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 |
|---|---|---|---|---|
| Urethrocystography void s&i CPT 74455 | $612.30 | $942.00 | $221.37 – $942.00 | 112 |
| Uric acid blood CPT 84550 | $29.25 | $45.00 | $4.38 – $45.00 | 41 |
| Uric acid urine CPT 84560 | $40.30 | $62.00 | $4.93 – $32.00 | 41 |
| Urinalysis microscopic only CPT 81015 | $22.75 | $35.00 | $2.96 – $35.00 | 41 |
| Urinalysis (with microscopy) CPT 81001 | $841.00 | $182.00 | $2.54 – $129.22 | 778 |
| Urinalysis (without microscopy) CPT 81003 | $596.00 | $70.00 | $1.80 – $49.70 | 781 |
| Urinary bldr retent nuc study CPT 78730 | $567.00 | $567.00 | $4.90 – $20.00 | 768 |
| Urine Culture Test CPT 87086 | $480.00 | $105.00 | $7.82 – $105.00 | 41 |
| Urine pregnancy test CPT 81025 | $79.30 | $122.00 | $6.03 – $86.62 | 781 |
| Urography, antegrade CPT 74425 | $292.50 | $450.00 | $105.75 – $828.97 | 112 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $6,677.00 | $6,677.00 | $12.24 – $6,677.00 | 99 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $45,913.60 | $45,913.60 | $3,644.10 – $45,913.60 | 91 |
| Vaccine Administration (one shot) CPT 90471 | $356.68 | $61.00 | $4.41 – $139.13 | 780 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $286.65 | $441.00 | $103.64 – $571.27 | 112 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $559.65 | $861.00 | $147.06 – $861.00 | 112 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $341.00 | $341.00 | $37.37 – $595.02 | 778 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $192.00 | $192.00 | $24.91 – $335.02 | 777 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $52.00 | $80.00 | $18.80 – $231.65 | 112 |
| Vaccine dtap < 7 years im CPT 90700 | $142.05 | $142.05 | $12.69 – $110.26 | 544 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $513.00 | $513.00 | $30.80 – $388.74 | 550 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $142.00 | $142.00 | $20.68 – $235.22 | 543 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $347.00 | $347.00 | $41.60 – $581.70 | 547 |
| Vaccine dtap-ipv/hib im CPT 90698 | $103.35 | $159.00 | $37.37 – $450.76 | 95 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $69.00 | $69.00 | $14.10 – $111.04 | 544 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $62.60 | $62.60 | $10.98 – $49.65 | 547 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $697.00 | $412.25 | $51.47 – $256.85 | 780 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $281.00 | $281.00 | $45.12 – $476.49 | 549 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $87.00 | $87.00 | $16.45 – $142.84 | 544 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $48.10 | $74.00 | $17.39 – $108.67 | 24 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $57.20 | $88.00 | $20.68 – $265.58 | 112 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $345.70 | $345.70 | $51.94 – $248.72 | 777 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $326.30 | $502.00 | $117.97 – $627.50 | 112 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $138.80 | $138.80 | $22.33 – $111.92 | 112 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $686.00 | $686.00 | $79.20 – $1,108.37 | 549 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $226.20 | $348.00 | $69.60 – $576.89 | 32 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $149.50 | $230.00 | $54.05 – $346.90 | 112 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $183.00 | $183.00 | $20.45 – $346.90 | 777 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $21.45 | $33.00 | $6.60 – $78.00 | 109 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $102.45 | $102.45 | $7.52 – $82.06 | 777 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $42.90 | $66.00 | $15.51 – $66.02 | 112 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $157.95 | $243.00 | $57.11 – $244.62 | 112 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $20.80 | $32.00 | $7.52 – $68.42 | 109 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $45.50 | $70.00 | $16.45 – $70.68 | 112 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $22.10 | $34.00 | $7.99 – $34.00 | 109 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $56.55 | $87.00 | $20.45 – $87.86 | 109 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $149.50 | $230.00 | $20.93 – $232.08 | 552 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $524.55 | $807.00 | $33.39 – $807.00 | 112 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $32.50 | $50.00 | $11.03 – $50.00 | 109 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $499.00 | $499.00 | $58.40 – $854.31 | 549 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $169.00 | $260.00 | $61.10 – $746.88 | 95 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $149.50 | $230.00 | $46.00 – $619.44 | 103 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $401.05 | $617.00 | $86.59 – $600.64 | 549 |
| Vaccine mmr live subcutaneous CPT 90707 | $466.05 | $466.05 | $30.08 – $353.89 | 546 |
| Vaccine mmrv live subcutaneous CPT 90710 | $619.00 | $652.00 | $95.64 – $1,000.86 | 547 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $556.15 | $556.15 | $98.23 – $471.68 | 777 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $573.00 | $807.00 | $185.73 – $911.74 | 554 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $501.15 | $771.00 | $181.19 – $922.90 | 112 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,649.00 | $1,419.70 | $85.06 – $1,105.79 | 780 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $100.00 | $100.00 | $13.87 – $168.36 | 546 |
| Vaccine rabies im CPT 90675 | $4,078.28 | $1,998.80 | $68.21 – $1,028.00 | 112 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $658.00 | $658.00 | $81.20 – $1,105.93 | 548 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,159.00 | $1,159.00 | $136.20 – $2,004.70 | 546 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,159.00 | $1,159.00 | $136.20 – $2,004.70 | 547 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $1,081.00 | $656.00 | $77.20 – $1,104.30 | 556 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $309.00 | $309.00 | $37.20 – $529.50 | 549 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $102.70 | $158.00 | $37.13 – $355.77 | 95 |
| Vaccine tdap >=7 years im CPT 90715 | $1,054.00 | $231.55 | $19.27 – $140.34 | 780 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $391.00 | $211.80 | $21.34 – $130.85 | 780 |
| Vaccine typhoid vicps im CPT 90691 | $119.60 | $184.00 | $43.24 – $528.33 | 95 |
| Vaccine varicella live subcutaneous CPT 90716 | $960.60 | $960.60 | $48.00 – $659.20 | 549 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $137.15 | $211.00 | $49.59 – $807.34 | 95 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $6,388.06 | $9,827.78 | $2,309.53 – $9,827.78 | 25 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $2,981.00 | $2,981.00 | $279.78 – $2,784.00 | 768 |
| Vag hyst including t/o CPT 58262 | $2,779.00 | $2,779.00 | $37.48 – $321.60 | 768 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $2,899.00 | $2,899.00 | $37.48 – $311.84 | 768 |
| Vaginal Delivery (full care) CPT 59400 | $7,499.00 | $7,499.00 | $647.98 – $5,277.00 | 768 |
| Vaginal hysterectomy CPT 58260 | $2,517.00 | $2,517.00 | $36.59 – $291.36 | 768 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $18.05 | $18.05 | $0.85 – $3.60 | 12 |
| Valproic acid total therapeutic drug level CPT 80164 | $68.90 | $106.00 | $13.12 – $106.00 | 41 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $215.00 | $215.00 | $0.15 – $6.52 | 96 |
| Vancomycin peak therapeutic drug level CPT 80202 | $11,826.25 | $160.00 | $13.12 – $217.31 | 112 |
| Varicella zoster antibody igg CPT 86787 | $152.75 | $235.00 | $12.48 – $107.00 | 41 |
| Varicella-zoster immue globin im CPT 90396 | $2,011.75 | $3,095.00 | $727.33 – $8,221.39 | 96 |
| Vasectomy CPT 55250 | $4,225.00 | $6,500.00 | $1,527.50 – $6,500.00 | 111 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $726.75 | $726.75 | $24.86 – $105.80 | 25 |
| Vbac delivery 59610 CPT 59610 | $7,792.00 | $7,792.00 | $707.83 – $7,792.00 | 768 |
| Vbac/include postpartum care 59614 CPT 59614 | $3,668.00 | $3,668.00 | $355.33 – $2,880.56 | 768 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $30,326.10 | $30,326.10 | $20.94 – $30,326.10 | 99 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $7,637.95 | $7,637.95 | $1,520.72 – $7,637.95 | 83 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $6,903.24 | $70.00 | $2.90 – $1,428.11 | 777 |
| Venipuncture <3 yrs other vein CPT 36406 | $15.60 | $24.00 | $5.64 – $24.00 | 25 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,613.95 | $2,483.00 | $420.27 – $3,347.66 | 112 |
| Venous mech thrombectomy CPT 37187 | $7,672.60 | $11,804.00 | $1,849.22 – $22,306.78 | 111 |
| Ventilator each subsequent day CPT 94003 | $831.35 | $1,279.00 | $218.00 – $1,279.00 | 112 |
| Ventilator Management (first day) CPT 94002 | $1,038.05 | $1,597.00 | $218.00 – $1,597.00 | 112 |
| Verify external neurostimulato HCPCS A4290 | $730.60 | $1,124.00 | $264.14 – $1,124.00 | 25 |
| Version cephalic external CPT 59412 | $2,993.25 | $4,605.00 | $71.06 – $6,255.08 | 770 |
| Vest large holster HCPCS Q0498 | $779.19 | $1,198.75 | $281.71 – $1,198.75 | 25 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | $134.93 | $207.59 | $43.71 – $186.02 | 25 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $301.60 | $464.00 | $109.04 – $485.85 | 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.