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 |
|---|---|---|---|---|
| Stereoscopic x-ray guidance HCPCS G6002 | $236.00 | $236.00 | $13.76 – $67.00 | 770 |
| Stereotactic radiation trmt CPT 77432 | $1,370.00 | $1,370.00 | $270.51 – $1,211.76 | 768 |
| St evaluate speech sound production CPT 92522 | $432.90 | $666.00 | $86.24 – $666.00 | 41 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $222.30 | $342.00 | $80.37 – $395.00 | 41 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $982.15 | $1,511.00 | $355.09 – $1,511.00 | 112 |
| Strap chin dlx f/cpap HCPCS A7036 | $34.90 | $53.70 | $12.62 – $53.70 | 25 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | $0.25 | $0.39 | $0.09 – $0.39 | 25 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $4,512.00 | $685.00 | $4.90 – $324.47 | 773 |
| Strapping of toes 29550 CPT 29550 | $128.70 | $198.00 | $3.09 – $113.99 | 773 |
| Stress test pulmonary CPT 94618 | $208.00 | $320.00 | $14.48 – $257.09 | 778 |
| Stress tte complete CPT 93351 | $1,198.60 | $1,844.00 | $433.34 – $1,844.00 | 112 |
| Str markers specimen anal CPT 81265 | $1,240.85 | $1,909.00 | $228.41 – $1,909.00 | 38 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $1,002.00 | $1,002.00 | $261.27 – $1,002.00 | 768 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $316.00 | $316.00 | $81.91 – $227.00 | 768 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $304.00 | $304.00 | $79.04 – $218.00 | 768 |
| Subtalar arthro w/deb CPT 29906 | $2,239.00 | $2,239.00 | $199.58 – $1,915.50 | 768 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $77.20 | $77.20 | $18.14 – $77.20 | 25 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $23.00 | $23.00 | $5.41 – $23.00 | 25 |
| Sulfonylurea screen qn-sendout CPT 80377 | $151.45 | $233.00 | $0.04 – $233.00 | 37 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $55.20 | $55.20 | $11.04 – $65.71 | 90 |
| Support clav 29.6-40.5in med HCPCS L3650 | $94.19 | $144.91 | $0.65 – $3.26 | 33 |
| Surg dx exam anorectal CPT 45990 | $381.00 | $381.00 | $31.74 – $266.71 | 768 |
| Surgical pathology level 1 gross examination only CPT 88300 | $118.30 | $182.00 | $24.96 – $182.00 | 112 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $124.15 | $191.00 | $24.96 – $191.00 | 112 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $32,113.22 | $464.00 | $6.84 – $329.44 | 112 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $15,297.86 | $753.00 | $31.45 – $269.80 | 112 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $780.00 | $1,200.00 | $183.41 – $852.00 | 112 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,232.40 | $1,896.00 | $445.56 – $1,896.00 | 112 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $28.60 | $44.00 | $4.60 – $44.00 | 41 |
| Susceptibility mic per plate CPT 87186 | $526.00 | $291.00 | $8.38 – $136.02 | 112 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $3,770.00 | $3,770.00 | $37.48 – $364.32 | 768 |
| Svc venogram s&i CPT 75827 | $5,456.90 | $5,256.00 | $456.65 – $5,256.00 | 112 |
| Swallowing Evaluation (Bedside) CPT 92610 | $217.10 | $334.00 | $55.26 – $395.00 | 41 |
| Swallowing Therapy Session CPT 92526 | $406.25 | $625.00 | $72.01 – $337.00 | 41 |
| Synvisc or synvisc-one HCPCS J7325 | $272.00 | $21.00 | $6.42 – $21.00 | 767 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $44.85 | $69.00 | $4.26 – $64.00 | 41 |
| System cardiomems hosp electronics HCPCS C2624 | $24,023.02 | $36,958.50 | $3,716.89 – $15,816.55 | 25 |
| System pacing micra av HCPCS C1786 | $16,760.25 | $25,785.00 | $18.21 – $77.51 | 25 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $27,099.09 | $41,690.91 | $25.84 – $109.96 | 25 |
| System recell skin grafting/harvesting HCPCS C1832 | $8,955.20 | $13,777.23 | $3,237.65 – $13,777.23 | 25 |
| System sealant biosentry tract HCPCS C2613 | $652.35 | $1,003.62 | $235.85 – $1,003.62 | 25 |
| T3 (triiodothyronine) free CPT 84481 | $141.05 | $217.00 | $16.41 – $217.00 | 41 |
| T3 (triiodothyronine) total CPT 84480 | $118.30 | $182.00 | $13.74 – $182.00 | 41 |
| T4 (thyroxine) free CPT 84439 | $74.10 | $114.00 | $8.74 – $114.00 | 41 |
| T4 (thyroxine) total CPT 84436 | $890.00 | $89.00 | $6.66 – $63.19 | 41 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $170.70 | $170.70 | $0.15 – $1.00 | 82 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,208.10 | $1,208.10 | $262.23 – $1,208.10 | 83 |
| Tacrolimus therapeutic drug level CPT 80197 | $120.25 | $185.00 | $13.30 – $185.00 | 41 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $4,272.00 | $4,272.00 | $13.52 – $4,272.00 | 99 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $248.30 | $382.00 | $5.33 – $271.22 | 781 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $88,021.00 | $88,021.00 | $65.46 – $880.35 | 99 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $35,941.50 | $35,941.50 | $73.42 – $4,492.75 | 96 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $3.04 | $4.67 | $1.10 – $4.67 | 25 |
| Target gsa panel hmtlmph neop CPT 81450 | $934.05 | $1,437.00 | $337.70 – $2,066.82 | 41 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $46,350.00 | $46,350.00 | $1,089.23 – $4,635.00 | 96 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $463.10 | $463.10 | $0.24 – $289.40 | 99 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $191.75 | $295.00 | $69.33 – $295.00 | 41 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $358.15 | $551.00 | $60.06 – $551.00 | 41 |
| Tc-99m apcitide diag HCPCS A9504 | $1,765.30 | $1,765.30 | $414.85 – $1,765.30 | 11 |
| Tc-99m arcitumomab HCPCS A9568 | $4,224.15 | $4,224.15 | $844.83 – $4,224.15 | 20 |
| Tc-99m bicisate HCPCS A9557 | $7,128.20 | $7,128.20 | $760.01 – $7,128.20 | 96 |
| Tc-99m depreotide HCPCS A9536 | $1,937.35 | $1,937.35 | $455.28 – $1,937.35 | 11 |
| Tc-99m diag per dose HCPCS A4641 | $575.50 | $575.50 | $135.24 – $575.50 | 11 |
| Tc-99m disofenin HCPCS A9510 | $339.80 | $339.80 | $79.85 – $339.80 | 11 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $8,194.15 | $8,194.15 | $915.45 – $8,194.15 | 96 |
| Tc-99m exametazime diag HCPCS A9521 | $7,382.05 | $7,382.05 | $909.16 – $7,382.05 | 96 |
| Tc-99m fanolesomab diag HCPCS A9566 | $17,688.75 | $17,688.75 | $4,156.86 – $17,688.75 | 11 |
| Tc-99m gluceptate HCPCS A9550 | $1,105.40 | $1,105.40 | $259.77 – $1,105.40 | 11 |
| Tc-99m labeled rbc HCPCS A9560 | $857.40 | $857.40 | $201.49 – $857.40 | 11 |
| Tc-99m maa HCPCS A9540 | $760.95 | $760.95 | $178.82 – $760.95 | 11 |
| Tc-99m mebrofenin HCPCS A9537 | $308.25 | $308.25 | $72.44 – $308.25 | 11 |
| Tc-99m medronate HCPCS A9503 | $210.35 | $210.35 | $49.43 – $210.35 | 11 |
| Tc-99m mertiatide HCPCS A9562 | $1,340.90 | $1,340.90 | $315.11 – $1,340.90 | 11 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $1.00 | $1.00 | $0.20 – $7.32 | 20 |
| Tc-99m oxidronate HCPCS A9561 | $199.60 | $199.60 | $46.91 – $199.60 | 11 |
| Tc-99m pentetate dtpa HCPCS A9539 | $627.25 | $627.25 | $147.40 – $627.25 | 11 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $627.25 | $627.25 | $147.40 – $627.25 | 11 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $99.30 | $99.30 | $23.34 – $99.30 | 11 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $335.80 | $335.80 | $78.91 – $335.80 | 11 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $221.60 | $221.60 | $52.08 – $221.60 | 11 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,988.10 | $2,988.10 | $646.73 – $2,988.10 | 95 |
| Tc-99m sulfur colloid HCPCS A9541 | $855.40 | $855.40 | $201.02 – $855.40 | 11 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $198.05 | $198.05 | $46.54 – $198.05 | 11 |
| Tc-99m tilmanocept diag HCPCS A9520 | $2,740.00 | $2,740.00 | $643.90 – $2,740.00 | 24 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $373.10 | $574.00 | $35.96 – $153.00 | 41 |
| T cells total count CPT 86359 | $313.95 | $483.00 | $26.56 – $113.00 | 41 |
| Team conf w/pat by hc prof CPT 99366 | $185.25 | $285.00 | $66.98 – $301.50 | 25 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $107,550.00 | $107,550.00 | $203.61 – $107,550.00 | 99 |
| Telehealth original site facility fee HCPCS Q3014 | $81.00 | $81.00 | $10.60 – $81.00 | 551 |
| Telethx isodose plan cplx CPT 77307 | $1,975.35 | $3,039.00 | $96.92 – $2,157.69 | 778 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $5,015.55 | $5,015.55 | $1,137.00 – $5,015.55 | 83 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $10,501.70 | $10,501.70 | $53.30 – $10,501.70 | 28 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $23,582.35 | $23,582.35 | $5,469.35 – $23,273.85 | 83 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $2,495.00 | $2,495.00 | $192.87 – $2,059.00 | 768 |
| Tenosynovectomy radic 26145 CPT 26145 | $18,959.05 | $2,596.00 | $31.45 – $4,604.83 | 777 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $27,344.53 | $1,452.00 | $2.28 – $4,235.59 | 781 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $6.90 | $6.90 | $1.62 – $6.90 | 25 |
| Test for chlorohydrocarbons CPT 82441 | $68.90 | $106.00 | $6.01 – $106.00 | 25 |
| Testosterone pellet 75 mg HCPCS S0189 | $1,421.90 | $1,427.31 | $90.32 – $1,427.31 | 535 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $104.00 | $160.00 | $37.60 – $160.00 | 112 |
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.