 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,755.00 | $2,700.00 | $378.41 – $2,700.00 | 111 |
| Whole Skeleton X-ray Survey CPT 77075 | $530.40 | $816.00 | $98.96 – $816.00 | 111 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | $0.01 | $0.02 | $0.01 – $0.02 | 29 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $409.50 | $630.00 | $384.79 – $789.21 | 111 |
| Wrist X-ray CPT 73110 | $413.40 | $636.00 | $82.37 – $424.00 | 111 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $380.00 | $570.00 | $82.37 – $380.00 | 111 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $8,065.00 | not published | $0.16 – $4,480.44 | 83 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,860.00 | $1,860.00 | $160.92 – $1,278.00 | 768 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,253.85 | $1,929.00 | $330.23 – $1,286.00 | 111 |
| X-ray exam of femur 1 CPT 73551 | $332.80 | $512.00 | $82.37 – $341.00 | 111 |
| X-ray exam si joints CPT 72200 | $196.95 | $303.00 | $98.96 – $303.00 | 111 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $393.90 | $606.00 | $82.37 – $404.00 | 111 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $430.95 | $663.00 | $98.96 – $663.00 | 111 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $224.25 | $345.00 | $82.37 – $230.00 | 111 |
| X-ray mandible ltd <4 views CPT 70100 | $179.40 | $276.00 | $82.37 – $276.00 | 111 |
| X-ray nose to rectum for foreign body child CPT 76010 | $183.30 | $282.00 | $82.37 – $282.00 | 111 |
| X-ray ribs 2 views left CPT 71100 | $217.75 | $335.00 | $82.37 – $335.00 | 111 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $728.65 | $1,121.00 | $517.21 – $1,121.00 | 111 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $156.00 | $240.00 | $82.37 – $240.00 | 111 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $149.50 | $230.00 | $82.37 – $230.00 | 111 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $55,035.00 | $55,035.00 | $35,772.75 – $114,217.34 | 108 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $83.25 | $83.25 | $18.12 – $83.25 | 95 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $54.60 | $54.60 | $35.49 – $54.60 | 29 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $8,000.00 | $8,000.00 | $7.08 – $4,000.00 | 111 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $14,544.00 | $14,544.00 | $32.99 – $4,848.00 | 108 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $285.00 | $285.00 | $101.73 – $156.50 | 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.