MercyOne Waterloo Medical Center
3421 W. 9th St, Waterloo, IA · MercyOne · · NPI 1700827896
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $63.05 | $97.00 | $22.10 – $97.00 | 41 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $230.00 | $230.00 | $51.55 – $194.00 | 768 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $2,315.00 | $2,315.00 | $604.32 – $1,870.00 | 768 |
| 24 hr ambulatory b/p monitor CPT 93786 | $92.00 | $109.00 | $17.14 – $257.09 | 780 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,131.00 | $1,740.00 | $408.90 – $1,740.00 | 109 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,667.90 | $2,566.00 | $603.01 – $2,566.00 | 109 |
| 2nd order venous cath CPT 36012 | $3,125.85 | $4,809.00 | $753.41 – $3,576.15 | 24 |
| 3d ech img cgen car anomal CPT 93319 | $1,462.50 | $2,250.00 | $13.21 – $1,597.50 | 777 |
| 3-d radiotherapy plan CPT 77295 | $7,255.95 | $11,163.00 | $143.35 – $7,925.73 | 778 |
| 3d recon without postprocess indpndt CPT 76376 | $688.35 | $1,059.00 | $102.04 – $1,059.00 | 24 |
| 5' nucleotidase - sendout CPT 83915 | $626.60 | $964.00 | $10.80 – $138.00 | 41 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $257.00 | $201.00 | $4.87 – $185.00 | 569 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $613.00 | $214.00 | $32.15 – $198.00 | 569 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $253.36 | $214.00 | $32.15 – $210.00 | 569 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $233.72 | $170.00 | $31.00 – $170.00 | 569 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $294.36 | $185.00 | $32.15 – $185.00 | 569 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $185.00 | $185.00 | $21.27 – $185.00 | 569 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $316.00 | $210.00 | $21.27 – $210.00 | 569 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $247.00 | $247.00 | $42.50 – $247.00 | 568 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $7,377.95 | $7,377.95 | $43.87 – $7,377.95 | 99 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $65.00 | $100.00 | $11.64 – $100.00 | 41 |
| Abd aorta w/runoff s&i CPT 75630 | $5,214.95 | $8,023.00 | $603.66 – $8,023.00 | 112 |
| Abd/low ext cath 1st CPT 36245 | $4,199.65 | $6,461.00 | $1,012.15 – $4,307.00 | 24 |
| Abd/low ext cath 2nd CPT 36246 | $3,900.00 | $6,000.00 | $940.00 – $4,235.59 | 24 |
| Abd/low ext cath 3rd CPT 36247 | $4,806.75 | $7,395.00 | $1,158.55 – $4,930.00 | 24 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,704.95 | $2,623.00 | $224.79 – $2,623.00 | 112 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $2,640.00 | $1,294.00 | $98.49 – $1,294.00 | 112 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,164.50 | $3,330.00 | $165.25 – $3,330.00 | 112 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,914.25 | $2,945.00 | $165.25 – $2,945.00 | 112 |
| Abdominal CT scan (without contrast) CPT 74150 | $865.80 | $1,332.00 | $98.49 – $1,332.00 | 112 |
| Abdominal MRI (with and without contrast) CPT 74183 | $5,174.00 | $7,960.00 | $328.68 – $7,960.00 | 112 |
| Abdominal MRI (with contrast) CPT 74182 | $2,051.40 | $3,156.00 | $328.68 – $3,156.00 | 112 |
| Abdominal MRI (without contrast) CPT 74181 | $1,682.85 | $2,589.00 | $224.79 – $2,589.00 | 112 |
| Abdominal paracentesis w/image guidance CPT 49083 | $5,222.58 | $3,998.00 | $9.09 – $4,235.59 | 778 |
| Abdominal Ultrasound (complete) CPT 76700 | $688.35 | $1,059.00 | $98.49 – $1,059.00 | 112 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,784.00 | $725.00 | $98.49 – $725.00 | 112 |
| Abdominal X-ray (2 views) CPT 74019 | $143.65 | $221.00 | $6.82 – $202.01 | 778 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $180.05 | $277.00 | $9.44 – $202.01 | 778 |
| Abdominal X-ray (single view) CPT 74018 | $602.00 | $239.00 | $9.09 – $169.69 | 780 |
| Abdominoplasty 15830 CPT 15830 | $73,352.04 | not published | $6.84 – $15,793.40 | 101 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $265.00 | $265.00 | $2.26 – $25.12 | 768 |
| Abl1 gene CPT 81170 | $863.85 | $1,329.00 | $290.70 – $1,329.00 | 41 |
| Ablate arrhythmia add on CPT 93655 | $143,395.41 | $7,482.00 | $9.09 – $50,506.05 | 778 |
| Ablate heart dysrhythm focus CPT 93650 | $21,608.60 | $33,244.00 | $158.47 – $23,603.24 | 778 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $49,876.64 | $656.00 | $4.56 – $11,438.86 | 777 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $4,709.90 | $7,246.00 | $121.22 – $950.00 | 111 |
| Ablation cryo thigh/knee CPT 27599 | $10,822.40 | not published | $0.32 – $3,576.15 | 101 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | $21,177.00 | $32,580.00 | $7,656.30 – $32,580.00 | 11 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,435.20 | $2,208.00 | $138.65 – $3,576.15 | 111 |
| Abobotulinumtoxina HCPCS J0586 | $8,805.00 | $13,207.50 | $7.36 – $4,095.68 | 767 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,107.00 | $4,780.00 | $1,123.30 – $4,780.00 | 111 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $27,306.90 | $2,532.65 | $0.20 – $6,322.47 | 112 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $55.20 | $55.20 | $12.97 – $55.20 | 82 |
| Acetone qualitative CPT 82009 | $30.55 | $47.00 | $4.38 – $47.00 | 41 |
| Acetylcholine receptor modulating antibody CPT 86043 | $236.60 | $364.00 | $11.68 – $364.00 | 41 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $244.95 | $244.95 | $22.20 – $244.95 | 82 |
| Acne surgery 10040 CPT 10040 | $329.55 | $507.00 | $13.53 – $387.68 | 770 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $424.00 | $491.00 | $115.39 – $438.46 | 780 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $332.00 | $332.00 | $35.25 – $332.00 | 780 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $793.00 | $442.00 | $88.83 – $682.56 | 777 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $1,456.00 | $56.00 | $5.64 – $72.40 | 780 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $68.00 | $63.00 | $4.83 – $63.00 | 777 |
| Acromp/acromionectomy prtl CPT 23130 | $61,503.24 | not published | $9.09 – $14,021.15 | 101 |
| Acute hepatitis panel CPT 80074 | $1,619.00 | $371.00 | $46.16 – $371.00 | 41 |
| Acyclovir 400 mg tablet HCPCS J8499 | $80.45 | $80.45 | $0.20 – $1.00 | 29 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $20.70 | $20.70 | $0.90 – $4.20 | 82 |
| #acylcarnitineprfl CPT 82017 | $136.50 | $210.00 | $16.35 – $210.00 | 41 |
| Adapter b 8 channel 10cm HCPCS C1883 | $19,860.90 | $30,555.23 | $0.01 – $9.39 | 25 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $695.70 | $695.70 | $1.76 – $7.50 | 25 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $2,705.00 | $2,705.00 | $19.96 – $323.04 | 768 |
| Adh-sendout CPT 84588 | $312.00 | $480.00 | $32.88 – $480.00 | 41 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $10,014.70 | $5,186.00 | $71.76 – $4,604.83 | 778 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $78.60 | $78.60 | $0.22 – $50.41 | 96 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $191.75 | $295.00 | $20.18 – $209.45 | 777 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $225.55 | $347.00 | $40.78 – $246.37 | 780 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $15,215.80 | $749.00 | $82.43 – $638.25 | 780 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $10,384.20 | $968.00 | $88.83 – $1,053.00 | 112 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $97.50 | $150.00 | $35.25 – $1,053.00 | 112 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $191.75 | $295.00 | $67.83 – $1,053.00 | 112 |
| Administration immunization each additional component CPT 90461 | $312.44 | $32.00 | $4.62 – $28.00 | 780 |
| Administration immunization each additional vaccine CPT 90472 | $29.00 | $43.00 | $4.62 – $29.00 | 779 |
| Administration immunization first component each vaccine CPT 90460 | $55.00 | $66.00 | $4.62 – $55.00 | 780 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $39.65 | $61.00 | $4.62 – $139.13 | 112 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $30.30 | $36.00 | $4.62 – $23.00 | 776 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $39.00 | $60.00 | $4.62 – $56.18 | 780 |
| Administration vaccine hepatitis b HCPCS G0010 | $590.00 | $88.00 | $4.62 – $147.24 | 112 |
| Administration vaccine influenza virus HCPCS G0008 | $526.00 | $88.00 | $4.62 – $90.48 | 780 |
| Administration vaccine pneumococcal HCPCS G0009 | $1,641.00 | $88.00 | $4.62 – $117.00 | 112 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $56.53 | $56.00 | $4.62 – $45.47 | 777 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $19,916.25 | $19,916.25 | $38.66 – $12,447.70 | 99 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $18,756.30 | $18,756.30 | $213.59 – $18,756.30 | 99 |
| Air conduction bilat CPT 92552 | $213.85 | $329.00 | $49.59 – $355.00 | 112 |
| Albumin body fluid quantitative each specimen CPT 82042 | $83.20 | $128.00 | $7.54 – $45.00 | 41 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $435.50 | $435.50 | $102.34 – $435.50 | 25 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $332.50 | $332.50 | $51.11 – $217.50 | 25 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $40.30 | $62.00 | $5.60 – $62.00 | 41 |
| Albumin serum plasma or whole blood CPT 82040 | $1,555.00 | $59.00 | $4.79 – $135.93 | 112 |
| Albuterol non-comp unit HCPCS J7613 | $1.00 | $1.00 | $0.05 – $1.00 | 767 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $3,207.25 | $146.00 | $9.09 – $217.31 | 112 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $89,232.75 | $89,232.75 | $2,398.16 – $89,232.75 | 99 |
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.