MercyOne Genesis Dewitt Medical Center

Dewitt, IA · Critical Access Hospital

Posts prices for 62 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $913.80 $1,523 0.2×
Knee arthroscopy with meniscectomy (29881) $755.40 $1,259 0.2×
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure		 $576.60 $961 0.1×
Upper GI endoscopy (EGD), diagnostic (43235) $181.20 $302 0.2×
Upper GI endoscopy (EGD) with biopsy (43239) $204.60 $341 0.2×
Diagnostic colonoscopy (45378) $516 $860 0.6×
Colonoscopy with biopsy (45380) $337.80 $563 0.3×
Colonoscopy with lesion removal (45385) $377.40 $629 0.3×
Colonoscopy with endoscopic ultrasound (45391) $554.40 $924 0.5×
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure		 $1,407.60 $2,346 0.2×
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines		 $315.60–$977.40 $526–$1,629 varies
Obstetric care, vaginal delivery (global) (59400) $4,263.60 $7,106 —
Obstetric care, cesarean delivery (global) (59510) $4,721.40 $7,869 —
Obstetric care, VBAC delivery (global) (59610) $4,470.60 $7,451 —
Epidural injection, lumbar/sacral (with imaging) (62322) $164.40 $274 0.2×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines		 $1,231.80–$1,848 $2,053–$3,080 varies
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 3 matching MRF lines		 $678–$1,017 $1,130–$1,695 varies
CT head/brain without contrast (70450) $1,198.80 $1,998 11.9×
MRI brain without contrast (70551) $1,509.60 $2,516 6.6×
MRI brain with contrast (70552) $1,600.20 $2,667 4.8×
MRI brain without and with contrast (70553) $2,997.60 $4,996 8.9×
X-ray lower spine, 4+ views (72110) $355.20 $592 3.5×
MRI lumbar spine without contrast (72148)
range across 5 matching MRF lines		 $1,179–$1,750.80 $1,965–$2,918 varies
CT pelvis with contrast (72193) $1,434 $2,390 8.5×
MRI lower-extremity joint without contrast (73721)
range across 11 matching MRF lines		 $1,751.40–$2,653.20 $2,919–$4,422 varies
CT abdomen and pelvis with contrast (74177) $2,676 $4,460 8.0×
Ultrasound, abdomen complete (76700) $708.60 $1,181 7.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $451.80 $753 4.5×
Ultrasound, transvaginal (76830)
range across 3 matching MRF lines		 $336.60–$368.40 $561–$614 varies
Mammography, one breast (diagnostic) (77065)
range across 16 matching MRF lines		 $59.40–$231.60 $99–$386 varies
Mammography, both breasts (diagnostic) (77066)
range across 8 matching MRF lines		 $85.20–$295.80 $142–$493 varies
Mammography, screening (bilateral) (77067)
range across 24 matching MRF lines		 $67.80–$276.60 $113–$461 varies
Basic metabolic panel (80048)
range across 4 matching MRF lines		 $28.80–$55.20 $48–$92 varies
Comprehensive metabolic panel (80053)
range across 4 matching MRF lines		 $102–$110.40 $170–$184 varies
Obstetric panel (80055) $84 $140 1.8×
Lipid panel (80061)
range across 7 matching MRF lines		 $39.60–$53.40 $66–$89 varies
Renal function panel (80069)
range across 3 matching MRF lines		 $28.20–$57.60 $47–$96 varies
Hepatic function panel (80076)
range across 2 matching MRF lines		 $58.20–$59.40 $97–$99 varies
Urinalysis, non-automated, with microscopy (81000) $8.40 $14 2.1×
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines		 $5.40–$12 $9–$20 varies
PSA, total (84153)
range across 11 matching MRF lines		 $64.20–$125.40 $107–$209 varies
Thyroid stimulating hormone (TSH) (84443)
range across 11 matching MRF lines		 $52.80–$82.20 $88–$137 varies
CBC with automated differential (85025)
range across 3 matching MRF lines		 $34.80–$53.40 $58–$89 varies
CBC, automated (85027)
range across 5 matching MRF lines		 $21.60–$398.40 $36–$664 varies
Prothrombin time (PT) (85610)
range across 6 matching MRF lines		 $11.40–$47.40 $19–$79 varies
Partial thromboplastin time (PTT) (85730)
range across 10 matching MRF lines		 $16.20–$98.40 $27–$164 varies
Psychotherapy, 30 minutes (90832) $58.80 $98 0.3×
Psychotherapy, 45 minutes (90834) $114 $190 0.7×
Psychotherapy, 60 minutes (90837) $146.40 $244 0.9×
Family psychotherapy, without patient (50 min) (90846) $114 $190 0.7×
Family psychotherapy, with patient (50 min) (90847) $174 $290 1.0×
Group psychotherapy (90853) $36.60 $61 0.4×
Electrocardiogram (ECG), complete (93000) $94.80 $158 1.7×
Sleep study (attended polysomnography) (95810) $3,030.60 $5,051 3.7×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 10 matching MRF lines		 $56.40–$91.20 $94–$152 varies
Office visit, new patient (low complexity, ~30 min) (99203) $102.60 $171 0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $168.60 $281 1.3×
Office visit, new patient (high complexity, ~60 min) (99205) $170.40 $284 1.3×
Office consultation (low complexity, ~30 min) (99243) $183 $305 1.4×
Office consultation (moderate complexity, ~40 min) (99244) $273.60 $456 2.1×
Preventive visit, new patient (age 18–39) (99385) $174.60 $291 —
Preventive visit, new patient (age 40–64) (99386) $229.20 $382 —

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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