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 |
|---|---|---|---|---|
| Jkt lso inter HCPCS L0560 | $41.27 | $63.49 | $14.92 – $63.49 | 25 |
| John cunningham antibody CPT 86711 | $39.65 | $61.00 | $14.34 – $61.00 | 38 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $120.25 | $185.00 | $7.92 – $185.00 | 41 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $16.10 | $16.10 | $0.28 – $7.69 | 776 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $2,623.00 | $823.00 | $98.49 – $823.00 | 112 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $2,120.00 | $725.00 | $98.49 – $725.00 | 112 |
| Kit case 4.2mm spinejack HCPCS C1062 | $5,931.46 | $9,125.32 | $689.06 – $2,932.18 | 25 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $257.21 | $395.71 | $36.74 – $304.25 | 779 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $1.31 | $2.02 | $0.31 – $1.33 | 25 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,430.77 | $9,893.50 | $1,360.36 – $5,788.75 | 25 |
| Kit hfx iq ipg bundle HCPCS C1822 | $29,051.10 | $44,694.00 | $9,204.34 – $39,167.42 | 25 |
| Kit ipg optimizer smart HCPCS C1824 | $29,051.10 | $44,694.00 | $9,291.20 – $39,537.00 | 25 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | $2.05 | $3.16 | $0.74 – $3.16 | 25 |
| Kit lead specify 5-6-5 HCPCS C1778 | $13,454.45 | $20,699.16 | $0.40 – $1.71 | 25 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | $1,313.77 | $2,021.18 | $474.98 – $2,021.18 | 25 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,391.79 | $2,141.22 | $472.15 – $2,009.15 | 25 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $234.08 | $360.12 | $42.17 – $210.83 | 33 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $6,106.28 | $9,394.28 | $1,273.10 – $6,365.52 | 33 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $3,140.14 | $4,830.98 | $9.87 – $42.00 | 25 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $31,778.88 | $2,440.00 | $0.96 – $6,322.47 | 777 |
| Knee arthroscopy/surgery CPT 29873 | $1,857.00 | $1,857.00 | $24.50 – $195.36 | 768 |
| Knee arthroscopy/surgery CPT 29875 | $28,990.85 | $1,716.00 | $0.96 – $6,322.47 | 777 |
| Knee arthroscopy/surgery CPT 29879 | $32,003.63 | $2,280.00 | $2.28 – $6,322.47 | 777 |
| Knee arthroscopy/surgery CPT 29880 | $30,954.89 | $1,941.00 | $0.96 – $6,322.47 | 777 |
| Knee arthroscopy/surgery CPT 29882 | $33,179.58 | $2,377.00 | $0.96 – $6,322.47 | 777 |
| Knee arthroscopy/surgery CPT 29888 | $56,793.61 | $3,352.00 | $2.28 – $14,021.15 | 777 |
| Knee MRI (with and without contrast) CPT 73723 | $9,209.20 | $14,168.00 | $328.68 – $9,445.00 | 112 |
| Knee MRI (with contrast) CPT 73722 | $8,892.97 | $13,681.50 | $738.54 – $9,121.00 | 112 |
| Knee MRI (without contrast) CPT 73721 | $4,687.80 | $7,212.00 | $224.79 – $4,808.00 | 112 |
| Knee X-ray CPT 73564 | $1,897.00 | $595.00 | $7.03 – $281.87 | 781 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $339.30 | $522.00 | $5.11 – $247.08 | 781 |
| Knee X-ray (3 views, both knees) CPT 73562 | $824.00 | $323.00 | $5.96 – $168.16 | 781 |
| Knee X-ray (standing, both knees) CPT 73565 | $66.30 | $102.00 | $23.97 – $195.48 | 112 |
| Kras gene addl variants CPT 81276 | $604.50 | $930.00 | $187.26 – $930.00 | 41 |
| Kras gene variants exon 2 CPT 81275 | $657.80 | $1,012.00 | $187.26 – $1,012.00 | 41 |
| Kyleena, 19.5 mg HCPCS J7296 | $12,724.40 | $12,724.40 | $2,100.00 – $12,724.40 | 538 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $9.80 | $9.80 | $2.30 – $9.80 | 25 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $53.80 | $53.80 | $12.64 – $53.80 | 25 |
| Lactate dehydrogenase (ldh) CPT 83615 | $31.85 | $49.00 | $5.85 – $45.00 | 41 |
| Lactated ringers intravenous solution HCPCS J7120 | $20.00 | $20.00 | $4.70 – $20.00 | 25 |
| Lactic acid CPT 83605 | $1,565.00 | $123.00 | $11.21 – $136.02 | 112 |
| Lactoferrin fecal qualitative CPT 83630 | $163.15 | $251.00 | $19.09 – $251.00 | 41 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $29,832.00 | $29,832.00 | $33.62 – $26,639.98 | 777 |
| Laparo ablate renal cyst CPT 50541 | $39,914.41 | not published | $9.09 – $20,539.97 | 101 |
| Laparo cholecystectomy/graph CPT 47563 | $48,273.88 | $2,574.00 | $9.09 – $11,681.74 | 777 |
| Laparo partial colectomy 44204 CPT 44204 | $5,500.00 | $5,500.00 | $37.48 – $529.28 | 768 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $59,605.92 | not published | $94.35 – $20,539.97 | 101 |
| Laparoscopy aspiration CPT 49322 | $1,350.00 | $1,350.00 | $17.34 – $131.36 | 768 |
| Laparoscopy biopsy CPT 49321 | $57,046.67 | $1,241.00 | $16.16 – $11,681.74 | 777 |
| Laparoscopy excise lesions CPT 58662 | $59,605.92 | $2,134.00 | $32.99 – $20,539.97 | 777 |
| Laparoscopy remove adnexa CPT 58661 | $59,605.92 | $2,826.00 | $29.91 – $20,539.97 | 777 |
| Laparoscopy surg colpopexy CPT 57425 | $73,027.28 | $2,907.00 | $37.48 – $20,539.97 | 777 |
| Laparo sling operation 51992 CPT 51992 | $2,656.00 | $2,656.00 | $37.48 – $288.16 | 768 |
| Laparo-vag hyst incl t/o CPT 58552 | $2,939.00 | $2,939.00 | $37.48 – $340.48 | 768 |
| Lap colostomy 44188 CPT 44188 | $4,362.00 | $4,362.00 | $37.48 – $420.96 | 768 |
| Lap enterectomy 44202 CPT 44202 | $4,954.00 | $4,954.00 | $37.48 – $480.64 | 768 |
| Lap enterolysis CPT 44180 | $3,286.00 | $3,286.00 | $37.48 – $320.80 | 768 |
| Lap ing hernia repair init CPT 49650 | $60,035.88 | $1,922.00 | $2.28 – $11,681.74 | 777 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $895.00 | $895.00 | $16.84 – $63.36 | 768 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $6,146.00 | $6,146.00 | $26.87 – $597.12 | 768 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $6,229.00 | $6,229.00 | $37.48 – $598.24 | 768 |
| Lap revision perm ip cath CPT 49325 | $1,476.00 | $1,476.00 | $6.47 – $143.68 | 768 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $3,104.00 | $1,685.00 | $8.04 – $3,576.15 | 781 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $25,592.48 | not published | $31.45 – $4,235.59 | 101 |
| Laryngoscopy telescopic CPT 31579 | $975.00 | $1,500.00 | $43.77 – $4,235.59 | 778 |
| Laryngoscopy w/biopsy CPT 31535 | $34,120.15 | $602.00 | $51.66 – $7,204.26 | 777 |
| Laryngoscopy w/bx & op scope CPT 31536 | $27,168.85 | $671.00 | $57.09 – $7,204.26 | 777 |
| Laryngoscopy w/exc of tumor CPT 31540 | $770.00 | $770.00 | $65.50 – $770.00 | 768 |
| Larynscop w/tumr exc + scope CPT 31541 | $840.00 | $840.00 | $71.25 – $728.56 | 768 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,873.32 | $4,420.50 | $23.75 – $101.07 | 25 |
| Lead capillary CPT 83655 | $111.15 | $171.00 | $11.73 – $171.00 | 41 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,159.75 | $6,399.62 | $0.06 – $0.26 | 25 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,202.66 | $12,619.48 | $64.94 – $276.34 | 25 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $917.80 | $1,412.00 | $224.79 – $1,412.00 | 112 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,871.70 | $4,418.00 | $165.25 – $2,945.00 | 112 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $5,046.00 | $3,714.00 | $98.49 – $2,476.00 | 112 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $917.80 | $1,412.00 | $224.79 – $1,412.00 | 112 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $419.25 | $645.00 | $11.75 – $50.00 | 25 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $692.25 | $1,065.00 | $11.75 – $50.00 | 25 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $354.25 | $545.00 | $11.75 – $50.00 | 25 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $396.40 | $396.40 | $3.23 – $13.75 | 82 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $37,312.35 | $37,312.35 | $91.65 – $473.02 | 99 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $15,655.60 | $15,655.60 | $1,226.35 – $5,218.50 | 99 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $13.80 | $13.80 | $1.87 – $12.32 | 96 |
| Levetiracetam therapeutic drug level CPT 80177 | $138.45 | $213.00 | $12.84 – $213.00 | 41 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $61.50 | $61.50 | $1.96 – $15.50 | 82 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $1,688.20 | $1,688.20 | $77.00 – $422.25 | 82 |
| Liberta rc ipg HCPCS C1820 | $29,884.39 | $45,975.98 | $15.84 – $67.40 | 25 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $37.50 | $37.50 | $8.81 – $37.50 | 12 |
| Lidocaine therapeutic drug level CPT 80176 | $98.15 | $151.00 | $14.69 – $151.00 | 25 |
| Lift heel adj small gl60404sm HCPCS L3332 | $38.34 | $58.98 | $13.86 – $58.98 | 25 |
| Lift heel adjustable med HCPCS L3334 | $3.04 | $4.68 | $1.10 – $4.68 | 25 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $267.00 | $267.00 | $3.32 – $25.60 | 768 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $45,162.00 | $679.00 | $31.45 – $4,235.59 | 777 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $36.00 | $36.00 | $8.46 – $36.00 | 82 |
| Lipase CPT 83690 | $65.00 | $100.00 | $6.68 – $79.00 | 41 |
| Lipoprotein blood quant CPT 83704 | $137.80 | $212.00 | $33.13 – $212.00 | 41 |
| Lipoprotein direct measurement hdl CPT 83718 | $68.90 | $106.00 | $7.94 – $106.00 | 41 |
| Lipoprotein direct measurement ldl CPT 83721 | $79.30 | $122.00 | $10.18 – $122.00 | 41 |
| Lithium therapeutic drug level CPT 80178 | $40.30 | $62.00 | $6.41 – $62.00 | 41 |
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.