Pq kyphplsty 1 bdy lumb w/img at MercyOne North Iowa Medical Center

1000 4th St. SW, Mason City, IA · MercyOne · · NPI 1467537886

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$21,852.35

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$33,619.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$7,021.09 with IOWA TOTAL CARE vs $33,619.00 with CRIME VICTIM ASSISTANCE — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $7,021.09 ↓ -68%
MOLINA MEDICAID MOLINA MEDICAID $7,089.92 ↓ -68%
WELLPOINT MEDICAID WELLPOINT MEDICAID $7,117.46 ↓ -67%
BLUE CROSS - ID WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - VT WELLMARK PPO $7,413.38 ↓ -66%
KAISER DOMESTIC WELLMARK PPO $7,413.38 ↓ -66%
BLUE SHIELD - WA (REGENCE) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - IL WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - PA (CAPITAL) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - AR WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - NM WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - IN (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $7,413.38 ↓ -66%
BCN DOMESTIC WELLMARK PPO $7,413.38 ↓ -66%
BCBS GENERIC WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - NV (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - OK WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS DOMESTIC WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - NY (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - CT (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - MS WELLMARK PPO $7,413.38 ↓ -66%
PRE-EMPLOYMENT WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - LA WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - TX WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - SC WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - MI WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - MT WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - RI WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - TN WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - FEDERAL WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - NC WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - IL ALTERNATE WELLMARK PPO $7,413.38 ↓ -66%
BLUE CARE NETWORK WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - AZ WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - HI WELLMARK PPO $7,413.38 ↓ -66%
BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - GA (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - VA (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - UT (REGENCE) WELLMARK PPO $7,413.38 ↓ -66%
BLUE SHIELD - CA WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - IA (WELLMARK) WELLMARK HMO $7,413.38 ↓ -66%
BLUE CROSS - IA (WELLMARK) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - CA (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - AK (PREMERA) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $7,413.38 ↓ -66%
BLUE DISTINCTION TRANSPLANT WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - MA WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - WI (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - NH (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - CO (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - SD (WELLMARK) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - OR (REGENCE) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - NJ (HORIZON) WELLMARK PPO $7,413.38 ↓ -66%
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - ME (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
WC DOMESTIC WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - MN WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - NE WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - OH (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - FL WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - WY WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - KY (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $7,413.38 ↓ -66%
BLUE SHIELD - ID (REGENCE) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - ND WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - KS WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - MO (ANTHEM) WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - AL WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - WA (PREMERA) WELLMARK PPO $7,413.38 ↓ -66%
BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $7,413.38 ↓ -66%
BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $7,413.38 ↓ -66%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $7,664.69 ↓ -65%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $7,664.69 ↓ -65%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $7,664.69 ↓ -65%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $7,741.34 ↓ -65%
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE SOUTH COUNTRY MEDICARE ADVANTAGE $7,817.98 ↓ -64%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $7,817.98 ↓ -64%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $7,899.32 ↓ -64%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $7,977.53 ↓ -63%
HEALTH CHOICES MEDICAL ASSOCIATES $8,606.46 ↓ -61%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $8,606.46 ↓ -61%
CENTIVO CENTIVO $9,619.97 ↓ -56%
OSCAR OSCAR $10,309.01 ↓ -53%
AMISH HOSPITAL AID AMISH HOSPITAL AID $10,402.08 ↓ -52%
AMBETTER AMBETTER MARKETPLACE $13,139.47 ↓ -40%
CLAIMDOC CLAIMDOC $15,720.43 ↓ -28%
NOVA CLAIMDOC $15,720.43 ↓ -28%
LUMINARE HEALTH AETNA $17,649.98 ↓ -19%
LUCENT HEALTH AETNA $17,649.98 ↓ -19%
AETNA AETNA $17,649.98 ↓ -19%
ASR HEALTH BENEFITS AETNA $17,649.98 ↓ -19%
MEDICAL MUTUAL AETNA $17,649.98 ↓ -19%
1199 NATIONAL BENEFIT FUND AETNA $17,649.98 ↓ -19%
FIRST HEALTH AETNA $17,649.98 ↓ -19%
AETNA EAP AETNA $17,649.98 ↓ -19%
WEBTPA AETNA $17,649.98 ↓ -19%
AETNA DOMESTIC AETNA $17,649.98 ↓ -19%
COVENTRY AETNA $17,649.98 ↓ -19%
MERITAIN AETNA $17,649.98 ↓ -19%
ALLIED BENEFIT SYSTEMS AETNA $17,649.98 ↓ -19%
CHRISTIAN BROTHER SERVICES AETNA $17,649.98 ↓ -19%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $17,649.98 ↓ -19%
PREFERRED ONE PREFERRED ONE $21,852.35 ↑ +0%
HEALTH PARTNERS HEALTH PARTNERS $22,491.11 ↑ +3%
CIGNA MIDLANDS CHOICE PPO $23,533.30 ↑ +8%
MIDLANDS MIDLANDS CHOICE PPO $23,533.30 ↑ +8%
CIGNA EAP MIDLANDS CHOICE PPO $23,533.30 ↑ +8%
MEDICA MIDLANDS CHOICE PPO $23,533.30 ↑ +8%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $23,533.30 ↑ +8%
AUXIANT MIDLANDS CHOICE PPO $23,533.30 ↑ +8%
MHNET MENTAL HEALTH ASSOCIATES $26,895.20 ↑ +23%
MULTIPLAN MULTIPLAN $30,257.10 ↑ +38%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $33,619.00 ↑ +54%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $33,619.00 ↑ +54%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $33,619.00 ↑ +54%

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Pq kyphplsty 1 bdy lumb w/img at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $8,534.40 $6,838.12 – $7,396.35
MercyOne Dubuque Medical Center Dubuque $30,159.09 $3.36 – $14,498.57
MercyOne Des Moines Medical Center Des Moines $6,135.00 $21.64 – $164.32
MercyOne Newton Medical Center Newton $20,954.78 $0.96 – $18,232.00
MercyOne Genesis Davenport Medical Center Davenport $9,857.40 $6,838.12 – $9,573.37
MercyOne Genesis DeWitt Medical Center DeWitt $1,077.60 $928.00 – $2,679.00
MercyOne Waterloo Medical Center Waterloo $14,430.00 $5,217.00 – $22,200.00
UnityPoint Health - Allen Hospital Waterloo $16,062.40 $421.64 – $8,763.28

All Iowa hospitals for this procedure →