Supplies, drugs & other prices at MercyOne New Hampton Medical Center
New Hampton, IA · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $696.15 | $1,071 | 2.1× |
| 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) range across 2 matching MRF lines |
$3,277.17–$3,434.92 | — | varies |
| Depression screen annual (G0444) | $31.85 | $49 | 0.9× |
| Diab manage trn per indiv (G0108) | $157.30 | $242 | 2.8× |
| Diab manage trn ind/group (G0109) | $79.30 | $122 | 4.9× |
| Ekg tracing for initial prev (G0404) | $62.40 | $96 | 2.2× |
| Elec stim other than wound (G0283) | $74.75 | $115 | 5.9× |
| Fecal blood scrn immunoassay (G0328) | $61.75 | $95 | 3.4× |
| 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× |
| Home sleep test/type 3 porta (G0399) | $447.20 | $688 | 2.2× |
| 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 2 matching MRF lines |
$459.55–$619.45 | — | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $92.95 | $143 | 2.1× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$1,476.80–$1,886.30 | — | varies |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$750.75–$1,126.45 | $1,155–$1,733 | varies |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) range across 3 matching MRF lines |
$1,818.05–$2,727.40 | $2,797–$4,196 | varies |
| Njx platelet plasma (0232T) | $1,073.15 | $1,651 | 2.5× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$261.30–$275.60 | $402–$424 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$1,101.75–$1,177.15 | — | varies |
| 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 |
| Tte w or wo fol wcon,doppler (C8929) | $1,943.50 | $2,990 | 2.6× |
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.