Mercyone Waterloo Medical Center — procedure prices

Published prices for 262 procedures at Mercyone Waterloo Medical Center (Waterloo, IA), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $86 $132 $58 $51
Abdominal fluid drain (paracentesis) $2,599 $2,195 $50 $284
Abdominal ultrasound $688 $892 $107 $100
ACL knee reconstruction $2,153 $2,153 $395 $889
Adenoid removal (adenoidectomy) $759 $759 $88 $204
Aldosterone test $335 $516 $111 $41
Allergy patch testing $17 $18 $7 $5
Allergy shots $40 $51 $17 $11
Allergy testing $15 $23 $3 $4
Alpha-fetoprotein (AFP) test $176 $271 $46 $17
ALT liver enzyme test $44 $67 $14 $5
Ammonia blood test $131 $202 $40 $15
Amylase test $54 $83 $18 $6
Annual physical (established patient) $235 $196 $117 —
Annual physical (new patient) $288 $279 $123 —
Anoscopy $176 $270 $18 $129
Antinuclear antibody (ANA) test $68 $104 $33 $12
Arterial blood gas (ABG) $493 $504 $125 $26
AST liver enzyme test $43 $66 $14 $5
Barium swallow study $484 $744 $179 $107
Bartholin cyst removal $336 $336 $38 $182
Benign skin lesion removal $510 $569 $60 $171
Bladder function test (urodynamics) $485 $767 $124 $345
Bladder scope (cystoscopy) $1,159 $1,037 $46 $216
Blood clotting test (PT/INR) $42 $37 $4 $4
Blood type and screen $163 $250 $53 $10
Blood type test $94 $144 $38 $3
BNP (heart failure) test $155 $239 $107 $39
Bone density scan (DEXA) $357 $549 $107 $39
Bone marrow biopsy $1,774 $2,729 $2,840 $172
Bone scan (nuclear) $1,709 $2,629 $408 $259
Botox for migraine $484 $744 $51 $157
Breast biopsy $2,802 $4,311 $322 $478
Breast reconstruction $44,432 — $14,079 $1,227
Breast reduction $65,475 — $6,784 $980
Breast ultrasound $1,003 $1,544 $107 $92
Breathing tube insertion (intubation) $764 $813 $115 $133
Bunion surgery (bunionectomy) $2,095 $2,090 $221 $883
Burn treatment $329 $344 $24 $129
C-reactive protein (CRP) $73 $112 $14 $5
CA 19-9 tumor marker test $172 $264 $57 $21
CA-125 ovarian marker test $190 $292 $57 $21
Capsule endoscopy $2,442 $3,314 $725 $802
Cardiac ablation $2,859 $21,187 $474 $759
Cardiac catheterization $5,545 $4,818 $451 $1,049
Cardiac rehabilitation $571 $878 $132 $26
Cardiac stress test $328 $492 $18 $39
Cardioversion $677 $690 $102 $155
Carotid artery ultrasound $918 $1,055 $244 $156
Carpal tunnel release $1,360 $1,178 $245 $483
Cataract surgery $12,099 — $2,358 $547
CEA tumor marker test $174 $267 $52 $19
Celiac disease test $195 $300 $31 $12
Central line placement $348 $348 $114 $238
Cesarean section (C-section) $18,469 — $10,624 $7,552
Chemotherapy infusion $192 $295 $78 $81
Chest fluid drain (thoracentesis) $2,439 $2,053 $110 $311
Chest tube insertion $408 $408 $68 $143
Chest X-ray $161 $137 $19 $37
Chickenpox (varicella) vaccine $242 $242 $183 —
Chiropractic adjustment $46 $71 $53 $38
Circumcision $2,007 $2,973 $51 $167
CK-MB heart enzyme test $96 $147 $31 $12
Colon resection (colectomy) $529 $880 $468 $1,238
Colostomy $2,605 $2,605 $389 $1,122
Colposcopy $534 $822 $62 $161
Complete blood count (CBC) $69 $82 $9 $7
Continuous glucose monitor setup $106 $106 $99 $35
Contraceptive implant (Nexplanon) $515 $599 $74 $115
Copper blood test $114 $176 $34 $12
Coronary CT angiography $1,914 $2,945 $356 $326
Cortisol test $159 $245 $44 $16
COVID-19 PCR test $153 $235 $154 $51
CPAP titration study $716 $1,101 $224 $69
Creatine kinase (CK) test $44 $67 $18 $7
CT angiography of the chest $2,376 $3,655 $179 $281
CT angiography of the head $1,914 $2,945 $179 $274
CT scan of the abdomen $1,914 $2,945 $179 $230
CT scan of the abdomen and pelvis $3,669 $5,467 $356 $300
CT scan of the arm $1,221 $1,878 $356 $199
CT scan of the chest $2,443 $5,066 $179 $167
CT scan of the head $1,851 $2,751 $179 $148
CT scan of the leg $1,914 $2,711 $179 $166
CT scan of the lower back (lumbar spine) $1,766 $2,718 $356 $169
CT scan of the neck $1,327 $2,042 $179 $183
CT scan of the neck (cervical spine) $2,310 $3,554 $356 $168
CT scan of the pelvis $1,914 $2,945 $179 $226
CT scan of the sinuses $1,609 $2,476 $179 $152
D-dimer test $85 $131 $28 $10
Defibrillator (ICD) implant $2,995 $51,912 $477 $798
Developmental screening (child) $53 $82 $62 —
DHEA-sulfate test $204 $314 $61 $22
Diagnostic mammogram $347 $534 $223 $140
Dilation and curettage (D&C) $874 $1,022 $95 $298
Drug screen (urine) $114 $175 $61 $17
Ear pressure test (tympanometry) $48 $84 $14 $16
Ear tubes (myringotomy) $2,324 $2,073 $103 $174
Echocardiogram $335 $493 $92 $138
Electrocardiogram (EKG) $63 $63 $16 $8
Electroencephalogram (EEG) $361 $509 $119 $448
Electromyography (EMG) $542 $834 $136 $141
Epidural steroid injection $2,326 $3,578 $49 $275
Estradiol (estrogen) test $232 $357 $76 $28
Facet joint injection (spine) $2,878 $3,771 $66 $99
Fallopian tube X-ray (HSG) $1,077 $1,658 $41 $164
Family therapy session $254 $391 $75 $110
Fecal occult blood (stool) test $161 $247 $26 $10
Fibrinogen test $67 $103 $26 $10
Fibroid removal (myomectomy) $1,995 $1,995 $363 $914
Flu test $90 $138 $17 $17
Flu vaccine $46 $70 $20 —
Folate (folic acid) test $70 $108 $40 $15
Foreign body removal (skin) $354 $446 $40 $157
Free T4 thyroid test $74 $114 $25 $9
FSH hormone test $154 $237 $51 $19
Gallbladder scan (HIDA) $1,057 $1,626 $555 $334
Ganglion cyst removal $943 $943 $143 $321
Glucose tolerance test $69 $106 $13 $8
Group therapy session $548 $843 $104 $30
H. pylori test $560 $861 $183 $67
HDL cholesterol test $69 $106 $22 $8
Hearing test (audiometry) $97 $469 $36 $36
Hemodialysis $311 $311 $128 $75
Hemoglobin A1c (diabetes test) $87 $134 $10 $10
Hepatitis B vaccine $144 $188 $74 —
Hepatitis C test $119 $183 $39 $14
Hip fracture repair $2,710 $2,710 $496 $1,120
Holter heart monitor $643 $989 $32 $26
Home sleep apnea test $1,433 $1,737 $186 $123
Hydrocele repair $29,207 — $3,658 $315
IUD insertion $154 $194 $72 —
IV infusion therapy $309 $304 $60 $44
IVC filter placement $25,530 $28,086 $5,685 $1,885
Kidney biopsy $3,115 $4,792 $1,687 $492
Kidney scan (nuclear) $2,217 $3,410 $555 $172
Kidney ultrasound $679 $774 $202 $84
Knee arthroscopy $2,191 $1,906 $244 $524
Knee replacement $64,796 — $22,875 $18,054
LDH test $32 $49 $16 $6
LDL cholesterol test $79 $122 $29 $11
Leg artery angiogram $5,174 $7,960 $3,226 $149
Leg artery angioplasty $11,162 $17,173 $4,889 —
Leg vein ultrasound (Doppler) $879 $1,353 $107 $150
LH hormone test $153 $236 $50 $19
Lipase test $65 $100 $19 $7
Liver biopsy $3,107 $4,780 $1,687 $288
Liver function panel $72 $110 $22 $8
Lung scan (V/Q) $1,446 $2,224 $555 $291
MMR vaccine $156 $156 $95 —
MRA of the brain $7,144 $6,017 $454 $226
MRA of the neck $3,216 $4,948 $356 $245
MRI of the abdomen $2,051 $3,156 $356 $300
MRI of the ankle $3,351 $5,155 $356 $261
MRI of the brain $2,068 $3,182 $356 $269
MRI of the chest $2,510 $3,862 $356 $371
MRI of the knee $5,929 $9,121 $557 $315
MRI of the lower back (lumbar spine) $3,152 $4,849 $356 $270
MRI of the mid-back (thoracic spine) $3,150 $4,846 $356 $271
MRI of the neck (cervical spine) $3,307 $5,088 $356 $274
MRI of the pelvis $2,608 $4,012 $356 $268
MRI of the shoulder $4,842 $7,502 $356 $313
MRI of the wrist $4,238 $6,521 $356 $330
Nebulizer breathing treatment $175 $269 $17 $9
Nerve conduction study $479 $721 $123 $118
Newborn hospital care $148 $148 $69 $58
Nuclear cardiac stress test $3,736 $5,747 $321 $428
Occupational therapy evaluation $229 $353 $231 $101
Office visit (established patient) $209 $209 $67 $115
Office visit (new patient) $307 $307 $120 $177
Orthopedic hardware removal $1,446 $1,573 $149 $632
Pacemaker insertion $60,067 — $18,571 $15,506
Pap smear (cervical screening) $170 $262 $55 $20
Parathyroid hormone (PTH) test $185 $284 $112 $41
Pelvic ultrasound $875 $1,126 $107 $78
PET scan $2,721 $4,186 $1,461 —
Physical therapy evaluation $395 $608 $302 $98
Pneumonia vaccine $272 $355 $131 —
Pregnancy blood test (hCG) $103 $158 $20 $8
Pregnancy ultrasound $875 $1,346 $107 $126
Procalcitonin test $120 $184 $74 $27
Prolactin test $161 $248 $53 $19
Prostate biopsy $3,589 $2,994 $174 —
Prostate surgery (TURP) $2,089 $2,323 $388 $526
Psychiatric evaluation $418 $644 $152 $188
Psychotherapy session $251 $266 $102 $140
Radiofrequency nerve ablation $2,257 $3,256 $158 $462
Retinal (fundus) photography $67 $67 $23 $37
Rheumatoid factor test $26 $40 $17 $6
RSV vaccine $658 $532 $307 —
Scoliosis spine X-ray $176 $270 $107 $58
Screening colonoscopy $705 $870 $137 $378
Screening mammogram $213 $327 $223 $126
Scrotal ultrasound $875 $1,346 $107 $99
Sedimentation rate (ESR) test $31 $48 $7 $3
Semen analysis $42 $64 $33 $12
Sex hormone binding globulin test $201 $309 $59 $22
Shoulder arthroscopy $3,554 $3,554 $467 $962
Simple wound stitches $510 $542 $27 $127
Skin cancer lesion removal $783 $925 $74 $240
Skin graft $1,975 $1,615 $293 $898
Skin lesion freezing (cryotherapy) $51 $52 $18 $36
Skin tag removal $231 $356 $31 $92
Sleep study (polysomnography) $2,220 $1,868 $498 $691
Small bowel resection $2,648 $2,648 $408 $1,136
Soft tissue ultrasound $875 $751 $58 $64
Speech therapy $663 $573 $302 $76
Spinal cord stimulator $3,901 $21,891 $171 $2,388
Spinal tap (lumbar puncture) $192 $192 $28 $165
Spine fracture repair (kyphoplasty) $14,040 $21,600 $7,413 $5,803
Strabismus (eye muscle) surgery $28,352 — $2,429 $475
Strep throat test $118 $181 $17 $17
Stress echocardiogram $971 $1,145 $135 $209
Swallow study $217 $334 $237 $85
T3 thyroid test $118 $182 $39 $14
Tdap (tetanus) vaccine $85 $84 $46 —
Testosterone test $215 $330 $70 $26
Thyroid removal (thyroidectomy) $2,000 $2,000 $320 $1,004
Thyroid ultrasound $471 $725 $107 $109
Thyroid uptake scan $1,090 $1,677 $408 $145
Tilt table test $586 $598 $89 $168
Tracheostomy $670 $670 $115 $273
Transesophageal echocardiogram (TEE) $642 $987 $219 $239
Transvaginal ultrasound $1,189 $1,346 $107 $118
Trigger finger release $679 $679 $128 $630
Trigger point injection $852 $818 $20 $56
Triglycerides test $31 $48 $16 $6
Turning a breech baby (version) $329 $329 $106 $94
Ulnar nerve surgery (elbow) $2,738 $2,306 $256 $575
Upper GI endoscopy (EGD) $503 $446 $69 $371
Upper GI series (barium) $880 $1,354 $179 $128
Ureteral stent placement $33,780 — $3,601 $373
Ureteroscopy (stone removal) $34,204 — $5,478 $365
Uric acid (gout) test $29 $45 $12 $5
Urinalysis $82 $70 $3 $3
Urine microalbumin test $43 $64 $14 $5
Urine pregnancy test $79 $122 $9 $9
Vaccine administration $33 $39 $17 $19
Vaginal delivery $8,480 — $8,052 $5,487
Vasectomy $4,225 $6,500 $2,136 $347
Vitamin B12 test $73 $112 $41 $15
Vitamin D test $245 $377 $81 $30
Wart removal $270 $391 $34 $121
Well-child visit $136 $160 $80 —
Wound debridement $701 $712 $54 $186
X-ray of the abdomen $144 $221 $24 $36
X-ray of the ankle $333 $359 $26 $37
X-ray of the collarbone $276 $424 $23 $33
X-ray of the elbow $262 $214 $24 $33
X-ray of the foot $571 $608 $31 $34
X-ray of the forearm $539 $560 $26 $29
X-ray of the hand $335 $282 $26 $38
X-ray of the hip $94 $125 $30 $49
X-ray of the knee $339 $397 $38 $42
X-ray of the lower back (lumbar spine) $443 $567 $33 $47
X-ray of the lower leg $250 $385 $27 $31
X-ray of the neck (cervical spine) $59 $81 $20 $47
X-ray of the pelvis $319 $288 $31 $36
X-ray of the ribs $203 $312 $30 $42
X-ray of the shoulder $386 $390 $33 $36
X-ray of the skull $178 $464 $26 $40
X-ray of the upper arm $90 $90 $24 $32
Zinc blood test $76 $117 $31 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.