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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 5) CPT 99215 | $307.00 | $307.00 | $76.90 – $307.00 | 771 |
| Estradiol total CPT 82670 | $232.05 | $357.00 | $27.07 – $357.00 | 41 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $431.00 | $431.00 | $10.13 – $43.10 | 82 |
| Euflexxa inj per dose HCPCS J7323 | $269.90 | $264.00 | $88.63 – $264.00 | 767 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $616.85 | $949.00 | $91.16 – $949.00 | 41 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $108.55 | $167.00 | $39.25 – $266.96 | 38 |
| Evaluation of speech fluency 92521 CPT 92521 | $288.60 | $444.00 | $104.34 – $444.00 | 41 |
| Evaluation psychiatric diagnostic CPT 90791 | $557.70 | $858.00 | $78.79 – $766.19 | 778 |
| Event monitor CPT 93270 | $315.90 | $486.00 | $5.87 – $345.06 | 777 |
| Evoked auditory tst complete CPT 92588 | $183.00 | $183.00 | $18.32 – $72.60 | 768 |
| Evoked oa emissions ltd CPT 92587 | $282.10 | $434.00 | $10.86 – $417.23 | 781 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $390.00 | $600.00 | $120.00 – $600.00 | 33 |
| Exam of vagina w/scope 57420 CPT 57420 | $266.00 | $266.00 | $25.88 – $195.00 | 768 |
| Exam pelvic add-on CPT 99459 | $62.40 | $96.00 | $13.24 – $85.73 | 779 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $314.00 | $314.00 | $30.78 – $234.00 | 768 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $1,885.00 | $1,885.00 | $166.14 – $1,426.14 | 768 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $30,590.20 | not published | $31.45 – $5,612.77 | 101 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $27,453.20 | $1,137.00 | $0.96 – $4,235.59 | 777 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $1,499.00 | $1,499.00 | $81.41 – $828.00 | 768 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $1,043.00 | $1,043.00 | $90.10 – $805.25 | 768 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $25,018.98 | $678.00 | $9.09 – $4,235.59 | 777 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $364.65 | $561.00 | $22.33 – $3,576.15 | 781 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,835.05 | $1,451.00 | $31.21 – $4,235.59 | 778 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,282.00 | $890.00 | $31.45 – $3,576.15 | 781 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,218.45 | $3,413.00 | $50.80 – $3,576.15 | 778 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,325.00 | $731.00 | $31.53 – $4,235.59 | 781 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $4,238.00 | $2,694.00 | $45.80 – $3,576.15 | 781 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $8,987.00 | $8,523.00 | $2,002.91 – $8,523.00 | 111 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $540.15 | $831.00 | $28.70 – $3,576.15 | 781 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $587.60 | $904.00 | $38.53 – $3,576.15 | 778 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $1,850.00 | $1,850.00 | $161.78 – $1,484.00 | 768 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $61,598.43 | not published | $366.82 – $7,565.77 | 101 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $3,457.70 | $1,451.00 | $71.76 – $4,235.59 | 111 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $2,219.10 | $3,414.00 | $61.67 – $4,235.59 | 778 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $19,740.99 | $1,572.00 | $31.45 – $5,612.77 | 777 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $1,860.30 | $2,862.00 | $78.92 – $4,235.59 | 778 |
| Exc forearm les sc 3 cm/> CPT 25071 | $4,282.20 | $6,588.00 | $6.84 – $4,604.83 | 778 |
| Exchange biliary drg cath CPT 47536 | $8,958.95 | $13,783.00 | $3,239.01 – $13,783.00 | 111 |
| Exchange drainage catheter CPT 49423 | $3,086.20 | $4,748.00 | $1,115.78 – $4,748.00 | 111 |
| Exchange nephrostomy cath CPT 50435 | $5,863.65 | $9,021.00 | $1,413.06 – $6,013.00 | 111 |
| Excise anal ext tag/papilla CPT 46220 | $2,367.95 | $3,643.00 | $856.11 – $3,643.00 | 111 |
| Excise foot tendon sheath CPT 28086 | $61,997.68 | $1,231.00 | $1.92 – $14,021.15 | 777 |
| Excise foot tendon sheath CPT 28088 | $1,197.00 | $1,197.00 | $90.95 – $1,016.00 | 768 |
| Excise lip or cheek fold CPT 40819 | $692.25 | $1,065.00 | $250.28 – $3,576.15 | 24 |
| Excise parotid gland/lesion CPT 42415 | $77,638.09 | $3,900.00 | $183.41 – $11,438.86 | 777 |
| Excise pharynx lesion CPT 42808 | $836.00 | $614.00 | $47.29 – $614.00 | 768 |
| Excise/repair mouth lesion CPT 40812 | $3,619.85 | $5,569.00 | $26.27 – $3,953.99 | 778 |
| Excise submaxillary gland CPT 42440 | $15,632.50 | $24,050.00 | $3,767.76 – $16,033.00 | 24 |
| Excise wrist tendon sheath CPT 25118 | $17,346.60 | not published | $0.96 – $4,235.59 | 101 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $528.45 | $813.00 | $38.34 – $4,235.59 | 778 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,218.45 | $3,413.00 | $39.62 – $3,576.15 | 781 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $510.25 | $785.00 | $30.56 – $3,576.15 | 781 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $3,337.00 | $1,196.00 | $59.65 – $4,235.59 | 778 |
| Excision breast lesion CPT 19125 | $32,121.98 | $16,938.00 | $15.44 – $8,017.32 | 778 |
| Excision of gum lesion CPT 41823 | $45,136.60 | not published | $1.92 – $11,438.86 | 101 |
| Excision of tongue lesion CPT 41112 | $9,460.00 | $8,697.00 | $43.13 – $6,406.44 | 778 |
| Excision of vaginal septum 57130 CPT 57130 | $43,378.65 | not published | $119.52 – $6,255.08 | 101 |
| Excision olecranon bursa CPT 24105 | $28,683.35 | $1,255.00 | $0.96 – $6,322.47 | 777 |
| Excision tongue lesion without closure 41110 CPT 41110 | $5,460.00 | $8,400.00 | $17.92 – $6,406.44 | 778 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $29,702.68 | $1,600.00 | $2.28 – $4,604.83 | 778 |
| Excis partial tal calc CPT 28120 | $40,485.67 | $1,727.00 | $149.42 – $7,718.02 | 777 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $489.45 | $753.00 | $176.96 – $3,576.15 | 24 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $943.15 | $1,451.00 | $340.99 – $4,235.59 | 111 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $2,219.10 | $3,414.00 | $802.29 – $4,235.59 | 24 |
| Exc malig feenl >4cm 11646 CPT 11646 | $8,393.00 | $5,888.00 | $107.64 – $5,612.77 | 111 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $2,219.10 | $3,414.00 | $802.29 – $3,576.15 | 111 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $578.50 | $890.00 | $209.15 – $3,576.15 | 111 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $1,554.00 | $959.00 | $41.93 – $3,576.15 | 778 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $3,482.00 | $1,451.00 | $48.16 – $3,576.15 | 781 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $3,643.00 | $1,113.00 | $57.73 – $4,235.59 | 778 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $30,668.93 | $602.00 | $0.96 – $5,612.77 | 777 |
| Exc prtl bn phlnx toe CPT 28124 | $34,093.68 | $6,834.00 | $2.28 – $6,322.47 | 778 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $851.00 | $851.00 | $69.83 – $801.17 | 768 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $11,561.00 | $1,451.00 | $107.64 – $3,576.15 | 111 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $9,783.00 | $8,000.00 | $71.76 – $7,440.00 | 111 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $51,571.11 | not published | $71.76 – $5,612.77 | 101 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $5,471.05 | $8,417.00 | $1,978.00 – $8,417.00 | 111 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $28,837.38 | $1,057.00 | $0.96 – $4,235.59 | 777 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $22,234.88 | $1,191.00 | $69.55 – $5,612.77 | 777 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $25,909.90 | $1,093.00 | $31.45 – $4,235.59 | 777 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $40,229.56 | $1,858.00 | $2.28 – $14,021.15 | 777 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $28,316.05 | $6,000.00 | $2.28 – $4,604.83 | 778 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $1,433.00 | $1,433.00 | $6.86 – $152.48 | 768 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $1,440.00 | $1,440.00 | $6.78 – $150.72 | 768 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $18,380.15 | $4,823.00 | $0.96 – $4,604.83 | 778 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $1,799.86 | $1,083.00 | $90.79 – $725.94 | 768 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $614.25 | $945.00 | $31.76 – $3,576.15 | 781 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $19,036.50 | $1,400.00 | $31.45 – $4,235.59 | 778 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,420.11 | $3,723.25 | $0.02 – $0.12 | 33 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,982.78 | $4,588.90 | $5.88 – $25.00 | 25 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $2,755.00 | $2,755.00 | $34.00 – $268.80 | 768 |
| Exploration maxillary sinus CPT 31256 | $60,862.53 | $1,152.00 | $48.67 – $13,637.09 | 777 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,183.00 | $1,183.00 | $9.53 – $120.80 | 768 |
| Explore/treat finger joint CPT 26080 | $1,932.00 | $1,932.00 | $123.65 – $845.00 | 768 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $921.05 | $1,417.00 | $333.00 – $3,576.15 | 111 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $5,380.00 | $5,000.00 | $5.47 – $3,576.15 | 778 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $80.00 | $80.00 | $14.48 – $80.00 | 771 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $87.00 | $87.00 | $15.76 – $87.00 | 771 |
| External chromosome analysis 20-25 cells CPT 88264 | $172.25 | $265.00 | $62.28 – $393.51 | 41 |
| External newborn metabolic screening panel HCPCS S3620 | $123.50 | $190.00 | $13.54 – $190.00 | 32 |
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.