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 |
|---|---|---|---|---|
| Sheath laser cavaclear 14f HCPCS C1603 | $5,815.06 | $8,946.25 | $1,562.35 – $6,648.28 | 25 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $37,471.86 | $3,150.00 | $2.28 – $14,021.15 | 777 |
| Sho arthrs srg capsulorraphy CPT 29806 | $68,005.65 | $3,633.00 | $2.28 – $14,021.15 | 777 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $38,942.52 | $1,870.00 | $2.28 – $6,322.47 | 777 |
| Sho arthrs srg rpr slap les CPT 29807 | $3,554.00 | $3,554.00 | $303.53 – $2,632.37 | 768 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $38,127.91 | $2,048.00 | $2.28 – $6,322.47 | 777 |
| Shoe post-op mens m HCPCS L3260 | $26,108.65 | $65.60 | $0.58 – $5,284.45 | 112 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $706.00 | $126.00 | $3.21 – $139.13 | 780 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $163.80 | $252.00 | $5.96 – $178.92 | 778 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $40,635.41 | $3,671.00 | $2.28 – $14,021.15 | 777 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $498.55 | $767.00 | $5.75 – $362.81 | 781 |
| Shoulder MRI (with and without contrast) CPT 73223 | $10,871.25 | $16,725.00 | $328.68 – $11,150.00 | 112 |
| Shoulder MRI (with contrast) CPT 73222 | $7,314.45 | $11,253.00 | $738.54 – $7,502.00 | 112 |
| Shoulder MRI (without contrast) CPT 73221 | $4,808.00 | $7,212.00 | $224.79 – $4,808.00 | 112 |
| Shoulder X-ray CPT 73030 | $1,289.00 | $390.00 | $5.75 – $183.89 | 781 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $39,950.70 | $701.00 | $2.28 – $331.57 | 781 |
| Shrinker prosth above knee HCPCS L8460 | $230.16 | $354.09 | $83.21 – $354.09 | 25 |
| Shrinker prosth below knee HCPCS L8440 | $178.63 | $274.82 | $64.58 – $274.82 | 25 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,491.77 | $5,371.96 | $41.97 – $178.61 | 25 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $354.25 | $545.00 | $98.49 – $545.00 | 112 |
| Sickling rbc CPT 85660 | $37.70 | $58.00 | $5.33 – $58.00 | 41 |
| Sigmoidoscopy and biopsy CPT 45331 | $8,376.75 | $263.00 | $2.15 – $3,576.15 | 777 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $416.00 | $416.00 | $31.85 – $384.00 | 768 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $266.62 | $243.00 | $19.92 – $243.00 | 768 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $437.00 | $437.00 | $34.72 – $380.13 | 768 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $356.50 | $339.00 | $24.64 – $339.00 | 768 |
| Sig w/tndsc balloon dilation CPT 45340 | $6,717.53 | not published | $2.28 – $3,576.15 | 101 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $628.40 | $628.40 | $135.97 – $628.40 | 82 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,300.00 | $2,000.00 | $165.25 – $2,000.00 | 112 |
| Sinus CT scan (with contrast) CPT 70487 | $1,788.15 | $2,751.00 | $165.25 – $2,751.00 | 112 |
| Sinus CT scan (without contrast) CPT 70486 | $1,609.40 | $2,476.00 | $98.49 – $2,476.00 | 112 |
| Sinus X-ray (complete) CPT 70220 | $163.80 | $252.00 | $59.22 – $252.00 | 112 |
| Sinus X-ray (limited) CPT 70210 | $81.90 | $126.00 | $29.61 – $195.48 | 112 |
| Sirolimus, oral HCPCS J7520 | $3.30 | $3.30 | $0.78 – $3.30 | 82 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $42,938.50 | $42,938.50 | $9,250.00 – $42,938.50 | 83 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $83.85 | $129.00 | $0.04 – $129.00 | 37 |
| Skin Biopsy CPT 11102 | $953.00 | $261.00 | $9.59 – $3,576.15 | 781 |
| Skull X-ray (1 to 3 views) CPT 70250 | $559.65 | $861.00 | $98.49 – $861.00 | 112 |
| Skull X-ray (complete) CPT 70260 | $301.60 | $464.00 | $8.31 – $329.44 | 778 |
| Sleep Study (Polysomnography) CPT 95810 | $3,866.20 | $5,948.00 | $76.25 – $4,223.08 | 781 |
| Sleep study unattended CPT 95806 | $1,129.05 | $1,737.00 | $203.42 – $2,511.00 | 112 |
| Sleeve fing rolyan med HCPCS L3933 | $37.65 | $57.93 | $13.61 – $57.93 | 25 |
| Sleeve irr assura 1pc disp HCPCS A4397 | $0.65 | $1.00 | $0.24 – $1.00 | 25 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $529.06 | $813.94 | $0.49 – $460.13 | 33 |
| Sling pelv split sam med HCPCS L0621 | $165.55 | $254.70 | $50.94 – $254.70 | 33 |
| Sling suprapubic suburetheral HCPCS C1771 | $9,671.50 | $14,879.23 | $479.81 – $2,041.75 | 25 |
| Sm-153 lexidron ther HCPCS A9604 | $57,456.00 | $57,456.00 | $4,314.91 – $57,456.00 | 96 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $324.35 | $499.00 | $117.27 – $499.00 | 112 |
| Small bowel endoscopy CPT 44366 | $874.00 | $874.00 | $67.10 – $618.67 | 768 |
| Small bowel endoscopy CPT 44369 | $894.00 | $894.00 | $68.80 – $701.17 | 768 |
| Small bowel endoscopy CPT 44382 | $270.00 | $270.00 | $15.85 – $218.40 | 768 |
| Small bowel endoscopy/biopsy CPT 44361 | $5,896.75 | $577.00 | $44.84 – $4,235.59 | 777 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $24.05 | $37.00 | $5.22 – $37.00 | 41 |
| Smear gram stain CPT 87205 | $20.80 | $32.00 | $4.14 – $32.00 | 41 |
| Smear nasal eosinophil CPT 89190 | $18.20 | $28.00 | $5.61 – $28.00 | 41 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $89.05 | $137.00 | $5.80 – $137.00 | 41 |
| Smear wet mount CPT 87210 | $87.75 | $135.00 | $4.42 – $95.85 | 778 |
| Sock wool above knee HCPCS L8430 | $158.68 | $244.12 | $57.37 – $244.12 | 25 |
| Sodium 24 hour urine CPT 84300 | $55.25 | $85.00 | $4.91 – $64.00 | 41 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $18,233.64 | $25.00 | $2.28 – $6,264.37 | 112 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $22.50 | $22.50 | $2.94 – $12.50 | 25 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $9,894.40 | $34.50 | $0.71 – $206.57 | 112 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $30.00 | $30.00 | $7.05 – $75.00 | 96 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $292.60 | $292.60 | $9.60 – $40.85 | 82 |
| Sodium serum/plasma/whole blood CPT 84295 | $206.00 | $45.00 | $4.66 – $31.95 | 41 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $495.00 | $495.00 | $0.86 – $495.00 | 95 |
| Special casting material HCPCS A4590 | $2,778.00 | $47.00 | $1.80 – $593.12 | 541 |
| Special radiation dosimetry CPT 77331 | $393.25 | $605.00 | $126.63 – $765.00 | 112 |
| Special radiation treatment CPT 77470 | $82,721.00 | $2,645.00 | $67.73 – $1,877.95 | 778 |
| Special teletx port plan CPT 77321 | $1,974.70 | $3,038.00 | $31.74 – $2,156.98 | 778 |
| Specific gravity body fluid CPT 84315 | $39.00 | $60.00 | $3.18 – $60.00 | 41 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $504.40 | $776.00 | $178.58 – $776.00 | 41 |
| Speech audiometry complete CPT 92556 | $79.95 | $123.00 | $28.91 – $355.00 | 112 |
| Speech recep thresh CPT 92555 | $81.00 | $87.00 | $13.28 – $128.78 | 777 |
| Speech Therapy Session (one-on-one) CPT 92507 | $1,719.00 | $573.00 | $72.09 – $573.00 | 41 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $10,155.90 | $3,578.00 | $9.09 – $3,576.15 | 111 |
| Spine X-ray (single view, one level) CPT 72020 | $163.80 | $252.00 | $4.90 – $178.92 | 778 |
| Splenectomy total open 38100 CPT 38100 | $3,858.00 | $3,858.00 | $37.48 – $408.96 | 768 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $16.25 | $25.00 | $5.88 – $25.00 | 25 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $43.09 | $66.30 | $5.84 – $29.20 | 33 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $50.38 | $77.51 | $7.90 – $39.50 | 33 |
| Splint finger 4 prong foam sm HCPCS A4570 | $0.55 | $0.85 | $0.16 – $0.67 | 25 |
| Splint finger fold over sm HCPCS L3924 | $0.44 | $0.67 | $0.16 – $0.67 | 25 |
| Splint finger frog med HCPCS L3927 | $0.54 | $0.83 | $0.08 – $0.39 | 33 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $1.04 | $1.60 | $0.38 – $1.60 | 25 |
| Splint func pos polyflex ii med HCPCS L3999 | $33.60 | $51.70 | $10.34 – $51.70 | 33 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $101.18 | $155.66 | $9.67 – $48.35 | 33 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $52,861.02 | not published | $183.41 – $7,565.77 | 101 |
| Split blood or products CPT 86985 | $125.45 | $193.00 | $45.36 – $329.20 | 112 |
| Sputum specimen collection CPT 89220 | $104.00 | $160.00 | $37.60 – $329.20 | 109 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $40,862.00 | $40,862.00 | $4,063.41 – $40,862.00 | 96 |
| Srs linear based CPT 77372 | $16,198.00 | $24,920.00 | $3,758.00 – $24,920.00 | 112 |
| Staph a dna amp probe CPT 87640 | $141.70 | $218.00 | $34.01 – $218.00 | 41 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $559.00 | $860.00 | $75.75 – $860.00 | 41 |
| Stenger test speech CPT 92577 | $962.00 | $1,480.00 | $95.59 – $1,480.00 | 112 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $32,403.15 | $49,851.00 | $0.01 – $7.66 | 25 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $6,063.30 | $9,328.16 | $6.99 – $29.75 | 25 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $18,714.49 | $28,791.53 | $0.55 – $2.32 | 25 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $4,918.86 | $7,567.48 | $198.11 – $843.00 | 25 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $16,744.00 | $25,760.00 | $3,434.60 – $17,173.00 | 32 |
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.