Visits & medical services prices at MercyOne Centerville Medical Center

Centerville, IA · every code in this section with a posted price and a Medicare benchmark.

111 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines		 $19.68–$110 $19.68–$110 varies
Airway Inhalation Treatment (94640) $304 $304 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $135 $135 9.4×
Behavral qualit analys voice (92524) $441 $441 4.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $697 $697 1.9×
Canalith repositioning proc (95992) $328 $328 8.0×
Cardiac Stress Tst,Tracing Only (93017) $1,177 $1,177 5.7×
Cardiopulmonary resuscitation (92950) $2,448 $2,448 11.8×
Cardioversion (92960)
range across 2 matching MRF lines		 $483–$1,886 $483–$1,886 varies
Cbt 1st hour (94644) $371 $371 2.9×
Chemo Anti-Neopl Sq/Im (96401) $417 $417 6.0×
Chemo Hormon Antineopl Sq/Im (96402) $461 $461 6.7×
Chemo IV infusion addl hr (96415) $524 $524 7.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $491 $491 7.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $836 $836 2.6×
Color/duplex Doppler, complete (93975) $1,295 $1,295 5.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $549 $549 4.3×
Cont Gluc Mntr Pt Prov Eqp (95249) $242 $242 4.3×
Continuous Pulse Ox (94762) $449 $449 3.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $987 $987 4.7×
Cpt initial (94667) $275 $275 2.2×
Critical care first hour (99291)
range across 2 matching MRF lines		 $659–$1,908 $659–$1,908 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $417–$433 $417–$433 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,268 $1,268 5.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $655 $655 6.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,519 $1,519 6.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,132 $1,132 11.3×
Duplex up extrem art unilat/ltd (93931) $774 $774 7.7×
ECG/monitoring and analysis (93271) $735 $735 8.0×
Echo Heart Xthoracic,Limited (93308) $1,400 $1,400 6.1×
EEG awake and asleep (95819) $627 $627 3.0×
Electrical Stimulation Ea 15 Min (97032) $125 $125 8.5×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $781–$803 — varies
Emergency Dept Visit Level 2 (99282) $1,031 — 7.0×
Emergency Dept Visit Level 3 (99283)
range across 5 matching MRF lines		 $156–$927 $156–$927 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $3,009.90–$3,303 — varies
Er level 1 (99281)
range across 3 matching MRF lines		 $54–$525 $54–$525 varies
Er level v (99285)
range across 2 matching MRF lines		 $5,506.85–$7,519 — varies
Evaluate pt use of inhaler (94664) $370 $370 1.8×
Evaluate Speech Production (92522) $518 $518 4.6×
Evaluate Swallowing Function (92610) $451 $451 5.3×
External ECG rec>48hr<7d recording (93242) $338 $338 9.4×
External ECG rec>7d<15d recording (93246) $705 $705 19.6×
Extracranial Bilat Study (93880) $1,107 $1,107 4.8×
Holter monitor recording (93225) $694 $694 5.4×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines		 $19.68–$72 $19.68–$72 varies
Immunization administration (90471)
range across 2 matching MRF lines		 $19.68–$147 $19.68–$147 varies
Iontophoresis 15 min (97033) $157 $157 8.2×
Irrig Drug Delivery Device (96523) $251 $251 4.4×
IV infusion hydration each additional hour (96361) $1,242 — 27.6×
IV infusion hydration initial 31 min-1 hour (96360) $561 — 2.7×
IV infusion ther proph addl sequential to 1 hr (96367) $294 $294 4.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $8,353.05 — 185.5×
IV push initial (96374) $1,137 — 5.6×
Mechanical chest wall oscillation per session (94669) $113 $113 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $146 $146 4.0×
Motion Fluoroscopy/Swallow (92611) $481 $481 5.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $630 $630 1.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $652 $652 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $693 $693 3.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $815 $815 2.1×
Neuromuscular Reeducation (97112) $199 $199 6.1×
Oral Function Therapy (92526) $340 $340 4.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $198 $198 4.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $198 $198 4.3×
Ot eval high complexity (97167) $333 $333 3.3×
Ot Eval Low Complex (97165) $276 $276 2.7×
Ot Eval Moderate Complexity (97166) $306 $306 3.0×
Ot manual therapy 15 min (97140) $198 $198 7.1×
Ot paraffin bath (97018) $97 $97 16.1×
Ot Re-Eval Est Plan Care (97168) $226 $226 3.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $401 $401 3.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $378 $378 1.8×
Phlebotomy therapeutic (99195) $472 $472 3.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $572 $572 10.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $242 $242 4.3×
Physical Performance Test (97750) $238 $238 7.1×
Plethysmography (94726) $471 $471 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,191 $6,191 7.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $51 $51 1.1×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $50 $50 1.1×
Pt Eval High Complex (97163) $303 $303 3.1×
Pt eval low complex 20 min (97161) $343 $343 3.5×
Pt Eval Mod Complex (97162) $299 $299 3.1×
Pt gait training 15 min (97116) $142 $142 4.9×
Pt mechanical traction (97012) $109 $109 7.6×
Pt Re-Eval Est Plan Care (97164) $250 $250 3.7×
Pulm function test by gas (94727) $581 $581 2.8×
Pulmonary Stress Testing (94618) $421 $421 3.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $463 $463 2.4×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $75 $75 2.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $344 $344 2.8×
Self Care Mngment Training (97535) $144 $144 4.4×
Sleep study unattended (95806) $832 $832 4.0×
Speech sound lang comprehen (92523) $659 $659 2.9×
Spirometry (94010) $341 $341 1.6×
Standardized Cognitive Performance Testing (96125) $629 $629 6.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $198 $198 8.8×
Ther Ivntj Ea Addl 15 Min (97130) $205 $205 9.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $199 $199 5.4×
Ther/Proph/Diag Inj Sc/Im (96372) $522.90 — 7.6×
Ther/Proph/Diag Iv Inf Init (96365) $1,915.95 — 9.4×
Therapeutic Activities (97530) $198 $198 5.6×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $230–$2,350 $230–$2,350 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $378 $378 5.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $6,655 — 147.8×
Upr/L Xtremity Art 2 Levels (93922) $684 $684 5.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $905 $905 4.4×
Vent Mgmt Inpat Init Day (94002) $4,083 $4,083 6.9×
Wheelchair Mgmt Ea 15 Min (97542) $198 $198 6.4×
Whirlpool Therapy (97022) $151 $151 9.6×

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.