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 |
|---|---|---|---|---|
| Pretreat rbc w enzyme reference CPT 86971 | $75.40 | $116.00 | $27.26 – $329.20 | 112 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $421.00 | $429.00 | $81.35 – $421.00 | 777 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $77.35 | $119.00 | $13.21 – $106.27 | 568 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $1,296.00 | $404.00 | $9.09 – $404.00 | 780 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $24,545.87 | $566.00 | $22.53 – $4,235.59 | 781 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,851.55 | $4,387.00 | $47.05 – $3,576.15 | 778 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $13,295.35 | $761.00 | $0.96 – $3,576.15 | 781 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $4,853.00 | $4,853.00 | $35.19 – $473.12 | 768 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $204.00 | $219.00 | $19.60 – $155.49 | 781 |
| Prgrmg dev eval scrms ip CPT 93285 | $321.00 | $321.00 | $15.98 – $132.77 | 781 |
| Prgrmg eval implantable dfb CPT 93282 | $243.00 | $274.00 | $25.77 – $194.54 | 778 |
| Prgrmg eval implantable dfb CPT 93283 | $297.00 | $333.00 | $34.72 – $236.43 | 781 |
| Prgrmg eval implantable dfb CPT 93284 | $389.00 | $389.00 | $35.16 – $276.19 | 781 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,709.90 | $7,246.00 | $33.44 – $5,144.66 | 777 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $483.00 | $483.00 | $99.68 – $368.00 | 768 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $328.00 | $328.00 | $74.55 – $276.00 | 768 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $241.00 | $241.00 | $47.50 – $175.00 | 768 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $255.00 | $255.00 | $68.16 – $250.00 | 768 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $173.00 | $173.00 | $44.94 – $168.00 | 768 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $106.00 | $106.00 | $28.12 – $104.00 | 768 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $10,747.10 | $16,534.00 | $2,590.41 – $35,422.13 | 111 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $2,531.00 | $2,200.00 | $49.43 – $3,576.15 | 781 |
| Pr incision & drainage abscess simple/single CPT 10060 | $877.00 | $401.00 | $26.46 – $3,576.15 | 781 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $866.00 | $708.00 | $33.48 – $4,235.59 | 781 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $703.00 | $545.00 | $23.80 – $3,576.15 | 781 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $795.00 | $731.00 | $67.00 – $652.78 | 781 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $516.00 | $516.00 | $67.00 – $460.79 | 781 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $37.00 | $37.00 | $5.94 – $26.00 | 768 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $28,227.94 | $2,738.00 | $0.96 – $4,235.59 | 777 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,723.88 | $7,267.51 | $99.05 – $421.50 | 25 |
| Probe nl duct w/balloon CPT 68816 | $27,077.40 | not published | $2,239.86 – $4,594.00 | 100 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,889.60 | $2,889.60 | $56.59 – $692.51 | 99 |
| Procalcitonin CPT 84145 | $119.60 | $184.00 | $26.38 – $184.00 | 41 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $24.95 | $24.95 | $2.52 – $24.95 | 82 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.20 | $1.20 | $0.24 – $1.00 | 82 |
| Progesterone CPT 84144 | $173.55 | $267.00 | $20.22 – $267.00 | 41 |
| Prolactin CPT 84146 | $161.20 | $248.00 | $18.78 – $248.00 | 41 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $79.00 | $79.00 | $16.83 – $79.00 | 558 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.00 | $1.00 | $0.06 – $1.00 | 82 |
| Promethazine hcl injection HCPCS J2550 | $10.00 | $10.00 | $2.35 – $7.65 | 767 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $30,265.40 | $99.50 | $0.96 – $6,406.44 | 112 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $45.50 | $45.50 | $2.16 – $40.63 | 96 |
| Prostatectomy (turp) CPT 52601 | $2,323.00 | $2,323.00 | $167.74 – $1,855.76 | 768 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $2,365.32 | $3,638.95 | $0.18 – $0.89 | 33 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $462.69 | $711.83 | $14.27 – $60.73 | 25 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $50.15 | $50.15 | $8.20 – $50.15 | 82 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,580.71 | $5,508.79 | $1,282.87 – $5,459.00 | 25 |
| Protein c activity CPT 85303 | $141.05 | $217.00 | $13.41 – $217.00 | 41 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $138.45 | $213.00 | $10.40 – $213.00 | 41 |
| Protein s total CPT 85305 | $278.20 | $428.00 | $11.25 – $242.00 | 41 |
| Protein total 24 hour urine CPT 84156 | $1,221.00 | $57.00 | $3.56 – $17.75 | 41 |
| Protein total body fluid CPT 84157 | $40.30 | $62.00 | $3.88 – $62.00 | 41 |
| Protein total serum plasma whole blood CPT 84155 | $1,753.00 | $50.00 | $3.56 – $136.02 | 112 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $70.85 | $109.00 | $3.81 – $109.00 | 41 |
| Provide inr test mater/equip HCPCS G0249 | $91.65 | $141.00 | $33.14 – $257.26 | 109 |
| Provox xtraflange 17fr HCPCS L8499 | $84.23 | $129.58 | $23.76 – $101.10 | 25 |
| Prp i/hern init block >5 yr CPT 49507 | $33,809.47 | $2,594.00 | $2.28 – $6,918.39 | 777 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $190.00 | $251.00 | $41.96 – $224.14 | 778 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $81.00 | $81.00 | $17.47 – $81.00 | 771 |
| Prq cardiac angio addl art CPT 92921 | $4,557.15 | $7,011.00 | $119.35 – $4,977.81 | 777 |
| Prq card revasc mi 1 vsl CPT 92941 | $1,983.00 | $1,983.00 | $187.98 – $1,983.00 | 768 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $21,099.65 | $32,461.00 | $7,628.34 – $32,461.00 | 24 |
| Prq card stent w/angio addl CPT 92929 | $771.00 | $771.00 | $206.66 – $771.00 | 504 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $10,400.00 | $16,000.00 | $166.99 – $22,306.78 | 778 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $49,612.31 | $22,312.00 | $9.09 – $22,306.78 | 781 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $36,520.90 | $56,186.00 | $13,203.71 – $56,186.00 | 108 |
| Prq trlml c athrc st angiop1 CPT 92933 | $20,463.95 | $31,483.00 | $176.47 – $35,422.13 | 778 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $22,998.30 | $35,382.00 | $8,314.77 – $35,382.00 | 24 |
| Prq trluml c angiop 1art&/br CPT 92920 | $32,923.61 | $10,303.00 | $9.09 – $10,997.78 | 778 |
| Prq trluml revsc ch occ ant CPT 92943 | $1,983.00 | $1,983.00 | $202.14 – $1,600.79 | 768 |
| Pr removal drug delivery implant CPT 11982 | $897.00 | $739.00 | $20.13 – $3,576.15 | 781 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $2,145.00 | $1,958.00 | $11.76 – $926.55 | 773 |
| Pr removal intrauterine device CPT 58301 | $1,653.00 | $539.00 | $11.08 – $3,576.15 | 781 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $6,352.00 | $1,381.00 | $35.88 – $3,576.15 | 781 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $785.00 | $785.00 | $17.36 – $557.35 | 773 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $877.00 | $877.00 | $17.79 – $622.67 | 773 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $911.00 | $753.00 | $14.06 – $3,576.15 | 781 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $975.00 | $817.00 | $18.32 – $580.07 | 773 |
| Pr robotic surgical system HCPCS S2900 | $59,594.64 | not published | $4.56 – $11,681.74 | 101 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $2,334.00 | $2,334.00 | $181.76 – $1,615.00 | 768 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $101.00 | $101.00 | $22.58 – $84.00 | 768 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $488.00 | $488.00 | $45.58 – $328.00 | 768 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $44.85 | $69.00 | $0.02 – $61.62 | 780 |
| PSA (Prostate) Test CPT 84153 | $936.00 | $212.00 | $17.82 – $136.02 | 112 |
| Psychotherapy group therapy CPT 90853 | $547.95 | $843.00 | $26.79 – $114.00 | 95 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $204.00 | $204.00 | $39.87 – $189.00 | 780 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $251.00 | $280.00 | $52.72 – $251.00 | 780 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $376.00 | $410.00 | $77.64 – $376.00 | 780 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $141.00 | $141.00 | $13.63 – $136.11 | 768 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $129.00 | $129.00 | $10.44 – $129.00 | 768 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $106.00 | $106.00 | $22.62 – $99.05 | 767 |
| Psytx complex interactive CPT 90785 | $42.00 | $42.00 | $5.41 – $42.00 | 780 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $195.00 | $195.00 | $27.63 – $195.00 | 780 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $247.00 | $247.00 | $44.89 – $247.00 | 780 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $52.00 | $80.00 | $9.61 – $301.50 | 33 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $98.15 | $151.00 | $13.90 – $301.50 | 41 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $63.05 | $97.00 | $9.16 – $301.50 | 778 |
| Pt application of modality traction mechanical CPT 97012 | $70.85 | $109.00 | $12.97 – $301.50 | 41 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $204.75 | $315.00 | $28.35 – $315.00 | 41 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $70.20 | $108.00 | $11.77 – $231.00 | 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.