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 |
|---|---|---|---|---|
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $3,449.25 | $3,449.25 | $2,242.01 – $3,449.25 | 29 |
| Carotene CPT 82380 | $81.90 | $126.00 | $8.94 – $126.00 | 45 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $719.55 | $1,107.00 | $23.86 – $1,107.00 | 781 |
| Carpal Tunnel Release Surgery CPT 64721 | $7,352.00 | $1,990.00 | $122.01 – $3,791.04 | 769 |
| Car seat/bed test 60 minutes CPT 94780 | $217.10 | $334.00 | $35.35 – $334.00 | 111 |
| Car seat/bed test additional 30 minutes CPT 94781 | $151.45 | $233.00 | $151.45 – $233.00 | 29 |
| Cassette provox xtraflow hme HCPCS A7507 | $2.67 | $4.11 | $2.67 – $4.11 | 29 |
| Cataract Surgery CPT 66984 | $7,794.65 | not published | $0.16 – $4,480.44 | 83 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,555.72 | $2,393.42 | $70.10 – $107.84 | 29 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $4,378.40 | $6,736.00 | $893.20 – $1,374.15 | 29 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,894.35 | $2,914.39 | $3.17 – $4.87 | 29 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $4,679.08 | $7,198.59 | $43.26 – $66.56 | 29 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $4,008.97 | $6,167.65 | $3,396.68 – $5,225.66 | 29 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $41,900.62 | $64,462.50 | $0.01 – $0.01 | 29 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $5,014.47 | $7,714.57 | $1,145.58 – $1,762.43 | 29 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $13,681.13 | $21,047.90 | $0.01 – $0.01 | 29 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $4,539.55 | $6,983.93 | $0.01 – $0.01 | 29 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,908.31 | $7,551.25 | $76.27 – $117.34 | 29 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $2,737.87 | $4,212.11 | $241.15 – $371.00 | 29 |
| Cath council tip 16fr 5cc HCPCS A4344 | $40.07 | $61.65 | $35.20 – $54.16 | 29 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $10,827.10 | $16,657.08 | $0.98 – $1.51 | 29 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,762.57 | $2,711.65 | $0.01 – $0.01 | 29 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $44.43 | $68.35 | $44.43 – $68.35 | 29 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,561.66 | $2,402.55 | $0.90 – $1.38 | 29 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $70.20 | $108.00 | $9.15 – $108.00 | 42 |
| Cath ext adhere actv m 28mm HCPCS A4349 | $0.59 | $0.91 | $0.49 – $0.75 | 29 |
| Cath follower heyman 20f HCPCS A4352 | $234.78 | $361.20 | $1.57 – $2.42 | 29 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,758.92 | $2,706.03 | $38.77 – $59.65 | 29 |
| Cath hawkone s directional HCPCS C1714 | $4,862.62 | $7,480.96 | $905.65 – $1,393.31 | 29 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,270.57 | $1,954.72 | $1,270.57 – $1,954.72 | 29 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $3,489.04 | $5,367.75 | $806.95 – $1,241.46 | 29 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $1,380.83 | $2,124.36 | $46.22 – $71.10 | 29 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $2,045.54 | $3,146.98 | $2,045.54 – $3,146.98 | 29 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $5,636.22 | $8,671.11 | $0.27 – $0.41 | 29 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $13,846.69 | $21,302.60 | $69.88 – $107.50 | 29 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $23.92 | $36.80 | $23.92 – $36.80 | 29 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $7,730.61 | $11,893.25 | $7,651.94 – $11,772.21 | 29 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $330.23 | $508.05 | $77.98 – $119.97 | 29 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,374.45 | $3,653.00 | $74.26 – $114.24 | 29 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | $242.92 | $373.73 | $0.40 – $0.62 | 29 |
| Cath symplicity spyral HCPCS C1735 | $17,877.60 | $27,504.00 | $17,877.60 – $27,504.00 | 29 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $7,413.18 | $11,404.89 | $34.13 – $52.50 | 29 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $926.04 | $1,424.67 | $0.01 – $0.01 | 29 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $6.10 | $6.10 | $0.84 – $3.00 | 95 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $101.65 | $101.65 | $2.46 – $11.40 | 95 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $64.00 | $64.00 | $20.80 – $32.00 | 29 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $27.90 | $27.90 | $8.78 – $13.50 | 29 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $9.25 | $9.25 | $1.92 – $3.00 | 95 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $27.00 | $27.00 | $2.29 – $16.20 | 95 |
| Cell count body fluid CPT 89050 | $117.00 | $180.00 | $4.57 – $180.00 | 45 |
| Cell count w differential body fluid CPT 89051 | $83.20 | $128.00 | $5.43 – $128.00 | 45 |
| Cell function assay w/stim CPT 86352 | $214.50 | $330.00 | $131.65 – $330.00 | 45 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $34,004.00 | $34,004.00 | $28.12 – $34,004.00 | 111 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $18,898.20 | $18,898.20 | $3.79 – $17,963.25 | 111 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,685.70 | $4,685.70 | $78.74 – $2,342.85 | 111 |
| Change cystostomy tube simple CPT 51705 | $311.35 | $479.00 | $236.50 – $485.06 | 111 |
| Chemo extend IV infus w/pump HCPCS G0498 | $711.10 | $1,094.00 | $312.65 – $1,094.00 | 108 |
| Chest 2 vws w oblique CPT 71048 | $286.65 | $441.00 | $98.96 – $441.00 | 111 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,252.90 | $3,466.00 | $166.03 – $3,466.00 | 111 |
| Chest CT scan (with contrast) CPT 71260 | $1,812.20 | $2,788.00 | $166.03 – $2,788.00 | 111 |
| Chest CT scan (without contrast) CPT 71250 | $1,441.70 | $2,218.00 | $98.96 – $2,218.00 | 111 |
| Chest Physiotherapy (first session) CPT 94667 | $178.75 | $275.00 | $125.94 – $275.00 | 111 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $151.45 | $233.00 | $125.94 – $258.30 | 111 |
| Chest Ultrasound CPT 76604 | $512.20 | $788.00 | $98.96 – $788.00 | 111 |
| Chest X-ray CPT 71046 | $206.70 | $318.00 | $82.37 – $318.00 | 111 |
| Chest X-ray (single view) CPT 71045 | $593.00 | $258.00 | $82.37 – $258.00 | 111 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $433.55 | $667.00 | $166.03 – $667.00 | 111 |
| Chloride CPT 82435 | $39.65 | $61.00 | $4.46 – $61.00 | 45 |
| Chloride 24 hour urine CPT 82436 | $38.35 | $59.00 | $5.57 – $59.00 | 45 |
| Chloroprocaine hcl injection HCPCS J2401 | $102.90 | $102.90 | $66.89 – $102.90 | 29 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $38.40 | $38.40 | $3.32 – $27.07 | 95 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $380.25 | $585.00 | $333.45 – $585.00 | 29 |
| Cholesterol CPT 82465 | $40.95 | $63.00 | $4.21 – $63.00 | 45 |
| Cholesterol body fluid CPT 84999 | $209.30 | $322.00 | $11.73 – $322.00 | 37 |
| Cholesterol (Lipid) Test CPT 80061 | $110.50 | $170.00 | $12.97 – $170.00 | 45 |
| Cholinesterase CPT 82480 | $73.45 | $113.00 | $7.63 – $113.00 | 45 |
| Chromo high res and frag x - sendout CPT 81243 | $266.50 | $410.00 | $55.27 – $410.00 | 45 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,092.00 | $1,680.00 | $121.60 – $1,680.00 | 45 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $1.00 | $1.00 | $0.20 – $1.00 | 100 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $37.00 | $37.00 | $4.64 – $37.00 | 95 |
| Circumcision (newborn) CPT 54150 | $2,372.50 | $3,650.00 | $1,978.67 – $4,058.30 | 111 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $379.00 | $379.00 | $10.65 – $93.75 | 95 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $496.70 | $496.70 | $7.27 – $496.70 | 111 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $15,050.75 | $23,155.00 | $22.52 – $34.65 | 29 |
| Clearance of airways CPT 31720 | $204.75 | $315.00 | $204.75 – $425.12 | 111 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $20.75 | $20.75 | $1.67 – $11.50 | 95 |
| Clip ligating vesolock lg HCPCS C1760 | $8,209.50 | $12,630.00 | $2.20 – $3.39 | 29 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $538.82 | $828.95 | $538.82 – $828.95 | 29 |
| Cllr miami j sm HCPCS L0174 | $607.31 | $934.33 | $11.20 – $55.98 | 37 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $14.08 – $17,608.50 | 111 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $79.35 | $79.35 | $17.67 – $79.35 | 95 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $1,671.15 | $2,571.00 | $233.49 – $2,571.00 | 111 |
| Cmv pcr-sendout CPT 87496 | $349.05 | $537.00 | $34.01 – $537.00 | 45 |
| Co2 monitor per day CPT 94681 | $270.40 | $416.00 | $270.40 – $724.45 | 111 |
| Coagulation time activated teg CPT 85347 | $50.05 | $77.00 | $4.15 – $77.00 | 45 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $2,948.58 | $4,536.28 | $1,276.72 – $1,964.19 | 29 |
| Cold agglutinin screen (arc) CPT 86156 | $66.95 | $103.00 | $7.82 – $103.00 | 45 |
| Cold agglutinin titer CPT 86157 | $54.60 | $84.00 | $7.81 – $84.00 | 45 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $271.05 | $417.00 | $82.37 – $278.00 | 111 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $44.47 | $68.41 | $0.47 – $2.36 | 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.