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 |
|---|---|---|---|---|
| Alkaline phosphatase CPT 84075 | $1,036.00 | $66.00 | $5.02 – $136.02 | 112 |
| Allergen alpha lactalbumin ige CPT 86008 | $814.00 | $105.00 | $9.09 – $74.55 | 41 |
| Allergen egg white ige CPT 86003 | $2,208.00 | $60.00 | $5.06 – $136.02 | 112 |
| Allergy injections; 2 or more 95117 CPT 95117 | $60.00 | $60.00 | $8.30 – $90.48 | 780 |
| Allergy injection; single 95115 CPT 95115 | $41.00 | $41.00 | $6.59 – $90.48 | 780 |
| Allergy Skin Testing CPT 95004 | $14.95 | $23.00 | $2.55 – $1,659.34 | 780 |
| Allg patch or app # of tests 95044 CPT 95044 | $289.00 | $18.00 | $3.57 – $1,659.34 | 777 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $43.26 | $66.55 | $13.31 – $66.55 | 33 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $424.66 | $653.33 | $46.36 – $231.82 | 33 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $3,961.09 | $6,093.98 | $22.76 – $113.80 | 33 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $3,663.49 | $5,636.14 | $44.66 – $223.30 | 33 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $159.49 | $245.37 | $5.77 – $28.85 | 33 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $2,097.63 | $3,227.12 | $12.59 – $62.95 | 33 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $239.31 | $368.17 | $40.00 – $200.01 | 33 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $5,609.82 | $8,630.50 | $154.55 – $772.75 | 33 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $232.74 | $358.06 | $69.08 – $345.41 | 33 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $815.54 | $1,254.67 | $120.42 – $602.10 | 33 |
| All tstg perq&iq drugs/biol CPT 95018 | $69.55 | $107.00 | $3.08 – $95.55 | 781 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,450.00 | $2,450.00 | $5.33 – $2,450.00 | 28 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $221.65 | $341.00 | $62.41 – $341.00 | 41 |
| Alpha-fetoprotein tumor marker CPT 82105 | $176.15 | $271.00 | $16.25 – $271.00 | 41 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $25,477.05 | $25,477.05 | $62.05 – $200.00 | 769 |
| Alt/sgpt CPT 84460 | $43.55 | $67.00 | $5.14 – $67.00 | 41 |
| Alveoloplasty each quadrant CPT 41874 | $68,247.35 | not published | $4.56 – $6,406.44 | 101 |
| Ambl bp mntr w/software CPT 93784 | $134.00 | $134.00 | $30.29 – $134.00 | 770 |
| Ambl bp mntr w/sw a/r CPT 93788 | $183.00 | $183.00 | $4.08 – $257.09 | 780 |
| Ambl bp mntr w/sw i&r CPT 93790 | $57.00 | $57.00 | $13.28 – $57.00 | 770 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $17.05 | $17.05 | $1.22 – $5.20 | 96 |
| Amino acids quant 2-5 CPT 82136 | $48.75 | $75.00 | $17.63 – $75.00 | 41 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $47.20 | $47.20 | $6.46 – $27.50 | 82 |
| Aminolevulinic acid delta CPT 82135 | $299.00 | $460.00 | $15.94 – $460.00 | 41 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $101.15 | $101.15 | $4.31 – $18.35 | 25 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $212.00 | $212.00 | $13.05 – $159.50 | 82 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $73.00 | $73.00 | $0.92 – $3.90 | 82 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $11,933.95 | $11,933.95 | $19.77 – $11,933.95 | 99 |
| Ammonia CPT 82140 | $131.30 | $202.00 | $14.12 – $107.00 | 41 |
| Amphetamine confirm urine -sendout CPT 80324 | $58.50 | $90.00 | $0.04 – $116.72 | 34 |
| Amphetamines 5 or more CPT 80326 | $23.40 | $36.00 | $0.04 – $116.72 | 34 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $174.55 | $174.55 | $2.06 – $34.12 | 82 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,507.85 | $1,507.85 | $52.63 – $562.35 | 28 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $39.50 | $39.50 | $0.49 – $3.75 | 82 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $590.00 | $590.00 | $1.49 – $12.55 | 96 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $200.20 | $308.00 | $72.38 – $715.64 | 38 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $1,460.00 | $1,460.00 | $126.52 – $1,159.77 | 768 |
| Amputation follow-up surgery CPT 27884 | $2,538.00 | $2,538.00 | $174.66 – $1,269.00 | 768 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $3,870.00 | $3,870.00 | $33.81 – $309.60 | 768 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $2,193.00 | $2,193.00 | $191.92 – $1,417.00 | 768 |
| Amputation of lower leg CPT 27882 | $2,624.00 | $2,624.00 | $28.18 – $209.92 | 768 |
| Amputation thru metatarsal CPT 28805 | $2,458.00 | $2,458.00 | $28.65 – $248.96 | 768 |
| Amputation toe interphalangeal joint CPT 28825 | $21,668.68 | $1,194.00 | $2.28 – $6,322.47 | 777 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $23,334.08 | $1,318.00 | $2.28 – $6,322.47 | 777 |
| Amylase CPT 82150 | $53.95 | $83.00 | $6.28 – $83.00 | 41 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $8,608.10 | $378.00 | $0.04 – $5,037.00 | 112 |
| Anal/urinary muscle study CPT 51784 | $548.00 | $548.00 | $11.82 – $93.36 | 768 |
| Analysis gene f2 20210g>a variant CPT 81240 | $446.55 | $687.00 | $63.66 – $687.00 | 41 |
| Analysis gene f5 leiden variant CPT 81241 | $418.60 | $644.00 | $71.09 – $644.00 | 41 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $76.70 | $118.00 | $27.73 – $118.00 | 41 |
| An cholangiogram percutaneous compl CPT 47531 | $6,164.60 | $9,484.00 | $2,228.74 – $9,484.00 | 111 |
| Anchor suture 3.5mm pushlock HCPCS C1741 | $2,155.00 | $3,315.38 | $395.71 – $1,683.89 | 25 |
| An fluoro guide for cvp CPT 77001 | $28,541.08 | $626.00 | $0.56 – $6,101.18 | 778 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $14,980.34 | $4,614.00 | $9.09 – $10,997.78 | 111 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $11,594.05 | $17,837.00 | $2,378.20 – $11,891.00 | 32 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $15,795.00 | $24,300.00 | $3,240.00 – $16,200.00 | 32 |
| Ankle arthroscopy/surgery CPT 29892 | $56,726.28 | $2,245.00 | $0.96 – $14,021.15 | 777 |
| Ankle arthroscopy/surgery CPT 29898 | $58,546.60 | $1,951.00 | $1.92 – $14,021.15 | 777 |
| Ankle X-ray CPT 73610 | $579.00 | $512.00 | $5.33 – $242.11 | 781 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $1,102.00 | $689.00 | $5.11 – $325.89 | 781 |
| Annual alcohol screen 15 min HCPCS G0442 | $47.02 | $33.00 | $5.64 – $33.00 | 767 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $2,283.00 | $216.00 | $35.80 – $216.00 | 568 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $2,208.00 | $235.00 | $18.92 – $235.00 | 569 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $1,069.00 | $237.00 | $13.25 – $237.00 | 569 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $288.00 | $288.00 | $54.00 – $288.00 | 568 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $45,472.96 | $1,840.00 | $21.08 – $9,666.21 | 777 |
| Antibody elution rbc reference CPT 86860 | $274.95 | $423.00 | $63.00 – $329.20 | 112 |
| Antibody htlv/hiv confirm test CPT 86689 | $162.50 | $250.00 | $18.75 – $250.00 | 41 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $306.15 | $471.00 | $17.80 – $471.00 | 41 |
| Antibody id rbc panel CPT 86870 | $457.60 | $704.00 | $104.89 – $704.00 | 112 |
| Antibody screen rbc CPT 86850 | $162.50 | $250.00 | $9.77 – $250.00 | 112 |
| Anticoag mgmt pt warfarin CPT 93793 | $689.00 | $35.00 | $4.16 – $55.73 | 780 |
| Antidepressant not specified CPT 80338 | $48.75 | $75.00 | $0.04 – $116.72 | 37 |
| Antigen therapy services CPT 95148 | $1,640.00 | $11.00 | $1.70 – $11.00 | 768 |
| Antigen therapy services CPT 95149 | $135.20 | $208.00 | $1.70 – $185.74 | 778 |
| Antigen therapy services CPT 95165 | $2,850.00 | $114.00 | $1.70 – $101.80 | 781 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,144.60 | $5,144.60 | $1.46 – $2,670.45 | 99 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $46.80 | $72.00 | $11.68 – $72.00 | 41 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $162.50 | $250.00 | $11.68 – $250.00 | 41 |
| Antinuclear antibodies CPT 86038 | $111.15 | $171.00 | $11.72 – $104.00 | 41 |
| Antinuclear antibodies titer CPT 86039 | $219.70 | $338.00 | $10.81 – $142.00 | 41 |
| Antiphosphatidylserine antibody CPT 86148 | $131.95 | $203.00 | $15.58 – $203.00 | 41 |
| Antistreptolysin o screen CPT 86063 | $14.95 | $23.00 | $5.41 – $23.00 | 41 |
| Antistreptolysin o titer CPT 86060 | $42.90 | $66.00 | $7.08 – $66.00 | 41 |
| Antithrombin iii activity CPT 85300 | $141.70 | $218.00 | $11.49 – $154.00 | 41 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $14,664.50 | $14,664.50 | $3,446.16 – $14,664.50 | 83 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $725.00 | $725.00 | $16.40 – $514.75 | 778 |
| Apl(pml-rara) quant - sendout CPT 81315 | $778.05 | $1,197.00 | $203.16 – $1,197.00 | 38 |
| Appendectomy add-on 44955 CPT 44955 | $800.30 | $298.00 | $7.63 – $47.68 | 768 |
| Appendix Removal (Laparoscopic) CPT 44970 | $35,335.32 | $2,161.00 | $9.09 – $11,681.74 | 777 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $1,786.20 | $2,748.00 | $645.78 – $4,235.59 | 111 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $163.80 | $252.00 | $59.22 – $3,576.15 | 24 |
| Application lower leg splint 29515 CPT 29515 | $581.00 | $635.00 | $13.39 – $314.00 | 773 |
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.