Supplies, drugs & other prices at MercyOne Clinton Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Adm tocilizu covid-19 1st (M0249) $443.95 $683 1.0×
Adm tocilizu covid-19 2nd (M0250) $443.95 $683 1.0×
Admin hepatitis b vaccine (G0010) $33,066.51 — 710.3×
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$12.79–$57.20 $19.68–$88 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$12.79–$57.20 $19.68–$88 varies
Catheterize for urine spec (P9612) $49.40 $76 5.3×
Chemo extend iv infus w/pump (G0498) $768.30 $1,182 2.3×
Colon ca scrn not hi rsk ind (G0121) $8,660.27 — 9.4×
Colorectal scrn; hi risk ind (G0105) $8,635.22 — 9.3×
Demonstrate use home inr mon (G0248) $77.35 $119 0.6×
Depression screen annual (G0444) $33.80 $52 0.9×
Diab manage trn per indiv (G0108) $98.80 — 1.8×
Direct refer hospital observ (G0379) $432.90 $666 0.7×
Ekg tracing for initial prev (G0404) $57.85 $89 2.0×
Elec stim other than wound (G0283)
range across 9 matching MRF lines
$72.80–$91 $112–$140 varies
Fecal blood scrn immunoassay (G0328) $141.05 $217 7.8×
Fern test (Q0114) $39.65 $61 4.1×
Hbot, full body chamber, 30m (G0277) $48,249.50 — 352.7×
Hep c screen high risk/other (G0472) $85.80 $132 1.9×
Hepb screen high risk indiv (G0499) $89.70 $138 3.2×
Hiv combination assay (G0475)
range across 2 matching MRF lines
$58.50–$96.85 $90–$149 varies
Home sleep test/type 3 porta (G0399) $347.10 $534 1.6×
Hospital outpt clinic visit (G0463) $215.80 — 1.6×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $162.50 $250 3.7×
Initial preventive exam (G0402) $180.70 $278 1.4×
Inj for sacroiliac jt anesth (G0260)
range across 6 matching MRF lines
$2,248.35–$3,372.20 $3,459–$5,188 varies
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $254.80 $392 2.1×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $254.15 $391 0.5×
Pathogen test for platelets (P9100) $104 $160 1.8×
Perc drug-el cor stent sing (C9600) $26,971.75 $41,495 2.4×
Ppps, subseq visit (G0439) $70.85 $109 0.5×
Provide inr test mater/equip (G0249) $77.35 $119 0.6×
Psa screening (G0103) $118.30 $182 6.1×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $526.50 $810 0.7×
Revasc intravasc lithotripsy (C9764) $12,210.25 $18,785 1.1×
Tomosynthesis, mammo (G0279)
range across 3 matching MRF lines
$39.65–$58.50 $61–$90 varies
Tpmt and Nudt15 Genotype (0034U) $903.50 $1,390 1.9×
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines
$2,265.25–$2,718.30 $3,485–$4,182 varies
Tte w or wo fol wcon,doppler (C8929) $1,651.65 $2,541 2.1×

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.