MercyOne North Iowa Medical Center
1000 4th St. SW, Mason City, IA · MercyOne · · NPI 1467537886
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $57.20 | $88.00 | $22.53 – $88.00 | 48 |
| 17-hydroxypregnenolone CPT 84143 | $63.05 | $97.00 | $22.10 – $97.00 | 48 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $230.00 | $230.00 | $58.36 – $194.00 | 766 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $2,315.00 | $2,315.00 | $604.32 – $1,870.00 | 766 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,018.90 | $3,106.00 | $795.14 – $3,106.00 | 116 |
| 3-d radiotherapy plan CPT 77295 | $6,149.65 | $9,461.00 | $145.05 – $9,461.00 | 780 |
| 3d recon without postprocess indpndt CPT 76376 | $432.90 | $666.00 | $170.50 – $666.00 | 30 |
| 5' nucleotidase - sendout CPT 83915 | $626.60 | $964.00 | $10.80 – $964.00 | 48 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $221.65 | $341.00 | $19.65 – $341.00 | 31 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $185.00 | $201.00 | $32.15 – $201.00 | 570 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $198.00 | $198.00 | $32.15 – $198.00 | 570 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $210.00 | $215.00 | $32.15 – $215.00 | 570 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $170.00 | $170.00 | $16.00 – $170.00 | 571 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $185.00 | $185.00 | $16.00 – $185.00 | 571 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $185.00 | $185.00 | $16.00 – $185.00 | 571 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $214.68 | $210.00 | $16.00 – $210.00 | 571 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $247.00 | $247.00 | $42.50 – $247.00 | 557 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $7,377.95 | $7,377.95 | $43.87 – $7,377.95 | 119 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $65.00 | $100.00 | $11.64 – $100.00 | 48 |
| Abd aorta w/runoff s&i CPT 75630 | $6,602.05 | $10,157.00 | $2,600.19 – $10,157.00 | 119 |
| Abd/low ext cath 1st CPT 36245 | $33,491.13 | $2,977.00 | $2.28 – $6,840.61 | 118 |
| Abd/low ext cath 2nd CPT 36246 | $20,456.62 | $2,754.00 | $2.28 – $6,840.61 | 118 |
| Abd/low ext cath 3rd CPT 36247 | $2,639.65 | $4,061.00 | $692.99 – $2,707.00 | 30 |
| Abd/low ext cath addl CPT 36248 | $414.05 | $637.00 | $163.07 – $637.00 | 30 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,209.00 | $1,860.00 | $34.51 – $1,860.00 | 781 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $2,088.00 | $1,013.00 | $101.16 – $1,013.00 | 119 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,976.00 | $3,040.00 | $169.72 – $3,040.00 | 119 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,569.10 | $2,414.00 | $169.72 – $2,414.00 | 119 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,027.65 | $1,581.00 | $101.16 – $1,581.00 | 119 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,643.20 | $2,528.00 | $209.74 – $2,528.00 | 117 |
| Abdominal MRI (without contrast) CPT 74181 | $1,033.50 | $1,590.00 | $113.77 – $1,590.00 | 117 |
| Abdominal paracentesis w/image guidance CPT 49083 | $4,430.50 | $3,486.00 | $33.55 – $3,486.00 | 781 |
| Abdominal Ultrasound (complete) CPT 76700 | $954.85 | $1,469.00 | $101.16 – $1,469.00 | 119 |
| Abdominal Ultrasound (limited) CPT 76705 | $825.00 | $825.00 | $17.68 – $825.00 | 780 |
| Abdominal X-ray (2 views) CPT 74019 | $330.85 | $6,021.75 | $7.03 – $509.00 | 781 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $308.75 | $475.00 | $101.16 – $475.00 | 119 |
| Abdominal X-ray (single view) CPT 74018 | $241.80 | $372.00 | $5.54 – $372.00 | 781 |
| Abdominoplasty 15830 CPT 15830 | $66,369.15 | not published | $3.84 – $14,385.78 | 89 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $265.00 | $265.00 | $23.22 – $157.00 | 767 |
| Abl1 gene CPT 81170 | $863.85 | $1,329.00 | $290.70 – $1,329.00 | 48 |
| Ablate arrhythmia add on CPT 93655 | $2,813.20 | $4,328.00 | $1,107.97 – $4,328.00 | 30 |
| Ablate heart dysrhythm focus CPT 93650 | $7,927.40 | $12,196.00 | $3,122.18 – $16,897.80 | 118 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $1,007.50 | $1,550.00 | $396.80 – $1,550.00 | 30 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $28,997.45 | $1,184.00 | $9.09 – $481.00 | 118 |
| Ablation cryo abd perit om CPT 49999 | $3,505.45 | $5,393.00 | $1,380.61 – $5,393.00 | 30 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | $21,177.00 | $32,580.00 | $8,340.48 – $32,580.00 | 30 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,056.35 | $7,779.00 | $1,598.08 – $7,779.00 | 118 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $3,671.20 | $5,648.00 | $963.84 – $3,765.00 | 30 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $35,263.45 | $2,532.65 | $0.20 – $4,230.54 | 119 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $202.20 | $202.20 | $17.23 – $202.20 | 101 |
| Acetylcholine receptor modulating antibody CPT 86043 | $45.50 | $70.00 | $11.68 – $70.00 | 48 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $244.95 | $244.95 | $22.20 – $244.95 | 101 |
| Acne surgery 10040 CPT 10040 | $226.00 | $226.00 | $16.62 – $434.67 | 782 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $424.00 | $424.00 | $119.30 – $424.00 | 768 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $332.00 | $332.00 | $94.05 – $332.00 | 768 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $247.00 | $364.00 | $43.00 – $384.54 | 782 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $54.00 | $54.00 | $5.64 – $81.17 | 781 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $22.10 | $34.00 | $8.70 – $350.00 | 45 |
| Actinotherapy uv light CPT 96900 | $29.90 | $46.00 | $11.78 – $350.00 | 119 |
| Acute hepatitis panel CPT 80074 | $1,365.00 | $363.00 | $36.61 – $143.00 | 48 |
| Acyclovir 400 mg tablet HCPCS J8499 | $1.00 | $1.00 | $0.20 – $1.00 | 35 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $10.40 | $10.40 | $0.90 – $4.20 | 101 |
| #acylcarnitineprfl CPT 82017 | $84.50 | $130.00 | $16.35 – $130.00 | 48 |
| Adapter b 8 channel 10cm HCPCS C1883 | $19,860.90 | $30,555.23 | $0.01 – $10.23 | 31 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $695.70 | $695.70 | $1.92 – $7.50 | 31 |
| Adh-sendout CPT 84588 | $72.80 | $112.00 | $28.67 – $112.00 | 48 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,514.00 | $2,514.00 | $245.59 – $4,470.05 | 782 |
| Adjustment gastric band HCPCS S2083 | $11,347.60 | not published | $926.63 – $1,642.36 | 80 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $78.60 | $78.60 | $0.22 – $1.00 | 547 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $588.25 | $905.00 | $69.67 – $905.00 | 119 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $1,834.95 | $2,823.00 | $69.67 – $2,823.00 | 119 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $25,241.75 | $2,188.00 | $9.09 – $2,188.00 | 119 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $12,719.95 | $496.00 | $9.09 – $773.00 | 119 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $138.45 | $213.00 | $54.53 – $773.00 | 119 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $280.15 | $431.00 | $69.67 – $773.00 | 119 |
| Administration immunization each additional component CPT 90461 | $40.00 | $32.00 | $5.04 – $28.00 | 779 |
| Administration immunization each additional vaccine CPT 90472 | $29.00 | $43.00 | $5.04 – $29.00 | 778 |
| Administration immunization first component each vaccine CPT 90460 | $55.00 | $63.00 | $5.04 – $51.69 | 779 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $50.46 | $61.00 | $5.04 – $155.99 | 779 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $30.23 | $36.00 | $5.04 – $23.00 | 778 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $48.19 | $60.00 | $5.04 – $56.18 | 779 |
| Administration vaccine hepatitis b HCPCS G0010 | $703.00 | $88.00 | $5.04 – $113.00 | 119 |
| Administration vaccine influenza virus HCPCS G0008 | $688.00 | $88.00 | $5.04 – $101.45 | 781 |
| Administration vaccine pneumococcal HCPCS G0009 | $1,663.00 | $88.00 | $5.04 – $113.00 | 119 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $56.37 | $56.00 | $5.04 – $45.47 | 779 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $19,916.25 | $19,916.25 | $38.66 – $12,447.70 | 119 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $107.90 | $166.00 | $42.50 – $166.00 | 31 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $18,756.30 | $18,756.30 | $213.59 – $18,756.30 | 119 |
| Albumin body fluid quantitative each specimen CPT 82042 | $42.90 | $66.00 | $7.54 – $66.00 | 48 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $5,435.70 | $871.00 | $20.81 – $889.64 | 119 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $332.50 | $332.50 | $55.68 – $217.50 | 31 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $72.80 | $112.00 | $3.84 – $15.00 | 48 |
| Albumin serum plasma or whole blood CPT 82040 | $1,052.00 | $66.00 | $4.79 – $217.31 | 119 |
| Albuterol ipratrop non-comp HCPCS J7620 | $2.64 | $1.00 | $0.12 – $1.00 | 765 |
| Albuterol non-comp unit HCPCS J7613 | $1.00 | $1.00 | $0.05 – $1.00 | 765 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $94.90 | $146.00 | $16.74 – $146.00 | 48 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $89,232.75 | $89,232.75 | $2,398.16 – $89,232.75 | 119 |
| Alkaline phosphatase CPT 84075 | $40.95 | $63.00 | $5.02 – $63.00 | 48 |
| Allergen alpha lactalbumin ige CPT 86008 | $674.00 | $48.00 | $9.09 – $48.00 | 48 |
| Allergen egg white ige CPT 86003 | $1,117.00 | $44.00 | $5.06 – $44.00 | 48 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.