Visits & medical services prices at MercyOne Dyersville Medical Center

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

59 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
$12.79–$71.50 $19.68–$110 varies
Airway Inhalation Treatment (94640) $197.60 $304 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $87.75 $135 6.1×
Behavral qualit analys voice (92524) $286.65 $441 2.6×
Canalith repositioning proc (95992) $213.20 $328 5.2×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$632.45–$1,591.20 $973–$2,448 varies
Cbt 1st hour (94644) $241.15 $371 1.9×
Chemo IV infusion addl hr (96415) $340.60 $524 4.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $543.40 $836 1.7×
Chest Wall Manipulation (94668) $151.45 $233 1.2×
Cpt initial (94667) $178.75 $275 1.4×
Critical care first hour (99291)
range across 2 matching MRF lines
$428.35–$1,240.20 $659–$1,908 varies
Debridement Open Wound 20 Sq Cm< (97597) $450.45 $693 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $735.80 $1,132 7.3×
Electrical Stimulation Ea 15 Min (97032) $81.25 $125 5.5×
Electrocardiogram Tracing (93005) $159.25 $245 2.8×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$67.60–$487.50 $104–$750 varies
Emergency Dept Visit Level 3 (99283)
range across 5 matching MRF lines
$101.40–$602.55 $156–$927 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$1,819.41–$1,987.05 — varies
Er level 1 (99281)
range across 3 matching MRF lines
$35.10–$341.25 $54–$525 varies
Er level v (99285)
range across 2 matching MRF lines
$4,659–$5,155.41 — varies
Evaluate pt use of inhaler (94664) $240.50 $370 1.1×
Evaluate Speech Production (92522) $336.70 $518 3.0×
Evaluate Swallowing Function (92610) $293.15 $451 3.5×
Group Therapeutic Procedures (97150) $33.15 $51 1.8×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$12.79–$46.80 $19.68–$72 varies
Immunization administration (90471)
range across 2 matching MRF lines
$12.79–$95.55 $19.68–$147 varies
Iontophoresis 15 min (97033) $102.05 $157 5.4×
IV infusion hydration each additional hour (96361) $20,420.72 — 453.6×
IV infusion hydration initial 31 min-1 hour (96360) $239.85 $369 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $10,741.15 — 155.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $96.85 $149 2.2×
IV push initial (96374) $5,813.86 — 28.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $423.80 $652 1.1×
Neuromuscular Reeducation (97112) $129.35 $199 4.0×
Oral Function Therapy (92526) $221 $340 2.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $128.70 $198 2.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $128.70 $198 2.8×
Ot Eval Low Complex (97165) $179.40 $276 1.8×
Ot Eval Moderate Complexity (97166) $198.90 $306 2.0×
Ot manual therapy 15 min (97140) $128.70 $198 4.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $260.65 $401 2.1×
Peripheral arterial disease rehab per session (93668) $273 $420 4.8×
Pt Eval High Complex (97163) $196.95 $303 2.0×
Pt eval low complex 20 min (97161) $222.95 $343 2.3×
Pt Eval Mod Complex (97162) $194.35 $299 2.0×
Pt gait training 15 min (97116) $92.30 $142 3.2×
Pt mechanical traction (97012) $70.85 $109 4.9×
Self Care Mngment Training (97535) $93.60 $144 2.9×
Speech sound lang comprehen (92523) $428.35 $659 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $128.70 $198 5.8×
Ther Ivntj Ea Addl 15 Min (97130) $133.25 $205 6.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $68.90 $106 2.3×
Ther/Proph/Diag Inj Sc/Im (96372) $103.35 $159 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $14,463.15 — 70.7×
Therapeutic Activities (97530) $128.70 $198 3.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $245.70 $378 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $27,759.06 — 616.6×
Wheelchair Mgmt Ea 15 Min (97542) $128.70 $198 4.1×

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.