Supplies, drugs & other prices at MercyOne Waterloo Medical Center
Waterloo, IA · every code in this section with a posted price and a Medicare benchmark.
78 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,131 | $1,740 | 1.5× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,667.90 | $2,566 | 2.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $601.25 | $925 | 1.8× |
| 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) | $590 | — | 13.1× |
| Admin influenza virus vac (G0008) | $526 | — | 11.7× |
| Admin pneumococcal vaccine (G0009) | $1,641 | — | 36.5× |
| Alveoloplasty w/extract 1-3 (D7311) | $35,402.90 | — | 23.7× |
| Alveoplasty w/ extraction (D7310) | $42,640.95 | — | 28.6× |
| Alveoplasty w/o extraction (D7320) | $43,957.20 | — | 29.5× |
| Behavior counsel obesity 15m (G0447) range across 2 matching MRF lines |
$238–$334 | — | varies |
| Ca screen;pelvic/breast exam (G0101) | $104 | $160 | 1.1× |
| Catheterize for urine spec (P9612) | $19.50 | $30 | 2.1× |
| Chemo extend iv infus w/pump (G0498) | $282.10 | $434 | 0.9× |
| Colon ca scrn not hi rsk ind (G0121) | $4,541.75 | — | 5.1× |
| Colorectal scrn; hi risk ind (G0105) | $5,431.75 | — | 6.1× |
| Dental bitewings two images (D0272) | $36,989.15 | — | 442.1× |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$1,298–$1,456 | — | varies |
| Diab manage trn per indiv (G0108) | $509 | — | 9.1× |
| Diab manage trn ind/group (G0109) | $37.05 | $57 | 2.3× |
| Direct refer hospital observ (G0379) | $857.35 | $1,319 | 1.5× |
| Ekg tracing for initial prev (G0404) | $26.65 | $41 | 1.0× |
| Elec stim other than wound (G0283) | $70.20 | $108 | 5.5× |
| Extraction erupted tooth/exr (D7140) | $38,163.35 | — | 61.4× |
| Facility svs dental rehab (G0330) | $37,483.55 | — | 11.8× |
| Fecal blood scrn immunoassay (G0328) | $20.80 | $32 | 1.2× |
| Fern test (Q0114) | $55.25 | $85 | 5.7× |
| Followup eval of foot pt lop (G0246) | $169 | $260 | 1.3× |
| Hep c screen high risk/other (G0472) | $45.50 | $70 | 1.0× |
| Hiv combination assay (G0475) | $2,022 | — | 84.0× |
| Hospital outpt clinic visit (G0463) range across 9 matching MRF lines |
$78.72–$1,078 | — | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $213.20 | $328 | 4.9× |
| Impact tooth remov comp bony (D7240) | $37,451.75 | — | 60.3× |
| Impact tooth remov part bony (D7230) | $37,061.95 | — | 59.6× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$683–$1,296 | — | varies |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$2,993.60–$4,303.30 | — | varies |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $941.85 | $1,449 | 7.7× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $392.60 | $604 | 0.8× |
| Mra w/o cont, abd (C8901) | $1,978.60 | $3,044 | 8.6× |
| Mra w/o fol w/cont, abd (C8902) | $3,039.40 | $4,676 | 9.1× |
| Mri w/o fol w/cont, breast, (C8908) | $3,129.75 | $4,815 | 9.3× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,764.45 | $4,253 | 8.2× |
| Neuro csf prion prtn qual (0035U) | $1,054.95 | $1,623 | 2.0× |
| Njx platelet plasma (0232T) | $638.30 | $982 | 1.5× |
| Obtaining screen pap smear (Q0091) | $85.15 | $131 | 3.1× |
| Pathogen test for platelets (P9100) | $104 | $160 | 1.8× |
| Perc d-e cor revasc chro sin (C9607) | $10,553.40 | $16,236 | 0.6× |
| Perc d-e cor revasc t cabg s (C9604) | $12,528.10 | $19,274 | 1.1× |
| Perc d-e cor stent ather s (C9602) likely a partial charge, not the full procedure |
$3,286.40 | $5,056 | 0.2× |
| Perc drug-el cor stent sing (C9600) | $62,070.58 | — | 5.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $61,560.63 | — | 5.5× |
| Post 1 srfc resinbased cmpst (D2391) | $41,669.75 | — | 67.0× |
| Post 2 srfc resinbased cmpst (D2392) | $41,002.90 | — | 66.0× |
| Post >=4srfc resinbase cmpst (D2394) | $40,915.85 | — | 65.8× |
| Ppps, initial visit (G0438) | $319.15 | $491 | 1.8× |
| Ppps, subseq visit (G0439) | $97.50 | $150 | 0.7× |
| Prefab stnlss steel crown pe (D2931) | $42,204.30 | — | 67.9× |
| Prefab stnlss steel crwn pri (D2930) | $41,537.80 | — | 66.8× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $78.65 | $121 | 2.2× |
| Provide inr test mater/equip (G0249) | $91.65 | $141 | 0.7× |
| Psa screening (G0103) | $1,076 | — | 55.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $811.20 | $1,248 | 1.1× |
| Rem imp tooth w mucoper flp (D7210) | $37,994.70 | — | 25.5× |
| Resin three surfaces-anterio (D2332) | $41,669.75 | — | 67.0× |
| Risk ascvd tst once pr 12 mo (G0537) | $14.95 | $23 | 0.4× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $780 | $1,200 | 1.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $191.10 | $294 | 7.2× |
| Screen cerv/vag thin layer (G0123) | $120.25 | $185 | 5.9× |
| Therapeutic pulpotomy (D3220) | $42,261.80 | — | 68.0× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$57.20–$85.80 | $88–$132 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $424.45 | $653 | 0.9× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$2,648.10–$3,310.45 | $4,074–$5,093 | varies |
| Trim nail(s) (G0127) | $73.45 | $113 | 1.3× |
| Tte w or w/o contr, cont ecg (C8930) | $3,023.15 | $4,651 | 4.0× |
| Tte w or wo fol wcon,doppler (C8929) | $1,667.90 | $2,566 | 2.2× |
| Unsched dialysis esrd pt hos (G0257) | $1,574.95 | $2,423 | 2.4× |
| Visit to determ ldct elig (G0296) | $59.15 | $91 | 0.6× |
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.