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 |
|---|---|---|---|---|
| Test stress cardiovascular tracing only CPT 93017 | $608.40 | $936.00 | $203.42 – $936.00 | 112 |
| Tetanus immune globulin inj HCPCS J1670 | $2,622.15 | $2,622.15 | $576.77 – $2,622.15 | 99 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $22,937.05 | $22,937.05 | $18.16 – $22,937.05 | 28 |
| Theophylline therapeutic drug level CPT 80198 | $72.15 | $111.00 | $13.70 – $111.00 | 41 |
| Therapeutic pulpotomy HCPCS D3220 | $42,261.80 | not published | $2.28 – $6,406.44 | 88 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $3,814.00 | $292.00 | $31.45 – $301.50 | 41 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $3,173.00 | $224.00 | $25.38 – $301.50 | 41 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $315.00 | $132.00 | $14.28 – $93.77 | 777 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $111.00 | $111.00 | $13.97 – $81.26 | 777 |
| Ther fx nasal inf turbinate CPT 30930 | $57,237.11 | $379.00 | $34.72 – $13,637.09 | 777 |
| Ther/proph/diag inj ia CPT 96373 | $108.55 | $167.00 | $39.25 – $751.00 | 112 |
| Ther radiology tx plng cplx CPT 77263 | $544.00 | $544.00 | $107.35 – $496.89 | 768 |
| Ther radiology tx plng intrm CPT 77262 | $349.00 | $349.00 | $68.37 – $349.00 | 768 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $9.85 | $9.85 | $1.79 – $9.85 | 82 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $292.50 | $450.00 | $5.54 – $213.00 | 781 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | $1,090.00 | $1,090.00 | $256.15 – $1,090.00 | 25 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $6,098.00 | $3,752.00 | $8.69 – $3,576.15 | 778 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,708.85 | $2,629.00 | $376.63 – $2,629.00 | 112 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,034.50 | $3,130.00 | $51.97 – $2,222.30 | 777 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,043.40 | $10,836.00 | $2,546.46 – $10,997.78 | 111 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $26,589.08 | $20,742.00 | $9.09 – $22,306.78 | 111 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $32,295.25 | $49,685.00 | $7,718.02 – $49,685.00 | 111 |
| Thrombin time CPT 85670 | $70.20 | $108.00 | $5.59 – $108.00 | 41 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $70.85 | $109.00 | $6.27 – $109.00 | 41 |
| Thumb fusion with graft CPT 26842 | $2,896.00 | $2,896.00 | $260.18 – $2,896.00 | 768 |
| Thyroglobulin antibody CPT 86800 | $1,875.00 | $226.00 | $9.09 – $110.05 | 41 |
| Thyroid imaging CPT 78013 | $783.90 | $1,206.00 | $283.41 – $1,206.00 | 112 |
| Thyroid mets imag whole body CPT 78018 | $1,193.40 | $1,836.00 | $431.46 – $1,836.00 | 112 |
| Thyroid met uptake CPT 78020 | $354.90 | $546.00 | $128.31 – $546.00 | 24 |
| Thyroid (TSH) Test CPT 84443 | $1,087.00 | $214.00 | $6.47 – $151.94 | 41 |
| Thyroid Ultrasound CPT 76536 | $471.25 | $725.00 | $98.49 – $725.00 | 112 |
| Thyroid uptake measurement CPT 78012 | $471.25 | $725.00 | $170.38 – $874.53 | 112 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $10,828.50 | $10,828.50 | $1,992.78 – $10,828.50 | 99 |
| Thyroxine binding globulin (tbg) CPT 84442 | $53.30 | $82.00 | $14.32 – $82.00 | 41 |
| Tigecycline injection HCPCS J3243 | $508.10 | $508.10 | $119.40 – $508.10 | 25 |
| Tilt table study CPT 93660 | $727.73 | $901.00 | $28.65 – $776.74 | 778 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $22,202.40 | $22,202.40 | $170.43 – $22,202.40 | 99 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $2,555.89 | $3,932.14 | $485.36 – $2,065.35 | 25 |
| Tissue culture placenta CPT 88235 | $737.75 | $1,135.00 | $145.65 – $1,135.00 | 41 |
| Tissue culture skin/biopsy CPT 88233 | $748.80 | $1,152.00 | $136.36 – $1,152.00 | 41 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | $67.73 | $104.20 | $24.49 – $104.20 | 25 |
| Tissue exam koh skin/hair/nails CPT 87220 | $84.50 | $130.00 | $4.14 – $130.00 | 41 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $271.69 | $417.99 | $83.60 – $417.99 | 33 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $49.04 | $75.45 | $15.09 – $75.45 | 33 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $38.88 | $59.82 | $14.06 – $59.82 | 25 |
| Tissue transglutaminase iga CPT 86364 | $195.00 | $300.00 | $11.17 – $300.00 | 41 |
| Tl-201 thallium diag per mci HCPCS A9505 | $80.10 | $80.10 | $18.82 – $80.10 | 11 |
| Tlh uterus 250 g or less CPT 58570 | $63,179.44 | $2,421.00 | $12.67 – $20,539.97 | 777 |
| Tlh w/t/o 250 g or less CPT 58571 | $67,723.81 | $2,717.00 | $14.23 – $20,539.97 | 777 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $68,289.90 | $3,638.00 | $19.02 – $20,539.97 | 777 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $190.95 | $190.95 | $0.85 – $3.60 | 82 |
| Tobramycin peak therapeutic drug level CPT 80200 | $76.05 | $117.00 | $15.63 – $117.00 | 41 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,214.20 | $12,214.20 | $5.50 – $4,824.92 | 112 |
| Toe X-ray (both feet) CPT 73660 | $321.75 | $495.00 | $4.05 – $234.30 | 781 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $85.80 | $132.00 | $11.38 – $481.75 | 38 |
| Tomosynthesis breast screen bilateral CPT 77063 | $85.80 | $132.00 | $20.68 – $204.43 | 41 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $5,712.85 | $8,789.00 | $2,065.42 – $8,789.00 | 111 |
| Tonsillectomy (age 12+) CPT 42826 | $31,085.19 | $946.00 | $0.96 – $6,406.44 | 777 |
| Tonsillectomy (child under 12) CPT 42825 | $28,175.61 | $994.00 | $2.28 – $11,438.86 | 777 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $625.65 | $625.65 | $27.03 – $115.00 | 25 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $48,786.25 | $48,786.25 | $9,480.00 – $48,786.25 | 83 |
| Total Hip Replacement CPT 27130 | $66,548.91 | $5,650.00 | $9.09 – $24,808.12 | 777 |
| Total hysterectomy CPT 58150 | $3,033.00 | $3,033.00 | $37.48 – $353.92 | 768 |
| Total Knee Replacement CPT 27447 | $62,973.50 | $5,642.00 | $9.09 – $24,808.12 | 777 |
| Total ob care failed vbac 59618 CPT 59618 | $8,318.00 | $8,318.00 | $766.15 – $8,318.00 | 768 |
| Total tau CPT 84394 | $183.95 | $283.00 | $66.51 – $283.00 | 38 |
| Toxoplasma antibody igg CPT 86777 | $131.30 | $202.00 | $13.94 – $202.00 | 41 |
| Toxoplasma antibody igm CPT 86778 | $120.25 | $185.00 | $13.96 – $105.00 | 41 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $11,842.80 | $11,842.80 | $332.90 – $11,842.80 | 99 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,815.45 | $2,793.00 | $32.49 – $3,576.15 | 778 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $509.00 | $271.00 | $20.86 – $242.00 | 780 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $41.50 | $41.50 | $2.00 – $27.60 | 88 |
| Transferrin CPT 84466 | $154.05 | $237.00 | $12.36 – $237.00 | 41 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $1,504.00 | $1,346.00 | $60.36 – $955.66 | 112 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $874.90 | $1,346.00 | $22.58 – $955.66 | 778 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,708.00 | $4,708.00 | $72.01 – $4,675.30 | 99 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $10,508.35 | $10,508.35 | $50.41 – $2,766.05 | 112 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $9,357.40 | $9,357.40 | $8.04 – $3,365.30 | 112 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $3,310.45 | $5,093.00 | $957.39 – $4,074.00 | 25 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $699.55 | $1,076.23 | $14.34 – $61.00 | 25 |
| Tray trach basic clean/care ster HCPCS A4626 | $0.65 | $1.00 | $0.24 – $1.00 | 25 |
| Treat ankle fracture CPT 28445 | $52,023.56 | $3,590.00 | $0.96 – $14,021.15 | 777 |
| Treat ectopic pregnancy CPT 59151 | $42,427.90 | $2,511.00 | $26.90 – $11,681.74 | 777 |
| Treat elbow dislocation CPT 24605 | $1,699.33 | $1,666.00 | $152.83 – $1,666.00 | 768 |
| Treat finger fracture each CPT 26727 | $19,798.85 | $1,657.00 | $0.96 – $7,718.02 | 777 |
| Treat foot bone lesion CPT 28005 | $2,004.00 | $2,004.00 | $170.51 – $1,839.40 | 768 |
| Treat fracture of radius CPT 25505 | $2,399.80 | $3,692.00 | $122.67 – $3,576.15 | 778 |
| Treat heel fracture CPT 28415 | $70,893.42 | $3,892.00 | $0.96 – $14,021.15 | 777 |
| Treat kneecap fracture CPT 27524 | $2,597.00 | $2,597.00 | $35.62 – $269.92 | 768 |
| Treat knee fracture CPT 27535 | $3,073.00 | $3,073.00 | $37.48 – $316.64 | 768 |
| Treat knee fracture CPT 27540 | $2,811.00 | $2,811.00 | $37.48 – $296.64 | 768 |
| Treat knee fracture 27530 CPT 27530 | $6,071.65 | $9,341.00 | $86.33 – $4,421.17 | 781 |
| Treat lower leg fracture CPT 27827 | $50,319.18 | not published | $0.96 – $24,808.12 | 101 |
| Treat lower leg joint CPT 27829 | $52,955.50 | $2,450.00 | $2.28 – $14,021.15 | 777 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $44,727.01 | $2,860.00 | $0.96 – $14,021.15 | 777 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $50,886.58 | $4,718.00 | $0.96 – $14,021.15 | 777 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $26,424.10 | $9,539.00 | $14.26 – $6,772.69 | 778 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $98.80 | $152.00 | $35.72 – $280.46 | 112 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $101.40 | $156.00 | $36.66 – $218.00 | 25 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $26,952.17 | $1,261.00 | $17.93 – $6,255.08 | 777 |
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.