Visits & medical services prices at MercyOne Newton Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $63.05 $97 1.7×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$12.79–$71.50 $19.68–$110 varies
Airway Inhalation Treatment (94640) $32,708.86 — 154.7×
Analyze Neurostim Simple (95971) $700.70 $1,078 7.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $87.75 $135 6.1×
Assessment of aphasia per hr (96105) $276.90 $426 2.8×
Behavral qualit analys voice (92524) $286.65 $441 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $453.05 $697 1.3×
Canalith repositioning proc (95992) $213.20 $328 5.2×
Car seat/bed test 60 min (94780) $217.10 $334 6.0×
Cardiac Stress Tst,Tracing Only (93017) $765.05 $1,177 3.7×
Cardiopulmonary resuscitation (92950) $1,591.20 $2,448 7.6×
Cardioversion (92960) $1,225.90 $1,886 1.9×
Chemo Anti-Neopl Sq/Im (96401) $271.05 $417 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $299.65 $461 4.3×
Chemo IV infusion addl hr (96415) $340.60 $524 4.9×
Chemo IV push addl drug (96411) $312.65 $481 4.5×
Chemother Prolong Infuse W/Pump (96416) $471.25 $725 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $319.15 $491 4.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $543.40 $836 1.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $492.05 $757 1.5×
Chest Wall Manipulation (94668) $151.45 $233 1.2×
Color/duplex Doppler, complete (93975) $841.75 $1,295 3.7×
Color/duplex Doppler, limited (93976) $762.45 $1,173 7.6×
Continuous Pulse Ox (94762) $291.85 $449 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $641.55 $987 3.0×
Cpt initial (94667) $178.75 $275 1.4×
Critical care first hour (99291) $1,240.20 $1,908 1.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $824.20 $1,268 3.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $880.75 $1,355 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $686.40 $1,056 6.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $987.35 $1,519 4.3×
Dup-scan xtr veins unilateral/limited study (93971) $735.80 $1,132 7.3×
Duplex up extrem art unilat/ltd (93931) $503.10 $774 5.0×
Echo Heart Xthoracic,Limited (93308) $910 $1,400 3.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,578.85 $2,429 3.0×
Electrical Stimulation Ea 15 Min (97032) $81.25 $125 5.5×
Electrocardiogram Tracing (93005) $536 — 9.4×
Emergency Dept Visit Level 2 (99282) $1,081.55 — 7.3×
Emergency Dept Visit Level 3 (99283) $1,524 — 5.8×
Emergency Dept Visit Level 4 (99284) $3,661 — 9.1×
Er level 1 (99281) $525 — 6.4×
Er level v (99285) $5,847.25 — 10.2×
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×
Evaluation of speech fluency (92521) $185.90 $286 1.4×
External ECG rec>48hr<7d recording (93242) $219.70 $338 6.1×
External ECG rec>7d<15d recording (93246) $458.25 $705 12.7×
External Ecg Scanning Analysis Report (93226) $500.50 $770 8.8×
Extracranial Bilat Study (93880) $719.55 $1,107 3.1×
Extracranial Uni/Ltd Study (93882) $479.70 $738 4.8×
Flexible endoscopic eval swallow c/v rec (92612) $594.10 $914 3.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,103.70 $1,698 1.3×
Gi tract imaging intraluminal colon i&r (91113) $1,378 $2,120 1.5×
Holter monitor recording (93225) $451.10 $694 3.5×
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×
Irrig Drug Delivery Device (96523) $163.15 $251 2.9×
IV infusion hydration each additional hour (96361) $637 — 14.1×
IV infusion hydration initial 31 min-1 hour (96360) $705 — 3.4×
IV infusion ther proph addl sequential to 1 hr (96367) $1,300.90 — 18.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $890.15 — 19.7×
IV push initial (96374) $637.50 — 3.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $94.90 $146 3.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $94.90 $146 2.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $94.90 $146 5.6×
Methacholine challenge (94070) $570.05 $877 1.6×
Motion Fluoroscopy/Swallow (92611) $312.65 $481 3.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $409.50 $630 1.0×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$2,286–$3,519 — varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $270.40 $416 0.8×
Oral Function Therapy (92526) $221 $340 2.6×
Oral Speech Device Eval (92597) $213.85 $329 3.0×
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 Contrast Bath Ea 15 Min (97034) $29.90 $46 2.1×
Ot eval high complexity (97167) $216.45 $333 2.2×
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×
Ot Prosthetic Training, Each 15 Min (97761) $68.90 $106 1.7×
Ot Re-Eval Est Plan Care (97168) $146.90 $226 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $260.65 $401 2.1×
Phlebotomy therapeutic (99195) $306.80 $472 2.4×
Physical Performance Test (97750) $154.70 $238 4.6×
Plethysmography (94726) $306.15 $471 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,024.15 $6,191 4.9×
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×
Pt Re-Eval Est Plan Care (97164) $162.50 $250 2.4×
Pulm function test by gas (94727) $377.65 $581 1.8×
Pulmonary Stress Testing (94618) $273.65 $421 2.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $223.60 $344 1.8×
Self Care Mngment Training (97535) $93.60 $144 2.9×
Sensory Integration Ea 15 Min (97533) $62.40 $96 1.0×
Slp caregiver training 1st 30 min (97550) $157.30 $242 3.0×
Speech sound lang comprehen (92523) $428.35 $659 1.9×
Spirometry (94010) $221.65 $341 1.1×
Standardized Cognitive Performance Testing (96125) $408.85 $629 4.0×
Stress Tte Only (93350) $910 $1,400 1.7×
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 Min Aqua Ther W/Xerss (97113) $129.35 $199 3.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $68.90 $106 2.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $185.25 $285 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $9,042.85 — 130.0×
Ther/Proph/Diag Iv Inf Init (96365) $896 — 4.4×
Therapeutic Activities (97530) $128.70 $198 3.7×
Tte w/doppler, complete (93306) $1,527.50 $2,350 2.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $245.70 $378 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $909.15 — 20.1×
Upr/L Xtremity Art 2 Levels (93922) $444.60 $684 3.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $588.25 $905 2.8×
Vent Mgmt Inpat Init Day (94002) $2,653.95 $4,083 4.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,122.90 $3,266 3.6×
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.