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 |
|---|---|---|---|---|
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $15,794.15 | $24,298.69 | $32.50 – $50.00 | 29 |
| Cystatin c CPT 82610 | $72.80 | $112.00 | $17.94 – $112.00 | 45 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $135.00 | $135.00 | $4.40 – $48.40 | 95 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $94.90 | $146.00 | $13.94 – $92.00 | 45 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $109.85 | $169.00 | $16.33 – $169.00 | 45 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $159.90 | $246.00 | $49.33 – $246.00 | 111 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $79.95 | $123.00 | $25.79 – $123.00 | 45 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $124.80 | $192.00 | $35.35 – $192.00 | 111 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $97.50 | $150.00 | $35.35 – $150.00 | 111 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $90.35 | $139.00 | $27.32 – $139.00 | 29 |
| Cytopath smear other source CPT 88160 | $106.60 | $164.00 | $27.38 – $164.00 | 108 |
| Cytopath tbs c/v manual CPT 88164 | $59.15 | $91.00 | $17.96 – $91.00 | 45 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $56.45 | $56.45 | $4.18 – $30.40 | 95 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $13,542.70 | $13,542.70 | $301.83 – $13,542.70 | 111 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,069.55 | $2,069.55 | $15.28 – $2,069.55 | 111 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $127.00 | $127.00 | $15.00 – $64.40 | 95 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $33,713.70 | $33,713.70 | $52.34 – $33,713.70 | 32 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,648.65 | $18,648.65 | $2.96 – $932.45 | 111 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,410.00 | $34,410.00 | $230.33 – $34,410.00 | 111 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $308.50 | $308.50 | $200.53 – $308.50 | 29 |
| Dch validity tests CPT 81002 | $27.95 | $43.00 | $3.38 – $43.00 | 45 |
| Deamidated gliadin antibody iga CPT 86258 | $63.70 | $98.00 | $11.68 – $98.00 | 45 |
| Debridement bone <= 20 sq cm CPT 11044 | $736.00 | $736.00 | $64.12 – $493.00 | 768 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $198.00 | $198.00 | $17.67 – $131.00 | 768 |
| Debride skin bone at fx site CPT 11012 | $9,299.53 | not published | $3,097.14 – $6,352.30 | 82 |
| Decalcification CPT 88311 | $72.15 | $111.00 | $63.27 – $111.00 | 29 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $224.90 | $224.90 | $146.19 – $224.90 | 29 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $762.45 | $1,173.00 | $312.65 – $1,173.00 | 111 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $159.70 | $159.70 | $9.02 – $159.70 | 95 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,556.35 | $4,556.35 | $4.36 – $1,460.15 | 111 |
| Delivery of placenta 59414 CPT 59414 | $4,515.55 | $6,947.00 | $3,064.13 – $6,947.00 | 111 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $240.50 | $370.00 | $207.27 – $425.12 | 111 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $16,341.40 | $16,341.40 | $27.97 – $11,252.60 | 111 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $0.06 | $0.10 | $0.07 – $0.10 | 29 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $4,394.65 | $6,761.00 | $1,848.37 – $4,507.00 | 111 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $999.70 | $1,538.00 | $666.25 – $1,025.00 | 29 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,608.45 | $4,013.00 | $1,738.75 – $2,675.00 | 29 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $12,057.90 | $7,542.00 | $0.96 – $5,028.00 | 111 |
| Device ablt adv novasure HCPCS C1886 | $6,237.48 | $9,596.13 | $283.11 – $435.55 | 29 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,599.67 | $3,999.50 | $2,120.79 – $3,262.75 | 29 |
| Device intraute mirena HCPCS J7298 | $2,112.88 | $3,250.58 | $650.12 – $3,250.58 | 37 |
| Device sut capio slim opn HCPCS C2631 | $1,534.26 | $2,360.40 | $688.59 – $1,059.37 | 29 |
| Device tiss remov myosure reach HCPCS C1782 | $3,961.70 | $6,094.92 | $692.24 – $1,064.99 | 29 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | $21.00 | $21.00 | $13.65 – $21.00 | 29 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $1.05 | $1.05 | $0.32 – $1.00 | 95 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $21.20 | $21.20 | $0.60 – $3.00 | 95 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $884.80 | $884.80 | $32.09 – $344.95 | 111 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.00 | $20.00 | $13.00 – $20.00 | 29 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $20.00 | $20.00 | $13.00 – $20.00 | 29 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $35.00 | $35.00 | $22.75 – $35.00 | 29 |
| Dextrose 5 % IV bolus HCPCS J7070 | $30.00 | $30.00 | $11.38 – $17.50 | 29 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $185.90 | $286.00 | $21.54 – $286.00 | 45 |
| Diabetes (HbA1c) Test CPT 83036 | $79.30 | $122.00 | $9.40 – $122.00 | 45 |
| Diab manage trn ind/group HCPCS G0109 | $122.00 | $122.00 | $11.00 – $122.00 | 45 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $445.90 | $686.00 | $98.79 – $686.00 | 45 |
| Diagnostic Mammogram (one breast) CPT 77065 | $297.05 | $457.00 | $77.11 – $457.00 | 45 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.15 | $68.15 | $44.30 – $68.15 | 29 |
| Diffusing capacity CPT 94729 | $356.20 | $548.00 | $5.93 – $548.00 | 780 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $25.30 | $25.30 | $2.05 – $4.00 | 95 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,725.30 | $13,725.30 | $4,968.58 – $13,725.30 | 95 |
| Digoxin total therapeutic drug level CPT 80162 | $91.65 | $141.00 | $12.87 – $141.00 | 45 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $92.00 | $92.00 | $59.80 – $92.00 | 29 |
| Dilator fascial 10fx20cm HCPCS C2627 | $274.98 | $423.05 | $30.06 – $46.25 | 29 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $8.85 | $8.85 | $0.20 – $3.00 | 95 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $3,466.25 | $3,466.25 | $683.77 – $3,466.25 | 111 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $3.70 | $3.70 | $0.90 – $3.70 | 95 |
| Disability dlco CPT 94727 | $377.65 | $581.00 | $7.67 – $581.00 | 781 |
| Dna antibody native/double stranded CPT 86225 | $101.40 | $156.00 | $13.31 – $156.00 | 45 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $135.00 | $135.00 | $7.98 – $42.70 | 95 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,567.60 | $2,567.60 | $8.20 – $134.65 | 95 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $91.25 | $91.25 | $6.60 – $35.90 | 95 |
| Doppler echo complete CPT 93320 | $381.55 | $587.00 | $381.55 – $587.00 | 29 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $588.25 | $905.00 | $13.63 – $905.00 | 781 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $444.60 | $684.00 | $7.46 – $684.00 | 781 |
| Dornhoffer fixed part w/window HCPCS L8614 | $20,628.52 | $31,736.18 | $891.74 – $1,371.90 | 29 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $36,812.65 | $36,812.65 | $229.63 – $36,812.65 | 111 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,578.20 | $1,578.20 | $14.90 – $611.50 | 95 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $7,093.75 | $7,093.75 | $342.45 – $1,920.95 | 32 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $65.55 | $65.55 | $12.00 – $65.55 | 95 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $138.44 | $212.98 | $138.44 – $212.98 | 29 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $978.05 | $1,504.70 | $18.52 – $92.61 | 37 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $32.80 | $32.80 | $5.36 – $32.80 | 95 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $3,826.54 | $5,886.99 | $448.77 – $690.42 | 29 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $156.82 | $241.26 | $48.25 – $241.26 | 37 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $34.84 | $53.60 | $8.73 – $43.65 | 37 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $41.79 | $64.30 | $12.11 – $60.55 | 37 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $80.11 | $123.24 | $69.24 – $106.53 | 29 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $0.47 | $0.73 | $0.47 – $0.73 | 29 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $94.94 | $146.06 | $72.90 – $112.15 | 29 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $46.92 | $72.19 | $30.29 – $46.60 | 29 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $6,228.55 | $9,582.38 | $18.43 – $74.31 | 37 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $16.74 | $25.75 | $2.54 – $3.91 | 29 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $247.88 | $381.35 | $129.70 – $199.54 | 29 |
| Drug assay vedolizumab CPT 80280 | $253.50 | $390.00 | $37.37 – $390.00 | 45 |
| Drug assay voriconazole CPT 80285 | $121.55 | $187.00 | $26.27 – $187.00 | 45 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $463.00 | $211.00 | $60.21 – $211.00 | 45 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $5,709.33 | $6,407.00 | $1,848.37 – $4,271.00 | 108 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,503.57 | $2,313.19 | $395.88 – $609.04 | 29 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $171.82 | $264.34 | $17.71 – $27.25 | 29 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,206.10 | $13,206.10 | $81.58 – $3,169.50 | 111 |
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.