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 |
|---|---|---|---|---|
| Cysto/uretero w/lithotripsy CPT 52356 | $41,937.15 | not published | $1.92 – $10,360.57 | 101 |
| Cystouretero w/stone remove CPT 52352 | $30,811.55 | not published | $9.09 – $6,811.30 | 101 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $22,559.01 | $2,228.00 | $0.96 – $4,235.59 | 778 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $135.00 | $135.00 | $4.40 – $48.40 | 82 |
| Cytogenetics 25-99 CPT 88274 | $111.80 | $172.00 | $40.42 – $172.00 | 41 |
| Cytogenomic neo microra alys CPT 81277 | $1,486.55 | $2,287.00 | $537.45 – $3,156.57 | 25 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $119.60 | $184.00 | $13.94 – $184.00 | 41 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $130.00 | $200.00 | $16.33 – $200.00 | 41 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $5,253.40 | $250.00 | $31.45 – $177.50 | 112 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $220.35 | $339.00 | $25.79 – $240.69 | 41 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $120.25 | $185.00 | $19.64 – $131.35 | 41 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $107.90 | $166.00 | $8.13 – $117.86 | 25 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $378.30 | $582.00 | $19.34 – $413.22 | 112 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $162.50 | $250.00 | $49.09 – $412.56 | 112 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $56.45 | $56.45 | $4.18 – $55.20 | 82 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $13,542.70 | $13,542.70 | $301.83 – $13,542.70 | 99 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,502.20 | $2,502.20 | $15.28 – $2,502.20 | 99 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $127.00 | $127.00 | $15.00 – $64.40 | 96 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $33,713.70 | $33,713.70 | $52.34 – $33,713.70 | 28 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,648.65 | $18,648.65 | $2.56 – $662.04 | 769 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $1,440.00 | $10.00 | $2.56 – $68.21 | 776 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,410.00 | $34,410.00 | $230.33 – $34,410.00 | 99 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $308.50 | $308.50 | $72.50 – $308.50 | 25 |
| D&c after delivery 59160 CPT 59160 | $29,763.27 | $614.00 | $8.55 – $6,255.08 | 777 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,627.00 | $1,344.00 | $66.88 – $6,255.08 | 781 |
| Dch validity tests CPT 81002 | $97.50 | $150.00 | $2.78 – $106.50 | 778 |
| Deamidated gliadin antibody iga CPT 86258 | $141.70 | $218.00 | $11.68 – $218.00 | 41 |
| Debridement (>20 cm) charge pt CPT 97598 | $146.00 | $165.00 | $13.85 – $147.35 | 777 |
| Debridement bone <= 20 sq cm CPT 11044 | $5,570.00 | $3,414.00 | $64.12 – $4,235.59 | 781 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $2,310.00 | $194.00 | $1.73 – $3,576.15 | 778 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $4,039.00 | $625.00 | $53.52 – $3,576.15 | 778 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,432.00 | $920.00 | $15.02 – $4,235.59 | 781 |
| Debride nail1-5 11720 CPT 11720 | $607.00 | $96.00 | $8.09 – $3,576.15 | 781 |
| Debride nail6 or more 11721 CPT 11721 | $624.00 | $167.00 | $13.63 – $3,576.15 | 781 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,206.20 | $960.00 | $84.46 – $853.50 | 768 |
| Debride skin bone at fx site CPT 11012 | $20,058.05 | $1,349.00 | $2.28 – $6,322.47 | 777 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $2,467.00 | $2,467.00 | $70.68 – $270.88 | 768 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $2,666.00 | $194.00 | $14.06 – $3,576.15 | 778 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $1,124.50 | $1,730.00 | $5.80 – $818.63 | 770 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $902.00 | $902.00 | $74.33 – $902.00 | 771 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $3,771.00 | $1,236.00 | $5.64 – $4,235.59 | 778 |
| Decalcification CPT 88311 | $75.40 | $116.00 | $8.47 – $116.00 | 25 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $224.90 | $224.90 | $52.85 – $224.90 | 25 |
| Decompress forearm 1 space CPT 25023 | $4,514.00 | $4,514.00 | $403.00 – $3,026.00 | 768 |
| Decompression of leg CPT 27894 | $2,781.00 | $2,781.00 | $241.44 – $2,781.00 | 768 |
| Deep muscle biopsy 20205 CPT 20205 | $28,075.68 | $6,750.00 | $0.96 – $6,277.50 | 111 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $59.60 | $59.60 | $9.02 – $59.60 | 82 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,556.35 | $4,556.35 | $4.36 – $1,460.15 | 99 |
| Delivery of placenta 59414 CPT 59414 | $2,993.25 | $4,605.00 | $4.94 – $6,255.08 | 770 |
| Delivery only failed vbac 59620 CPT 59620 | $3,001.00 | $3,001.00 | $37.48 – $322.72 | 768 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | $4,345.00 | $4,345.00 | $479.09 – $3,875.50 | 768 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $767.00 | $268.00 | $13.45 – $423.13 | 780 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $15,865.45 | $15,865.45 | $13.96 – $7,989.35 | 772 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $0.05 | $0.08 | $0.02 – $0.08 | 25 |
| Description not available HCPCS S0013 | $12,944.00 | not published | $8.04 – $1,584.12 | 83 |
| Design mlc device for imrt CPT 77338 | $58,718.00 | $3,039.00 | $143.56 – $2,978.65 | 778 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $241.45 | $241.45 | $56.74 – $241.45 | 25 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $252.85 | $389.00 | $91.42 – $3,576.15 | 111 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $261.30 | $402.00 | $94.47 – $3,576.15 | 111 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $374.40 | $576.00 | $135.36 – $3,576.15 | 111 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $280.15 | $431.00 | $101.29 – $3,576.15 | 111 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $6,960.85 | $10,709.00 | $55.06 – $5,068.69 | 778 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,695.85 | $2,609.00 | $36.85 – $3,576.15 | 777 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $841.00 | $311.00 | $15.23 – $3,576.15 | 781 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $3,867.50 | $5,950.00 | $60.60 – $4,604.83 | 781 |
| Destroy vulva lesion simple 56501 CPT 56501 | $460.20 | $708.00 | $35.20 – $3,986.87 | 781 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $273.00 | $416.00 | $20.49 – $3,576.15 | 781 |
| Destruction 2-14 lesions 17003 CPT 17003 | $50.70 | $78.00 | $1.07 – $3,576.15 | 780 |
| Destruction benign lesions < 14 lesions CPT 17110 | $1,400.00 | $365.00 | $14.54 – $3,576.15 | 781 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $14,469.05 | $2,609.00 | $0.96 – $3,773.24 | 778 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $14,886.05 | $8,567.00 | $0.96 – $4,054.81 | 778 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $284.70 | $438.00 | $102.93 – $3,576.15 | 111 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $474.00 | $500.00 | $52.82 – $3,576.15 | 778 |
| Destruction vag lesions simple 57061 CPT 57061 | $505.00 | $505.00 | $26.52 – $270.00 | 768 |
| Developmental screen/score/document 96110 CPT 96110 | $122.00 | $122.00 | $6.53 – $122.00 | 567 |
| Device ablt adv novasure HCPCS C1886 | $6,237.48 | $9,596.13 | $102.35 – $435.55 | 25 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,599.67 | $3,999.50 | $766.75 – $3,262.75 | 25 |
| Device intraute mirena HCPCS J7298 | $6,362.20 | $6,362.20 | $8.34 – $6,362.20 | 557 |
| Device sut capio slim opn HCPCS C2631 | $1,534.26 | $2,360.40 | $248.95 – $1,059.37 | 25 |
| Device tiss remov myosure reach HCPCS C1782 | $40,161.37 | $6,094.92 | $31.45 – $6,255.08 | 112 |
| Dev interrog remote 1/2/mlt CPT 93295 | $209.30 | $322.00 | $23.00 – $228.62 | 780 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $273.00 | $420.00 | $81.99 – $420.00 | 112 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | $21.00 | $21.00 | $4.94 – $21.00 | 25 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $14,706.85 | $13.00 | $0.04 – $1,053.00 | 99 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $22,956.52 | $27.60 | $0.09 – $11,438.86 | 777 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $884.80 | $884.80 | $32.09 – $344.95 | 99 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.00 | $20.00 | $4.70 – $20.00 | 25 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $20.00 | $20.00 | $4.70 – $20.00 | 25 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $35.00 | $35.00 | $8.23 – $35.00 | 25 |
| Dextrose 5 % IV bolus HCPCS J7070 | $30.00 | $30.00 | $4.11 – $17.50 | 25 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $204.10 | $314.00 | $21.54 – $314.00 | 41 |
| Diabetes (HbA1c) Test CPT 83036 | $2,104.00 | $134.00 | $6.80 – $95.14 | 778 |
| Diab manage trn ind/group HCPCS G0109 | $46.00 | $57.00 | $9.26 – $50.90 | 777 |
| Diag laparo separate proc 49320 CPT 49320 | $1,182.00 | $1,182.00 | $15.28 – $116.32 | 768 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $175.50 | $270.00 | $10.42 – $3,576.15 | 781 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $418.60 | $644.00 | $19.49 – $4,235.59 | 781 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $490.10 | $754.00 | $98.79 – $607.88 | 41 |
| Diagnostic Mammogram (one breast) CPT 77065 | $204.10 | $314.00 | $73.79 – $481.75 | 41 |
| Diagnostic radio unlisted proc CPT 76499 | $39.00 | $60.00 | $14.10 – $195.48 | 112 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $5,543.85 | $8,529.00 | $2,004.32 – $8,529.00 | 24 |
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.