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 |
|---|---|---|---|---|
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $144.30 | $222.00 | $19.95 – $301.50 | 41 |
| Pt wheelchair management each 15 minutes CPT 97542 | $96.20 | $148.00 | $23.91 – $301.50 | 41 |
| Pulse ox continuous overnight monitoring CPT 94762 | $1,317.00 | $414.00 | $18.65 – $293.94 | 777 |
| Pulse ox multiple CPT 94761 | $75.40 | $116.00 | $16.57 – $646.00 | 25 |
| Pulse ox single CPT 94760 | $1,058.00 | $41.00 | $2.54 – $168.16 | 777 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $367.13 | $564.81 | $45.14 – $192.09 | 25 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $658.00 | $154.00 | $36.19 – $257.09 | 112 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,305.00 | $1,132.00 | $18.97 – $3,576.15 | 781 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,325.70 | $3,578.00 | $18.75 – $3,576.15 | 778 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $19.55 | $19.55 | $4.59 – $19.55 | 82 |
| Pyruvate CPT 84210 | $90.35 | $139.00 | $14.04 – $139.00 | 41 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,296.10 | $1,994.00 | $468.59 – $1,994.00 | 112 |
| Quant diff pulm perf w/imaging CPT 78597 | $919.75 | $1,415.00 | $332.53 – $1,415.00 | 112 |
| Quest t3 uptake CPT 84479 | $84.50 | $130.00 | $6.27 – $130.00 | 41 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,213.80 | $3,213.80 | $274.35 – $3,213.80 | 112 |
| Radiation physics consult CPT 77336 | $70,766.00 | $1,181.00 | $126.63 – $1,181.00 | 112 |
| Radiation therapy dose plan CPT 77300 | $767.65 | $1,181.00 | $20.87 – $838.51 | 778 |
| Radiation therapy management CPT 77431 | $345.00 | $345.00 | $67.95 – $305.39 | 768 |
| Radiation treatment aid(s) CPT 77332 | $41,617.00 | $1,181.00 | $15.12 – $838.51 | 778 |
| Radiation treatment aid(s) CPT 77333 | $767.65 | $1,181.00 | $24.92 – $877.45 | 778 |
| Radiation treatment aid(s) CPT 77334 | $1,975.35 | $3,039.00 | $38.34 – $2,157.69 | 778 |
| Radiation treatment delivery CPT 77402 | $3,193.45 | $4,913.00 | $96.12 – $4,913.00 | 112 |
| Radiation treatment delivery CPT 77412 | $3,385.85 | $5,209.00 | $520.56 – $5,209.00 | 112 |
| Radiation tx management x5 CPT 77427 | $616.00 | $616.00 | $124.61 – $566.24 | 768 |
| Radiology port images(s) CPT 77417 | $150.80 | $232.00 | $54.52 – $765.00 | 25 |
| Radiotherapy dose plan imrt CPT 77301 | $7,255.95 | $11,163.00 | $267.32 – $11,660.78 | 778 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $507.10 | $507.10 | $119.17 – $507.10 | 112 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,940.25 | $2,985.00 | $511.54 – $2,986.36 | 112 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,227.55 | $3,427.00 | $511.54 – $3,427.00 | 112 |
| Radphm lcl tumor plr sgl day CPT 78800 | $14,398.15 | $2,067.00 | $376.63 – $2,067.00 | 112 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $22,849.50 | $22,849.50 | $71.62 – $4,569.90 | 99 |
| Rapid desensitization CPT 95180 | $1,514.00 | $727.00 | $55.38 – $863.20 | 781 |
| Rapid Strep Test CPT 87880 | $449.00 | $181.00 | $12.51 – $128.51 | 778 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $16,770.95 | $16,770.95 | $375.70 – $3,354.20 | 96 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $73,649.25 | $73,649.25 | $220.31 – $20,086.15 | 99 |
| Rbc count only automated CPT 85041 | $19.50 | $30.00 | $2.93 – $30.00 | 41 |
| Rbc deglycerolized each unit HCPCS P9039 | $767.00 | $1,180.00 | $277.30 – $1,180.00 | 25 |
| Reconstruct ankle joint CPT 27702 | $3,312.00 | $3,312.00 | $37.48 – $529.92 | 768 |
| Reconstruct elbow lat ligmnt CPT 24344 | $32,900.16 | not published | $0.96 – $14,021.15 | 101 |
| Reconstruct extra finger CPT 26587 | $3,587.00 | $3,587.00 | $309.70 – $3,030.50 | 768 |
| Reconstruct finger joint CPT 26548 | $2,791.00 | $2,791.00 | $244.21 – $2,791.00 | 768 |
| Reconstruction ankle joint CPT 27703 | $4,717.00 | $3,823.00 | $324.51 – $3,823.00 | 768 |
| Reconstruction of nose CPT 30420 | $62,409.06 | $4,697.00 | $2.28 – $11,438.86 | 777 |
| Reconstruct shoulder joint CPT 23472 | $80,457.72 | $4,946.00 | $9.09 – $33,880.50 | 777 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $787.15 | $1,211.00 | $284.59 – $1,211.00 | 25 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $877.50 | $1,350.00 | $233.86 – $1,350.00 | 112 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $4,037.00 | $676.00 | $9.09 – $603.67 | 112 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $954.85 | $1,469.00 | $248.87 – $1,469.00 | 112 |
| Red blood cells washed each unit HCPCS P9022 | $604.50 | $930.00 | $218.55 – $930.00 | 112 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $92.00 | $92.00 | $11.56 – $92.00 | 82 |
| Reinforce tibia CPT 27745 | $2,603.00 | $2,603.00 | $36.77 – $261.44 | 767 |
| Release finger contracture CPT 26525 | $43,834.23 | not published | $9.09 – $14,021.15 | 101 |
| Release palm contracture CPT 26123 | $20,331.71 | $2,902.00 | $0.96 – $6,322.47 | 777 |
| Release palm contracture CPT 26125 | $917.00 | $917.00 | $145.48 – $666.42 | 768 |
| Release wrist/forearm tendon CPT 25295 | $20,191.08 | not published | $4.56 – $6,322.47 | 101 |
| Relocation skin pocket pm CPT 33222 | $1,131.00 | $1,488.00 | $98.94 – $4,235.59 | 778 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $5,200.00 | $5,200.00 | $5.91 – $4,643.60 | 112 |
| Rem endovas vena cava filter CPT 37193 | $12,048.03 | $8,840.00 | $0.96 – $8,221.20 | 111 |
| Rem interrog dev eval icpms CPT 93297 | $164.00 | $164.00 | $15.55 – $89.46 | 781 |
| Rem interrog dev eval scrms CPT 93298 | $274.00 | $274.00 | $15.55 – $80.94 | 781 |
| Rem interrog evl pm/ids CPT 93296 | $89.05 | $137.00 | $15.10 – $97.27 | 777 |
| Rem interrog evl pm/ldls pm CPT 93294 | $92.00 | $92.00 | $18.74 – $92.00 | 771 |
| Rem mntr wrls p-art prs snr CPT 93264 | $158.00 | $158.00 | $18.96 – $110.36 | 768 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,413.10 | $2,174.00 | $510.89 – $3,576.15 | 111 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $6,852.25 | $5,156.00 | $9.09 – $3,660.76 | 778 |
| Removal cerumen impacted (both sides) CPT 69210 | $740.00 | $260.00 | $8.63 – $204.62 | 781 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $300.95 | $463.00 | $108.81 – $463.00 | 112 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $20,323.90 | $682.00 | $2.28 – $3,576.15 | 777 |
| Removal foreign body foot subcutaneous right CPT 28190 | $4,315.00 | $6,116.00 | $30.44 – $3,640.76 | 781 |
| Removal implant from finger/hand 26320 CPT 26320 | $22,853.80 | not published | $0.96 – $4,235.59 | 101 |
| Removal implant superficial separate procedure CPT 20670 | $39,256.90 | $586.00 | $2.28 – $6,322.47 | 777 |
| Removal mamma implant mat 19330 CPT 19330 | $32,728.00 | not published | $0.96 – $7,565.77 | 101 |
| Removal of adenoids CPT 42830 | $28,505.24 | $785.00 | $0.96 – $6,406.44 | 777 |
| Removal of adenoids <12yrs 42835 CPT 42835 | $732.00 | $732.00 | $58.47 – $658.80 | 768 |
| Removal of ankle/heel lesion CPT 28100 | $56,726.28 | $1,453.00 | $0.96 – $14,021.15 | 777 |
| Removal of bone for graft CPT 20900 | $58,380.80 | $1,346.00 | $0.96 – $24,808.12 | 777 |
| Removal of bone for graft CPT 20902 | $78,036.26 | $1,912.00 | $4.56 – $24,808.12 | 777 |
| Removal of breast lesion CPT 19120 | $33,225.23 | $13,325.00 | $130.04 – $7,565.77 | 778 |
| Removal of fallopian tube 58700 CPT 58700 | $2,401.00 | $2,401.00 | $205.56 – $1,750.00 | 768 |
| Removal of finger lesion CPT 26210 | $2,178.00 | $2,178.00 | $136.64 – $1,564.00 | 768 |
| Removal of foot joint lining CPT 28070 | $1,474.00 | $1,300.00 | $104.59 – $1,300.00 | 768 |
| Removal of foot lesion CPT 28080 | $24,918.29 | $1,318.00 | $9.09 – $4,604.83 | 777 |
| Removal of foot lesion CPT 28090 | $34,103.37 | $1,079.00 | $2.28 – $6,322.47 | 777 |
| Removal of foot lesion CPT 28104 | $92,321.49 | $11,000.00 | $0.96 – $24,808.12 | 778 |
| Removal of gallbladder 47600 CPT 47600 | $3,825.00 | $3,825.00 | $34.18 – $374.24 | 768 |
| Removal of heel bone CPT 28118 | $53,671.08 | not published | $2.28 – $14,021.15 | 101 |
| Removal of heel spur CPT 28119 | $48,304.89 | $1,272.00 | $2.28 – $14,021.15 | 777 |
| Removal of hydrocele CPT 55040 | $29,206.63 | not published | $0.96 – $6,918.39 | 101 |
| Removal of implant deep CPT 20680 | $30,687.04 | $1,700.00 | $2.28 – $5,612.77 | 778 |
| Removal of intranasal lesion CPT 30117 | $3,458.00 | $5,320.00 | $1,250.20 – $6,406.44 | 111 |
| Removal of kneecap bursa CPT 27340 | $1,303.00 | $1,303.00 | $117.90 – $1,009.67 | 768 |
| Removal of metatarsal heads CPT 28114 | $4,336.00 | $2,906.00 | $254.32 – $2,906.00 | 768 |
| Removal of skin tags each add'l 10 CPT 11201 | $138.45 | $213.00 | $8.31 – $151.23 | 772 |
| Removal of tendon lesion CPT 27630 | $54,288.83 | not published | $2.28 – $14,021.15 | 101 |
| Removal of thyroid CPT 60240 | $2,743.00 | $2,743.00 | $37.48 – $320.00 | 768 |
| Removal of toe lesions CPT 28092 | $28,506.99 | $1,109.00 | $31.45 – $4,604.83 | 777 |
| Removal of toe lesions CPT 28108 | $2,116.40 | $3,256.00 | $87.44 – $4,235.59 | 778 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $15,602.60 | $24,004.00 | $100.54 – $20,196.34 | 778 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $253.00 | $356.00 | $21.66 – $3,576.15 | 781 |
| Removal sutr and stapl no anes CPT 15854 | $24.05 | $37.00 | $8.70 – $3,576.15 | 24 |
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.