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 |
|---|---|---|---|---|
| Ecg external < 48 hours recording CPT 93225 | $451.10 | $694.00 | $125.94 – $694.00 | 111 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $500.50 | $770.00 | $55.84 – $770.00 | 111 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $219.70 | $338.00 | $35.35 – $338.00 | 111 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $458.25 | $705.00 | $35.35 – $705.00 | 111 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,527.50 | $2,350.00 | $43.03 – $2,350.00 | 781 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $910.00 | $1,400.00 | $15.76 – $1,400.00 | 781 |
| Echocardiography doppler color flow mapping CPT 93325 | $341.25 | $525.00 | $2.13 – $525.00 | 780 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,943.50 | $2,990.00 | $742.03 – $2,990.00 | 111 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $696.15 | $1,071.00 | $330.23 – $1,071.00 | 108 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $292.50 | $450.00 | $4.69 – $450.00 | 780 |
| Echo stress CPT 93350 | $1,406.20 | $1,400.00 | $43.03 – $1,400.00 | 781 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $18,199.20 | $18,199.20 | $44.13 – $18,199.20 | 108 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,942.60 | $18,942.60 | $31.34 – $18,942.60 | 111 |
| Egd remove lesion snare CPT 43251 | $7,872.90 | not published | $183.39 – $3,725.39 | 83 |
| EKG (Tracing Only) CPT 93005 | $536.00 | $245.00 | $5.46 – $245.00 | 111 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $237.25 | $365.00 | $82.37 – $243.00 | 111 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $327.60 | $504.00 | $82.37 – $336.00 | 111 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,374.87 | $11,345.95 | $1,945.88 – $2,993.66 | 29 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $81.25 | $125.00 | $13.77 – $125.00 | 45 |
| Electrolyte panel CPT 80051 | $63.05 | $97.00 | $6.79 – $97.00 | 45 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,470.30 | $9,470.30 | $7.38 – $7,102.80 | 111 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $42,858.30 | $42,858.30 | $184.75 – $42,858.30 | 108 |
| Endoscopy swallow (fees) vid CPT 92612 | $594.10 | $914.00 | $51.13 – $914.00 | 45 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $12,640.50 | $12,640.50 | $35.57 – $8,427.00 | 111 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $37.65 | $37.65 | $5.20 – $8.00 | 29 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $50,429.90 | $50,429.90 | $52.43 – $4,202.50 | 111 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $3,521.70 | $5,418.00 | $2,347.80 – $3,612.00 | 29 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $58.00 | $58.00 | $37.70 – $58.00 | 29 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $50.40 | $50.40 | $13.20 – $50.40 | 95 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $919.80 | $919.80 | $5.80 – $50.40 | 95 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $487.50 | $487.50 | $11.40 – $35.20 | 95 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $1,405.00 | $1,405.00 | $43.50 – $221.25 | 95 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,079.00 | $2,079.00 | $7.42 – $104.00 | 111 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,916.35 | $4,916.35 | $7.59 – $152.50 | 111 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $156.15 | $156.15 | $101.50 – $156.15 | 29 |
| Epstein barr early antigen antibody CPT 86663 | $94.25 | $145.00 | $12.71 – $145.00 | 45 |
| Epstein barr nuclear antigen antibody CPT 86664 | $107.90 | $166.00 | $14.82 – $166.00 | 45 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $120.90 | $186.00 | $17.57 – $186.00 | 45 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,020.45 | $10,020.45 | $17.65 – $10,020.45 | 111 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,050.00 | $7,050.00 | $71.16 – $7,050.00 | 111 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $66.70 | $66.70 | $1.95 – $18.04 | 95 |
| ER Visit (level 1, minor) CPT 99281 | $525.00 | $525.00 | $5.94 – $525.00 | 111 |
| ER Visit (level 2) CPT 99282 | $1,081.55 | $750.00 | $88.54 – $750.00 | 111 |
| ER Visit (level 3) CPT 99283 | $1,524.00 | $927.00 | $9.09 – $927.00 | 111 |
| ER Visit (level 4) CPT 99284 | $3,661.00 | $1,280.00 | $9.09 – $1,280.00 | 111 |
| ER Visit (level 5, high severity) CPT 99285 | $5,847.25 | $1,908.00 | $10.92 – $1,475.00 | 111 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $125.40 | $125.40 | $75.05 – $125.40 | 95 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $427.50 | $427.50 | $2.80 – $82.60 | 95 |
| Established Patient Office Visit (level 1) CPT 99211 | $917.20 | not published | $7.22 – $345.15 | 83 |
| Established Patient Office Visit (level 3) CPT 99213 | $141.00 | $141.00 | $3.18 – $22.40 | 768 |
| Established Patient Office Visit (level 4) CPT 99214 | $209.00 | $209.00 | $5.10 – $33.12 | 768 |
| Established Patient Office Visit (level 5) CPT 99215 | $307.00 | $307.00 | $65.37 – $306.00 | 768 |
| Estradiol total CPT 82670 | $154.70 | $238.00 | $27.07 – $238.00 | 45 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $174.75 | $174.75 | $14.30 – $57.25 | 95 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $223.60 | $344.00 | $91.16 – $344.00 | 45 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $208.65 | $321.00 | $96.15 – $321.00 | 42 |
| Evaluation of speech fluency 92521 CPT 92521 | $185.90 | $286.00 | $105.80 – $286.00 | 45 |
| Evok oa screening qual CPT 92558 | $177.45 | $273.00 | $54.60 – $273.00 | 37 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $7,063.35 | not published | $2,749.49 – $5,639.25 | 82 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $18,711.87 | not published | $31.45 – $5,639.25 | 83 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $1,801.00 | $1,801.00 | $22.56 – $189.76 | 768 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $11,406.10 | not published | $0.36 – $3,206.43 | 83 |
| Exc forearm les sc 3 cm/> CPT 25071 | $1,456.00 | $1,456.00 | $18.33 – $152.00 | 768 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $11,126.45 | not published | $18.18 – $3,206.43 | 83 |
| Excision olecranon bursa CPT 24105 | $1,255.00 | $1,255.00 | $114.17 – $841.00 | 768 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $8,460.30 | not published | $31.45 – $1,374.78 | 83 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $953.00 | $953.00 | $10.63 – $89.28 | 768 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $11,050.15 | not published | $0.32 – $5,639.25 | 83 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $7,159.35 | not published | $1,563.33 – $3,206.43 | 82 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $13,010.50 | not published | $0.96 – $5,639.25 | 83 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $10,627.75 | not published | $0.36 – $5,639.25 | 83 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $6,699.50 | $1,103.00 | $74.48 – $3,121.78 | 769 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $13,669.23 | $1,033.00 | $31.45 – $3,206.43 | 769 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,420.11 | $3,723.25 | $0.02 – $0.12 | 37 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,952.42 | $4,542.19 | $16.25 – $25.00 | 29 |
| External chromosome analysis 20-25 cells CPT 88264 | $469.30 | $722.00 | $140.13 – $722.00 | 45 |
| External newborn metabolic screening panel HCPCS S3620 | $92.30 | $142.00 | $28.40 – $142.00 | 37 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $61.10 | $94.00 | $27.38 – $94.00 | 111 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $133.25 | $205.00 | $17.37 – $205.00 | 45 |
| Eye implant band 40 HCPCS C1784 | $1,141.56 | $1,756.25 | $34.61 – $53.25 | 29 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,722.50 | $2,650.00 | $166.03 – $2,650.00 | 111 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,524.90 | $2,346.00 | $166.03 – $2,346.00 | 111 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $2,244.00 | $2,244.00 | $98.96 – $2,244.00 | 111 |
| F-18 fdg pet diag HCPCS A9552 | $1,768.20 | $1,768.20 | $1,149.33 – $1,768.20 | 29 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $15,145.00 | $15,145.00 | $1,789.13 – $15,145.00 | 108 |
| F-18 fluciclovine per mci HCPCS A9588 | $27,455.00 | $27,455.00 | $315.82 – $27,455.00 | 108 |
| F-18 sodium fluoride HCPCS A9580 | $1,391.25 | $1,391.25 | $904.31 – $1,391.25 | 29 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,714.10 | $5,714.00 | $330.23 – $5,714.00 | 111 |
| Facial Bones X-ray (complete) CPT 70150 | $401.70 | $618.00 | $98.96 – $618.00 | 111 |
| Factor ix CPT 85250 | $146.25 | $225.00 | $18.45 – $225.00 | 45 |
| Factor viii CPT 85240 | $246.35 | $379.00 | $17.35 – $379.00 | 45 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $3.00 | $3.00 | $0.80 – $3.00 | 95 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,722.40 | $9,722.40 | $27.37 – $9,722.40 | 111 |
| Fat/lipids feces qualitative CPT 82705 | $45.50 | $70.00 | $4.95 – $70.00 | 45 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $28,233.45 | $28,233.45 | $61.99 – $28,233.45 | 111 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $53.25 | $53.25 | $1.95 – $3.00 | 29 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,262.00 | $5,262.00 | $1.86 – $5,262.00 | 32 |
| Ferritin CPT 82728 | $107.25 | $165.00 | $13.21 – $165.00 | 45 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $712.85 | $712.85 | $0.35 – $712.85 | 111 |
| Fetal fibronectin CPT 82731 | $442.00 | $680.00 | $62.41 – $680.00 | 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.