MERCYONE DUBUQUE MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at MERCYONE DUBUQUE MEDICAL CENTER
INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE
CPT 36415
$13.17
Therapeutic Activities
CPT 97530
$44.19
Thoracic Spine X-Ray
CPT 72072
$52.93
COMPLETE BLOOD CELL COUNT (RED CELLS, WHITE BLOOD CELL, PLATELETS), AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT
CPT 85025
$56.88
Therapeutic Exercises
CPT 97110
$59.62
Mechanical Traction
CPT 97012
$60.43
Chest X-Ray (2 views)
CPT 71046
$70.04
ER Visit — Low-Moderate Complexity
CPT 99283
$78.64
Screening Mammogram (bilateral)
CPT 77067
$86.46
EKG Tracing
CPT 93005
$90.41
PSYCHOTHERAPY, 1 HOUR
CPT 90837
$114.66
Chest X-Ray (1 view)
CPT 71045
$174.26
BLOOD TEST, COMPREHENSIVE GROUP OF BLOOD CHEMICALS
CPT 80053
$179.02
ER Visit — Moderate Complexity
CPT 99284
$255.41
Diagnostic Mammogram (unilateral)
CPT 77065
$303.45
Diagnostic Mammogram (bilateral)
CPT 77066
$336.97
CT Chest
CPT 71250
$457.17
Abdominal Ultrasound — Limited
CPT 76705
$579.02
OB Ultrasound
CPT 76805
$747.56
Retroperitoneal Ultrasound
CPT 76770
$829.44
CT Abdomen & Pelvis
CPT 74177
$856.6
Abdominal Ultrasound
CPT 76700
$998.75
Colonoscopy
CPT 45378
$1,185.81
ER Visit — High Complexity
CPT 99285
$1,202.73
MRI Brain w/o Contrast
CPT 70551
$1,742.7
Echocardiogram w/ Doppler
CPT 93306
$2,139.9
Colonoscopy w/ Biopsy
CPT 45380
$2,194.04
Upper GI Endoscopy w/ Biopsy
CPT 43239
$2,657.41
MRI Joint of Lower Extremity
CPT 73721
$2,965.45
Cataract Surgery
CPT 66984
$3,389.4
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE
CPT 29827
$3,512.88
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,775.27
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$4,665
MRI Brain w/ Contrast
CPT 70553
$4,874.18
Knee Replacement
CPT 27447
$5,921.43
Knee Arthroscopy
CPT 29881
$6,358.44
Hip Replacement
CPT 27130
$6,445.01
Laparoscopic Hernia Repair
CPT 49650
$7,210.72
Laparoscopic Cholecystectomy
CPT 47562
$7,222.13
Inguinal Hernia Repair
CPT 49505
$10,241.25
Recurrent Inguinal Hernia Repair
CPT 49520
$10,550.25
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.