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 |
|---|---|---|---|---|
| Fusion of thumb CPT 26841 | $2,694.00 | $2,694.00 | $239.52 – $2,694.00 | 768 |
| Fusion of toes CPT 28280 | $39,842.93 | $3,532.00 | $0.96 – $6,322.47 | 777 |
| G0180 home health certification HCPCS G0180 | $155.00 | $155.00 | $38.37 – $118.00 | 767 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $253.10 | $253.10 | $59.48 – $253.10 | 11 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $15,600.00 | $15,600.00 | $48.64 – $15,600.00 | 96 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $591.40 | $591.40 | $19.76 – $419.89 | 12 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $231.00 | $231.00 | $7.35 – $214.83 | 11 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $5,729.90 | $229.95 | $12.00 – $1,585.44 | 112 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $919.75 | $1,415.00 | $332.53 – $1,415.00 | 112 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,193.40 | $1,836.00 | $431.46 – $1,836.00 | 112 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $49,677.94 | $2,363.00 | $4.56 – $11,681.74 | 777 |
| Gallium illuccix 1 millicure HCPCS A9596 | $162,720.00 | $162,720.00 | $468.95 – $162,720.00 | 112 |
| Gammaglobulin iga CPT 82784 | $1,939.00 | $129.00 | $9.02 – $136.02 | 112 |
| Gammaglobulin ige CPT 82785 | $1,819.00 | $233.00 | $9.09 – $165.43 | 41 |
| Gamma glutamyltransferase CPT 82977 | $3,154.00 | $92.00 | $6.98 – $136.02 | 112 |
| Gamunex-c/gammaked HCPCS J1561 | $7,119.00 | $7,119.00 | $48.09 – $1,779.75 | 99 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $314.60 | $314.60 | $19.46 – $280.94 | 96 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $4,798.00 | $4,798.00 | $81.60 – $738.14 | 771 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1,784.45 | $1,784.45 | $0.41 – $336.00 | 767 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $540.20 | $540.20 | $11.79 – $50.15 | 96 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $31,504.65 | $31,504.65 | $7,403.59 – $31,504.65 | 83 |
| General health panel CPT 80050 | $260.00 | $400.00 | $40.66 – $400.00 | 33 |
| Generator barostim neo2 2014 HCPCS C1767 | $44,831.44 | $68,971.44 | $0.79 – $3.36 | 25 |
| Generator emblem MRI sicd subq HCPCS C1722 | $22,347.00 | $34,380.00 | $176.97 – $753.08 | 25 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $37,570.90 | $57,801.38 | $10,503.09 – $44,694.00 | 25 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $19.00 | $19.00 | $1.02 – $4.35 | 25 |
| Gentamicin peak therapeutic drug level CPT 80170 | $118.30 | $182.00 | $15.87 – $149.00 | 41 |
| Ghs abscess perianal iandd CPT 46050 | $20,712.40 | $865.00 | $0.96 – $3,576.15 | 781 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $2,211.95 | $3,403.00 | $15.87 – $3,576.15 | 778 |
| Ghs central line insert < age 5, failed CPT 36555 | $417.00 | $417.00 | $38.93 – $180.00 | 768 |
| Ghs change cysto/gastrost CPT 43762 | $669.50 | $1,030.00 | $235.39 – $3,576.15 | 111 |
| Ghs chemo >8 hrs CPT 96416 | $839.80 | $1,292.00 | $81.03 – $917.32 | 777 |
| Ghs chemo IV push, ea addtl CPT 96411 | $189.80 | $292.00 | $36.36 – $207.32 | 777 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $1,872.00 | $1,033.00 | $34.12 – $733.43 | 770 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $28,104.37 | $3,039.00 | $60.36 – $5,612.77 | 781 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $5,101.85 | $7,849.00 | $76.03 – $3,714.72 | 781 |
| Ghs community re-entry 15 minutes CPT 97537 | $83.85 | $129.00 | $23.27 – $301.50 | 41 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $570.70 | $878.00 | $125.35 – $585.00 | 98 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $238.58 | $158.00 | $12.04 – $158.00 | 768 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $357.50 | $550.00 | $129.25 – $550.00 | 11 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,135.55 | $1,747.00 | $410.55 – $3,576.15 | 111 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $336.05 | $517.00 | $121.50 – $785.51 | 98 |
| Ghs fb removal - incisional CPT 10121 | $20,330.25 | $1,059.00 | $0.96 – $4,235.59 | 111 |
| Ghs fb removal - non-incisional CPT 20520 | $616.00 | $616.00 | $45.27 – $395.67 | 768 |
| Ghs fish cytogen CPT 88271 | $111.80 | $172.00 | $20.76 – $172.00 | 41 |
| Ghs flow volume loop CPT 94375 | $491.40 | $756.00 | $177.66 – $756.00 | 112 |
| Ghs hgb stability-thal CPT 83068 | $68.90 | $106.00 | $9.18 – $106.00 | 41 |
| Ghs histoplasma antigen CPT 87385 | $235.95 | $363.00 | $12.84 – $363.00 | 41 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,544.00 | $1,544.00 | $74.29 – $958.00 | 768 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,006.55 | $3,087.00 | $32.60 – $3,576.15 | 778 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $32,113.22 | $344.00 | $6.84 – $3,576.15 | 777 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $1,168.00 | $400.00 | $19.14 – $482.78 | 772 |
| Ghs inf midline insertion CPT 36140 | $1,625.00 | $2,500.00 | $587.50 – $3,576.15 | 24 |
| Ghs inhibitor screen CPT 85335 | $344.50 | $530.00 | $12.47 – $530.00 | 41 |
| Ghs init tx 1st degree burn CPT 16000 | $789.75 | $1,215.00 | $285.53 – $1,215.00 | 11 |
| Ghs inj tendon origin/insertion CPT 20551 | $597.00 | $283.00 | $10.55 – $3,576.15 | 781 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $2,126.15 | $3,271.00 | $33.87 – $3,576.15 | 777 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,322.45 | $3,573.00 | $35.58 – $3,576.15 | 778 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $2,538.00 | $1,342.00 | $58.74 – $4,235.59 | 778 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $48.10 | $74.00 | $17.39 – $751.00 | 112 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $602.55 | $927.00 | $37.85 – $3,576.15 | 781 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $664.95 | $1,023.00 | $40.55 – $3,576.15 | 781 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $559.00 | $788.00 | $47.61 – $3,576.15 | 778 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $7,810.70 | $2,394.00 | $69.55 – $3,576.15 | 111 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $9,783.00 | $937.00 | $49.78 – $3,576.15 | 778 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $747.50 | $1,150.00 | $270.25 – $3,576.15 | 111 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $3,643.00 | $1,182.00 | $55.07 – $4,235.59 | 778 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $609.05 | $937.00 | $220.20 – $4,235.59 | 24 |
| Ghs mbp CPT 83873 | $81.90 | $126.00 | $16.67 – $126.00 | 41 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $32.00 | $32.00 | $8.88 – $32.00 | 767 |
| Ghs musc test done w/n test comp CPT 95886 | $2,245.00 | $898.00 | $28.97 – $470.02 | 781 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $2,007.00 | $856.00 | $11.72 – $721.05 | 781 |
| Ghs myocardial strain img spckl track CPT 93356 | $328.90 | $506.00 | $6.39 – $451.86 | 777 |
| Ghs nailbed repair/nail removal CPT 11760 | $490.00 | $459.00 | $30.19 – $360.23 | 768 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,212.60 | $3,404.00 | $533.22 – $3,576.15 | 111 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,152.80 | $3,312.00 | $518.88 – $3,576.15 | 111 |
| Ghs nerve block brachial plexus CPT 64415 | $41,920.82 | $1,598.00 | $9.09 – $3,576.15 | 778 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,152.80 | $3,312.00 | $518.88 – $3,576.15 | 111 |
| Ghs nerve block sciatic nerve CPT 64445 | $71,137.10 | $229.00 | $0.96 – $24,808.12 | 777 |
| Ghs ng placement w fluoro guidance CPT 43752 | $761.15 | $1,171.00 | $275.19 – $4,235.59 | 111 |
| Ghs o2 saturation CPT 82810 | $55.90 | $86.00 | $9.47 – $86.00 | 41 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,009.45 | $1,553.00 | $364.96 – $4,235.59 | 111 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $104.00 | $160.00 | $12.57 – $142.88 | 781 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $142.35 | $219.00 | $18.96 – $195.57 | 781 |
| Ghs ot prosthetic training/15 min CPT 97761 | $102.05 | $157.00 | $24.86 – $301.50 | 41 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $87.10 | $134.00 | $23.21 – $301.50 | 41 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,294.80 | $1,992.00 | $312.08 – $3,576.15 | 24 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $4,753.45 | $7,313.00 | $1,145.63 – $4,875.00 | 24 |
| Ghs picc line insert < 5 CPT 36568 | $4,609.80 | $7,092.00 | $20.68 – $5,035.32 | 778 |
| Ghs plngl fx pm cl CPT 26725 | $1,074.00 | $1,074.00 | $66.91 – $4,235.59 | 781 |
| Ghs ppd (tb intradermal) CPT 86580 | $42.90 | $66.00 | $6.59 – $55.89 | 778 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $33.15 | $51.00 | $9.36 – $51.00 | 41 |
| Ghs removal intranasal foreign body CPT 30300 | $494.87 | $634.00 | $22.24 – $450.14 | 770 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $485.00 | $485.00 | $28.65 – $340.79 | 768 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $778.05 | $1,197.00 | $189.02 – $3,576.15 | 111 |
| Ghs sleep study unattended CPT 95800 | $1,737.00 | $1,737.00 | $24.71 – $1,233.27 | 781 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,756.30 | $2,702.00 | $312.00 – $2,702.00 | 41 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $406.90 | $626.00 | $49.33 – $626.00 | 41 |
| Ghs st - eval for alt comm CPT 92567 | $77.35 | $119.00 | $5.54 – $106.27 | 778 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $93.60 | $144.00 | $33.84 – $751.00 | 112 |
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.