MercyOne Centerville Medical Center

Centerville, IA · Critical Access Hospital

Posts prices for 45 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Shoulder arthroscopy with decompression (29826)
range across 3 matching MRF lines
$380–$570 $380–$570 varies
Knee arthroscopy with meniscectomy (29881) $18,009.36 — 5.7×
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure
$1,092 $1,092 0.2×
Upper GI endoscopy (EGD) with biopsy (43239)
range across 3 matching MRF lines
$7,298.50–$13,998.80 — varies
Diagnostic colonoscopy (45378)
range across 2 matching MRF lines
$8,007.35–$8,592.30 — varies
Colonoscopy with biopsy (45380)
range across 3 matching MRF lines
$9,749.40–$12,526.50 — varies
Colonoscopy with lesion removal (45385) $8,228.10 — 7.2×
Laparoscopic gallbladder removal (47562) $20,239.50 — 3.5×
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines
$17,880.16–$29,553.64 — varies
Epidural injection, lumbar/sacral (with imaging) (62322) $2,671 $2,671 3.1×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 6 matching MRF lines
$895–$9,846 $895–$9,846 varies
CT head/brain without contrast (70450) $2,105 $2,105 20.9×
MRI brain without contrast (70551) $3,534 $3,534 15.4×
MRI brain without and with contrast (70553) $5,549 $5,549 16.5×
X-ray lower spine, 4+ views (72110) $568 $568 5.7×
MRI lumbar spine without contrast (72148) $3,998 $3,998 17.4×
CT pelvis with contrast (72193) $2,677 $2,677 15.9×
MRI lower-extremity joint without contrast (73721)
range across 3 matching MRF lines
$4,003–$6,005 $4,003–$6,005 varies
CT abdomen and pelvis with contrast (74177) $5,637 $5,637 16.8×
Ultrasound, abdomen complete (76700) $1,066 $1,066 10.6×
Ultrasound, transvaginal (76830) $859 $859 8.5×
Mammography, one breast (diagnostic) (77065) $457 $457 5.3×
Mammography, both breasts (diagnostic) (77066) $686 $686 6.2×
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$473–$710 $473–$710 varies
Basic metabolic panel (80048) $439 — 51.9×
Comprehensive metabolic panel (80053) $194 $194 18.4×
Lipid panel (80061) $170 $170 12.7×
Renal function panel (80069) $145 $145 16.7×
Hepatic function panel (80076) $170 $170 20.8×
PSA, total (84153) $188 $188 10.2×
Thyroid stimulating hormone (TSH) (84443) $898 — 53.5×
CBC with automated differential (85025) $713 — 91.8×
CBC, automated (85027) $643 — 99.4×
Prothrombin time (PT) (85610) $198 — 46.2×
Partial thromboplastin time (PTT) (85730) $1,078 — 179.4×
Psychotherapy, 30 minutes (90832) $610 $610 3.6×
Psychotherapy, 45 minutes (90834) $755 $755 4.4×
Psychotherapy, 60 minutes (90837) $770 $770 4.5×
Group psychotherapy (90853) $772 $772 7.9×
Electrocardiogram (ECG), complete (93000) $125 $125 2.2×
Sleep study (attended polysomnography) (95810) $6,002 $6,002 7.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $199 $199 6.8×
Office visit, new patient (low complexity, ~30 min) (99203) $252 $252 2.0×
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$906–$1,058 — varies
Office visit, new patient (high complexity, ~60 min) (99205) $488 $488 3.8×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (ZIP, 80.7 MB) ↓ — captured 2026-09-08

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