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Dallas County Hospital

MercyOne
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Hospital Overview
Facility Details

CCN

161322

NPI

1669477089

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Other

Beds

25

Contact Information

Address

610 10th Street

Perry, IA 50220

Phone

(515) 465-3547

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

Aetna

Facility

RC

Specialty Services

Range: 0760 - 0769

Percentage of Bill Charged

Aetna

Facility

RC

Subacute Care

Range: 0190 - 0199

Percentage of Bill Charged

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

Aetna

Facility

RC

Pharmacy (Also see 063X, an extension of 250X)

Range: 0250 - 0259

Percentage of Bill Charged

Aetna

Facility

RC

Pharmacy - Extension of 025X

Range: 0630 - 0639

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Procedures / Professional Services

Range: G0008 - G9987

Negotiated

Very Low

Aetna

Outpatient

HCPCS

Enteral and Parenteral Therapy

Range: B4034 - B9999

Negotiated

Very Low

Aetna

Outpatient

HCPCS

Temporary National Codes (Non-Medicare)

Range: S0012 - S9999

Negotiated

Very Low

Aetna

Outpatient

HCPCS

Prosthetic Procedures

Range: L5000 - L9900

Percentage of Bill Charged

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