Supplies, drugs & other prices at MercyOne Dyersville Medical Center

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

24 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)
range across 2 matching MRF lines
$12.79–$57.20 $19.68–$88 varies
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
Colon ca scrn not hi rsk ind (G0121) $5,346.67 — 6.0×
Colorectal scrn; hi risk ind (G0105) $661.70 $1,018 0.7×
Covid-19 lab test non-cdc (U0002) $146.90 $226 2.9×
Elec stim other than wound (G0283) $74.75 $115 5.9×
Fecal blood scrn immunoassay (G0328) $61.75 $95 3.4×
Fern test (Q0114) $40.95 $63 4.2×
Hep c screen high risk/other (G0472) $85.80 $132 1.9×
Hepb screen high risk indiv (G0499) $56.55 $87 2.0×
Hiv combination assay (G0475) $96.85 $149 4.0×
Hopd mntl hlt, 15-29 min (C7900) $396.50 $610 11.0×
Hopd mntl hlt, grp (C7903) $477.75 $735 13.3×
Hospital outpt clinic visit (G0463)
range across 10 matching MRF lines
$146.25–$332.15 $225–$511 varies
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $92.95 $143 2.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $545.35 $839 4.5×
Pathogen test for platelets (P9100) $73.45 $113 1.3×
Psa screening (G0103) $129.35 $199 6.7×
Tomosynthesis, mammo (G0279)
range across 3 matching MRF lines
$147.55–$221.65 $227–$341 varies
Tpmt and Nudt15 Genotype (0034U) $967.20 $1,488 2.1×
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines
$2,238.60–$2,798.25 $3,444–$4,305 varies

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.