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 |
|---|---|---|---|---|
| Cutter lead HCPCS C1773 | $3,329.03 | $5,121.59 | $136.79 – $357.89 | 44 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $6.60 | $6.60 | $2.52 – $6.60 | 44 |
| Cyclic citrullinated peptide antibody CPT 86200 | $97.50 | $150.00 | $57.33 – $150.00 | 44 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $5,154.25 | $5,154.25 | $492.50 – $1,288.60 | 44 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $17.10 | $17.10 | $2.17 – $17.10 | 115 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $137.50 | $137.50 | $52.55 – $137.50 | 44 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.00 | $1.00 | $0.38 – $1.00 | 115 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $15,794.15 | $24,298.69 | $19.11 – $50.00 | 44 |
| Cystatin c CPT 82610 | $72.80 | $112.00 | $42.81 – $112.00 | 44 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $135.00 | $135.00 | $4.40 – $48.40 | 115 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $94.90 | $146.00 | $55.80 – $146.00 | 44 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $109.85 | $169.00 | $64.59 – $169.00 | 44 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $159.90 | $246.00 | $94.02 – $246.00 | 44 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $79.95 | $123.00 | $26.34 – $123.00 | 44 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $56.45 | $56.45 | $4.18 – $55.20 | 115 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $13,542.70 | $13,542.70 | $331.50 – $13,542.70 | 115 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $7,773.10 | $7,773.10 | $1,555.00 – $7,773.10 | 115 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $127.00 | $127.00 | $15.00 – $64.40 | 115 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $33,713.70 | $33,713.70 | $12,885.38 – $33,713.70 | 44 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,648.65 | $18,648.65 | $75.00 – $932.45 | 115 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,410.00 | $34,410.00 | $12,283.04 – $34,410.00 | 115 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $308.50 | $308.50 | $117.91 – $308.50 | 44 |
| Deamidated gliadin antibody iga CPT 86258 | $63.70 | $98.00 | $12.05 – $98.00 | 44 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $224.90 | $224.90 | $85.96 – $224.90 | 44 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $159.70 | $159.70 | $9.02 – $159.70 | 115 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,556.35 | $4,556.35 | $381.60 – $1,460.15 | 115 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $240.50 | $370.00 | $141.41 – $370.00 | 44 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $15,865.45 | $15,865.45 | $1,754.40 – $8,883.85 | 115 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $0.06 | $0.10 | $0.04 – $0.10 | 44 |
| Device ablt adv novasure HCPCS C1886 | $6,237.48 | $9,596.13 | $166.47 – $435.55 | 44 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,599.67 | $3,999.50 | $1,247.02 – $3,262.75 | 44 |
| Device intraute mirena HCPCS J7298 | $2,112.88 | $3,250.58 | $1,242.37 – $3,250.58 | 44 |
| Device sut capio slim opn HCPCS C2631 | $1,534.26 | $2,360.40 | $404.89 – $1,059.37 | 44 |
| Device tiss remov myosure reach HCPCS C1782 | $3,961.70 | $6,094.92 | $407.04 – $1,064.99 | 44 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $172.25 | $265.00 | $101.28 – $265.00 | 44 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | $21.00 | $21.00 | $8.03 – $21.00 | 44 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $1.00 | $1.00 | $0.08 – $1.00 | 115 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $20.20 | $20.20 | $0.60 – $3.00 | 115 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $884.80 | $884.80 | $32.09 – $344.95 | 115 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.00 | $20.00 | $7.64 – $20.00 | 44 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $20.00 | $20.00 | $7.64 – $20.00 | 44 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $35.00 | $35.00 | $13.38 – $35.00 | 44 |
| Dextrose 5 % IV bolus HCPCS J7070 | $30.00 | $30.00 | $6.69 – $17.50 | 44 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $185.90 | $286.00 | $109.31 – $286.00 | 44 |
| Diabetes (HbA1c) Test CPT 83036 | $695.00 | $122.00 | $9.09 – $122.00 | 44 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $445.90 | $686.00 | $142.21 – $686.00 | 44 |
| Diagnostic Mammogram (one breast) CPT 77065 | $297.05 | $457.00 | $112.74 – $457.00 | 44 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $97.75 | $97.75 | $37.36 – $97.75 | 44 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $11.50 | $11.50 | $1.20 – $4.00 | 115 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,725.30 | $13,725.30 | $4,968.58 – $13,725.30 | 115 |
| Digoxin total therapeutic drug level CPT 80162 | $91.65 | $141.00 | $13.01 – $141.00 | 44 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $92.00 | $92.00 | $35.16 – $92.00 | 44 |
| Dilator fascial 10fx20cm HCPCS C2627 | $274.98 | $423.05 | $17.68 – $46.25 | 44 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $12.95 | $12.95 | $0.20 – $3.00 | 115 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $3.45 | $3.45 | $0.02 – $3.45 | 115 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $3.70 | $3.70 | $0.90 – $3.70 | 115 |
| Dna antibody native/double stranded CPT 86225 | $101.40 | $156.00 | $13.74 – $156.00 | 44 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $183.75 | $183.75 | $7.98 – $42.70 | 115 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,567.60 | $2,567.60 | $8.20 – $134.65 | 115 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $72.50 | $72.50 | $6.60 – $35.90 | 115 |
| Dornhoffer fixed part w/window HCPCS L8614 | $20,628.52 | $31,736.18 | $524.34 – $1,371.90 | 44 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $36,812.65 | $36,812.65 | $13,341.50 – $36,812.65 | 115 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,578.20 | $1,578.20 | $5.96 – $93.40 | 115 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $7,093.75 | $7,093.75 | $734.19 – $1,920.95 | 44 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $28.30 | $28.30 | $10.82 – $28.30 | 115 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $138.44 | $212.98 | $81.40 – $212.98 | 44 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $182.65 | $281.00 | $57.16 – $281.00 | 44 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $978.05 | $1,504.70 | $35.40 – $92.61 | 44 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $32.80 | $32.80 | $5.36 – $32.80 | 115 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $3,826.54 | $5,886.99 | $263.88 – $690.42 | 44 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $156.82 | $241.26 | $92.21 – $241.26 | 44 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $34.84 | $53.60 | $16.68 – $43.65 | 44 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $41.79 | $64.30 | $23.14 – $60.55 | 44 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $80.11 | $123.24 | $40.72 – $106.53 | 44 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $0.47 | $0.73 | $0.28 – $0.73 | 44 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $94.94 | $146.06 | $42.86 – $112.15 | 44 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $46.92 | $72.19 | $17.81 – $46.60 | 44 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $6,228.55 | $9,582.38 | $28.40 – $74.31 | 44 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $16.74 | $25.75 | $1.49 – $3.91 | 44 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $247.88 | $381.35 | $76.26 – $199.54 | 44 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $137.15 | $211.00 | $61.51 – $211.00 | 44 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,503.57 | $2,313.19 | $232.78 – $609.04 | 44 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $1,370.79 | $2,108.91 | $11.68 – $30.55 | 44 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,206.10 | $13,206.10 | $1,119.48 – $3,169.50 | 115 |
| Ear irrigation 69209 CPT 69209 | $52.65 | $81.00 | $17.72 – $54.00 | 44 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $14.30 | $22.00 | $7.67 – $22.00 | 44 |
| Ecg < 30 days transmission & analysis CPT 93271 | $477.75 | $735.00 | $280.92 – $735.00 | 44 |
| Ecg external < 48 hours recording CPT 93225 | $451.10 | $694.00 | $265.25 – $694.00 | 44 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $500.50 | $770.00 | $294.29 – $770.00 | 44 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $219.70 | $338.00 | $129.18 – $338.00 | 44 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $458.25 | $705.00 | $269.45 – $705.00 | 44 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,527.50 | $2,350.00 | $43.03 – $2,350.00 | 781 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $910.00 | $1,400.00 | $15.76 – $1,400.00 | 781 |
| Echocardiography doppler color flow mapping CPT 93325 | $341.25 | $525.00 | $2.13 – $525.00 | 781 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,943.50 | $2,990.00 | $1,142.78 – $2,990.00 | 44 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $292.50 | $450.00 | $4.69 – $450.00 | 781 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $18,199.20 | $18,199.20 | $6,715.50 – $18,199.20 | 115 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,942.60 | $18,942.60 | $7,090.00 – $18,942.60 | 115 |
| EKG (Electrocardiogram) CPT 93000 | $81.25 | $125.00 | $12.88 – $125.00 | 44 |
| EKG (Tracing Only) CPT 93005 | $245.00 | $245.00 | $5.46 – $245.00 | 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.