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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Mercyone Dyersville Medical Center

1111 3RD ST SW, Dyersville, IA 52040

CMS Overall Rating No CMS Rating
Factual Overview

Mercyone Dyersville Medical Center is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Dyersville, IA. Mapped commercial insurance prices across 67 procedures average 8.86x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 13 Beds Teaching Status: Non-Teaching Annual Discharges: 39

Patient Experience

Recommendation Rate: 85% High Patient Rating: 73% ER Wait Time (Med): 103 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 67 codes Avg Markup vs Medicare: 8.86x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Colonoscopy (diagnostic)
CPT Code: 45378
 $4,942 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $3,873 Calc
Cataract surgery with lens implant
CPT Code: 66984
 $5,699 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,368 Calc
CT scan, sinuses
CPT Code: 70486
 $1,275 Calc
X-ray, chest (single view)
CPT Code: 71045
 $168 Calc
X-ray, chest (two views)
CPT Code: 71046
 $207 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,442 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $252 Calc
X-ray, lower back
CPT Code: 72110
 $369 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,506 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,517 Calc
X-ray, pelvis
CPT Code: 72170
 $227 Calc
CT scan, pelvis
CPT Code: 72192
 $1,291 Calc
X-ray, shoulder
CPT Code: 73030
 $322 Calc
X-ray, hand
CPT Code: 73130
 $254 Calc
X-ray, hip
CPT Code: 73502
 $222 Calc
X-ray, ankle
CPT Code: 73610
 $340 Calc
X-ray, foot
CPT Code: 73630
 $283 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,052 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,664 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $446 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $384 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $276 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $126 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $110 Calc
Blood test, liver function panel
CPT Code: 80076
 $110 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $44 Calc
Blood test, amylase
CPT Code: 82150
 $72 Calc
Blood test, vitamin D
CPT Code: 82306
 $175 Calc
Blood test, calcium
CPT Code: 82310
 $64 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $42 Calc
Blood test, vitamin B12
CPT Code: 82607
 $95 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $107 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $36 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $79 Calc
Blood test, lipase
CPT Code: 83690
 $83 Calc
Blood test, magnesium
CPT Code: 83735
 $70 Calc
Blood test, potassium
CPT Code: 84132
 $44 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $122 Calc
Blood test, sodium
CPT Code: 84295
 $40 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $125 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $42 Calc
Blood test, hemoglobin
CPT Code: 85018
 $282 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $73 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $58 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $221 Calc
Hepatitis C antibody test
CPT Code: 86803
 $127 Calc
Blood antibody screen
CPT Code: 86850
 $86 Calc
Culture, blood
CPT Code: 87040
 $119 Calc
Culture, bacterial
CPT Code: 87070
 $95 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $491 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $500 Calc
Group therapy session
CPT Code: 90853
 $502 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $246 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $159 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $198 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $129 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $129 Calc
Physical therapy (gait training)
CPT Code: 97116
 $92 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $129 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $129 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $94 Calc
Orthotic fitting and training
CPT Code: 97760
 $129 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $164 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $118 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $168 Calc