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 |
|---|---|---|---|---|
| Radium ra223 dichl ther/uci HCPCS A9606 | $507.10 | $507.10 | $169.08 – $507.10 | 115 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $22,849.50 | $22,849.50 | $1,629.60 – $4,569.90 | 115 |
| Rapid Strep Test CPT 87880 | $94.25 | $145.00 | $55.42 – $145.00 | 44 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $16,770.95 | $16,770.95 | $1,129.44 – $3,354.20 | 115 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $73,649.25 | $73,649.25 | $6,755.70 – $20,086.15 | 115 |
| Rbc deglycerolized each unit HCPCS P9039 | $71.50 | $110.00 | $42.04 – $110.00 | 44 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $572.00 | $880.00 | $336.34 – $880.00 | 44 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $486.20 | $748.00 | $285.89 – $748.00 | 44 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $425.10 | $654.00 | $249.96 – $654.00 | 44 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $457.60 | $704.00 | $269.07 – $704.00 | 44 |
| Red blood cells washed each unit HCPCS P9022 | $429.00 | $660.00 | $252.25 – $660.00 | 44 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $5,200.00 | $5,200.00 | $673.00 – $3,543.15 | 115 |
| Removal foreign body foot subcutaneous right CPT 28190 | $815.10 | $1,254.00 | $136.48 – $836.00 | 44 |
| Renal function panel CPT 80069 | $94.25 | $145.00 | $55.42 – $145.00 | 44 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $5,680.00 | $5,680.00 | $2,170.90 – $5,680.00 | 44 |
| Reticulocyte direct measurement automated CPT 85046 | $44.85 | $69.00 | $26.37 – $69.00 | 44 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $45,114.00 | $45,114.00 | $16,405.00 – $45,114.00 | 115 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $10,657.15 | $10,657.15 | $2,124.00 – $10,657.15 | 115 |
| Rheumatoid factor qualitative CPT 86430 | $54.60 | $84.00 | $32.10 – $84.00 | 44 |
| Rheumatoid factor quantitative CPT 86431 | $70.20 | $108.00 | $41.28 – $108.00 | 44 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $294.95 | $294.95 | $74.55 – $294.95 | 115 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $151.45 | $233.00 | $82.83 – $233.00 | 115 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $494.00 | $760.00 | $290.47 – $760.00 | 44 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $507.65 | $781.00 | $298.50 – $781.00 | 44 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $82.10 | $82.10 | $9.60 – $82.10 | 115 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | $0.66 | $1.01 | $0.39 – $1.01 | 44 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $997.27 | $1,534.26 | $43.57 – $114.00 | 44 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $0.33 | $0.51 | $0.19 – $0.51 | 44 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $30,071.50 | $30,071.50 | $8,904.00 – $30,071.50 | 115 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $2,114.50 | $2,114.50 | $547.00 – $2,114.50 | 115 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $14,092.80 | $14,092.80 | $4,154.50 – $14,092.80 | 115 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $22,548.30 | $22,548.30 | $5,663.00 – $19,729.75 | 115 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $12,035.25 | $12,035.25 | $311.80 – $2,407.05 | 115 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,300.55 | $8,300.55 | $634.51 – $1,660.15 | 44 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $9,889.65 | $9,889.65 | $265.00 – $1,978.00 | 115 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $8,826.40 | $8,826.40 | $3,373.45 – $8,826.40 | 115 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17,344.00 | $17,344.00 | $1,375.00 – $4,336.10 | 115 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $13,801.85 | $13,801.85 | $2,520.00 – $13,801.85 | 115 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.50 | $188.50 | $0.60 – $3.25 | 115 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $56,796.70 | $56,796.70 | $21,294.00 – $56,796.70 | 115 |
| Rsv assay w/optic CPT 87807 | $74.10 | $114.00 | $43.57 – $114.00 | 44 |
| Rubella antibody igg CPT 86762 | $76.70 | $118.00 | $19.14 – $118.00 | 44 |
| Rubeola antibody igg CPT 86765 | $48.10 | $74.00 | $28.28 – $74.00 | 44 |
| Russell viper venom diluted CPT 85613 | $81.90 | $126.00 | $48.16 – $126.00 | 44 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $7,844.35 | $7,844.35 | $2,856.96 – $7,844.35 | 115 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $119.60 | $184.00 | $70.32 – $184.00 | 44 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $105.00 | $120.00 | $23.64 – $120.00 | 781 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $735.80 | $1,132.00 | $432.65 – $1,132.00 | 44 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,514.76 | $3,868.86 | $693.28 – $1,813.91 | 44 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $182.00 | $280.00 | $26.49 – $280.00 | 44 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $56.55 | $87.00 | $28.27 – $87.00 | 44 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $85.80 | $132.00 | $50.45 – $132.00 | 44 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $96.85 | $149.00 | $56.95 – $149.00 | 44 |
| Screening Mammogram CPT 77067 | $461.50 | $710.00 | $81.59 – $473.00 | 44 |
| Screening prostate cancer PSA HCPCS G0103 | $129.35 | $199.00 | $19.70 – $199.00 | 44 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $776,558.25 | $1,194,705.00 | $0.01 – $0.11 | 44 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $542.75 | $835.00 | $319.14 – $835.00 | 44 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $558.35 | $859.00 | $328.31 – $859.00 | 44 |
| Sedimentation rate erythrocyte automated CPT 85652 | $44.20 | $68.00 | $25.99 – $68.00 | 44 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $93.60 | $144.00 | $55.04 – $144.00 | 44 |
| Semen analysis presence/motility CPT 89321 | $100.75 | $155.00 | $59.24 – $155.00 | 44 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $1.00 | $1.00 | $0.38 – $1.00 | 115 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $4,730.47 | $7,277.64 | $279.24 – $730.60 | 44 |
| Sheath laser cavaclear 14f HCPCS C1603 | $5,815.06 | $8,946.25 | $2,540.97 – $6,648.28 | 44 |
| Shoe post-op mens m HCPCS L3260 | $42.87 | $65.95 | $1.11 – $2.90 | 44 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $8,225.65 | $159.00 | $60.77 – $820.50 | 115 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $622.05 | $957.00 | $243.84 – $638.00 | 44 |
| Shoulder MRI (without contrast) CPT 73221 | $3,858.40 | $5,936.00 | $1,512.37 – $3,957.00 | 44 |
| Shoulder X-ray CPT 73030 | $386.10 | $594.00 | $151.35 – $396.00 | 44 |
| Shrinker prosth above knee HCPCS L8460 | $230.16 | $354.09 | $135.33 – $354.09 | 44 |
| Shrinker prosth below knee HCPCS L8440 | $178.63 | $274.82 | $105.04 – $274.82 | 44 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,209.23 | $4,937.28 | $68.26 – $178.61 | 44 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $659.10 | $1,014.00 | $387.55 – $1,014.00 | 44 |
| Sickling rbc CPT 85660 | $50.70 | $78.00 | $5.51 – $78.00 | 44 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $628.40 | $628.40 | $135.97 – $628.40 | 115 |
| Sinus CT scan (with contrast) CPT 70487 | $2,102.10 | $3,234.00 | $1,236.03 – $3,234.00 | 44 |
| Sinus CT scan (without contrast) CPT 70486 | $1,275.30 | $1,962.00 | $749.88 – $1,962.00 | 44 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $42,938.50 | $42,938.50 | $9,250.00 – $42,938.50 | 115 |
| Skull X-ray (complete) CPT 70260 | $301.60 | $464.00 | $177.34 – $464.00 | 44 |
| Sleeve fing rolyan med HCPCS L3933 | $37.65 | $57.93 | $22.14 – $57.93 | 44 |
| Sleeve irr assura 1pc disp HCPCS A4397 | $0.65 | $1.00 | $0.38 – $1.00 | 44 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $529.06 | $813.94 | $0.79 – $2.07 | 44 |
| Sling pelv split sam med HCPCS L0621 | $165.55 | $254.70 | $97.35 – $254.70 | 44 |
| Sling suprapubic suburetheral HCPCS C1771 | $9,671.50 | $14,879.23 | $780.36 – $2,041.75 | 44 |
| Sm-153 lexidron ther HCPCS A9604 | $57,456.00 | $57,456.00 | $4,314.91 – $57,456.00 | 115 |
| Smear gram stain CPT 87205 | $35.75 | $55.00 | $21.02 – $55.00 | 44 |
| Smear wet mount CPT 87210 | $41.60 | $64.00 | $24.46 – $64.00 | 44 |
| Sock wool above knee HCPCS L8430 | $158.68 | $244.12 | $93.30 – $244.12 | 44 |
| Sodium 24 hour urine CPT 84300 | $74.10 | $114.00 | $6.73 – $114.00 | 44 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $25.00 | $25.00 | $2.20 – $5.75 | 44 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $22.50 | $22.50 | $7.64 – $20.00 | 44 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $34.50 | $34.50 | $5.26 – $13.75 | 44 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $30.00 | $30.00 | $11.47 – $75.00 | 115 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $292.60 | $292.60 | $10.90 – $40.85 | 115 |
| Sodium serum/plasma/whole blood CPT 84295 | $173.00 | $61.00 | $4.71 – $61.00 | 44 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $495.00 | $495.00 | $105.00 – $495.00 | 115 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $428.35 | $659.00 | $251.87 – $659.00 | 44 |
| Speech Therapy Session (one-on-one) CPT 92507 | $245.70 | $378.00 | $144.47 – $378.00 | 44 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $16.25 | $25.00 | $9.56 – $25.00 | 44 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $43.09 | $66.30 | $11.16 – $29.20 | 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.