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 |
|---|---|---|---|---|
| Collar cerv adlt perfit ace extric HCPCS L0140 | $50.43 | $77.58 | $2.93 – $4.51 | 29 |
| Collar cerv ascend 172 reg HCPCS L0172 | $1,198.73 | $1,844.20 | $0.52 – $2.62 | 37 |
| Collar cerv patriot adlt HCPCS L0150 | $3.18 | $4.89 | $3.18 – $4.89 | 29 |
| Collar extrication adult univ HCPCS L0200 | $41.92 | $64.50 | $41.93 – $64.50 | 29 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $306.80 | $472.00 | $125.94 – $472.00 | 111 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $306.80 | $472.00 | $125.94 – $472.00 | 111 |
| Colonoscopy (diagnostic) CPT 45378 | $8,047.45 | $671.00 | $0.36 – $1,805.43 | 769 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $6,503.75 | not published | $62.90 – $2,323.17 | 83 |
| Colonoscopy (with biopsy) CPT 45380 | $10,874.75 | $730.00 | $31.45 – $2,323.17 | 769 |
| Colonoscopy (with polyp removal) CPT 45385 | $7,704.70 | $924.00 | $62.90 – $2,323.17 | 769 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $144.95 | $223.00 | $127.11 – $330.76 | 111 |
| Compatibility test each unit electronic CPT 86923 | $191.75 | $295.00 | $161.27 – $330.76 | 111 |
| Compatibility test each unit immediate spin technique CPT 86920 | $107.25 | $165.00 | $94.05 – $330.76 | 111 |
| Complement antigen each component c3 CPT 86160 | $91.00 | $140.00 | $11.63 – $140.00 | 45 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $8,460.30 | not published | $31.45 – $1,374.78 | 83 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,752.13 | $2,695.58 | $1,752.13 – $2,695.58 | 29 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $694.85 | $1,069.00 | $330.23 – $1,069.00 | 108 |
| Concentration infection agents any type CPT 87015 | $52.65 | $81.00 | $6.48 – $81.00 | 45 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $3,352.21 | $5,157.25 | $266.25 – $409.61 | 29 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,780.10 | $1,780.10 | $369.15 – $1,780.10 | 111 |
| Connect omega .5mm HCPCS L8613 | $20,722.49 | $31,880.76 | $43.81 – $67.40 | 29 |
| Connector tis 2x10mm HCPCS C9352 | $6,756.42 | $10,394.49 | $821.93 – $1,264.50 | 29 |
| Consultation pathology during surgery CPT 88329 | $139.10 | $214.00 | $31.71 – $214.00 | 108 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $279.50 | $430.00 | $245.10 – $1,564.16 | 111 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $66.95 | $103.00 | $49.80 – $103.00 | 29 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $128.05 | $197.00 | $92.09 – $330.76 | 111 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $266.50 | $410.00 | $35.35 – $410.00 | 111 |
| Contrast baths charges CPT 97034 | $29.90 | $46.00 | $12.53 – $46.00 | 45 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $9,782.99 | $15,050.75 | $7,525.38 – $11,577.50 | 29 |
| Controller infinity pt dbs HCPCS C1787 | $27,497.09 | $42,303.21 | $32.50 – $50.00 | 29 |
| Coombs direct CPT 86880 | $91.00 | $140.00 | $55.84 – $115.00 | 111 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $92.30 | $142.00 | $80.94 – $330.76 | 111 |
| Coombs indirect titer reference CPT 86886 | $136.50 | $210.00 | $98.61 – $330.76 | 111 |
| Cornea 1/2moon str split thick HCPCS L8609 | $794.53 | $1,222.35 | $794.53 – $1,222.35 | 29 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $5,705.60 | $8,777.85 | $253.50 – $390.00 | 29 |
| Corrj halux rigdus without implt CPT 28289 | $22,949.38 | not published | $0.96 – $6,352.30 | 83 |
| Cortisol total am CPT 82533 | $122.20 | $188.00 | $15.80 – $188.00 | 45 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $101.75 | $101.75 | $28.02 – $101.75 | 95 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $9,235.69 | $14,208.75 | $85.30 – $131.23 | 29 |
| Cover wrist HCPCS L3984 | $0.01 | $0.01 | $0.01 – $0.01 | 29 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.50 | $110.00 | $12.79 – $78.90 | 111 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $443.95 | $683.00 | $443.95 – $683.00 | 29 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $443.95 | $683.00 | $443.95 – $683.00 | 29 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $641.55 | $987.00 | $207.27 – $987.00 | 111 |
| C-peptide CPT 84681 | $163.80 | $252.00 | $20.17 – $252.00 | 45 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $1,591.20 | $2,448.00 | $204.38 – $2,448.00 | 111 |
| Cr-51 sodium chromate HCPCS A9553 | $7,028.75 | $7,028.75 | $4,568.69 – $7,028.75 | 29 |
| C-reactive protein CPT 86140 | $70.85 | $109.00 | $5.02 – $109.00 | 45 |
| C-reactive protein high sensitivity CPT 86141 | $129.35 | $199.00 | $12.55 – $199.00 | 45 |
| Create eardrum opening CPT 69436 | $8,808.30 | not published | $1,468.67 – $3,012.26 | 82 |
| Creatine kinase CPT 82550 | $66.30 | $102.00 | $6.30 – $102.00 | 45 |
| Creatine kinase isoenzymes CPT 82552 | $115.05 | $177.00 | $12.97 – $177.00 | 45 |
| Creatine kinase mb CPT 82553 | $109.20 | $168.00 | $11.19 – $168.00 | 45 |
| Creatinine CPT 82565 | $524.00 | $65.00 | $4.96 – $65.00 | 45 |
| Creatinine 24 hour urine CPT 82570 | $63.05 | $97.00 | $5.02 – $97.00 | 45 |
| Creatinine clearance urine CPT 82575 | $69.55 | $107.00 | $9.17 – $107.00 | 45 |
| #creutz-prot.,western blot CPT 84182 | $45.50 | $70.00 | $28.31 – $70.00 | 45 |
| Critical care each additional 30 minutes CPT 99292 | $325.00 | $500.00 | $325.00 – $500.00 | 29 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,240.20 | $1,908.00 | $122.23 – $1,908.00 | 781 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $7,358.85 | $7,358.85 | $126.70 – $7,358.85 | 111 |
| Cryoprecipitate each unit HCPCS P9012 | $123.50 | $190.00 | $70.51 – $190.00 | 111 |
| Crystal identification light microscopy CPT 89060 | $83.20 | $128.00 | $7.10 – $128.00 | 45 |
| CT 3d report other modality w/workstation CPT 76377 | $511.55 | $787.00 | $448.59 – $787.00 | 29 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,316.60 | $3,564.00 | $166.03 – $2,376.00 | 111 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,206.80 | $6,472.00 | $330.23 – $6,472.00 | 111 |
| CT Angiogram of the Abdomen CPT 74175 | $2,629.90 | $4,046.00 | $166.03 – $4,046.00 | 111 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $2,367.95 | $3,643.00 | $166.03 – $3,643.00 | 111 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $983.45 | $1,513.00 | $166.03 – $1,513.00 | 111 |
| CT Angiogram of the Head CPT 70496 | $2,528.50 | $3,890.00 | $166.03 – $3,890.00 | 111 |
| CT Angiogram of the Neck CPT 70498 | $2,558.40 | $3,936.00 | $166.03 – $3,936.00 | 111 |
| CT angio pelvis CPT 72191 | $1,170.00 | $1,800.00 | $166.03 – $1,800.00 | 111 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,809.60 | $2,784.00 | $166.03 – $2,784.00 | 111 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $65.00 | $100.00 | $57.00 – $168.95 | 108 |
| CT limited or localized follow-up study CPT 76380 | $553.80 | $852.00 | $82.37 – $852.00 | 111 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,115.15 | $6,331.00 | $330.23 – $6,331.00 | 111 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,664.05 | $5,637.00 | $330.23 – $5,637.00 | 111 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,052.40 | $4,696.00 | $225.85 – $4,696.00 | 111 |
| Culture aerobic additional method definitive id each CPT 87077 | $62.40 | $96.00 | $7.83 – $96.00 | 45 |
| Culture afb any source CPT 87116 | $76.05 | $117.00 | $10.47 – $117.00 | 45 |
| Culture anaerobic additional method definitive id each CPT 87076 | $53.30 | $82.00 | $7.83 – $82.00 | 45 |
| Culture anaerobic except blood CPT 87075 | $656.00 | $127.00 | $9.18 – $127.00 | 45 |
| Culture body fluid CPT 87070 | $385.00 | $146.00 | $8.35 – $146.00 | 45 |
| Culture fungi definitive id mold CPT 87107 | $364.00 | $560.00 | $10.00 – $122.00 | 45 |
| Culture fungi definitive id yeast CPT 87106 | $111.80 | $172.00 | $10.00 – $172.00 | 45 |
| Culture fungi other (except blood) CPT 87102 | $92.95 | $143.00 | $8.15 – $143.00 | 45 |
| Culture fungi skin/hair/nail CPT 87101 | $55.25 | $85.00 | $7.47 – $85.00 | 45 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $210.60 | $324.00 | $14.16 – $324.00 | 45 |
| Culture quantitative aerobic other source CPT 87071 | $85.80 | $132.00 | $9.59 – $132.00 | 45 |
| Culture screening strep group a CPT 87081 | $65.65 | $101.00 | $6.43 – $78.00 | 45 |
| Culture typing immunologic CPT 87147 | $29.90 | $46.00 | $5.02 – $46.00 | 45 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $1,762.00 | $500.00 | $9.09 – $500.00 | 45 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $157.30 | $242.00 | $34.01 – $242.00 | 45 |
| Culture urine each isolate CPT 87088 | $55.25 | $85.00 | $7.84 – $85.00 | 45 |
| Cutter lead HCPCS C1773 | $3,329.03 | $5,121.59 | $232.63 – $357.89 | 29 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $6.60 | $6.60 | $4.29 – $6.60 | 29 |
| Cyclic citrullinated peptide antibody CPT 86200 | $97.50 | $150.00 | $12.55 – $150.00 | 45 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $183.50 | $183.50 | $59.64 – $91.75 | 29 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $6.25 | $6.25 | $2.17 – $6.25 | 95 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $137.50 | $137.50 | $89.38 – $137.50 | 29 |
| Cyclosporine 2 hour CPT 80158 | $126.10 | $194.00 | $17.49 – $194.00 | 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.