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 |
|---|---|---|---|---|
| Cell count w differential body fluid CPT 89051 | $83.20 | $128.00 | $48.92 – $128.00 | 44 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $34,004.00 | $34,004.00 | $10,990.00 – $34,004.00 | 115 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $18,898.20 | $18,898.20 | $1,796.00 – $17,963.25 | 115 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,685.70 | $4,685.70 | $858.70 – $2,342.85 | 115 |
| Chest CT scan (with contrast) CPT 71260 | $1,812.20 | $2,788.00 | $1,065.57 – $2,788.00 | 44 |
| Chest CT scan (without contrast) CPT 71250 | $1,441.70 | $2,218.00 | $847.72 – $2,218.00 | 44 |
| Chest Physiotherapy (first session) CPT 94667 | $178.75 | $275.00 | $105.11 – $275.00 | 44 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $151.45 | $233.00 | $89.05 – $233.00 | 44 |
| Chest Ultrasound CPT 76604 | $512.20 | $788.00 | $301.17 – $788.00 | 44 |
| Chest X-ray CPT 71046 | $206.70 | $318.00 | $121.54 – $318.00 | 44 |
| Chest X-ray (single view) CPT 71045 | $167.70 | $258.00 | $98.61 – $258.00 | 44 |
| Chg pr pul rehab for copd patients CPT 94626 | $371.80 | $572.00 | $218.62 – $572.00 | 44 |
| Chloride CPT 82435 | $39.65 | $61.00 | $23.31 – $61.00 | 44 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $116.50 | $116.50 | $1.95 – $27.07 | 115 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $2.10 | $2.10 | $0.80 – $7.00 | 115 |
| Cholesterol CPT 82465 | $40.95 | $63.00 | $24.08 – $63.00 | 44 |
| Cholesterol (Lipid) Test CPT 80061 | $695.00 | $170.00 | $9.09 – $170.00 | 44 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $1.00 | $1.00 | $0.38 – $1.00 | 115 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $37.00 | $37.00 | $4.64 – $37.00 | 115 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $379.00 | $379.00 | $10.65 – $93.75 | 115 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $496.70 | $496.70 | $106.40 – $496.70 | 115 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $15,050.75 | $23,155.00 | $13.24 – $34.65 | 44 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $17.50 | $17.50 | $3.34 – $17.50 | 115 |
| Clip ligating vesolock lg HCPCS C1760 | $8,209.50 | $12,630.00 | $1.30 – $3.39 | 44 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $538.82 | $828.95 | $316.82 – $828.95 | 44 |
| Cllr miami j sm HCPCS L0174 | $607.31 | $934.33 | $21.40 – $55.98 | 44 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $322.20 – $17,608.50 | 115 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,138.15 | $1,751.00 | $90.90 – $1,167.00 | 781 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $350.00 | $350.00 | $22.79 – $345.36 | 768 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,788.00 | $1,788.00 | $131.57 – $1,172.00 | 768 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $304.00 | $304.00 | $9.69 – $152.00 | 768 |
| Coagulation time activated teg CPT 85347 | $50.05 | $77.00 | $29.43 – $77.00 | 44 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $2,948.58 | $4,536.28 | $750.71 – $1,964.19 | 44 |
| Cold agglutinin screen (arc) CPT 86156 | $66.95 | $103.00 | $39.37 – $103.00 | 44 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $271.05 | $417.00 | $106.25 – $278.00 | 44 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $44.47 | $68.41 | $0.90 – $2.36 | 44 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $50.43 | $77.58 | $1.72 – $4.51 | 44 |
| Collar cerv ascend 172 reg HCPCS L0172 | $1,198.73 | $1,844.20 | $1.00 – $2.62 | 44 |
| Collar cerv patriot adlt HCPCS L0150 | $3.18 | $4.89 | $1.87 – $4.89 | 44 |
| Collar extrication adult univ HCPCS L0200 | $41.92 | $64.50 | $24.65 – $64.50 | 44 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $306.80 | $472.00 | $180.40 – $472.00 | 44 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $306.80 | $472.00 | $180.40 – $472.00 | 44 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $144.95 | $223.00 | $85.23 – $223.00 | 43 |
| Compatibility test each unit electronic CPT 86923 | $191.75 | $295.00 | $112.75 – $295.00 | 44 |
| Compatibility test each unit immediate spin technique CPT 86920 | $107.25 | $165.00 | $63.06 – $165.00 | 44 |
| Complement antigen each component c3 CPT 86160 | $91.00 | $140.00 | $53.51 – $140.00 | 44 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,752.13 | $2,695.58 | $1,030.25 – $2,695.58 | 44 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $694.85 | $1,069.00 | $408.57 – $1,069.00 | 44 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $3,352.21 | $5,157.25 | $156.55 – $409.61 | 44 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,780.10 | $1,780.10 | $390.74 – $1,780.10 | 115 |
| Connect omega .5mm HCPCS L8613 | $20,722.49 | $31,880.76 | $25.76 – $67.40 | 44 |
| Connector tis 2x10mm HCPCS C9352 | $6,756.42 | $10,394.49 | $483.29 – $1,264.50 | 44 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $9,782.99 | $15,050.75 | $4,424.92 – $11,577.50 | 44 |
| Controller infinity pt dbs HCPCS C1787 | $27,497.09 | $42,303.21 | $19.11 – $50.00 | 44 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $491.40 | $756.00 | $52.08 – $504.00 | 44 |
| Coombs direct CPT 86880 | $74.75 | $115.00 | $43.95 – $115.00 | 44 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $92.30 | $142.00 | $54.27 – $142.00 | 44 |
| Coombs indirect titer reference CPT 86886 | $112.45 | $173.00 | $66.12 – $173.00 | 44 |
| Cornea 1/2moon str split thick HCPCS L8609 | $794.53 | $1,222.35 | $467.18 – $1,222.35 | 44 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $5,705.60 | $8,777.85 | $149.06 – $390.00 | 44 |
| Cortisol total am CPT 82533 | $122.20 | $188.00 | $71.85 – $188.00 | 44 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $101.75 | $101.75 | $28.02 – $101.75 | 115 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $9,235.69 | $14,208.75 | $50.16 – $131.23 | 44 |
| Cover wrist HCPCS L3984 | $0.01 | $0.01 | $0.01 – $0.01 | 34 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.50 | $110.00 | $7.52 – $19.68 | 44 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $443.95 | $683.00 | $261.04 – $683.00 | 44 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $443.95 | $683.00 | $261.04 – $683.00 | 44 |
| Covid-19 lab test non-cdc HCPCS U0002 | $146.90 | $226.00 | $86.38 – $226.00 | 44 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $641.55 | $987.00 | $377.23 – $987.00 | 44 |
| C-peptide CPT 84681 | $163.80 | $252.00 | $96.31 – $252.00 | 44 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $1,591.20 | $2,448.00 | $108.63 – $973.00 | 781 |
| Cr-51 sodium chromate HCPCS A9553 | $7,028.75 | $7,028.75 | $2,686.39 – $7,028.75 | 44 |
| C-reactive protein CPT 86140 | $70.85 | $109.00 | $41.66 – $109.00 | 44 |
| C-reactive protein high sensitivity CPT 86141 | $129.35 | $199.00 | $76.06 – $199.00 | 44 |
| Creatine kinase CPT 82550 | $66.30 | $102.00 | $38.98 – $102.00 | 44 |
| Creatine kinase mb CPT 82553 | $109.20 | $168.00 | $64.21 – $168.00 | 44 |
| Creatinine CPT 82565 | $594.00 | $65.00 | $9.09 – $65.00 | 44 |
| Creatinine 24 hour urine CPT 82570 | $803.00 | $97.00 | $5.28 – $97.00 | 44 |
| Critical care each additional 30 minutes CPT 99292 | $325.00 | $500.00 | $108.20 – $293.00 | 44 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,240.20 | $1,908.00 | $126.95 – $659.00 | 781 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $7,358.85 | $7,358.85 | $2,591.60 – $7,358.85 | 115 |
| Cryoprecipitate each unit HCPCS P9012 | $123.50 | $190.00 | $72.62 – $190.00 | 44 |
| Crystal identification light microscopy CPT 89060 | $83.20 | $128.00 | $48.92 – $128.00 | 44 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,206.80 | $6,472.00 | $2,473.60 – $6,472.00 | 44 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $2,367.95 | $3,643.00 | $1,392.35 – $3,643.00 | 44 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $983.45 | $1,513.00 | $578.27 – $1,513.00 | 44 |
| CT Angiogram of the Head CPT 70496 | $2,528.50 | $3,890.00 | $1,486.76 – $3,890.00 | 44 |
| CT Angiogram of the Neck CPT 70498 | $2,558.40 | $3,936.00 | $1,504.34 – $3,936.00 | 44 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $65.00 | $100.00 | $38.22 – $100.00 | 44 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,115.15 | $6,331.00 | $2,419.71 – $6,331.00 | 44 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,664.05 | $5,637.00 | $2,154.46 – $5,637.00 | 44 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,052.40 | $4,696.00 | $1,794.81 – $4,696.00 | 44 |
| Culture aerobic additional method definitive id each CPT 87077 | $62.40 | $96.00 | $36.69 – $96.00 | 44 |
| Culture anaerobic additional method definitive id each CPT 87076 | $53.30 | $82.00 | $31.34 – $82.00 | 44 |
| Culture anaerobic except blood CPT 87075 | $82.55 | $127.00 | $48.54 – $127.00 | 44 |
| Culture body fluid CPT 87070 | $380.00 | $146.00 | $8.45 – $146.00 | 29 |
| Culture fungi definitive id yeast CPT 87106 | $111.80 | $172.00 | $10.21 – $172.00 | 44 |
| Culture fungi skin/hair/nail CPT 87101 | $55.25 | $85.00 | $7.71 – $85.00 | 44 |
| Culture screening strep group a CPT 87081 | $78.00 | $101.00 | $6.50 – $78.00 | 44 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $325.00 | $500.00 | $191.10 – $500.00 | 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.