MercyOne Dyersville Medical Center
1111 Third St. SW, Dyersville, IA 52040
This hospital publishes its prices in a machine-readable file, as federal law requires. Below are the consumer procedures we track from that file. Prices come from the file dated March 31, 2026. See the hospital's own source file.
Procedures and cash prices (25)
| Procedure | Cash price | List price |
|---|---|---|
| CT abdomen and pelvis with contrast CPT 74177 | $3,664.05 | $5,637 |
| CT abdomen and pelvis without contrast CPT 74176 | $3,052.40 | $4,696 |
| CT chest with contrast CPT 71260 | $1,812.20 | $2,788 |
| CT chest without contrast CPT 71250 | $1,441.70 | $2,218 |
| CT head without contrast CPT 70450 | $1,368.25 | $2,105 |
| Colonoscopy CPT 45378 | $4,941.79 | Not published |
| Colonoscopy with biopsy CPT 45380 | $3,872.86 | Not published |
| Complete blood count (CBC) CPT 85025 | $72.80 | $112 |
| Comprehensive metabolic panel CPT 80053 | $126.10 | $194 |
| ER visit level 3 CPT 99283 | $602.55 | $927 |
| ER visit level 4 CPT 99284 | $832 | $1,280 |
| ER visit level 5 CPT 99285 | $958.75 | $1,475 |
| Electrocardiogram (ECG) CPT 93005 | $159.25 | $245 |
| Hemoglobin A1c (diabetes) CPT 83036 | $79.30 | $122 |
| Lipid panel (cholesterol) CPT 80061 | $110.50 | $170 |
| Office visit established patient level 3 CPT 99213 | $118.30 | $182 |
| Office visit established patient level 4 CPT 99214 | $167.70 | $258 |
| Physical therapy evaluation CPT 97161 | $222.95 | $343 |
| TSH (thyroid) CPT 84443 | $124.80 | $192 |
| Therapeutic exercises (per session) CPT 97110 | $129.35 | $199 |
| Urinalysis CPT 81001 | $44.20 | $68 |
| X-ray chest 1 view CPT 71045 | $167.70 | $258 |
| X-ray chest 2 views CPT 71046 | $206.70 | $318 |
| X-ray knee 3 views CPT 73562 | $212.55 | $327 |
| X-ray lumbar spine 2-3 views CPT 72100 | $286 | $440 |