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 |
|---|---|---|---|---|
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $159.25 | $245.00 | $57.58 – $298.59 | 95 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $486.85 | $749.00 | $98.49 – $749.00 | 112 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $559.65 | $861.00 | $9.59 – $611.31 | 778 |
| Rib X-ray (3 views, both sides) CPT 71110 | $377.00 | $580.00 | $98.49 – $580.00 | 112 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $821.20 | $821.20 | $9.60 – $82.10 | 82 |
| Right ventric recording CPT 93603 | $619.00 | $619.00 | $71.57 – $336.25 | 768 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | $0.66 | $1.01 | $0.24 – $1.01 | 25 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,052.12 | $1,618.64 | $26.79 – $114.00 | 25 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $0.33 | $0.51 | $0.12 – $0.51 | 25 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $30,071.50 | $30,071.50 | $14.63 – $30,071.50 | 99 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $63.00 | $63.00 | $5.11 – $72.40 | 777 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $6,314.65 | $6,314.65 | $10.96 – $2,114.50 | 99 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $15,459.60 | $14,092.80 | $9.09 – $2,001.21 | 99 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $22,548.30 | $22,548.30 | $36.14 – $19,729.75 | 99 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $12,035.25 | $12,035.25 | $29.54 – $2,407.05 | 99 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,300.55 | $8,300.55 | $74.05 – $1,660.15 | 28 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $9,889.65 | $9,889.65 | $13.00 – $1,978.00 | 112 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $413.40 | $636.00 | $25.56 – $3,576.15 | 781 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $65,538.85 | $100,829.00 | $113.32 – $71,588.59 | 778 |
| Rmvl icd pulse gen only CPT 33241 | $2,031.90 | $3,126.00 | $734.61 – $7,220.91 | 111 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $742.95 | $1,143.00 | $268.61 – $3,576.15 | 111 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $709.00 | $709.00 | $6.26 – $69.60 | 768 |
| Rmvl perm pm pulse gen CPT 33233 | $771.00 | $771.00 | $67.74 – $558.74 | 768 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $15,602.60 | $24,004.00 | $4,604.83 – $37,219.27 | 111 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $11,430.25 | $17,585.00 | $4,132.48 – $17,585.00 | 111 |
| Rmvl subq card rhythm mntr CPT 33286 | $8,064.55 | $12,407.00 | $23.86 – $8,808.97 | 778 |
| Rmvl tv pm lead dual CPT 33235 | $2,091.00 | $2,381.00 | $181.05 – $7,220.91 | 778 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $8,826.40 | $8,826.40 | $30.29 – $8,826.40 | 99 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17,344.00 | $17,344.00 | $10.83 – $4,336.10 | 96 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $13,801.85 | $13,801.85 | $8.99 – $9,799.31 | 769 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.50 | $188.50 | $0.60 – $20.54 | 96 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $56,796.70 | $56,796.70 | $22.32 – $56,796.70 | 99 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,689.05 | $4,137.00 | $972.20 – $4,137.00 | 112 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,093.35 | $4,759.00 | $1,118.37 – $4,759.00 | 111 |
| Rpl tun-cvad w subq port CPT 36582 | $5,007.60 | $7,704.00 | $1,810.44 – $7,704.00 | 111 |
| Rpl tun cvc wo subq port CPT 36581 | $5,014.75 | $7,715.00 | $1,813.03 – $7,715.00 | 111 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $43,190.68 | $2,655.00 | $11.58 – $11,681.74 | 777 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $48,176.21 | $2,041.00 | $2.28 – $12,509.33 | 777 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $28,157.55 | $1,218.00 | $0.96 – $6,918.39 | 777 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $51,873.40 | $1,693.00 | $4.56 – $11,681.74 | 777 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $3,156.00 | $3,156.00 | $13.78 – $306.24 | 768 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $1,503.00 | $1,503.00 | $6.55 – $145.60 | 768 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $2,663.00 | $2,663.00 | $11.67 – $259.36 | 768 |
| Rsv assay w/optic CPT 87807 | $112.45 | $173.00 | $10.48 – $122.83 | 778 |
| Rubella antibody igg CPT 86762 | $131.30 | $202.00 | $13.94 – $202.00 | 41 |
| Rubeola antibody igg CPT 86765 | $128.70 | $198.00 | $12.48 – $198.00 | 41 |
| Russell viper venom diluted CPT 85613 | $111.80 | $172.00 | $9.28 – $172.00 | 41 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $7,844.35 | $7,844.35 | $33.65 – $7,844.35 | 99 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $199.55 | $307.00 | $6.60 – $217.97 | 778 |
| Same day nb discharge 99463 CPT 99463 | $265.00 | $265.00 | $60.49 – $229.00 | 768 |
| Sbrt management CPT 77435 | $2,068.00 | $2,645.00 | $408.96 – $4,166.89 | 777 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $346.00 | $346.00 | $90.16 – $346.00 | 768 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $321.00 | $321.00 | $26.18 – $321.00 | 771 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $165.00 | $165.00 | $26.18 – $165.00 | 771 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $221.00 | $221.00 | $56.64 – $221.00 | 771 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $105.00 | $105.00 | $21.00 – $105.00 | 770 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $2,082.00 | $670.00 | $157.45 – $902.00 | 112 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $453.05 | $697.00 | $98.49 – $902.00 | 112 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $453.70 | $698.00 | $98.49 – $902.00 | 112 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $841.10 | $1,294.00 | $98.49 – $1,294.00 | 112 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $453.05 | $697.00 | $98.49 – $902.00 | 112 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $453.05 | $697.00 | $98.49 – $902.00 | 112 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,320.15 | $2,031.00 | $477.29 – $4,235.59 | 111 |
| Scope plantar fasciotomy CPT 29893 | $24,123.06 | not published | $2.28 – $6,322.47 | 101 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,514.76 | $3,868.86 | $426.27 – $1,813.91 | 25 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $191.10 | $294.00 | $25.96 – $208.74 | 38 |
| Screen cerv/vag thin layer HCPCS G0123 | $120.25 | $185.00 | $19.85 – $131.35 | 38 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $4,541.75 | $870.00 | $2.28 – $4,235.59 | 777 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $5,431.75 | $869.00 | $2.28 – $4,235.59 | 777 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $20.80 | $32.00 | $7.52 – $49.12 | 38 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $45.50 | $70.00 | $16.45 – $126.13 | 41 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $2,022.00 | $90.00 | $6.47 – $106.81 | 112 |
| Screening Mammogram CPT 77067 | $394.55 | $607.00 | $76.85 – $492.50 | 41 |
| Screening pap smear by phys HCPCS P3001 | $67.00 | $67.00 | $15.68 – $50.36 | 767 |
| Screening prostate cancer PSA HCPCS G0103 | $1,076.00 | $235.00 | $14.62 – $235.00 | 41 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $10.00 | $10.00 | $2.09 – $10.00 | 557 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $776,558.25 | $1,194,705.00 | $0.01 – $0.05 | 25 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $874.90 | $1,346.00 | $98.49 – $1,346.00 | 112 |
| Sc ther infusion reset pump CPT 96371 | $214.50 | $330.00 | $77.55 – $751.00 | 25 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $2,951.00 | $2,951.00 | $255.18 – $1,820.00 | 768 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $164.00 | $222.00 | $3.41 – $198.25 | 777 |
| Sedimentation rate erythrocyte automated CPT 85652 | $31.20 | $48.00 | $2.62 – $48.00 | 41 |
| Select picture audiometry CPT 92583 | $85.80 | $132.00 | $31.02 – $355.00 | 112 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $96.85 | $149.00 | $28.47 – $301.50 | 41 |
| Semen analysis presence/motility CPT 89321 | $41.60 | $64.00 | $11.68 – $64.00 | 41 |
| Semen analysis w/count CPT 89310 | $87.10 | $134.00 | $8.34 – $134.00 | 41 |
| Set radiation therapy field CPT 77280 | $848.00 | $1,181.00 | $23.64 – $1,707.92 | 778 |
| Set radiation therapy field CPT 77290 | $1,975.35 | $3,039.00 | $52.19 – $2,872.91 | 778 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $1.00 | $1.00 | $0.20 – $1.00 | 87 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $1.75 | $1.75 | $0.35 – $2.00 | 87 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $3,885.80 | $370.00 | $35.88 – $4,604.83 | 111 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $267.47 | $370.00 | $16.19 – $387.68 | 770 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $338.65 | $521.00 | $122.44 – $785.51 | 98 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $233.70 | $301.00 | $7.89 – $387.68 | 770 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $211.33 | $165.00 | $11.96 – $165.00 | 768 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $317.57 | $250.00 | $16.40 – $387.68 | 770 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $195.65 | $301.00 | $6.83 – $785.51 | 773 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $1,007.00 | $389.00 | $11.53 – $387.68 | 770 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $299.65 | $461.00 | $108.34 – $461.00 | 98 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $4,730.47 | $7,277.64 | $171.69 – $730.60 | 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.