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 |
|---|---|---|---|---|
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $1,463.15 | $2,251.00 | $77.96 – $1,598.21 | 777 |
| Liver Function Test CPT 80076 | $71.50 | $110.00 | $7.92 – $110.00 | 41 |
| Liver/spleen imag static only CPT 78215 | $749.45 | $1,153.00 | $270.96 – $1,153.00 | 112 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $53,671.08 | $1,625.00 | $2.28 – $14,021.15 | 777 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $87,089.35 | $87,089.35 | $197.84 – $87,089.35 | 99 |
| Loop ostmy bridg ster HCPCS A4421 | $45.43 | $69.90 | $0.09 – $0.37 | 25 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $60.90 | $60.90 | $1.10 – $4.70 | 96 |
| Low cost skin substitute app HCPCS C5271 | $3,321.50 | $5,110.00 | $755.08 – $5,110.00 | 35 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $1,969.00 | $1,969.00 | $98.49 – $1,969.00 | 112 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,923.35 | $2,959.00 | $328.68 – $2,959.00 | 112 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,609.40 | $2,476.00 | $98.49 – $2,476.00 | 112 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,307.20 | $5,088.00 | $328.68 – $5,088.00 | 112 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,151.85 | $4,849.00 | $328.68 – $4,849.00 | 112 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,125.20 | $4,808.00 | $224.79 – $4,808.00 | 112 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $946.00 | $567.00 | $14.35 – $402.57 | 780 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $919.00 | $681.00 | $8.09 – $483.51 | 781 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $559.65 | $861.00 | $98.49 – $861.00 | 112 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $376.35 | $579.00 | $4.90 – $273.35 | 781 |
| Low frequency non-thermal Ultrasound CPT 97610 | $9,514.00 | $794.00 | $186.59 – $794.00 | 112 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $1,756.00 | $756.00 | $6.60 – $721.05 | 778 |
| Lung Function Test (Spirometry) CPT 94010 | $535.00 | $261.00 | $5.06 – $417.23 | 781 |
| Lung perfusion imaging CPT 78580 | $919.75 | $1,415.00 | $332.53 – $1,415.00 | 112 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $25,230.00 | $25,230.00 | $202.23 – $25,230.00 | 99 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $37,758.50 | $37,758.50 | $39.26 – $12,586.20 | 99 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $153,504.40 | $153,504.40 | $223.91 – $153,504.40 | 112 |
| Lvad shower bag heartmate HCPCS Q0501 | $887.68 | $1,365.66 | $320.93 – $1,365.66 | 25 |
| Lymphatics/lymph node imaging CPT 78195 | $43,173.40 | $1,971.00 | $366.82 – $1,399.41 | 112 |
| Macroscopic exam arthropod CPT 87168 | $29.90 | $46.00 | $4.14 – $46.00 | 41 |
| Macroscopic exam parasite CPT 87169 | $45.50 | $70.00 | $4.17 – $70.00 | 41 |
| Magnesium CPT 83735 | $1,490.00 | $49.00 | $6.50 – $106.81 | 112 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $522.50 | $522.50 | $0.50 – $15.18 | 96 |
| Mammosite ced HCPCS C1728 | $1,437.46 | $2,211.47 | $519.70 – $2,211.47 | 25 |
| Mapping io sentinel lymph node CPT 38900 | $64,539.22 | not published | $208.65 – $7,565.77 | 101 |
| Map tachycard site(s) CPT 93609 | $735.80 | $1,132.00 | $266.02 – $1,752.76 | 24 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $8,622.65 | $8,622.65 | $46.45 – $8,622.65 | 99 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,312.87 | $5,096.73 | $0.01 – $0.11 | 25 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,109.60 | $1,707.08 | $341.42 – $1,707.08 | 33 |
| Mask full face lg af531 HCPCS A7030 | $47.34 | $72.83 | $16.69 – $71.04 | 25 |
| Mastectomy partial CPT 19301 | $76,380.65 | $4,262.00 | $10.45 – $12,830.76 | 777 |
| Mast mod rad CPT 19307 | $59,582.58 | not published | $183.41 – $12,830.76 | 101 |
| Mastopexy CPT 19316 | $36,750.00 | not published | $4,889.40 – $12,830.76 | 100 |
| Mast simple complete CPT 19303 | $72,491.88 | $6,174.00 | $15.16 – $12,830.76 | 777 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | $6,518.34 | $10,028.22 | $2,356.63 – $10,028.22 | 25 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $72.92 | $112.19 | $0.72 – $3.61 | 33 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $104.65 | $161.00 | $14.01 – $100.00 | 41 |
| Mayo aathr protein s free CPT 85306 | $150.80 | $232.00 | $14.84 – $232.00 | 41 |
| Mayo activated protein c resistance assay CPT 85307 | $141.05 | $217.00 | $14.84 – $217.00 | 41 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $311.35 | $479.00 | $37.37 – $479.00 | 41 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $97.50 | $150.00 | $0.04 – $150.00 | 34 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $145.60 | $224.00 | $0.04 – $116.72 | 37 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $132.60 | $204.00 | $14.32 – $204.00 | 41 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $180.70 | $278.00 | $0.04 – $278.00 | 37 |
| Mayo alpha 1 antitrypsin CPT 82103 | $1,936.00 | $186.00 | $9.09 – $136.02 | 112 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $139.10 | $214.00 | $14.62 – $214.00 | 41 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $81.25 | $125.00 | $0.04 – $125.00 | 37 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $169.65 | $261.00 | $0.04 – $261.00 | 34 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $752.70 | $1,158.00 | $117.86 – $1,158.00 | 41 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $618.80 | $952.00 | $88.82 – $952.00 | 41 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $659.10 | $1,014.00 | $132.75 – $1,014.00 | 41 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,683.50 | $2,590.00 | $608.65 – $3,156.57 | 41 |
| Mayo androstenedione CPT 82157 | $269.10 | $414.00 | $28.38 – $414.00 | 41 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $152.75 | $235.00 | $14.15 – $185.00 | 41 |
| Mayo antithrombin iii antigen CPT 85301 | $109.85 | $169.00 | $10.48 – $169.00 | 41 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $124.15 | $191.00 | $10.34 – $44.00 | 41 |
| Mayo avwpr vw factor activity CPT 85397 | $460.20 | $708.00 | $29.91 – $320.00 | 41 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $82.55 | $127.00 | $29.85 – $127.00 | 41 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $39.00 | $60.00 | $0.04 – $116.72 | 34 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $3,406.00 | $131.00 | $9.09 – $53.25 | 41 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $308.75 | $475.00 | $111.63 – $475.00 | 41 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $232.70 | $358.00 | $84.13 – $584.03 | 41 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $111.80 | $172.00 | $12.51 – $139.00 | 41 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $58.50 | $90.00 | $0.04 – $116.72 | 37 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $48.75 | $75.00 | $12.78 – $75.00 | 41 |
| Mayo brcmg brucella antibody igm CPT 86622 | $352.95 | $543.00 | $8.65 – $543.00 | 41 |
| Mayo c1 esterase inhibitor CPT 83883 | $154.05 | $237.00 | $13.18 – $237.00 | 41 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $62.40 | $96.00 | $0.04 – $116.72 | 37 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $146.90 | $226.00 | $16.35 – $87.00 | 41 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $250.25 | $385.00 | $26.24 – $385.00 | 38 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $478.40 | $736.00 | $119.78 – $736.00 | 38 |
| Mayo ceruloplasmin CPT 82390 | $96.85 | $149.00 | $10.40 – $149.00 | 41 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $138.45 | $213.00 | $13.68 – $97.00 | 41 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $135.20 | $208.00 | $12.48 – $164.00 | 41 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $81.25 | $125.00 | $11.45 – $125.00 | 41 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $61.75 | $95.00 | $12.29 – $95.00 | 41 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $589.55 | $907.00 | $112.88 – $907.00 | 41 |
| Mayo chromium CPT 82495 | $108.55 | $167.00 | $19.66 – $139.00 | 41 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $57.85 | $89.00 | $0.04 – $116.72 | 34 |
| Mayo coccidioides antibody CPT 86635 | $9,361.54 | $134.00 | $11.12 – $1,687.37 | 112 |
| Mayo cocou cortisone urine CPT 82542 | $424.45 | $653.00 | $23.35 – $653.00 | 41 |
| Mayo cortisol free CPT 82530 | $220.35 | $339.00 | $16.19 – $140.00 | 41 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $91.65 | $141.00 | $21.39 – $148.89 | 41 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $59.80 | $92.00 | $11.74 – $92.00 | 41 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $57.20 | $88.00 | $0.04 – $116.72 | 37 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $24.05 | $37.00 | $0.04 – $116.72 | 34 |
| Mayo cyanide CPT 82600 | $120.25 | $185.00 | $18.80 – $185.00 | 41 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $494.65 | $761.00 | $157.25 – $1,502.73 | 112 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $271.70 | $418.00 | $12.84 – $169.00 | 41 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $230.75 | $355.00 | $24.49 – $355.00 | 41 |
| Mayo dihydrotestosterone CPT 82642 | $424.45 | $653.00 | $28.69 – $653.00 | 38 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $471.25 | $725.00 | $9.34 – $725.00 | 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.