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 |
|---|---|---|---|---|
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.00 | $1.00 | $0.16 – $1.00 | 115 |
| Mycoplasma antibody igm CPT 86738 | $73.45 | $113.00 | $43.19 – $113.00 | 44 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $115.05 | $177.00 | $67.65 – $177.00 | 44 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $27.30 | $27.30 | $6.00 – $27.30 | 115 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $144.20 | $144.20 | $10.07 – $26.35 | 115 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $26,637.70 | $26,637.70 | $7,239.00 – $26,637.70 | 115 |
| Natriuretic peptide CPT 83880 | $204.10 | $314.00 | $38.86 – $314.00 | 44 |
| Natural killer cells total count CPT 86357 | $99.45 | $153.00 | $36.98 – $153.00 | 44 |
| Ndl round specialty proguide HCPCS C1715 | $1,221.47 | $1,879.19 | $13.55 – $35.45 | 44 |
| Nebulizer Breathing Treatment CPT 94640 | $197.60 | $304.00 | $116.19 – $304.00 | 44 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $189.15 | $291.00 | $111.22 – $291.00 | 44 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,506.05 | $2,317.00 | $885.56 – $2,317.00 | 44 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,764.80 | $5,792.00 | $2,213.70 – $5,792.00 | 44 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,547.35 | $3,919.00 | $1,497.84 – $3,919.00 | 44 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $251.55 | $387.00 | $147.91 – $387.00 | 44 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $351.00 | $540.00 | $206.39 – $540.00 | 44 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,547.70 | $5,458.00 | $2,086.05 – $5,458.00 | 44 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,603.55 | $2,467.00 | $942.89 – $2,467.00 | 44 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,277.25 | $1,965.00 | $751.02 – $1,965.00 | 44 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $16.40 | $16.40 | $1.15 – $3.00 | 44 |
| New Patient Office Visit (level 2) CPT 99202 | $115.70 | $178.00 | $42.93 – $178.00 | 44 |
| New Patient Office Visit (level 3) CPT 99203 | $163.80 | $252.00 | $74.50 – $252.00 | 44 |
| New Patient Office Visit (level 4) CPT 99204 | $250.90 | $386.00 | $121.61 – $386.00 | 44 |
| New Patient Office Visit (level 5) CPT 99205 | $317.20 | $488.00 | $165.20 – $488.00 | 44 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $27.30 | $27.30 | $10.43 – $27.30 | 115 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $112.50 | $112.50 | $14.20 – $112.50 | 115 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $24,305.85 | $24,305.85 | $1,444.80 – $4,051.00 | 115 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $94,382.55 | $94,382.55 | $34,606.40 – $94,382.55 | 115 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $208.65 | $321.00 | $122.69 – $321.00 | 44 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $300.92 | $272.00 | $70.72 – $272.00 | 768 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $129.35 | $199.00 | $76.06 – $199.00 | 44 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $455,355.55 | $455,355.55 | $146,299.20 – $455,355.55 | 115 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $28,351.00 | $28,351.00 | $8,586.00 – $28,351.00 | 115 |
| Observation direct referral from physician office for admission HCPCS G0379 | $150.15 | $231.00 | $88.29 – $231.00 | 44 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $386.10 | $594.00 | $206.51 – $594.00 | 44 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $206.70 | $318.00 | $95.74 – $318.00 | 44 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $302.90 | $466.00 | $156.03 – $466.00 | 44 |
| Observation per hour HCPCS G0378 | $97.50 | $150.00 | $41.28 – $108.00 | 44 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $216.45 | $333.00 | $127.27 – $333.00 | 44 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $179.40 | $276.00 | $105.49 – $276.00 | 44 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $198.90 | $306.00 | $116.95 – $306.00 | 44 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $65,142.90 | $65,142.90 | $24,897.62 – $65,142.90 | 44 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $10.85 | $10.85 | $0.73 – $1.90 | 115 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $19,011.30 | $19,011.30 | $2,122.00 – $9,690.35 | 115 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $1,810.15 | $1,810.15 | $691.84 – $1,810.15 | 115 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $725.10 | $1,115.54 | $426.36 – $1,115.54 | 44 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $7,768.80 | $7,768.80 | $1,216.80 – $7,768.80 | 115 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $19.50 | $19.50 | $0.04 – $1.00 | 115 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $3.00 | $3.00 | $0.36 – $3.00 | 115 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $28,018.60 | $28,018.60 | $4,968.00 – $28,018.60 | 115 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,978.20 | $5,978.20 | $2,284.87 – $5,978.20 | 44 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $15.85 | $15.85 | $6.06 – $15.85 | 115 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $899.04 | $1,383.14 | $528.64 – $1,383.14 | 44 |
| Osmolality blood CPT 83930 | $77.35 | $119.00 | $45.48 – $119.00 | 44 |
| Osmolality urine CPT 83935 | $74.75 | $115.00 | $9.07 – $115.00 | 44 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $133.25 | $205.00 | $78.35 – $205.00 | 44 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $128.70 | $198.00 | $75.68 – $198.00 | 44 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $14.50 | $14.50 | $3.28 – $14.50 | 115 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,200.00 | $1,200.00 | $43.95 – $115.00 | 44 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $6.85 | $6.85 | $0.87 – $6.85 | 115 |
| P-32 chromic phos ther per mci HCPCS A9564 | $1,730.00 | $1,730.00 | $661.21 – $1,730.00 | 44 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,383.10 | $1,383.10 | $179.12 – $1,383.10 | 115 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $14,528.90 | $22,352.16 | $8,543.00 – $22,352.16 | 44 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $328.00 | $328.00 | $3.60 – $36.70 | 115 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,766.15 | $4,766.15 | $1,327.00 – $4,766.15 | 115 |
| Pad repl cerv collr univ adult HCPCS L0999 | $60.66 | $93.32 | $20.85 – $54.55 | 44 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $136.60 | $136.60 | $11.16 – $66.45 | 115 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $20,996.10 | $20,996.10 | $1,888.30 – $5,249.05 | 115 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.25 | $10.25 | $1.74 – $4.55 | 115 |
| Parathormone (pth) intact CPT 83970 | $238.55 | $367.00 | $140.27 – $367.00 | 44 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $221.06 | $340.09 | $0.93 – $2.43 | 44 |
| Passy muir valve metal trach HCPCS L8501 | $242.47 | $373.03 | $30.06 – $78.66 | 44 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.35 | $0.54 | $0.21 – $0.54 | 34 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $94.19 | $144.91 | $55.38 – $144.91 | 44 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $17,709.85 | $17,709.85 | $700.80 – $17,709.85 | 115 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $10,830.70 | $10,830.70 | $1,584.48 – $10,830.70 | 115 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $20,144.40 | $20,144.40 | $1,632.48 – $20,144.40 | 115 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $11,866.15 | $11,866.15 | $2,749.32 – $11,866.15 | 115 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,037.30 | $5,037.30 | $1,244.52 – $5,037.30 | 115 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $11,497.50 | $11,497.50 | $1,790.52 – $11,497.50 | 115 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $95,364.75 | $95,364.75 | $29,110.88 – $95,364.75 | 115 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,290.90 | $1,986.00 | $759.05 – $1,986.00 | 44 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,833.70 | $5,898.00 | $2,254.22 – $5,898.00 | 44 |
| Pelvic MRI (without contrast) CPT 72195 | $2,063.75 | $3,175.00 | $1,213.49 – $3,175.00 | 43 |
| Pelvic Ultrasound (complete) CPT 76856 | $598.00 | $920.00 | $351.62 – $920.00 | 44 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $226.85 | $349.00 | $133.39 – $349.00 | 44 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $18,047.05 | $18,047.05 | $6,409.00 – $18,047.05 | 115 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $5,906.25 | $5,906.25 | $40.90 – $1,181.25 | 115 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,928.25 | $1,928.25 | $351.60 – $1,928.25 | 115 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $63.00 | $63.00 | $0.88 – $3.25 | 115 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $13,529.89 | $20,815.21 | $19.11 – $50.00 | 44 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $792.75 | $792.75 | $302.99 – $792.75 | 44 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $14,509.25 | $14,509.25 | $2,783.88 – $14,509.25 | 115 |
| Perphenazine 4mg oral HCPCS Q0175 | $1.00 | $1.00 | $0.38 – $1.00 | 115 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $20,666.10 | $20,666.10 | $7,765.80 – $20,666.10 | 115 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $96.38 | $148.28 | $42.50 – $111.21 | 44 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $54,744.57 | $84,222.41 | $0.01 – $0.01 | 44 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $201.80 | $201.80 | $27.36 – $180.95 | 115 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $198.85 | $198.85 | $1.15 – $3.00 | 44 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $5.75 | $5.75 | $0.66 – $3.00 | 115 |
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.