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 |
|---|---|---|---|---|
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $117.00 | $160.00 | $15.76 – $196.30 | 781 |
| Cesarean section delivery only 59514 CPT 59514 | $2,909.00 | $2,909.00 | $37.48 – $312.00 | 768 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,685.70 | $4,685.70 | $78.74 – $2,342.85 | 99 |
| #cf-97variants CPT 81220 | $1,446.90 | $2,226.00 | $523.11 – $2,226.00 | 41 |
| Cftr gene dup/delet variants CPT 81222 | $1,669.20 | $2,568.00 | $421.59 – $2,568.00 | 41 |
| Change cystostomy tube simple CPT 51705 | $539.50 | $830.00 | $13.29 – $3,576.15 | 778 |
| Change g-tube to g-j perc CPT 49446 | $1,515.80 | $2,332.00 | $548.02 – $3,707.89 | 111 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $215.00 | $292.00 | $38.13 – $3,576.15 | 780 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $325.00 | $500.00 | $44.94 – $3,576.15 | 780 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $353.00 | $507.00 | $33.02 – $3,576.15 | 781 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $323.00 | $447.00 | $30.67 – $3,576.15 | 781 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $2,057.25 | $3,165.00 | $34.51 – $3,576.15 | 781 |
| Chemodenerv musc migraine 64615 CPT 64615 | $483.60 | $744.00 | $34.83 – $3,576.15 | 781 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $1,228.50 | $1,890.00 | $31.74 – $3,576.15 | 781 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $1,085.50 | $1,670.00 | $34.51 – $3,576.15 | 778 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $348.00 | $480.00 | $33.12 – $3,576.15 | 778 |
| Chemo extend IV infus w/pump HCPCS G0498 | $282.10 | $434.00 | $101.99 – $1,053.00 | 109 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,527.55 | $5,427.00 | $165.25 – $5,427.00 | 112 |
| Chest CT scan (with contrast) CPT 71260 | $3,292.90 | $5,066.00 | $165.25 – $5,066.00 | 112 |
| Chest CT scan (without contrast) CPT 71250 | $1,593.00 | $1,593.00 | $98.49 – $1,593.00 | 112 |
| Chest Physiotherapy (first session) CPT 94667 | $104.00 | $160.00 | $37.60 – $257.09 | 112 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $104.00 | $160.00 | $37.60 – $257.09 | 112 |
| Chest Ultrasound CPT 76604 | $703.95 | $1,083.00 | $17.68 – $768.93 | 778 |
| Chest X-ray CPT 71046 | $52,999.68 | $243.00 | $6.39 – $172.53 | 781 |
| Chest X-ray (single view) CPT 71045 | $31,253.01 | $1,507.00 | $5.33 – $178.92 | 778 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $312.00 | $480.00 | $112.80 – $480.00 | 112 |
| Chiropract manj 1-2 regions CPT 98940 | $59.00 | $60.00 | $12.81 – $59.00 | 780 |
| Chiropract manj 3-4 regions CPT 98941 | $81.00 | $82.00 | $19.27 – $81.00 | 780 |
| Chloride CPT 82435 | $20,561.95 | $60.00 | $4.46 – $1,914.40 | 112 |
| Chloride 24 hour urine CPT 82436 | $36.40 | $56.00 | $5.57 – $34.00 | 41 |
| Chloroprocaine hcl injection HCPCS J2401 | $92.60 | $92.60 | $21.76 – $92.60 | 25 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $275.95 | $275.95 | $40.38 – $275.95 | 82 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $116.50 | $116.50 | $1.20 – $27.07 | 82 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $1.00 | $1.00 | $0.24 – $1.75 | 82 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,877.20 | $2,888.00 | $8.31 – $2,050.48 | 777 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $4,029.00 | $4,029.00 | $31.30 – $644.64 | 768 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,916.85 | $2,949.00 | $693.02 – $6,918.39 | 98 |
| Cholesterol CPT 82465 | $48.75 | $75.00 | $4.21 – $75.00 | 41 |
| Cholesterol body fluid CPT 84999 | $43.55 | $67.00 | $5.80 – $29.00 | 33 |
| Cholesterol (Lipid) Test CPT 80061 | $1,035.00 | $171.00 | $9.09 – $102.95 | 41 |
| Cholinesterase CPT 82480 | $79.95 | $123.00 | $7.63 – $102.00 | 41 |
| Chromatography CPT 83021 | $120.90 | $186.00 | $17.50 – $186.00 | 41 |
| Chromogenic substrate assay CPT 85130 | $185.25 | $285.00 | $11.89 – $285.00 | 25 |
| Chromo high res and frag x - sendout CPT 81243 | $399.75 | $615.00 | $55.27 – $615.00 | 41 |
| Chromosome karyotype study CPT 88280 | $63.05 | $97.00 | $22.80 – $97.00 | 41 |
| Chronic urticaria - sendout CPT 86343 | $89.70 | $138.00 | $12.08 – $138.00 | 41 |
| Chylomicron screen, bf - sendout CPT 82664 | $270.40 | $416.00 | $59.60 – $416.00 | 41 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $1.00 | $1.00 | $0.20 – $1.00 | 87 |
| Cine/video x-rays CPT 76120 | $187.85 | $289.00 | $67.92 – $446.08 | 25 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $42.00 | $42.00 | $2.32 – $18.00 | 82 |
| Circum 28 days or older CPT 54161 | $29,036.13 | not published | $0.96 – $4,235.59 | 101 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $525.00 | $525.00 | $13.85 – $404.60 | 768 |
| Circumcision (newborn) CPT 54150 | $3,589.30 | $5,522.00 | $26.84 – $4,039.24 | 781 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $379.00 | $379.00 | $8.52 – $36.25 | 96 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $496.70 | $496.70 | $7.27 – $496.70 | 99 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $15,050.75 | $23,155.00 | $8.14 – $34.65 | 25 |
| Claviculectomy partial CPT 23120 | $61,503.24 | $2,033.00 | $9.09 – $14,021.15 | 777 |
| Clean out mastoid cavity CPT 69222 | $2,691.65 | $4,141.00 | $29.34 – $4,235.59 | 781 |
| Clearance of airways CPT 31720 | $228.80 | $352.00 | $82.72 – $3,576.15 | 111 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $32.50 | $32.50 | $1.67 – $15.70 | 96 |
| Clip ligating vesolock lg HCPCS C1760 | $8,209.50 | $12,630.00 | $0.80 – $3.39 | 25 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $538.82 | $828.95 | $194.80 – $828.95 | 25 |
| Cllr miami j sm HCPCS L0174 | $607.31 | $934.33 | $11.20 – $55.98 | 33 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $14.08 – $17,608.50 | 99 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $79.35 | $79.35 | $17.67 – $79.35 | 82 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $8,639.80 | $13,292.00 | $91.88 – $6,291.31 | 770 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $5,177.25 | $7,965.00 | $57.43 – $3,770.10 | 781 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,021.00 | $2,021.00 | $177.86 – $1,308.00 | 768 |
| Closed tx sesamoid fx 28530 CPT 28530 | $445.00 | $445.00 | $32.91 – $355.00 | 768 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $742.00 | $972.00 | $67.22 – $3,576.15 | 781 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $3,108.00 | $3,108.00 | $31.08 – $299.68 | 768 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $5,689.00 | $5,689.00 | $37.48 – $546.56 | 768 |
| Clot factor xii hageman CPT 85280 | $146.90 | $226.00 | $18.75 – $226.00 | 41 |
| Clot factor xiii fibrin scrn CPT 85291 | $81.25 | $125.00 | $8.82 – $125.00 | 41 |
| Clot factor xiii fibrin stab CPT 85290 | $195.00 | $300.00 | $15.83 – $300.00 | 41 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,078.00 | $1,078.00 | $83.46 – $1,078.00 | 771 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $3,463.20 | $5,328.00 | $63.26 – $3,576.15 | 781 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $671.00 | $936.00 | $27.26 – $671.00 | 773 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $1,077.00 | $1,077.00 | $88.60 – $3,576.15 | 781 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $350.00 | $350.00 | $22.79 – $345.36 | 768 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $645.45 | $993.00 | $32.38 – $3,576.15 | 781 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $505.00 | $753.00 | $36.73 – $3,576.15 | 781 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $4,464.85 | $6,869.00 | $92.51 – $3,576.15 | 781 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $17,607.10 | $2,344.00 | $2.28 – $4,604.83 | 777 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $4,098.90 | $6,306.00 | $82.17 – $3,576.15 | 781 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $19,203.70 | $1,632.00 | $0.27 – $4,235.59 | 777 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $5,835.70 | $8,978.00 | $70.16 – $4,249.35 | 781 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $1,014.00 | $1,141.00 | $48.87 – $1,014.00 | 773 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $792.35 | $1,219.00 | $61.09 – $3,576.15 | 781 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $452.00 | $452.00 | $26.10 – $336.43 | 768 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $5,105.10 | $7,854.00 | $81.39 – $3,717.56 | 781 |
| Clsd tx pelvic ring fx CPT 27197 | $148.85 | $229.00 | $53.82 – $3,576.15 | 111 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $668.00 | $867.00 | $48.29 – $3,576.15 | 781 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $4,046.25 | $6,225.00 | $61.88 – $3,576.15 | 781 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,418.00 | $1,418.00 | $99.20 – $1,304.75 | 768 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $3,570.45 | $5,493.00 | $50.24 – $3,576.15 | 781 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $3,679.65 | $5,661.00 | $75.23 – $3,576.15 | 778 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $4,576.65 | $7,041.00 | $86.48 – $3,576.15 | 781 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $4,326.40 | $6,656.00 | $87.15 – $3,150.27 | 773 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $4,587.05 | $7,057.00 | $1,105.44 – $4,704.00 | 11 |
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.