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 |
|---|---|---|---|---|
| Application multi layer compression below knee (both sides) CPT 29581 | $682.00 | $549.00 | $7.35 – $326.84 | 778 |
| Application of forearm cast 29075 CPT 29075 | $1,463.00 | $1,958.00 | $13.34 – $926.55 | 773 |
| Application of long arm cast 29065 CPT 29065 | $1,407.25 | $2,165.00 | $18.28 – $1,024.53 | 781 |
| Application of long leg cast CPT 29355 | $633.75 | $975.00 | $30.89 – $540.45 | 770 |
| Application of long leg cast 29345 CPT 29345 | $2,148.00 | $2,913.00 | $26.35 – $1,735.10 | 778 |
| Application of paste boot 29580 CPT 29580 | $4,029.00 | $2,305.00 | $7.46 – $1,371.65 | 778 |
| Application short leg cast 29405 CPT 29405 | $1,335.10 | $2,054.00 | $17.79 – $971.99 | 773 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $17,361.64 | $1,273.00 | $1.32 – $4,235.59 | 778 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $16,080.20 | $5,110.00 | $9.09 – $4,235.59 | 778 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,783.02 | $4,281.57 | $0.62 – $2.64 | 25 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $40.30 | $62.00 | $5.42 – $301.50 | 41 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $72.80 | $112.00 | $11.17 – $301.50 | 41 |
| Appl unipln uni ext fixj sys CPT 20690 | $2,051.00 | $2,051.00 | $112.65 – $1,325.00 | 768 |
| Apply hand/wrist cast 29085 CPT 29085 | $1,317.55 | $2,027.00 | $13.58 – $1,206.44 | 781 |
| Apply rigid leg cast 29445 CPT 29445 | $20,467.00 | $938.00 | $28.86 – $4,235.59 | 778 |
| Apply short leg castambul type 29425 CPT 29425 | $1,446.90 | $2,226.00 | $16.30 – $1,053.64 | 773 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,185.25 | $1,185.25 | $1.68 – $1,185.25 | 99 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $330.85 | $509.00 | $36.56 – $509.00 | 41 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $183.30 | $282.00 | $27.67 – $301.50 | 41 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $7,056.00 | $8.00 | $2.79 – $8.00 | 767 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,714.05 | $2,637.00 | $328.68 – $1,758.00 | 112 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,298.70 | $1,998.00 | $98.49 – $1,332.00 | 112 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $2,071.00 | $1,346.00 | $18.36 – $955.66 | 778 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,478.30 | $2,478.30 | $70.13 – $2,478.30 | 83 |
| Arterial blood draw/perc 36620 CPT 36620 | $152.00 | $158.00 | $13.00 – $3,576.15 | 777 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $5,174.00 | $7,960.00 | $574.59 – $7,960.00 | 112 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $2,459.00 | $1,499.00 | $8.04 – $3,576.15 | 781 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,629.55 | $2,507.00 | $14.27 – $3,576.15 | 781 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $2,690.33 | $2,417.00 | $15.98 – $3,576.15 | 781 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $2,335.00 | $629.00 | $8.04 – $3,576.15 | 781 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $218.40 | $336.00 | $12.68 – $3,576.15 | 781 |
| Arthrodesis big toe joint 28760 CPT 28760 | $1,978.00 | $1,978.00 | $149.31 – $1,387.00 | 768 |
| Arthrodesis subtalar CPT 28725 | $120,723.07 | $2,691.00 | $2.28 – $24,808.12 | 777 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $41,920.82 | $2,339.00 | $9.09 – $14,021.15 | 777 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $42,404.82 | $2,878.00 | $0.96 – $6,322.47 | 777 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $49,962.67 | not published | $1.53 – $6,322.47 | 101 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $39,950.70 | $2,280.00 | $2.28 – $6,322.47 | 777 |
| Ascenda two piece catheter HCPCS C1772 | $15,324.40 | $23,576.00 | $20.31 – $86.44 | 25 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $5,800.00 | $5,800.00 | $1,363.00 – $5,800.00 | 111 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $202.15 | $311.00 | $11.72 – $3,576.15 | 781 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,512.55 | $2,327.00 | $6.67 – $3,576.15 | 778 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $8,576.85 | $7,238.00 | $1.10 – $5,138.98 | 778 |
| Assay of breath ethanol CPT 82075 | $202.15 | $311.00 | $0.04 – $311.00 | 25 |
| Assay of interleukin-6 (il-6) CPT 83529 | $243.75 | $375.00 | $16.74 – $375.00 | 41 |
| Assay of leflunomide CPT 80193 | $227.50 | $350.00 | $37.37 – $350.00 | 41 |
| Assay of osteocalcin CPT 83937 | $167.05 | $257.00 | $28.93 – $257.00 | 41 |
| Assay of prostaglandin CPT 84150 | $150.80 | $232.00 | $40.47 – $232.00 | 41 |
| Assay of urine sulfate CPT 84392 | $40.30 | $62.00 | $5.32 – $62.00 | 41 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $275.60 | $424.00 | $58.94 – $424.00 | 41 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $76.70 | $118.00 | $27.73 – $196.30 | 112 |
| Assess cyst contrast inject CPT 49424 | $2,424.00 | $1,014.00 | $238.29 – $3,576.15 | 111 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $36.40 | $56.00 | $4.14 – $56.00 | 41 |
| Ast/sgot CPT 84450 | $42.90 | $66.00 | $5.02 – $66.00 | 41 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $35,811.20 | $35,811.20 | $89.08 – $35,811.20 | 99 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $11,961.30 | $18,402.00 | $2,453.60 – $12,268.00 | 32 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $46.00 | $46.00 | $5.13 – $21.85 | 25 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $189.00 | $189.00 | $40.26 – $189.00 | 768 |
| Audiometry air + bone CPT 92553 | $195.00 | $300.00 | $22.74 – $248.63 | 777 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,652.05 | $7,157.00 | $98.23 – $417.99 | 25 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $6,632.60 | $10,204.00 | $2,397.94 – $10,204.00 | 24 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $13,650.00 | $21,000.00 | $4,935.00 – $21,000.00 | 111 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,470.55 | $6,470.55 | $94.26 – $6,470.55 | 99 |
| Avul nail plate addl CPT 11732 | $121.55 | $187.00 | $9.59 – $3,576.15 | 780 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $714.00 | $389.00 | $15.55 – $3,576.15 | 781 |
| Azacitidine injection HCPCS J9025 | $459.90 | $459.90 | $108.08 – $459.90 | 25 |
| Azathioprine 50 mg tablet HCPCS J7500 | $66.00 | $66.00 | $0.24 – $2.14 | 82 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $23.50 | $23.50 | $2.06 – $8.75 | 96 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $225.40 | $225.40 | $26.70 – $156.35 | 82 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,156.90 | $3,156.90 | $160.92 – $3,156.90 | 28 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $164.85 | $164.85 | $38.74 – $164.85 | 25 |
| Baclofen eval charges CPT 97750 | $176.15 | $271.00 | $24.81 – $301.50 | 41 |
| Bacterial meningitis antigen CPT 86403 | $40.95 | $63.00 | $11.18 – $63.00 | 41 |
| Bacterial vaginosis pcr CPT 87801 | $663.00 | $1,020.00 | $68.02 – $496.00 | 41 |
| #bac vag cand-c. albicans naa CPT 87481 | $1,402.00 | $175.00 | $34.01 – $136.02 | 112 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $45.60 | $70.16 | $0.82 – $3.50 | 25 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $3,757.00 | $137.00 | $20.87 – $301.50 | 778 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $665.60 | $1,024.00 | $165.25 – $1,024.00 | 112 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $665.60 | $1,024.00 | $165.25 – $1,024.00 | 112 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $665.60 | $1,024.00 | $165.25 – $1,024.00 | 112 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.23 | $0.35 | $0.08 – $0.35 | 25 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $19.11 | $29.40 | $6.91 – $29.40 | 25 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.44 | $0.67 | $0.16 – $0.67 | 25 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $0.26 | $0.40 | $0.09 – $0.40 | 25 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $0.80 | $1.23 | $0.29 – $1.23 | 25 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $47.64 | $73.30 | $0.16 – $0.67 | 25 |
| Bausch health Ultrasound surg HCPCS V2788 | $744.25 | $1,145.00 | $11.75 – $50.00 | 25 |
| B cells total count CPT 86355 | $168.35 | $259.00 | $36.56 – $259.00 | 41 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $864.15 | $864.15 | $3.21 – $864.15 | 98 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $334.00 | $96.00 | $18.69 – $161.50 | 780 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,849.40 | $4,849.40 | $3.81 – $4,849.40 | 99 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,005.85 | $11,005.85 | $52.79 – $3,302.00 | 99 |
| Belt ostomy lg 34-65in HCPCS A4367 | $0.58 | $0.89 | $0.17 – $0.74 | 25 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $14,338.95 | $14,338.95 | $2.01 – $14,338.95 | 99 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,945.90 | $11,945.90 | $13.38 – $11,945.90 | 99 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,355.30 | $8,355.30 | $12.58 – $8,355.30 | 99 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $19,642.40 | $19,642.40 | $3,070.00 – $19,642.40 | 83 |
| Benign lesion paring 2-4 CPT 11056 | $562.00 | $237.00 | $5.26 – $3,576.15 | 781 |
| Benign lesion paring 4+ CPT 11057 | $2,293.00 | $288.00 | $6.86 – $3,576.15 | 781 |
| #_benzodiazconfur CPT 80346 | $421.85 | $649.00 | $0.04 – $239.00 | 34 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $89.95 | $89.95 | $21.14 – $89.95 | 25 |
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.