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 |
|---|---|---|---|---|
| Optx ulnar shft fx int fixj CPT 25545 | $49,279.59 | $2,168.00 | $9.09 – $14,021.15 | 777 |
| Optx ulnar styloid fracture CPT 25652 | $65,472.34 | not published | $9.09 – $14,021.15 | 102 |
| Oral aprepitant HCPCS J8501 | $48.50 | $48.50 | $11.40 – $48.50 | 82 |
| Oral everolimus HCPCS J7527 | $2.50 | $2.50 | $0.59 – $3.98 | 82 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $28,018.60 | $28,018.60 | $42.20 – $28,018.60 | 99 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,978.20 | $5,978.20 | $29.11 – $5,978.20 | 28 |
| Oropharyngeal biopsy 42800 CPT 42800 | $3,256.50 | $5,010.00 | $1,177.35 – $5,010.00 | 111 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $17.60 | $17.60 | $4.14 – $17.60 | 82 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $899.04 | $1,383.14 | $325.04 – $1,383.14 | 25 |
| Orthovisc inj per dose HCPCS J7324 | $304.83 | $202.00 | $79.60 – $202.00 | 767 |
| Oscillation chest wall mechanical per session CPT 94669 | $162.50 | $250.00 | $58.75 – $423.13 | 112 |
| Osmolality blood CPT 83930 | $42.90 | $66.00 | $6.41 – $66.00 | 41 |
| Osmolality urine CPT 83935 | $46.15 | $71.00 | $6.61 – $60.00 | 41 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $175.50 | $270.00 | $20.34 – $241.11 | 778 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $120.90 | $186.00 | $43.71 – $301.50 | 41 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $127.40 | $196.00 | $6.90 – $175.03 | 779 |
| Ot re-evaluation patient/family CPT 97168 | $155.35 | $239.00 | $47.90 – $301.50 | 41 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $134.55 | $207.00 | $17.81 – $301.50 | 41 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $134.55 | $207.00 | $18.89 – $301.50 | 41 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $14.50 | $14.50 | $3.28 – $14.50 | 82 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,200.00 | $1,200.00 | $21.62 – $92.00 | 25 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $6.85 | $6.85 | $0.71 – $3.00 | 82 |
| P-32 chromic phos ther per mci HCPCS A9564 | $1,730.00 | $1,730.00 | $406.55 – $1,730.00 | 11 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,383.10 | $1,383.10 | $179.12 – $1,383.10 | 83 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $14,528.90 | $22,352.16 | $5,252.76 – $22,352.16 | 25 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $594.75 | $594.75 | $3.60 – $531.11 | 96 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,766.15 | $4,766.15 | $8.02 – $4,766.15 | 99 |
| Pad repl cerv collr univ adult HCPCS L0999 | $60.66 | $93.32 | $12.82 – $54.55 | 25 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $16,808.50 | $16,808.50 | $14.78 – $11,205.95 | 28 |
| Palonosetron hcl HCPCS J2469 | $104.30 | $104.30 | $24.51 – $104.30 | 25 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $136.60 | $136.60 | $11.16 – $121.98 | 96 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $20,996.10 | $20,996.10 | $162.13 – $5,249.05 | 99 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.25 | $10.25 | $1.07 – $4.55 | 82 |
| Parathormone (pth) intact CPT 83970 | $184.60 | $284.00 | $40.00 – $284.00 | 41 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,385.80 | $2,132.00 | $501.02 – $2,132.00 | 112 |
| Parathyroid planar imaging CPT 78070 | $919.75 | $1,415.00 | $332.53 – $1,415.00 | 112 |
| Paricalcitol HCPCS J2501 | $25.20 | $25.20 | $1.34 – $25.20 | 82 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $512.00 | $187.00 | $3.41 – $3,576.15 | 781 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $612.00 | $612.00 | $57.94 – $504.50 | 768 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $34,857.84 | $1,937.00 | $0.96 – $6,322.47 | 777 |
| Partial hip replacement CPT 27125 | $3,874.00 | $3,874.00 | $37.48 – $400.48 | 768 |
| Partial removal finger bone CPT 26236 | $2,018.00 | $2,018.00 | $134.62 – $1,131.84 | 768 |
| Partial removal foot fascia CPT 28060 | $1,532.00 | $1,255.00 | $109.59 – $1,205.75 | 768 |
| Partial removal of fibula CPT 27641 | $120,723.07 | $2,934.00 | $2.28 – $24,808.12 | 777 |
| Partial removal of foot bone CPT 28288 | $21,789.93 | $1,515.00 | $2.28 – $6,322.47 | 777 |
| Partial removal of hand bone CPT 26230 | $20,903.40 | not published | $31.45 – $7,718.02 | 101 |
| Partial removal of thyroid CPT 60220 | $38,867.83 | $2,118.00 | $32.67 – $11,681.74 | 777 |
| Partial removal of thyroid CPT 60225 | $2,799.00 | $2,799.00 | $270.83 – $2,799.00 | 768 |
| Partial removal of tibia CPT 27640 | $63,592.62 | $3,413.00 | $2.28 – $14,021.15 | 780 |
| Partial removal of toe CPT 28160 | $25,346.73 | $1,246.00 | $2.28 – $6,322.47 | 777 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $221.06 | $340.09 | $0.48 – $2.41 | 33 |
| Part removal of metatarsal CPT 28110 | $39,842.93 | $1,247.00 | $69.69 – $6,322.47 | 777 |
| Part removal of metatarsal CPT 28113 | $30,836.09 | $1,491.00 | $2.28 – $6,322.47 | 777 |
| Part removal of metatarsal 28112 CPT 28112 | $90,103.28 | $1,367.00 | $2.28 – $24,808.12 | 777 |
| Passy muir valve metal trach HCPCS L8501 | $242.47 | $373.03 | $18.49 – $78.66 | 25 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.22 | $0.34 | $0.08 – $0.34 | 25 |
| Pcv21 vaccine im CPT 90684 | $466.05 | $717.00 | $168.50 – $1,158.76 | 96 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $94.19 | $144.91 | $34.05 – $144.91 | 25 |
| Ped critical care subsq CPT 99472 | $1,017.00 | $1,017.00 | $268.62 – $887.04 | 768 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $17,709.85 | $17,709.85 | $17.26 – $12,573.99 | 769 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $10,830.70 | $10,830.70 | $130.39 – $10,830.70 | 112 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $20,144.40 | $20,144.40 | $106.33 – $8,163.23 | 769 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $11,866.15 | $11,866.15 | $2,749.32 – $11,866.15 | 96 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,801.40 | $4,801.40 | $96.89 – $4,801.40 | 99 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $11,497.50 | $11,497.50 | $124.68 – $11,497.50 | 112 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $95,364.75 | $95,364.75 | $3,610.60 – $95,364.75 | 99 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,553.55 | $5,467.00 | $165.25 – $5,467.00 | 112 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,914.25 | $2,945.00 | $165.25 – $2,945.00 | 112 |
| Pelvic CT scan (without contrast) CPT 72192 | $865.80 | $1,332.00 | $98.49 – $1,332.00 | 112 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,416.40 | $5,256.00 | $328.68 – $5,256.00 | 112 |
| Pelvic MRI (without contrast) CPT 72195 | $1,799.20 | $2,768.00 | $224.79 – $2,768.00 | 112 |
| Pelvic Ultrasound (complete) CPT 76856 | $874.90 | $1,346.00 | $98.49 – $1,346.00 | 112 |
| Pelvic Ultrasound (limited) CPT 76857 | $2,309.00 | $906.00 | $6.47 – $643.26 | 112 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $4,075.00 | $694.00 | $5.33 – $492.74 | 781 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $187.20 | $288.00 | $67.68 – $288.00 | 112 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $18,047.05 | $18,047.05 | $57.42 – $18,047.05 | 99 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $5,906.25 | $5,906.25 | $3.52 – $5,274.28 | 112 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,928.25 | $1,928.25 | $12.95 – $1,369.06 | 769 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $229.95 | $229.95 | $0.76 – $3.25 | 82 |
| Penile injection CPT 54235 | $536.00 | $265.00 | $21.73 – $482.78 | 769 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $13,529.89 | $20,815.21 | $11.75 – $50.00 | 25 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $229.95 | $229.95 | $54.04 – $229.95 | 12 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $14,509.25 | $14,509.25 | $2,486.35 – $14,509.25 | 99 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $10,553.40 | $16,236.00 | $3,815.46 – $35,422.13 | 111 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $12,528.10 | $19,274.00 | $4,529.39 – $22,306.78 | 111 |
| Perc d-e cor stent ather s HCPCS C9602 | $3,286.40 | $5,056.00 | $1,188.16 – $35,422.13 | 111 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,557.15 | $7,011.00 | $1,647.59 – $7,011.00 | 24 |
| Perc drug-el cor stent sing HCPCS C9600 | $62,070.58 | $38,620.00 | $9.09 – $35,916.60 | 111 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,022.80 | $3,112.00 | $3.54 – $4,235.59 | 778 |
| Peri-proc device eval icd CPT 93287 | $70.00 | $70.00 | $13.85 – $58.40 | 768 |
| Peri-proc device eval pm CPT 93286 | $137.00 | $137.00 | $9.16 – $36.00 | 768 |
| Perphenazine 4mg oral HCPCS Q0175 | $1.00 | $1.00 | $0.24 – $1.00 | 82 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $55,200.67 | not published | $5.46 – $18,291.99 | 101 |
| Perq skel fix ulnar styld fx CPT 25651 | $1,706.00 | $1,706.00 | $151.02 – $1,122.00 | 768 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $20,666.10 | $20,666.10 | $15.59 – $20,666.10 | 99 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $173.00 | $173.00 | $26.13 – $173.00 | 779 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,720.90 | $4,186.00 | $983.71 – $5,725.20 | 112 |
| Pet CT whole body initial CPT 78816 | $5,053.10 | $7,774.00 | $983.71 – $5,725.20 | 112 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,720.90 | $4,186.00 | $983.71 – $5,725.20 | 112 |
| Pet image w/ct lmtd CPT 78814 | $2,722.20 | $4,188.00 | $984.18 – $5,725.20 | 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.