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 |
|---|---|---|---|---|
| Histamine CPT 83088 | $131.95 | $203.00 | $28.61 – $203.00 | 41 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $1.00 | $1.00 | $0.24 – $1.74 | 106 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $237.25 | $365.00 | $85.78 – $462.32 | 41 |
| Hldr trach tb tie ad HCPCS A7526 | $1,057.54 | $1,626.99 | $0.14 – $0.59 | 25 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | $0.78 | $1.20 | $0.28 – $1.20 | 25 |
| Home health re-certification physician g0179 HCPCS G0179 | $123.00 | $123.00 | $29.74 – $94.00 | 767 |
| Home/res vst est high mdm 60 CPT 99350 | $440.53 | $428.00 | $121.93 – $428.00 | 767 |
| Home/res vst est mod mdm 40 CPT 99349 | $308.00 | $308.00 | $84.19 – $302.61 | 767 |
| Home visit est patient 99348 CPT 99348 | $201.00 | $201.00 | $51.55 – $197.39 | 767 |
| Homocysteine CPT 83090 | $172.25 | $265.00 | $17.36 – $265.00 | 41 |
| Homogenization tissue CPT 87176 | $50.70 | $78.00 | $5.70 – $78.00 | 41 |
| Homovanillic acid (hva) CPT 83150 | $44.85 | $69.00 | $16.22 – $69.00 | 41 |
| Hpv types 16 & 18 only CPT 87625 | $1,130.00 | $448.00 | $39.29 – $318.08 | 112 |
| H pylori (c-13) breath CPT 83013 | $559.65 | $861.00 | $65.27 – $861.00 | 41 |
| Human epididymis protein 4 (he4) CPT 86305 | $202.15 | $311.00 | $20.17 – $282.00 | 41 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $3,818.90 | $3,818.90 | $1.67 – $1,829.90 | 96 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $154.70 | $154.70 | $31.55 – $154.70 | 82 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $236.10 | $236.10 | $54.00 – $236.10 | 82 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $64.40 | $64.40 | $5.19 – $64.40 | 82 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $477.70 | $477.70 | $10.34 – $85.33 | 96 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $364.45 | $364.45 | $0.99 – $9.91 | 96 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $86.10 | $86.10 | $16.93 – $86.10 | 82 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $1.00 | $1.00 | $0.10 – $1.00 | 82 |
| Hysterosalpingography s&i CPT 74740 | $1,136.20 | $1,748.00 | $224.79 – $1,748.00 | 112 |
| Hysteroscopy ablation CPT 58563 | $36,092.73 | $1,047.00 | $11.08 – $9,666.21 | 777 |
| Hysteroscopy biopsy CPT 58558 | $34,243.88 | $9,539.00 | $30.84 – $6,772.69 | 781 |
| Hysteroscopy dx sep proc CPT 58555 | $7,169.50 | $11,030.00 | $42.92 – $7,831.30 | 781 |
| Hysteroscopy lysis CPT 58559 | $30,923.67 | $1,043.00 | $9.09 – $9,666.21 | 777 |
| Hysteroscopy remove fb CPT 58562 | $31,822.55 | $5,372.00 | $31.45 – $6,255.08 | 781 |
| Hysteroscopy remove myoma CPT 58561 | $35,008.31 | $1,647.00 | $16.02 – $9,666.21 | 777 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $1,114.00 | $442.00 | $54.60 – $776.84 | 556 |
| I-123 iobenguane diag HCPCS A9582 | $24,445.60 | $24,445.60 | $17.29 – $24,445.60 | 112 |
| I-123 ioflupane diag HCPCS A9584 | $12,340.00 | $12,340.00 | $1,359.99 – $12,340.00 | 96 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $4,922.10 | $412.50 | $94.29 – $874.53 | 112 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $6,709.35 | $6,709.35 | $1,576.70 – $6,709.35 | 11 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $417.75 | $417.75 | $98.17 – $417.75 | 11 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,149.75 | $1,149.75 | $92.40 – $1,149.75 | 82 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,371.90 | $1,371.90 | $194.54 – $1,371.90 | 99 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $20,112.30 | $30,942.00 | $0.01 – $565.26 | 25 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,933.75 | $42,975.00 | $38.25 – $162.77 | 25 |
| Icd crtp serena MRI HCPCS C2621 | $9,235.69 | $14,208.75 | $700.57 – $2,981.16 | 25 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,621.95 | $7,110.69 | $21.38 – $90.99 | 25 |
| Icut allergy test drug/bug CPT 95024 | $17.55 | $27.00 | $0.51 – $113.99 | 781 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $739.00 | $739.00 | $61.26 – $490.00 | 768 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $494.70 | $494.70 | $25.71 – $441.77 | 96 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,318.20 | $2,028.00 | $288.63 – $2,028.00 | 38 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $17,767.54 | $906.00 | $59.30 – $1,752.56 | 112 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $236.60 | $364.00 | $85.54 – $692.62 | 112 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $14,878.13 | $968.00 | $69.55 – $687.28 | 112 |
| Iliac bone graft microvasc CPT 20956 | $8,984.00 | $8,984.00 | $718.72 – $1,437.44 | 768 |
| Iliac/fem angio cath insert HCPCS G0278 | $811.85 | $1,249.00 | $293.52 – $1,249.00 | 24 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $31,931.40 | $31,931.40 | $57.14 – $7,982.85 | 96 |
| Immob elbow child sm HCPCS L3762 | $29.02 | $44.65 | $0.75 – $3.75 | 33 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $525.01 | $807.71 | $20.12 – $85.60 | 25 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $171.43 | $263.74 | $0.49 – $2.44 | 33 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $136.42 | $209.88 | $0.85 – $4.02 | 33 |
| Immobilizer shldr sling med HCPCS L3660 | $34.03 | $52.36 | $12.30 – $52.36 | 25 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $10,106.10 | $10,106.10 | $46.34 – $1,684.35 | 99 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,576.15 | $4,576.15 | $77.31 – $4,576.15 | 99 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,381.00 | $6,381.00 | $46.44 – $1,063.50 | 99 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $189.80 | $292.00 | $20.17 – $267.00 | 41 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $171.60 | $264.00 | $20.17 – $264.00 | 41 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $26.00 | $40.00 | $9.40 – $40.00 | 41 |
| Immunofixation electrophoresis serum CPT 86334 | $146.90 | $226.00 | $21.64 – $226.00 | 41 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $317.85 | $489.00 | $89.12 – $489.00 | 25 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $245.05 | $377.00 | $88.60 – $385.42 | 112 |
| Immunoglobulin assay CPT 86023 | $154.05 | $237.00 | $12.08 – $237.00 | 41 |
| Immunotherapy 2/> injections CPT 95125 | $52.00 | $52.00 | $5.43 – $52.00 | 535 |
| Impact tooth remov part bony HCPCS D7230 | $37,061.95 | not published | $1.92 – $1,249.20 | 88 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $5,473.00 | $8,420.00 | $529.60 – $2,253.62 | 25 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $913.25 | $1,405.00 | $330.18 – $1,405.00 | 25 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,241.57 | $6,525.50 | $12.74 – $54.20 | 25 |
| Implant cochlear osia osi300 HCPCS L8690 | $6,357.14 | $9,780.21 | $102.62 – $436.67 | 25 |
| Implant hormone pellet(s) 11980 CPT 11980 | $243.00 | $274.00 | $15.45 – $3,576.15 | 780 |
| Implant neuroelectrodes CPT 64555 | $15,209.13 | $3,473.00 | $17.87 – $12,314.50 | 778 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $2,283.12 | $3,512.50 | $825.44 – $3,512.50 | 25 |
| Implant pulse generator remede el HCPCS C1823 | $12,314.25 | $18,945.00 | $2,304.36 – $9,805.78 | 25 |
| Implant ureth bulk agent HCPCS L8606 | $2,100.47 | $3,231.50 | $350.32 – $1,490.71 | 25 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $3,704.37 | $5,699.03 | $727.21 – $3,210.00 | 33 |
| Impl eye bio-eye 16mm HCPCS L8042 | $1,657.55 | $2,550.08 | $122.94 – $523.17 | 25 |
| Impl neurostim electr perc CPT 63650 | $25,922.00 | $39,880.00 | $66.74 – $28,314.80 | 778 |
| In-111 autologous plt stdy dx HCPCS A9571 | $1,494.95 | $1,494.95 | $351.31 – $1,494.95 | 11 |
| In-111 autol wbc diag per dose HCPCS A9570 | $10,776.60 | $10,776.60 | $1,081.13 – $10,776.60 | 96 |
| In-111 capromab pendet HCPCS A9507 | $7,024.00 | $7,024.00 | $1,650.64 – $7,024.00 | 11 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $7,246.75 | $7,246.75 | $973.58 – $7,246.75 | 12 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $10,776.60 | $10,776.60 | $814.83 – $10,776.60 | 96 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $11,163.95 | $11,163.95 | $730.71 – $11,163.95 | 96 |
| In-111 pentetreotide HCPCS A9572 | $15,327.00 | $15,327.00 | $1,960.92 – $15,327.00 | 96 |
| In-111 satumomab pend HCPCS A4642 | $3,524.25 | $3,524.25 | $828.20 – $3,524.25 | 11 |
| Incise inner ear CPT 69801 | $4,586.40 | $7,056.00 | $34.30 – $5,817.59 | 778 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $575.00 | $575.00 | $23.87 – $3,576.15 | 781 |
| Incision of achilles tendon CPT 27605 | $756.00 | $756.00 | $55.28 – $398.83 | 768 |
| Incision of achilles tendon CPT 27606 | $939.00 | $939.00 | $81.26 – $652.80 | 768 |
| Incision of ankle bone CPT 28302 | $88,078.42 | not published | $2.28 – $14,021.15 | 101 |
| Incision of eardrum CPT 69420 | $2,083.90 | $3,206.00 | $25.93 – $4,604.83 | 778 |
| Incision of foot fascia CPT 28008 | $21,567.37 | $3,438.00 | $2.28 – $6,322.47 | 778 |
| Incision of foot tendon 28234 CPT 28234 | $25,984.48 | $1,080.00 | $2.28 – $6,322.47 | 777 |
| Incision of heel bone CPT 28300 | $61,997.68 | $2,255.00 | $1.92 – $14,021.15 | 777 |
| Incision of metatarsal CPT 28306 | $61,997.68 | not published | $1.92 – $14,021.15 | 101 |
| Incision of metatarsal CPT 28308 | $34,103.37 | $1,346.00 | $2.28 – $6,322.47 | 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.