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 |
|---|---|---|---|---|
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $13,542.70 | $13,542.70 | $301.83 – $13,542.70 | 119 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,460.50 | $2,460.50 | $15.28 – $2,460.50 | 119 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $127.00 | $127.00 | $15.00 – $79.35 | 102 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $33,713.70 | $33,713.70 | $52.34 – $33,713.70 | 34 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,648.65 | $18,648.65 | $2.96 – $932.45 | 119 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,410.00 | $34,410.00 | $230.33 – $34,410.00 | 119 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $308.50 | $308.50 | $78.98 – $308.50 | 31 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $58,308.84 | $700.00 | $75.09 – $13,097.50 | 770 |
| Dch pulmonary stress test CPT 94621 | $884.00 | $1,360.00 | $42.60 – $1,360.00 | 780 |
| Dch validity tests CPT 81002 | $13.65 | $21.00 | $2.78 – $21.00 | 780 |
| Deamidated gliadin antibody iga CPT 86258 | $141.70 | $218.00 | $11.68 – $218.00 | 48 |
| Debridement (>20 cm) charge pt CPT 97598 | $4,109.00 | $353.00 | $15.34 – $880.71 | 780 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,200.90 | $3,386.00 | $68.51 – $3,578.15 | 781 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $466.05 | $717.00 | $3.83 – $717.00 | 780 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $7,277.57 | $1,907.00 | $15.34 – $1,907.00 | 781 |
| Debride nail1-5 11720 CPT 11720 | $345.00 | $100.00 | $25.60 – $127.81 | 118 |
| Debride nail6 or more 11721 CPT 11721 | $44.85 | $69.00 | $17.66 – $127.81 | 118 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $11,956.02 | $753.00 | $15.20 – $753.00 | 780 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $204.75 | $315.00 | $53.76 – $434.67 | 118 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $51,856.87 | not published | $0.96 – $7,088.72 | 89 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,345.00 | $1,855.00 | $5.64 – $1,855.00 | 781 |
| Decalcification CPT 88311 | $38.35 | $59.00 | $8.47 – $59.00 | 31 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $459.90 | $459.90 | $117.73 – $459.90 | 31 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $996.45 | $1,533.00 | $319.60 – $1,533.00 | 118 |
| Decompressive craniotomy CPT 61322 | $8,052.13 | $7,175.00 | $772.16 – $7,175.00 | 767 |
| Decompress spinal cord lmbr CPT 63056 | $4,486.00 | $4,486.00 | $482.77 – $4,250.30 | 767 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $65.35 | $65.35 | $9.02 – $65.35 | 101 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,556.35 | $4,556.35 | $4.36 – $4,556.35 | 119 |
| Delivery of placenta 59414 CPT 59414 | $3,274.05 | $5,037.00 | $1,289.47 – $7,013.16 | 118 |
| Demonstrate use home inr mon HCPCS G0248 | $242.00 | $242.00 | $36.10 – $288.44 | 779 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $503.00 | $228.00 | $13.45 – $474.41 | 779 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $15,865.45 | $15,865.45 | $13.96 – $11,252.60 | 779 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $562.00 | $562.00 | $21.53 – $390.57 | 766 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $0.05 | $0.08 | $0.02 – $0.08 | 31 |
| Description not available HCPCS S0013 | $6,256.50 | not published | $1,251.60 – $1,251.60 | 71 |
| Design mlc device for imrt CPT 77338 | $30,903.00 | $1,836.00 | $16.08 – $1,836.00 | 780 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,478.20 | $1,478.20 | $13.20 – $51.55 | 31 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $420.25 | $286.00 | $26.10 – $434.67 | 780 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $392.00 | $400.00 | $38.13 – $434.67 | 780 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $271.70 | $418.00 | $107.01 – $434.67 | 118 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $349.00 | $349.00 | $32.14 – $434.67 | 780 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $401.00 | $401.00 | $38.47 – $434.67 | 780 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $2,001.00 | $262.00 | $22.79 – $288.44 | 780 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $287.00 | $287.00 | $24.54 – $434.67 | 782 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $366.00 | $366.00 | $35.57 – $434.67 | 780 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $405.00 | $405.00 | $39.30 – $434.67 | 780 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $2,001.00 | $210.00 | $15.87 – $288.44 | 780 |
| Destroy vulva lesion simple 56501 CPT 56501 | $403.00 | $403.00 | $35.20 – $403.00 | 766 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $455.00 | $273.00 | $17.78 – $434.67 | 782 |
| Destruction 2-14 lesions 17003 CPT 17003 | $603.00 | $26.00 | $1.28 – $434.67 | 782 |
| Destruction benign lesions < 14 lesions CPT 17110 | $639.00 | $222.00 | $12.62 – $434.67 | 782 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $4,834.25 | $977.00 | $166.66 – $4,230.54 | 118 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,161.90 | $3,326.00 | $567.55 – $4,230.54 | 118 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $474.00 | $474.00 | $63.47 – $880.71 | 782 |
| Destruction vag lesions simple 57061 CPT 57061 | $6,449.30 | $9,922.00 | $2,540.03 – $9,922.00 | 118 |
| Developmental screen/score/document 96110 CPT 96110 | $122.00 | $122.00 | $6.53 – $122.00 | 569 |
| Devel tst phys/qhp 1st hr CPT 96112 | $381.00 | $451.00 | $62.93 – $431.00 | 781 |
| Device ablt adv novasure HCPCS C1886 | $6,237.48 | $9,596.13 | $111.50 – $435.55 | 31 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,599.67 | $3,999.50 | $835.26 – $3,262.75 | 31 |
| Device intraute mirena HCPCS J7298 | $6,362.20 | $6,362.20 | $647.95 – $6,362.20 | 552 |
| Device sut capio slim opn HCPCS C2631 | $1,534.26 | $2,360.40 | $271.20 – $1,059.37 | 31 |
| Device tiss remov myosure reach HCPCS C1782 | $3,961.70 | $6,094.92 | $272.64 – $1,064.99 | 31 |
| Devlopment test interpt&rep HCPCS G0451 | $65.65 | $101.00 | $25.86 – $586.00 | 31 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $225.00 | $225.00 | $28.56 – $225.00 | 781 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $180.70 | $278.00 | $71.17 – $278.00 | 119 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | $21.00 | $21.00 | $5.38 – $21.00 | 31 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $1.00 | $1.00 | $0.16 – $1.00 | 101 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $25.95 | $27.45 | $0.09 – $3.00 | 778 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $689.90 | $689.90 | $32.09 – $344.95 | 119 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.00 | $20.00 | $5.12 – $20.00 | 31 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $20.00 | $20.00 | $5.12 – $20.00 | 31 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $35.00 | $35.00 | $8.96 – $35.00 | 31 |
| Dextrose 5 % IV bolus HCPCS J7070 | $34.50 | $34.50 | $4.48 – $17.50 | 31 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $145.60 | $224.00 | $21.54 – $224.00 | 48 |
| Diabetes (HbA1c) Test CPT 83036 | $550.00 | $102.00 | $6.80 – $76.00 | 780 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $49.00 | $49.00 | $5.64 – $42.04 | 765 |
| Diag laparo separate proc 49320 CPT 49320 | $58,543.15 | $1,182.00 | $1.92 – $13,097.50 | 768 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $96.85 | $149.00 | $38.14 – $288.25 | 118 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $130.00 | $200.00 | $51.20 – $432.44 | 118 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $421.20 | $648.00 | $98.79 – $648.00 | 48 |
| Diagnostic Mammogram (one breast) CPT 77065 | $295.10 | $454.00 | $77.11 – $454.00 | 48 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,593.55 | $7,067.00 | $1,809.15 – $7,067.00 | 30 |
| Dialysis one evaluation CPT 90945 | $745.55 | $1,147.00 | $293.63 – $1,147.00 | 119 |
| Dialysis repeated eval CPT 90947 | $2,002.65 | $3,081.00 | $788.74 – $3,081.00 | 31 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $111.85 | $111.85 | $28.63 – $111.85 | 31 |
| Diffusing capacity CPT 94729 | $178.10 | $274.00 | $5.54 – $274.00 | 781 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $11.50 | $11.50 | $0.81 – $4.00 | 101 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,725.30 | $13,725.30 | $3,513.68 – $13,725.30 | 102 |
| Digoxin total therapeutic drug level CPT 80162 | $82.55 | $127.00 | $12.87 – $127.00 | 48 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $92.00 | $92.00 | $23.55 – $92.00 | 31 |
| Dilate esophagus 1/mult pass CPT 43450 | $9,526.30 | not published | $877.59 – $1,964.96 | 88 |
| Dilator fascial 10fx20cm HCPCS C2627 | $274.98 | $423.05 | $11.84 – $46.25 | 31 |
| Dilat xst trc new access rcs CPT 50437 | $7,634.25 | $11,745.00 | $2,004.74 – $7,831.00 | 30 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $41.90 | $41.90 | $0.20 – $3.00 | 102 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.40 | $5.40 | $0.54 – $5.40 | 778 |
| Disability dlco CPT 94727 | $129.00 | $176.00 | $7.46 – $467.79 | 780 |
| Disaccharidases CPT 82657 | $526.50 | $810.00 | $21.48 – $810.00 | 48 |
| Dise eval slp do brth flx dx CPT 42975 | $10,817.20 | not published | $1,722.22 – $3,856.11 | 88 |
| Dna antibody native/double stranded CPT 86225 | $88.40 | $136.00 | $9.47 – $37.00 | 48 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $183.75 | $183.75 | $7.98 – $35.10 | 101 |
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.