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 |
|---|---|---|---|---|
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $2,912.00 | $630.00 | $16.87 – $630.00 | 112 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $455.00 | $700.00 | $19.36 – $700.00 | 112 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $19,533.07 | $794.00 | $2.09 – $709.04 | 778 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $512.20 | $788.00 | $2.04 – $785.51 | 778 |
| Wrist endoscopy/surgery CPT 29848 | $23,725.15 | $2,354.00 | $0.36 – $4,604.83 | 777 |
| Wrist X-ray CPT 73110 | $670.00 | $512.00 | $5.54 – $242.11 | 781 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $1,386.00 | $257.00 | $5.33 – $168.16 | 781 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $28,400.28 | $3,972.00 | $0.96 – $4,235.59 | 778 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $2,581.80 | $3,972.00 | $933.42 – $4,604.83 | 111 |
| X-ray abdomen >=3 views CPT 74021 | $559.65 | $861.00 | $98.49 – $861.00 | 112 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $2,296.45 | $3,533.00 | $328.68 – $2,355.00 | 112 |
| X-ray bone length studies CPT 77073 | $186.55 | $287.00 | $8.31 – $203.77 | 781 |
| X-ray bone survey infant CPT 77076 | $258.05 | $397.00 | $93.30 – $412.79 | 112 |
| X-ray exam of arm infant CPT 73092 | $452.40 | $696.00 | $98.49 – $464.00 | 112 |
| X-ray exam of jaw joint CPT 70328 | $155.35 | $239.00 | $56.17 – $239.00 | 112 |
| X-ray exam of teeth CPT 70310 | $493.35 | $759.00 | $149.74 – $759.00 | 112 |
| X-ray exam si joints CPT 72200 | $68.25 | $105.00 | $24.68 – $240.48 | 112 |
| X-ray exam thorac spine4/>vw CPT 72074 | $423.80 | $652.00 | $98.49 – $652.00 | 112 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $455.65 | $701.00 | $81.99 – $467.00 | 112 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $166.00 | $166.00 | $8.52 – $226.89 | 781 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $173.00 | $173.00 | $9.37 – $236.85 | 778 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $328.90 | $506.00 | $79.20 – $337.00 | 112 |
| X-ray nose to rectum for foreign body child CPT 76010 | $163.80 | $252.00 | $59.22 – $252.00 | 112 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,513.85 | $2,329.00 | $296.30 – $2,329.00 | 112 |
| X-ray ribs 2 views left CPT 71100 | $202.80 | $312.00 | $6.60 – $210.87 | 778 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $791.70 | $1,218.00 | $230.81 – $1,218.00 | 112 |
| X-ray small intestine follow-through study CPT 74248 | $213.85 | $329.00 | $77.32 – $329.00 | 24 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $163.80 | $252.00 | $59.22 – $252.00 | 112 |
| X-ray surgical specimen CPT 76098 | $40,641.65 | $1,625.00 | $38.53 – $1,153.75 | 112 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $163.15 | $251.00 | $58.99 – $251.00 | 112 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $55,035.00 | $55,035.00 | $12,933.23 – $114,217.34 | 96 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $138.70 | $138.70 | $18.12 – $83.25 | 82 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $54.60 | $54.60 | $12.83 – $54.60 | 25 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $8,000.00 | $8,000.00 | $7.08 – $4,000.00 | 99 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $4,848.00 | $4,848.00 | $32.99 – $4,848.00 | 96 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $729.00 | $690.00 | $9.09 – $411.00 | 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.