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 |
|---|---|---|---|---|
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $61.10 | $94.00 | $22.09 – $94.00 | 112 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $3,003.00 | $4,620.00 | $1,085.70 – $10,539.13 | 41 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $737.75 | $1,135.00 | $139.29 – $1,135.00 | 41 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $2,300.00 | $331.00 | $17.37 – $203.00 | 41 |
| Extraction erupted tooth/exr HCPCS D7140 | $38,163.35 | not published | $0.96 – $6,406.44 | 88 |
| Eye implant band 40 HCPCS C1784 | $1,141.56 | $1,756.25 | $12.51 – $53.25 | 25 |
| Eye Socket (Orbit) X-ray CPT 70200 | $559.65 | $861.00 | $98.49 – $861.00 | 112 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,788.15 | $2,751.00 | $165.25 – $2,751.00 | 112 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $2,476.00 | $2,476.00 | $98.49 – $2,476.00 | 112 |
| F-18 fdg pet diag HCPCS A9552 | $1,768.20 | $1,768.20 | $415.53 – $1,768.20 | 11 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $15,145.00 | $15,145.00 | $1,789.13 – $15,145.00 | 96 |
| F-18 fluciclovine per mci HCPCS A9588 | $27,455.00 | $27,455.00 | $315.82 – $27,455.00 | 96 |
| F-18 sodium fluoride HCPCS A9580 | $1,391.25 | $1,391.25 | $326.94 – $1,391.25 | 11 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,576.30 | $5,502.00 | $328.68 – $5,502.00 | 112 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,171.00 | $3,340.00 | $224.79 – $3,340.00 | 112 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $163.80 | $252.00 | $59.22 – $252.00 | 112 |
| Facial Bones X-ray (complete) CPT 70150 | $659.25 | $726.00 | $7.88 – $515.46 | 778 |
| Facility svs dental rehab HCPCS G0330 | $37,483.55 | not published | $4.56 – $6,406.44 | 88 |
| Factor ix CPT 85250 | $340.60 | $524.00 | $18.45 – $317.00 | 41 |
| Factor viii CPT 85240 | $169.00 | $260.00 | $17.35 – $236.00 | 41 |
| Family therapy without pt 50min 90846 CPT 90846 | $303.00 | $435.00 | $27.88 – $388.46 | 779 |
| Family therapy with patient 50 min 90847 CPT 90847 | $315.00 | $391.00 | $27.91 – $349.16 | 780 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.10 | $4.10 | $0.71 – $3.00 | 96 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,722.40 | $9,722.40 | $27.37 – $9,722.40 | 99 |
| Fat/lipids feces qualitative CPT 82705 | $48.75 | $75.00 | $4.95 – $75.00 | 41 |
| Fatty acids nonesterified CPT 82725 | $89.70 | $138.00 | $18.19 – $138.00 | 41 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $28,233.45 | $28,233.45 | $61.99 – $28,233.45 | 99 |
| #fecal-sodium CPT 84302 | $75.40 | $116.00 | $4.70 – $20.00 | 41 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $90.35 | $139.00 | $18.06 – $139.00 | 41 |
| Fem/popl revasc w/stent CPT 37226 | $17,579.90 | $27,046.00 | $3,606.20 – $18,031.00 | 32 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $22,575.95 | $165.00 | $0.71 – $3,107.11 | 112 |
| Fern test HCPCS Q0114 | $55.25 | $85.00 | $9.55 – $85.00 | 38 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,262.00 | $5,262.00 | $1.86 – $5,262.00 | 28 |
| Ferritin CPT 82728 | $1,069.00 | $100.00 | $9.09 – $135.93 | 112 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,333.80 | $1,333.80 | $0.35 – $712.85 | 112 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $187.20 | $288.00 | $67.68 – $451.28 | 112 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,592.50 | $2,450.00 | $575.75 – $2,450.00 | 41 |
| Fetal fibronectin CPT 82731 | $309.40 | $476.00 | $62.41 – $476.00 | 41 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $128.70 | $198.00 | $7.49 – $198.00 | 41 |
| Fetal hemoglobin rosette CPT 85461 | $63.05 | $97.00 | $9.07 – $97.00 | 41 |
| Fetal non stress test CPT 59025 | $3,504.00 | $292.00 | $7.90 – $390.65 | 781 |
| Fibrin degradation d dimer quantitative CPT 85379 | $85.15 | $131.00 | $9.86 – $131.00 | 41 |
| Fibrinogen activity CPT 85384 | $161.20 | $248.00 | $9.41 – $99.00 | 41 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $268.45 | $413.00 | $15.00 – $200.00 | 41 |
| Fibrinolytic antiplasmin CPT 85410 | $154.05 | $237.00 | $7.47 – $237.00 | 41 |
| Fibrinolytic plasminogen CPT 85415 | $182.65 | $281.00 | $16.66 – $174.00 | 41 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $155.35 | $239.00 | $6.32 – $239.00 | 41 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,611.50 | $1,611.50 | $0.27 – $1,007.20 | 99 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $2,305.65 | $2,305.65 | $0.98 – $1,447.95 | 99 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,018.90 | $2,018.90 | $0.34 – $1,261.80 | 99 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $17,509.15 | $26,937.16 | $627.99 – $2,672.31 | 25 |
| Filter vena cava fem denali HCPCS C1880 | $23,327.77 | $35,888.87 | $85.31 – $363.00 | 25 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $235.30 | $362.00 | $27.48 – $3,576.15 | 777 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $2,105.74 | $3,239.60 | $208.01 – $885.15 | 25 |
| Finger X-ray (both hands) CPT 73140 | $418.00 | $391.00 | $4.26 – $184.60 | 781 |
| Fixation of knee joint CPT 27570 | $12,857.85 | $706.00 | $2.28 – $3,576.15 | 777 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $2,316.00 | $2,316.00 | $10.35 – $229.92 | 768 |
| Flexible Sigmoidoscopy CPT 45330 | $204.00 | $204.00 | $2.16 – $20.00 | 768 |
| Flow cytometry marker each additional CPT 88185 | $148.85 | $229.00 | $24.06 – $155.00 | 25 |
| Flow cytometry one marker technical component CPT 88184 | $457.60 | $704.00 | $165.44 – $704.00 | 112 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $74.00 | $74.00 | $4.35 – $18.50 | 25 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $434.65 | $434.65 | $72.63 – $434.65 | 83 |
| Fluidotherapy charges pt CPT 97022 | $141.70 | $218.00 | $14.46 – $301.50 | 41 |
| Fluorescent antibody titer dna CPT 86256 | $118.30 | $182.00 | $11.81 – $182.00 | 41 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $650.00 | $1,000.00 | $235.00 – $1,000.00 | 24 |
| Fluoroguide needle placement CPT 77002 | $4,926.80 | $3,410.00 | $17.25 – $2,421.10 | 778 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $1,748.00 | $1,748.00 | $8.44 – $1,241.08 | 778 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $147.00 | $147.00 | $1.88 – $12.95 | 82 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $23.10 | $23.10 | $5.43 – $23.10 | 82 |
| Folic acid CPT 82746 | $70.20 | $108.00 | $14.25 – $108.00 | 41 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $161.00 | $161.00 | $30.00 – $161.00 | 82 |
| Followup eval of foot pt lop HCPCS G0246 | $169.00 | $260.00 | $61.10 – $260.00 | 109 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $6,898.50 | $6,898.50 | $751.52 – $6,898.50 | 83 |
| Fondaparinux sodium HCPCS J1652 | $133.75 | $133.75 | $3.60 – $43.30 | 82 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $275.11 | $423.24 | $15.45 – $77.24 | 33 |
| Foot X-ray CPT 73630 | $1,005.00 | $608.00 | $5.11 – $287.55 | 781 |
| Foot X-ray (2 views, both feet) CPT 73620 | $65,602.57 | $701.00 | $2.28 – $331.57 | 781 |
| Forearm X-ray (both sides) CPT 73090 | $714.00 | $560.00 | $4.90 – $264.83 | 781 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,539.00 | $1,539.00 | $16.50 – $1,374.33 | 96 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $22.65 | $22.65 | $1.31 – $22.65 | 95 |
| _fragile x methylation-sendout CPT 81244 | $766.35 | $1,179.00 | $43.50 – $1,179.00 | 41 |
| Freeing of bowel adhesion 44005 CPT 44005 | $3,897.00 | $3,897.00 | $37.48 – $378.88 | 768 |
| Frenectomy 41115 CPT 41115 | $540.00 | $795.00 | $9.74 – $3,576.15 | 778 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $224.25 | $345.00 | $69.18 – $345.00 | 112 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $224.25 | $345.00 | $80.62 – $345.00 | 112 |
| Fructosamine glycated protein CPT 82985 | $124.80 | $192.00 | $16.24 – $192.00 | 41 |
| Ft insert ucb berkeley shell HCPCS L3000 | $685.00 | $685.00 | $110.32 – $685.00 | 768 |
| Full mouth x-ray of teeth CPT 70320 | $657.80 | $1,012.00 | $201.00 – $1,012.00 | 112 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $187.85 | $289.00 | $67.92 – $289.00 | 112 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $5,761.85 | $2,659.00 | $94.35 – $4,235.59 | 111 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $51,571.11 | not published | $71.76 – $5,612.77 | 101 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $61,598.43 | $3,783.00 | $366.82 – $4,604.83 | 111 |
| Fundus photography with i&r 92250 CPT 92250 | $67.00 | $67.00 | $12.46 – $67.00 | 768 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $3.00 | $3.00 | $0.71 – $3.00 | 82 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $48.25 | $48.25 | $1.35 – $6.75 | 20 |
| Fusion of ankle joint open CPT 27870 | $3,483.00 | $3,483.00 | $37.48 – $363.04 | 768 |
| Fusion of big toe joint CPT 28750 | $59,755.13 | $2,008.00 | $2.28 – $14,021.15 | 777 |
| Fusion of big toe joint CPT 28755 | $56,301.83 | $1,165.00 | $2.28 – $14,021.15 | 777 |
| Fusion of foot bones CPT 28730 | $78,036.26 | $2,526.00 | $4.56 – $24,808.12 | 777 |
| Fusion of foot bones CPT 28740 | $73,998.44 | $2,146.00 | $31.45 – $24,808.12 | 777 |
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.