MERCYONE DYERSVILLE MEDICAL CENTER
Critical Access Hospitals
16
Procedure Prices at MERCYONE DYERSVILLE MEDICAL CENTER
INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE
CPT 36415
$2.85
BLOOD TEST, COMPREHENSIVE GROUP OF BLOOD CHEMICALS
CPT 80053
$5.35
EKG Tracing
CPT 93005
$5.67
COMPLETE BLOOD CELL COUNT (RED CELLS, WHITE BLOOD CELL, PLATELETS), AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT
CPT 85025
$6.72
Chest X-Ray (1 view)
CPT 71045
$13.07
Chest X-Ray (2 views)
CPT 71046
$20.37
Therapeutic Exercises
CPT 97110
$22.31
ER Visit — Moderate Complexity
CPT 99284
$50
ER Visit — Low-Moderate Complexity
CPT 99283
$54.53
Diagnostic Mammogram (unilateral)
CPT 77065
$82.07
Screening Mammogram (bilateral)
CPT 77067
$83.86
ER Visit — High Complexity
CPT 99285
$83.99
CT Chest
CPT 71250
$103.07
Diagnostic Mammogram (bilateral)
CPT 77066
$103.91
CT Abdomen & Pelvis
CPT 74177
$163.63
Colonoscopy
CPT 45378
$695.72
Cataract Surgery
CPT 66984
$1,908.73
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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.