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 |
|---|---|---|---|---|
| Dialysis one evaluation CPT 90945 | $1,329.90 | $2,046.00 | $49.20 – $806.27 | 778 |
| Dialysis repeated eval CPT 90947 | $2,080.00 | $3,200.00 | $595.16 – $3,200.00 | 25 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $97.75 | $97.75 | $22.97 – $97.75 | 25 |
| Diffusing capacity CPT 94729 | $166.00 | $186.00 | $5.93 – $268.41 | 777 |
| Digital analysis of eeg CPT 95957 | $625.95 | $963.00 | $226.31 – $1,320.09 | 25 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $11.50 | $11.50 | $0.74 – $4.00 | 82 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,725.30 | $13,725.30 | $3,225.45 – $13,725.30 | 83 |
| Digoxin total therapeutic drug level CPT 80162 | $63.05 | $97.00 | $12.87 – $97.00 | 41 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $358.75 | $358.75 | $21.62 – $92.00 | 25 |
| Dilate urethra stricture CPT 53600 | $778.05 | $1,197.00 | $235.39 – $3,576.15 | 111 |
| Dilation of cervical canal 57800 CPT 57800 | $142.00 | $142.00 | $13.85 – $142.00 | 771 |
| Dilator fascial 10fx20cm HCPCS C2627 | $274.98 | $423.05 | $10.87 – $46.25 | 25 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $41.90 | $41.90 | $0.20 – $3.00 | 83 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $3,466.25 | $3,466.25 | $683.77 – $3,466.25 | 99 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $3.45 | $3.45 | $0.02 – $3.45 | 82 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $11,489.75 | $5.40 | $0.54 – $4,235.59 | 777 |
| Disaccharidases CPT 82657 | $478.40 | $736.00 | $21.48 – $736.00 | 41 |
| Dna antibody native/double stranded CPT 86225 | $211.90 | $326.00 | $13.31 – $154.00 | 41 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $180.00 | $180.00 | $7.00 – $29.80 | 82 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,567.60 | $2,567.60 | $8.20 – $1,314.23 | 96 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $72.50 | $72.50 | $6.60 – $35.90 | 82 |
| Doppler echo complete CPT 93320 | $2,790.00 | $277.00 | $11.08 – $1,055.83 | 781 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $23,198.79 | $3,710.00 | $9.09 – $10,997.78 | 778 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $540.15 | $831.00 | $195.29 – $902.00 | 112 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $414.70 | $638.00 | $125.35 – $902.00 | 112 |
| Dornhoffer fixed part w/window HCPCS L8614 | $20,628.52 | $31,736.18 | $322.40 – $1,371.90 | 25 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $36,812.65 | $36,812.65 | $229.63 – $36,812.65 | 99 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,578.20 | $1,578.20 | $5.96 – $93.40 | 82 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,069.55 | $2,069.55 | $297.22 – $1,264.75 | 28 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $28,588.54 | $67.50 | $12.00 – $6,255.08 | 111 |
| Drainage external ear complex 69005 CPT 69005 | $835.90 | $1,286.00 | $46.65 – $3,576.15 | 777 |
| Drainage external ear simple 69000 CPT 69000 | $1,038.70 | $1,598.00 | $26.49 – $3,576.15 | 778 |
| Drainage of arm bursa 23931 CPT 23931 | $756.13 | $557.00 | $36.18 – $557.00 | 768 |
| Drainage of pelvis lesion 26990 CPT 26990 | $2,348.00 | $2,348.00 | $210.66 – $1,525.00 | 768 |
| Drain bladder by trocar/cath CPT 51101 | $167.50 | $162.00 | $11.84 – $162.00 | 768 |
| Drain blood from under nail 11740 CPT 11740 | $133.90 | $206.00 | $10.01 – $3,576.15 | 781 |
| Drain cath image guided visceral pq CPT 49405 | $2,195.05 | $3,377.00 | $793.60 – $4,235.59 | 111 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,251.90 | $1,926.00 | $452.61 – $3,576.15 | 111 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $138.44 | $212.98 | $50.05 – $212.98 | 25 |
| Drain finger abscess;simple 26010 CPT 26010 | $520.00 | $800.00 | $188.00 – $800.00 | 98 |
| Drain lower leg lesion 27603 CPT 27603 | $1,744.00 | $1,744.00 | $52.92 – $530.00 | 771 |
| Drain shoulder lesion CPT 23030 | $875.00 | $875.00 | $71.08 – $570.00 | 768 |
| Drain thigh/knee lesion 27301 CPT 27301 | $2,317.00 | $2,317.00 | $19.40 – $182.88 | 768 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $506.00 | $506.00 | $13.13 – $3,576.15 | 778 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $978.05 | $1,504.70 | $18.52 – $92.61 | 33 |
| Drng hand tendon sheath 26020 CPT 26020 | $1,933.00 | $1,933.00 | $169.66 – $1,169.00 | 768 |
| Drng of finger abscess comp 26011 CPT 26011 | $969.00 | $969.00 | $47.72 – $564.62 | 768 |
| Drng of scrotum abscess 55100 CPT 55100 | $784.55 | $1,207.00 | $18.75 – $3,576.15 | 778 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $22.30 | $22.30 | $5.24 – $22.30 | 82 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $3,826.54 | $5,886.99 | $162.25 – $690.42 | 25 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $156.82 | $241.26 | $48.25 – $241.26 | 33 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $34.84 | $53.60 | $8.73 – $43.65 | 33 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $41.79 | $64.30 | $12.11 – $60.55 | 33 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $80.11 | $123.24 | $25.03 – $106.53 | 25 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $0.47 | $0.73 | $0.17 – $0.73 | 25 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $94.94 | $146.06 | $26.36 – $112.15 | 25 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $46.92 | $72.19 | $10.95 – $46.60 | 25 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $6,228.55 | $9,582.38 | $17.46 – $74.31 | 33 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $16.74 | $25.75 | $0.92 – $3.91 | 25 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $247.88 | $381.35 | $46.89 – $199.54 | 25 |
| Drug admin & hemodynmic meas CPT 93463 | $1,690.00 | $2,600.00 | $52.82 – $1,846.00 | 777 |
| Drug assay posaconazole CPT 80187 | $53.30 | $82.00 | $19.27 – $82.00 | 41 |
| Drug assay rufinamide CPT 80210 | $87.75 | $135.00 | $26.27 – $135.00 | 41 |
| Drug assay vedolizumab CPT 80280 | $253.50 | $390.00 | $37.37 – $390.00 | 41 |
| Drug assay voriconazole CPT 80285 | $121.55 | $187.00 | $26.27 – $187.00 | 41 |
| Drug of abuse screen urine CPT 80305 | $113.75 | $175.00 | $8.98 – $124.25 | 778 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,193.00 | $897.00 | $60.21 – $378.00 | 41 |
| Drvvt confirm - quest CPT 85597 | $222.30 | $342.00 | $17.42 – $342.00 | 41 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,150.20 | $3,308.00 | $42.50 – $3,773.24 | 778 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $779.35 | $1,199.00 | $281.77 – $4,235.59 | 111 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $94.25 | $145.00 | $34.08 – $3,576.15 | 111 |
| Duplex scan bilateral study 93985 CPT 93985 | $538.20 | $828.00 | $194.58 – $902.00 | 112 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $765.05 | $1,177.00 | $98.49 – $1,177.00 | 112 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $540.15 | $831.00 | $195.29 – $902.00 | 112 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,101.10 | $1,694.00 | $224.79 – $1,694.00 | 112 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,503.57 | $2,313.19 | $143.12 – $609.04 | 25 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $171.82 | $264.34 | $6.40 – $27.25 | 25 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,206.10 | $13,206.10 | $81.58 – $3,169.50 | 99 |
| Dx bronchoscope/brush 31623 CPT 31623 | $15,765.05 | $422.00 | $38.02 – $7,204.26 | 777 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $57,750.03 | $4,300.00 | $38.56 – $4,235.59 | 778 |
| Dx bronchoscope/wash 31622 CPT 31622 | $5,481.30 | $4,240.00 | $0.96 – $4,235.59 | 778 |
| Ear and throat examination CPT 92502 | $285.00 | $285.00 | $55.17 – $285.00 | 768 |
| Ear canal biopsy 69105 CPT 69105 | $374.00 | $226.00 | $14.93 – $226.00 | 768 |
| Ear irrigation 69209 CPT 69209 | $423.00 | $185.00 | $4.65 – $3,576.15 | 780 |
| Ear protector evaluation CPT 92596 | $71.50 | $110.00 | $25.85 – $355.00 | 25 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $183.95 | $283.00 | $55.58 – $283.00 | 112 |
| Ecg < 30 days transmission & analysis CPT 93271 | $477.75 | $735.00 | $89.57 – $1,390.00 | 112 |
| Ecg external < 48 hours recording CPT 93225 | $642.85 | $989.00 | $125.35 – $1,390.00 | 112 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $642.85 | $989.00 | $55.58 – $1,390.00 | 112 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $564.20 | $868.00 | $35.19 – $1,390.00 | 112 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $911.00 | $911.00 | $35.19 – $1,390.00 | 112 |
| Ecg/review interpret only CPT 93272 | $80.00 | $80.00 | $15.12 – $75.95 | 768 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,527.50 | $2,350.00 | $43.03 – $1,668.50 | 781 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $585.00 | $900.00 | $15.76 – $639.00 | 778 |
| Echocardiography doppler color flow mapping CPT 93325 | $2,632.00 | $525.00 | $2.13 – $1,055.83 | 781 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,667.90 | $2,566.00 | $603.01 – $2,566.00 | 112 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $601.25 | $925.00 | $217.38 – $1,512.00 | 109 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $292.50 | $450.00 | $4.69 – $319.50 | 777 |
| Echo exam of fetal heart CPT 76825 | $742.00 | $1,038.00 | $50.27 – $1,055.83 | 778 |
| Echo exam of fetal heart CPT 76826 | $568.75 | $875.00 | $25.13 – $621.25 | 778 |
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.