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 |
|---|---|---|---|---|
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $556.15 | $556.15 | $133.47 – $398.00 | 115 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $499.85 | $769.00 | $257.99 – $769.00 | 115 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $477.10 | $734.00 | $261.15 – $734.00 | 115 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $559.00 | $860.00 | $312.90 – $860.00 | 115 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $36.40 | $56.00 | $21.40 – $56.00 | 115 |
| Vaccine rabies im CPT 90675 | $1,998.80 | $1,998.80 | $312.03 – $1,667.00 | 115 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $251.55 | $387.00 | $147.91 – $387.00 | 115 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $421.85 | $649.00 | $248.05 – $649.00 | 115 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $421.85 | $649.00 | $248.05 – $649.00 | 115 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $239.20 | $368.00 | $140.65 – $368.00 | 115 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $115.05 | $177.00 | $67.65 – $177.00 | 115 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $97.50 | $150.00 | $57.33 – $150.00 | 115 |
| Vaccine tdap >=7 years im CPT 90715 | $115.70 | $178.00 | $39.71 – $178.00 | 115 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $211.80 | $211.80 | $33.63 – $88.00 | 115 |
| Vaccine typhoid vicps im CPT 90691 | $113.75 | $175.00 | $66.89 – $175.00 | 115 |
| Vaccine varicella live subcutaneous CPT 90716 | $148.85 | $229.00 | $87.52 – $229.00 | 115 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $130.65 | $201.00 | $76.82 – $201.00 | 115 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $6,388.06 | $9,827.78 | $3,756.18 – $9,827.78 | 44 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $18.05 | $18.05 | $1.38 – $3.60 | 44 |
| Valproic acid total therapeutic drug level CPT 80164 | $131.95 | $203.00 | $77.59 – $203.00 | 44 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $215.00 | $215.00 | $0.15 – $3.00 | 115 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $21.30 | $21.30 | $8.14 – $21.30 | 44 |
| Vancomycin peak therapeutic drug level CPT 80202 | $159.90 | $246.00 | $94.02 – $246.00 | 44 |
| Varicella zoster antibody igg CPT 86787 | $90.35 | $139.00 | $53.13 – $139.00 | 44 |
| Varicella-zoster immue globin im CPT 90396 | $1,916.20 | $2,948.00 | $1,126.73 – $2,948.00 | 115 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $726.75 | $726.75 | $277.76 – $726.75 | 44 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $30,326.10 | $30,326.10 | $6,618.00 – $30,326.10 | 115 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $7,637.95 | $7,637.95 | $1,520.72 – $7,637.95 | 115 |
| Ventilator Management (first day) CPT 94002 | $2,653.95 | $4,083.00 | $1,560.52 – $4,083.00 | 44 |
| Verify external neurostimulato HCPCS A4290 | $730.60 | $1,124.00 | $429.59 – $1,124.00 | 44 |
| Vest large holster HCPCS Q0498 | $779.19 | $1,198.75 | $458.16 – $1,198.75 | 44 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | $134.93 | $207.59 | $71.10 – $186.02 | 44 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $244.80 | $244.80 | $57.90 – $244.80 | 115 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $87.15 | $87.15 | $8.60 – $85.75 | 115 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $223.55 | $223.55 | $23.73 – $62.10 | 44 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $1,500.00 | $511.00 | $8.04 – $225.00 | 44 |
| Vitamin b-12 CPT 82607 | $94.90 | $146.00 | $55.80 – $146.00 | 44 |
| Vitamin D Test CPT 82306 | $1,060.00 | $269.00 | $9.09 – $269.00 | 44 |
| Volume measurement urine timed CPT 81050 | $21.45 | $33.00 | $3.57 – $33.00 | 44 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $561.40 | $561.40 | $15.60 – $561.40 | 115 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $272,036.50 | $272,036.50 | $103,972.35 – $272,036.50 | 115 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $92.30 | $142.00 | $54.27 – $142.00 | 44 |
| Warde 1003990 aldosterone CPT 82088 | $287.30 | $442.00 | $105.11 – $275.00 | 44 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $108.55 | $167.00 | $63.83 – $167.00 | 44 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $128.05 | $197.00 | $75.29 – $197.00 | 44 |
| Warde 1015200 kappa light chain free CPT 83521 | $126.10 | $194.00 | $74.15 – $194.00 | 44 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $64.35 | $99.00 | $37.84 – $99.00 | 44 |
| Warde 3016000 west nile virus antibody CPT 86788 | $79.30 | $122.00 | $16.51 – $122.00 | 44 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $87.75 | $135.00 | $14.10 – $135.00 | 44 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $70.85 | $109.00 | $41.66 – $109.00 | 44 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $170.95 | $263.00 | $100.52 – $263.00 | 44 |
| Warde 3400852 arsenic CPT 82175 | $71.50 | $110.00 | $42.04 – $110.00 | 44 |
| Warde 3708165 mercury urine CPT 83825 | $65.00 | $100.00 | $38.22 – $100.00 | 44 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $118.30 | $182.00 | $69.56 – $182.00 | 44 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $109.85 | $169.00 | $64.59 – $169.00 | 44 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $243.75 | $375.00 | $143.33 – $375.00 | 44 |
| Warde aldolase CPT 82085 | $85.80 | $132.00 | $50.45 – $132.00 | 44 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $343.20 | $528.00 | $201.80 – $528.00 | 44 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $125.45 | $193.00 | $74.81 – $193.00 | 40 |
| Warde anti-mullerian hormone CPT 82166 | $199.55 | $307.00 | $117.34 – $307.00 | 44 |
| Warde apolipoprotein b CPT 82172 | $933.00 | $185.00 | $9.09 – $185.00 | 44 |
| Warde bile acids CPT 82239 | $52.00 | $80.00 | $17.12 – $80.00 | 29 |
| Warde calcitonin CPT 82308 | $112.45 | $173.00 | $66.12 – $173.00 | 44 |
| Warde collagen cross links c-telopeptide CPT 82523 | $146.25 | $225.00 | $86.00 – $225.00 | 44 |
| Warde copper CPT 82525 | $65.00 | $100.00 | $38.22 – $100.00 | 44 |
| Warde erythropoietin CPT 82668 | $140.40 | $216.00 | $82.56 – $216.00 | 44 |
| Warde estrogen fractionated CPT 82671 | $243.10 | $374.00 | $31.65 – $374.00 | 44 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $226.20 | $348.00 | $12.09 – $348.00 | 44 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $76.70 | $118.00 | $45.10 – $118.00 | 44 |
| Warde hepatitis a antibody CPT 86708 | $118.95 | $183.00 | $12.39 – $183.00 | 44 |
| Warde lipoprotein (a) CPT 83695 | $96.85 | $149.00 | $56.95 – $149.00 | 44 |
| Warde mitochondrial antibody each CPT 86381 | $110.50 | $170.00 | $64.97 – $170.00 | 44 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $130.65 | $201.00 | $13.25 – $201.00 | 44 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $185.90 | $286.00 | $109.31 – $286.00 | 44 |
| Warde protein c antigen CPT 85302 | $131.95 | $203.00 | $11.77 – $203.00 | 44 |
| Warde sex hormone binding globulin CPT 84270 | $149.50 | $230.00 | $87.91 – $230.00 | 44 |
| Warde somatomedin CPT 84305 | $139.75 | $215.00 | $20.83 – $215.00 | 44 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $119.60 | $184.00 | $70.32 – $184.00 | 44 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $222.95 | $343.00 | $131.09 – $343.00 | 44 |
| Warde topiramate therapeutic drug level CPT 80201 | $81.25 | $125.00 | $47.78 – $125.00 | 44 |
| Warde vitamin a CPT 84590 | $85.80 | $132.00 | $50.45 – $132.00 | 44 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $163.80 | $252.00 | $96.31 – $252.00 | 44 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $203.45 | $313.00 | $119.63 – $313.00 | 44 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $209.30 | $322.00 | $123.07 – $322.00 | 44 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $147.55 | $227.00 | $86.76 – $227.00 | 44 |
| Warde zinc CPT 84630 | $97.50 | $150.00 | $57.33 – $150.00 | 44 |
| Wbc automated CPT 85048 | $26.65 | $41.00 | $15.67 – $41.00 | 44 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $273.65 | $421.00 | $160.91 – $421.00 | 44 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $436.80 | $672.00 | $256.84 – $672.00 | 44 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | $0.01 | $0.02 | $0.01 – $0.02 | 44 |
| Wound closure by adhesive HCPCS G0168 | $241.80 | $372.00 | $14.35 – $372.00 | 44 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $529.75 | $815.00 | $311.49 – $815.00 | 44 |
| Wrist X-ray CPT 73110 | $413.40 | $636.00 | $162.05 – $424.00 | 44 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $370.50 | $570.00 | $145.24 – $380.00 | 44 |
| X-ray abdomen >=3 views CPT 74021 | $507.65 | $781.00 | $298.50 – $781.00 | 44 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $393.90 | $606.00 | $154.41 – $404.00 | 44 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $273.65 | $421.00 | $160.91 – $421.00 | 44 |
| X-ray nose to rectum for foreign body child CPT 76010 | $183.30 | $282.00 | $107.78 – $282.00 | 44 |
| X-ray ribs 2 views left CPT 71100 | $217.75 | $335.00 | $128.04 – $335.00 | 44 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $156.00 | $240.00 | $91.73 – $240.00 | 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.