MercyOne Oelwein Medical Center
201 8th Ave SE, Oelwein, IA · MercyOne · · NPI 1528009511
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 |
|---|---|---|---|---|
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $101.40 | $156.00 | $59.62 – $156.00 | 44 |
| Mayo alpha 1 antitrypsin CPT 82103 | $124.80 | $192.00 | $13.17 – $192.00 | 44 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $561.60 | $864.00 | $91.66 – $864.00 | 44 |
| Mayo androstenedione CPT 82157 | $170.95 | $263.00 | $100.52 – $263.00 | 44 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $118.95 | $183.00 | $69.94 – $183.00 | 44 |
| Mayo brcmg brucella antibody igm CPT 86622 | $35.75 | $55.00 | $21.02 – $55.00 | 44 |
| Mayo ceruloplasmin CPT 82390 | $71.50 | $110.00 | $42.04 – $110.00 | 44 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $122.20 | $188.00 | $71.85 – $188.00 | 44 |
| Mayo cocou cortisone urine CPT 82542 | $186.55 | $287.00 | $23.61 – $287.00 | 44 |
| Mayo cortisol free CPT 82530 | $109.85 | $169.00 | $16.71 – $169.00 | 44 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $148.20 | $228.00 | $24.76 – $228.00 | 44 |
| Mayo dihydrotestosterone CPT 82642 | $55.25 | $85.00 | $28.69 – $85.00 | 44 |
| Mayo estrone CPT 82679 | $142.35 | $219.00 | $83.70 – $219.00 | 44 |
| Mayo everolimus therapeutic drug level CPT 80169 | $125.45 | $193.00 | $13.46 – $193.00 | 44 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $261.30 | $402.00 | $78.85 – $402.00 | 44 |
| Mayo ffspg allergen clam igg CPT 86001 | $142.35 | $219.00 | $83.70 – $219.00 | 44 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $226.85 | $349.00 | $35.09 – $349.00 | 29 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $33.80 | $52.00 | $19.87 – $52.00 | 29 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $120.90 | $186.00 | $71.09 – $186.00 | 44 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $84.50 | $130.00 | $49.69 – $130.00 | 44 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $144.95 | $223.00 | $26.63 – $223.00 | 44 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,543.00 | $208.00 | $9.09 – $208.00 | 44 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $148.20 | $228.00 | $20.39 – $228.00 | 44 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $229.45 | $353.00 | $41.98 – $353.00 | 44 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $295.10 | $454.00 | $173.52 – $454.00 | 44 |
| Mayo insulin antibodies CPT 86337 | $133.90 | $206.00 | $20.98 – $206.00 | 44 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $175.50 | $270.00 | $103.19 – $270.00 | 44 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $14.30 | $22.00 | $8.41 – $22.00 | 29 |
| Mayo lipoprotein electrophoresis CPT 83700 | $135.20 | $208.00 | $11.03 – $208.00 | 44 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $102.70 | $158.00 | $15.49 – $158.00 | 44 |
| Mayo metanephrines plasma CPT 83835 | $170.95 | $263.00 | $100.52 – $263.00 | 44 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $78.00 | $120.00 | $24.47 – $120.00 | 44 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $114.40 | $176.00 | $67.27 – $176.00 | 44 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $268.45 | $413.00 | $157.85 – $413.00 | 44 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $250.90 | $386.00 | $24.47 – $386.00 | 44 |
| Mayo myoglobin CPT 83874 | $98.80 | $152.00 | $58.09 – $152.00 | 44 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $183.30 | $282.00 | $107.78 – $282.00 | 44 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $115.05 | $177.00 | $67.65 – $177.00 | 44 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $94.90 | $146.00 | $55.80 – $146.00 | 44 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $195.00 | $300.00 | $17.62 – $300.00 | 44 |
| Mayo pregnenolone CPT 84140 | $126.10 | $194.00 | $74.15 – $194.00 | 44 |
| Mayo proinsulin CPT 84206 | $71.50 | $110.00 | $26.16 – $110.00 | 44 |
| Mayo psaft prostate specific antigen free CPT 84154 | $140.40 | $216.00 | $18.39 – $216.00 | 44 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $83.85 | $129.00 | $49.30 – $129.00 | 44 |
| Mayo receptor assay transferrin soluble CPT 84238 | $126.10 | $194.00 | $74.15 – $194.00 | 44 |
| Mayo renin CPT 84244 | $120.25 | $185.00 | $70.71 – $185.00 | 44 |
| Mayo repu protein electrophoresis urine CPT 84166 | $72.80 | $112.00 | $42.81 – $112.00 | 44 |
| Mayo selenium CPT 84255 | $50.70 | $78.00 | $29.81 – $78.00 | 44 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $100.10 | $154.00 | $58.86 – $154.00 | 44 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $71.50 | $110.00 | $42.64 – $184.98 | 44 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $53.95 | $83.00 | $4.27 – $83.00 | 29 |
| Mayo tau phosphorylated 217 each CPT 84393 | $204.75 | $315.00 | $120.39 – $315.00 | 44 |
| Mayo tgrp testosterone free CPT 84402 | $152.10 | $234.00 | $89.43 – $234.00 | 44 |
| Mayo tgrp testosterone total CPT 84403 | $180.70 | $278.00 | $106.25 – $278.00 | 44 |
| Mayo thyroglobulin CPT 84432 | $124.80 | $192.00 | $73.38 – $192.00 | 44 |
| Mayo vitamin k CPT 84597 | $138.45 | $213.00 | $81.41 – $213.00 | 44 |
| Measurement post void urine by ultrasound CPT 51798 | $130.00 | $200.00 | $76.44 – $200.00 | 44 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $250.00 | $250.00 | $95.55 – $250.00 | 44 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $362.03 | $556.97 | $212.87 – $556.97 | 44 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $350.14 | $538.68 | $130.31 – $340.94 | 44 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,873.32 | $4,420.50 | $143.87 – $376.43 | 44 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $607.31 | $934.33 | $93.78 – $245.37 | 44 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $65,273.35 | $100,420.54 | $38,380.73 – $100,420.54 | 44 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $617.54 | $950.06 | $138.30 – $361.84 | 44 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $266.36 | $409.78 | $156.62 – $409.78 | 44 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $100.30 | $100.30 | $4.26 – $15.69 | 115 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,954.90 | $19,954.90 | $3,133.00 – $18,374.40 | 115 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $248.90 | $248.90 | $2.20 – $19.00 | 115 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $0.90 | $1.38 | $0.53 – $1.38 | 44 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,527.78 | $10,042.74 | $3,838.34 – $10,042.74 | 44 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $115.00 | $115.00 | $7.30 – $115.00 | 115 |
| Metabolic Blood Panel (Basic) CPT 80048 | $374.00 | $159.00 | $8.37 – $159.00 | 44 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $688.00 | $194.00 | $9.09 – $194.00 | 44 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $1,450.00 | $1,450.00 | $23.95 – $71.50 | 115 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.00 | $1.00 | $0.22 – $1.00 | 115 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $292.50 | $292.50 | $58.48 – $153.00 | 44 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $234.55 | $234.55 | $89.65 – $234.55 | 44 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $104.35 | $104.35 | $22.06 – $104.35 | 115 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $572.60 | $572.60 | $113.60 – $572.60 | 115 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $54.00 | $54.00 | $20.64 – $54.00 | 44 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $317.00 | $317.00 | $2.06 – $5.40 | 115 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $3.00 | $3.00 | $1.00 – $3.00 | 115 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $3.55 | $3.55 | $0.65 – $3.55 | 115 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.50 | $14.50 | $5.54 – $14.50 | 44 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $860.05 | $860.05 | $328.71 – $860.05 | 44 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $3.95 | $3.95 | $0.11 – $0.32 | 115 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $38.00 | $38.00 | $14.52 – $38.00 | 44 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $20,601.45 | $20,601.45 | $7,608.00 – $20,601.45 | 115 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,967.60 | $6,967.60 | $30.94 – $298.95 | 115 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $3,514.20 | $3,514.20 | $194.34 – $1,048.45 | 115 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6,223.72 | $9,574.95 | $36.40 – $95.24 | 44 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $207.75 | $207.75 | $1.15 – $4.55 | 115 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $11.85 | $11.85 | $4.53 – $11.85 | 115 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $3.00 | $3.00 | $1.15 – $3.00 | 44 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $58,093.20 | $58,093.20 | $714.33 – $1,936.45 | 115 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,087.20 | $6,288.00 | $1,602.18 – $4,192.00 | 43 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,818.15 | $8,951.00 | $2,280.59 – $5,967.00 | 43 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,421.60 | $5,264.00 | $1,341.14 – $3,509.00 | 44 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $5,011.50 | $7,710.00 | $1,964.51 – $5,140.00 | 44 |
| Mumps antibody igg CPT 86735 | $78.00 | $120.00 | $45.86 – $120.00 | 44 |
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.