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 |
|---|---|---|---|---|
| Elbow X-ray (2 views, both sides) CPT 73070 | $237.25 | $365.00 | $92.87 – $243.00 | 44 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $327.60 | $504.00 | $128.42 – $336.00 | 44 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,374.87 | $11,345.95 | $1,144.18 – $2,993.66 | 44 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $81.25 | $125.00 | $48.45 – $125.00 | 36 |
| Electrolyte panel CPT 80051 | $63.05 | $97.00 | $7.01 – $97.00 | 44 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,470.30 | $9,470.30 | $2,586.00 – $7,102.80 | 115 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $42,858.30 | $42,858.30 | $14,083.56 – $42,858.30 | 115 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $12,640.50 | $12,640.50 | $3,209.60 – $8,427.00 | 115 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $108.00 | $108.00 | $3.06 – $8.00 | 44 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $50,429.90 | $50,429.90 | $1,522.75 – $4,202.50 | 115 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $58.00 | $58.00 | $22.17 – $58.00 | 44 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $50.40 | $50.40 | $13.20 – $36.80 | 115 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $305.00 | $305.00 | $5.80 – $50.40 | 115 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $487.50 | $487.50 | $11.40 – $35.20 | 115 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $1,405.00 | $1,405.00 | $43.50 – $221.25 | 115 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,079.00 | $2,079.00 | $15.14 – $104.00 | 115 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,916.35 | $4,916.35 | $15.36 – $152.50 | 115 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $156.15 | $156.15 | $59.68 – $156.15 | 44 |
| Epstein barr early antigen antibody CPT 86663 | $94.25 | $145.00 | $55.42 – $145.00 | 44 |
| Epstein barr nuclear antigen antibody CPT 86664 | $107.90 | $166.00 | $63.45 – $166.00 | 44 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $120.90 | $186.00 | $71.09 – $186.00 | 44 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,020.45 | $10,020.45 | $1,985.00 – $10,020.45 | 115 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,050.00 | $7,050.00 | $1,144.50 – $7,050.00 | 115 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $138.00 | $138.00 | $1.15 – $18.04 | 115 |
| ER Visit (level 1, minor) CPT 99281 | $341.25 | $525.00 | $11.82 – $54.00 | 44 |
| ER Visit (level 2) CPT 99282 | $965.00 | $750.00 | $9.09 – $104.00 | 781 |
| ER Visit (level 3) CPT 99283 | $602.55 | $927.00 | $44.30 – $156.00 | 781 |
| ER Visit (level 4) CPT 99284 | $3,125.00 | $1,280.00 | $51.31 – $284.00 | 781 |
| ER Visit (level 5, high severity) CPT 99285 | $5,874.00 | $1,908.00 | $6.50 – $862.00 | 781 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $125.40 | $125.40 | $47.93 – $125.40 | 115 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $427.50 | $427.50 | $163.39 – $427.50 | 44 |
| Established Patient Office Visit (level 2) CPT 99212 | $76.00 | $114.00 | $1.91 – $114.00 | 781 |
| Established Patient Office Visit (level 3) CPT 99213 | $141.00 | $182.00 | $3.18 – $182.00 | 781 |
| Established Patient Office Visit (level 4) CPT 99214 | $209.00 | $258.00 | $5.10 – $258.00 | 781 |
| Established Patient Office Visit (level 5) CPT 99215 | $235.30 | $362.00 | $88.83 – $362.00 | 44 |
| Estradiol total CPT 82670 | $154.70 | $238.00 | $90.96 – $238.00 | 44 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $174.75 | $174.75 | $66.79 – $174.75 | 115 |
| Event monitor CPT 93270 | $307.45 | $473.00 | $180.78 – $473.00 | 44 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,420.11 | $3,723.25 | $0.05 – $0.12 | 44 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,952.42 | $4,542.19 | $9.56 – $25.00 | 44 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $80.00 | $80.00 | $14.48 – $80.00 | 768 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $87.00 | $87.00 | $15.76 – $87.00 | 768 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $61.10 | $94.00 | $35.93 – $94.00 | 44 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $133.25 | $205.00 | $78.35 – $205.00 | 44 |
| Eye implant band 40 HCPCS C1784 | $1,141.56 | $1,756.25 | $20.35 – $53.25 | 44 |
| Eye Socket (Orbit) X-ray CPT 70200 | $507.65 | $781.00 | $298.50 – $781.00 | 44 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,458.60 | $2,244.00 | $857.66 – $2,244.00 | 44 |
| F-18 fdg pet diag HCPCS A9552 | $1,768.20 | $1,768.20 | $675.81 – $1,768.20 | 44 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $15,145.00 | $15,145.00 | $5,788.42 – $15,145.00 | 44 |
| F-18 fluciclovine per mci HCPCS A9588 | $27,455.00 | $27,455.00 | $10,493.30 – $27,455.00 | 44 |
| F-18 sodium fluoride HCPCS A9580 | $1,391.25 | $1,391.25 | $531.74 – $1,391.25 | 44 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,714.10 | $5,714.00 | $2,183.89 – $5,714.00 | 44 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $323.05 | $497.00 | $189.95 – $497.00 | 44 |
| Facial Bones X-ray (complete) CPT 70150 | $401.70 | $618.00 | $236.20 – $618.00 | 44 |
| Family therapy without pt 50min 90846 CPT 90846 | $282.75 | $435.00 | $166.26 – $435.00 | 44 |
| Family therapy with patient 50 min 90847 CPT 90847 | $302.90 | $466.00 | $178.11 – $466.00 | 44 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.00 | $4.00 | $0.80 – $3.00 | 115 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,722.40 | $9,722.40 | $3,283.00 – $9,722.40 | 115 |
| Fat/lipids feces qualitative CPT 82705 | $45.50 | $70.00 | $5.00 – $70.00 | 44 |
| Fatty acids nonesterified CPT 82725 | $81.25 | $125.00 | $47.78 – $125.00 | 44 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $28,233.45 | $28,233.45 | $9,604.50 – $28,233.45 | 115 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $165.00 | $165.00 | $1.15 – $3.00 | 44 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,262.00 | $5,262.00 | $2,011.14 – $5,262.00 | 44 |
| Ferritin CPT 82728 | $107.25 | $165.00 | $63.06 – $165.00 | 44 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $712.85 | $712.85 | $158.10 – $712.85 | 115 |
| Fibrin degradation d dimer quantitative CPT 85379 | $145.60 | $224.00 | $47.78 – $125.00 | 44 |
| Fibrinogen activity CPT 85384 | $67.60 | $104.00 | $10.30 – $104.00 | 44 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $222.30 | $342.00 | $15.17 – $342.00 | 44 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,611.50 | $1,611.50 | $87.00 – $1,007.20 | 115 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,447.95 | $1,447.95 | $297.00 – $1,447.95 | 115 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,018.90 | $2,018.90 | $111.00 – $1,261.80 | 115 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $17,509.15 | $26,937.16 | $1,021.36 – $2,672.31 | 44 |
| Filter vena cava fem denali HCPCS C1880 | $23,327.77 | $35,888.87 | $138.74 – $363.00 | 44 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $2,105.74 | $3,239.60 | $338.30 – $885.15 | 44 |
| Finger X-ray (both hands) CPT 73140 | $282.75 | $435.00 | $110.84 – $290.00 | 44 |
| Flow cytometry marker each additional CPT 88185 | $85.15 | $131.00 | $50.07 – $131.00 | 44 |
| Flow cytometry one marker technical component CPT 88184 | $248.95 | $383.00 | $146.38 – $383.00 | 44 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $74.00 | $74.00 | $7.07 – $18.50 | 44 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $434.65 | $434.65 | $78.41 – $434.65 | 115 |
| Fluorescent antibody titer dna CPT 86256 | $79.95 | $123.00 | $47.01 – $123.00 | 44 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $147.00 | $147.00 | $1.88 – $48.65 | 115 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $23.10 | $23.10 | $7.53 – $23.10 | 115 |
| Folic acid CPT 82746 | $94.25 | $145.00 | $55.42 – $145.00 | 44 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $106.00 | $106.00 | $30.00 – $106.00 | 115 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $6,898.50 | $6,898.50 | $1,243.00 – $6,898.50 | 115 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $275.11 | $423.24 | $29.52 – $77.24 | 44 |
| Foot X-ray CPT 73630 | $339.30 | $522.00 | $133.01 – $348.00 | 44 |
| Foot X-ray (2 views, both feet) CPT 73620 | $270.40 | $416.00 | $105.87 – $277.00 | 44 |
| Forearm X-ray (both sides) CPT 73090 | $349.05 | $537.00 | $136.83 – $358.00 | 44 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,539.00 | $1,539.00 | $16.50 – $378.00 | 115 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $150.40 | $150.40 | $3.52 – $9.20 | 115 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $337.35 | $519.00 | $198.36 – $519.00 | 44 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $144.95 | $223.00 | $85.23 – $223.00 | 44 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $230.10 | $354.00 | $135.30 – $354.00 | 44 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $3.00 | $3.00 | $0.40 – $3.00 | 115 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $48.25 | $48.25 | $2.58 – $6.75 | 44 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $253.10 | $253.10 | $96.73 – $253.10 | 44 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $15,600.00 | $15,600.00 | $5,962.32 – $15,600.00 | 44 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $591.40 | $591.40 | $19.76 – $591.40 | 44 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $231.00 | $231.00 | $7.35 – $231.00 | 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.