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 |
|---|---|---|---|---|
| Ast/sgot CPT 84450 | $59.15 | $91.00 | $34.78 – $91.00 | 44 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $35,811.20 | $35,811.20 | $11,953.20 – $35,811.20 | 115 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $47.20 | $47.20 | $18.04 – $47.20 | 44 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,652.05 | $7,157.00 | $159.76 – $417.99 | 44 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,470.55 | $6,470.55 | $2,195.20 – $6,470.55 | 115 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $225.00 | $225.00 | $15.55 – $130.85 | 768 |
| Azathioprine 50 mg tablet HCPCS J7500 | $66.00 | $66.00 | $25.23 – $66.00 | 115 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $23.50 | $23.50 | $2.61 – $8.75 | 115 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $156.35 | $156.35 | $26.70 – $156.35 | 115 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,156.90 | $3,156.90 | $1,206.57 – $3,156.90 | 44 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $164.85 | $164.85 | $63.01 – $164.85 | 44 |
| #bac vag cand-c. albicans naa CPT 87481 | $774.00 | $100.00 | $38.22 – $100.00 | 44 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $2.67 | $4.11 | $0.78 – $2.04 | 44 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $129.35 | $199.00 | $76.06 – $199.00 | 44 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.23 | $0.35 | $0.14 – $0.35 | 34 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $19.11 | $29.40 | $11.24 – $29.40 | 44 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.44 | $0.67 | $0.26 – $0.67 | 44 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $0.26 | $0.40 | $0.15 – $0.40 | 44 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $1.10 | $1.69 | $0.65 – $1.69 | 44 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $47.64 | $73.30 | $0.26 – $0.67 | 44 |
| Bausch health Ultrasound surg HCPCS V2788 | $744.25 | $1,145.00 | $19.11 – $50.00 | 44 |
| B cells total count CPT 86355 | $131.30 | $202.00 | $36.98 – $202.00 | 44 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $864.15 | $864.15 | $171.00 – $864.15 | 115 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,849.40 | $4,849.40 | $972.50 – $4,849.40 | 115 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,005.85 | $11,005.85 | $672.12 – $3,302.00 | 115 |
| Belt ostomy lg 34-65in HCPCS A4367 | $0.49 | $0.75 | $0.29 – $0.74 | 34 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $14,338.95 | $14,338.95 | $202.00 – $14,338.95 | 115 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,945.90 | $11,945.90 | $1,312.00 – $11,945.90 | 115 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,355.30 | $8,355.30 | $1,436.00 – $8,355.30 | 115 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $19,642.40 | $19,642.40 | $3,070.00 – $19,642.40 | 115 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $89.95 | $89.95 | $34.38 – $89.95 | 44 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $108.55 | $167.00 | $63.83 – $167.00 | 44 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $175.75 | $175.75 | $34.45 – $175.75 | 115 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,390.85 | $2,390.85 | $799.40 – $2,390.85 | 115 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,925.35 | $1,925.35 | $288.50 – $1,925.35 | 115 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $6,770.50 | $6,770.50 | $957.20 – $6,770.50 | 115 |
| Bilirubin direct CPT 82248 | $42.90 | $66.00 | $25.23 – $66.00 | 44 |
| Bilirubin total CPT 82247 | $64.35 | $99.00 | $32.10 – $84.00 | 44 |
| Bladder Catheter Insertion (simple) CPT 51702 | $202.80 | $312.00 | $119.25 – $312.00 | 44 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $488.00 | $488.00 | $22.87 – $263.10 | 115 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $17,670.55 | $17,670.55 | $6,251.00 – $17,670.55 | 115 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $9,830.88 | $15,124.43 | $0.01 – $19.57 | 44 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $4,840.11 | $7,446.33 | $15.27 – $39.95 | 44 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,036.55 | $3,133.15 | $256.26 – $670.49 | 44 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,619.02 | $5,567.73 | $20.45 – $53.50 | 44 |
| Bln press regulation 71-80cm HCPCS C1815 | $10,109.53 | $15,553.13 | $1,733.77 – $4,536.28 | 44 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,815.54 | $2,793.14 | $671.24 – $1,756.25 | 44 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $1.82 | $2.80 | $1.09 – $2.80 | 34 |
| Blood Clotting (PT/INR) Test CPT 85610 | $111.00 | $66.00 | $9.09 – $66.00 | 44 |
| Blood Clotting (PTT) Test CPT 85730 | $64.35 | $99.00 | $37.84 – $99.00 | 44 |
| Blood Count (CBC) Test CPT 85025 | $652.00 | $112.00 | $7.61 – $112.00 | 44 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $688.00 | $87.00 | $6.47 – $87.00 | 44 |
| Blood Culture Test CPT 87040 | $183.00 | $183.00 | $10.11 – $183.00 | 44 |
| Blood Draw (Venipuncture) CPT 36415 | $516.00 | $45.00 | $9.09 – $45.00 | 44 |
| Blood gases o2 saturation direct measurement CPT 82805 | $220.35 | $339.00 | $129.57 – $339.00 | 44 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $23.40 | $36.00 | $13.76 – $36.00 | 44 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $32.50 | $50.00 | $19.11 – $50.00 | 44 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $38.35 | $59.00 | $22.55 – $59.00 | 44 |
| Blood Transfusion CPT 36430 | $2,521.00 | $1,197.00 | $9.09 – $1,197.00 | 44 |
| Blood typing abo CPT 86900 | $83.85 | $129.00 | $49.30 – $129.00 | 44 |
| Blood typing ag donor ea ag CPT 86902 | $234.00 | $360.00 | $137.59 – $360.00 | 44 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $90.35 | $139.00 | $53.13 – $139.00 | 44 |
| Blood typing rh (d) CPT 86901 | $44.85 | $69.00 | $26.37 – $69.00 | 44 |
| Blood typing rh phenotype complete reference CPT 86906 | $148.20 | $228.00 | $87.14 – $228.00 | 44 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $2,365.32 | $3,638.95 | $30.69 – $80.31 | 44 |
| Bone Density Scan (DEXA) CPT 77080 | $453.70 | $698.00 | $266.78 – $698.00 | 44 |
| Bone filler cerament 10cc HCPCS C1602 | $10,175.74 | $15,654.99 | $217.48 – $569.03 | 44 |
| Bone tendon board add on HCPCS C9356 | $4,850.45 | $7,462.23 | $199.23 – $521.26 | 44 |
| Bone void filler nanoss 10cc HCPCS C9362 | $3,242.75 | $4,988.85 | $74.06 – $193.78 | 44 |
| Boot cast sandal rocker med HCPCS L3265 | $2.19 | $3.37 | $1.29 – $3.37 | 44 |
| Boot heel care softcare one sz HCPCS E0191 | $132.09 | $203.21 | $1.19 – $3.12 | 44 |
| Boot j walker l HCPCS L4386 | $347.24 | $534.21 | $23.77 – $62.18 | 44 |
| Boot mlti podous univ xlg HCPCS L4396 | $165.01 | $253.86 | $25.75 – $67.37 | 44 |
| Boot softgait shrt m HCPCS L4387 | $41.49 | $63.83 | $9.78 – $25.60 | 44 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $81.97 | $126.11 | $24.40 – $63.83 | 44 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $81.03 | $124.66 | $47.65 – $124.66 | 44 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $136.50 | $210.00 | $80.26 – $210.00 | 44 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $1,800.00 | $1,800.00 | $60.90 – $211.60 | 115 |
| Brace adj motion lerman type HCPCS L2186 | $316.44 | $486.83 | $186.07 – $486.83 | 44 |
| Brace afo dbl upright cust HCPCS L1990 | $748.46 | $1,151.48 | $440.10 – $1,151.48 | 44 |
| Brace afo lg left 6607 HCPCS L1930 | $129.79 | $199.67 | $38.27 – $100.12 | 44 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,145.78 | $1,762.74 | $673.72 – $1,762.74 | 44 |
| Brace afo spiral prefab HCPCS L1951 | $1,746.13 | $2,686.36 | $1,026.73 – $2,686.36 | 44 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $55.82 | $85.87 | $14.89 – $38.95 | 44 |
| Brace ank air stirrup univ HCPCS L4350 | $47.97 | $73.80 | $15.27 – $39.95 | 44 |
| Brace ankle joint dflxn assist HCPCS L2210 | $163.94 | $252.21 | $96.39 – $252.21 | 44 |
| Brace ankle stablizing lg HCPCS L1902 | $33.47 | $51.50 | $19.68 – $51.50 | 44 |
| Brace back epic lo 627 HCPCS L0642 | $140.30 | $215.85 | $82.50 – $215.85 | 44 |
| Brace back epic lso 637 HCPCS L0650 | $186.50 | $286.92 | $109.66 – $286.92 | 44 |
| Brace back epic tslo 456 HCPCS L0457 | $390.58 | $600.89 | $156.24 – $408.80 | 44 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $869.63 | $1,337.90 | $102.06 – $267.04 | 44 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $405.76 | $624.24 | $238.58 – $624.24 | 44 |
| Brace back t-lso custom HCPCS L0486 | $2,913.85 | $4,482.85 | $1,713.35 – $4,482.85 | 44 |
| Brace back vista 464 tlso HCPCS L0648 | $475.16 | $731.02 | $193.03 – $505.04 | 44 |
| Brace cust back lso HCPCS L0631 | $1,821.40 | $2,802.16 | $0.38 – $1.00 | 44 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $103.61 | $159.40 | $60.92 – $159.40 | 44 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $693.03 | $1,066.20 | $26.54 – $69.45 | 44 |
| Brace halo bremer l2830 HCPCS L2830 | $195.59 | $300.91 | $115.01 – $300.91 | 44 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,418.37 | $3,720.57 | $1,422.00 – $3,720.57 | 44 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $272.60 | $419.39 | $160.29 – $419.39 | 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.