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 |
|---|---|---|---|---|
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $391.00 | $391.00 | $32.80 – $391.00 | 101 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $65.00 | $65.00 | $6.60 – $35.90 | 101 |
| Doppler echo complete CPT 93320 | $494.00 | $760.00 | $194.56 – $974.00 | 31 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $29,205.49 | $2,517.00 | $9.09 – $12,330.65 | 118 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $559.00 | $860.00 | $208.93 – $860.00 | 119 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,104.00 | $810.00 | $128.74 – $810.00 | 119 |
| Dornhoffer fixed part w/window HCPCS L8614 | $20,628.52 | $31,736.18 | $351.21 – $1,371.90 | 31 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $36,812.65 | $36,812.65 | $229.63 – $36,812.65 | 119 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,578.20 | $1,578.20 | $5.96 – $93.40 | 101 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $551.90 | $551.90 | $141.29 – $551.90 | 34 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $76.70 | $76.70 | $12.00 – $76.70 | 102 |
| Dpyd gene common variants CPT 81232 | $399.75 | $615.00 | $157.44 – $615.00 | 45 |
| Drainage mouth roof lesion CPT 42000 | $401.00 | $401.00 | $20.90 – $401.00 | 767 |
| Drainage of kidney lesion CPT 50390 | $3,328.65 | $5,121.00 | $685.18 – $3,414.00 | 118 |
| Drain blood from under nail 11740 CPT 11740 | $133.00 | $133.00 | $10.14 – $133.00 | 766 |
| Drain cath image guided visceral pq CPT 49405 | $5,241.60 | $8,064.00 | $1,598.08 – $8,064.00 | 118 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $138.44 | $212.98 | $54.52 – $212.98 | 31 |
| Drain finger abscess;simple 26010 CPT 26010 | $1,249.00 | $611.00 | $16.58 – $611.00 | 782 |
| Drain ovarn cyst abd CPT 58805 | $1,697.00 | $1,289.00 | $137.39 – $1,289.00 | 767 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $1,145.00 | $816.00 | $13.13 – $816.00 | 780 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $978.05 | $1,504.70 | $18.52 – $92.61 | 39 |
| Drng of eyelid abscess 67700 CPT 67700 | $492.00 | $507.00 | $27.42 – $687.65 | 782 |
| Drng of scrotum abscess 55100 CPT 55100 | $602.00 | $602.00 | $18.75 – $523.00 | 767 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $32.80 | $32.80 | $5.36 – $32.80 | 101 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $3,826.54 | $5,886.99 | $174.42 – $681.34 | 31 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $156.82 | $241.26 | $48.25 – $241.26 | 39 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $34.84 | $53.60 | $8.73 – $43.65 | 39 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $41.79 | $64.30 | $12.11 – $60.55 | 39 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $80.11 | $123.24 | $27.27 – $106.53 | 31 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $0.47 | $0.73 | $0.19 – $0.73 | 31 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $94.94 | $146.06 | $28.71 – $112.15 | 31 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $46.92 | $72.19 | $11.93 – $46.60 | 31 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $6,228.55 | $9,582.38 | $18.43 – $74.31 | 39 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $16.74 | $25.75 | $1.00 – $3.91 | 31 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $247.88 | $381.35 | $51.08 – $199.54 | 31 |
| Drug admin & hemodynmic meas CPT 93463 | $1,090.70 | $1,678.00 | $429.57 – $1,678.00 | 30 |
| Drug assay posaconazole CPT 80187 | $53.30 | $82.00 | $20.99 – $82.00 | 48 |
| Drug assay rufinamide CPT 80210 | $61.10 | $94.00 | $24.06 – $94.00 | 48 |
| Drug assay vedolizumab CPT 80280 | $253.50 | $390.00 | $37.37 – $390.00 | 48 |
| Drug assay voriconazole CPT 80285 | $121.55 | $187.00 | $26.27 – $187.00 | 48 |
| Drug of abuse screen urine CPT 80305 | $72.15 | $111.00 | $8.98 – $111.00 | 780 |
| Drug test def 1-7 classes HCPCS G0480 | $950.00 | not published | $9.09 – $230.00 | 20 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,395.00 | $424.00 | $9.09 – $424.00 | 119 |
| Drvvt confirm - quest CPT 85597 | $234.00 | $360.00 | $17.42 – $360.00 | 48 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $670.00 | $670.00 | $64.86 – $880.71 | 780 |
| Duplex scan bilateral study 93985 CPT 93985 | $573.30 | $882.00 | $225.79 – $882.00 | 119 |
| Duplex scan unilateral study 93986 CPT 93986 | $200.20 | $308.00 | $78.85 – $308.00 | 119 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $244.40 | $376.00 | $96.26 – $699.00 | 119 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $821.60 | $1,264.00 | $208.93 – $1,264.00 | 119 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $688.35 | $1,059.00 | $230.87 – $1,059.00 | 119 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,503.57 | $2,313.19 | $155.91 – $609.04 | 31 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $171.82 | $264.34 | $6.98 – $27.25 | 31 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,206.10 | $13,206.10 | $81.58 – $3,169.50 | 119 |
| Dx bronchoscope/brush 31623 CPT 31623 | $37,329.90 | $422.00 | $41.32 – $8,077.38 | 768 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $25,241.95 | $4,368.00 | $31.45 – $4,368.00 | 780 |
| Dx bronchoscope/wash 31622 CPT 31622 | $18,905.13 | $4,240.00 | $6.65 – $4,240.00 | 781 |
| Ear irrigation 69209 CPT 69209 | $352.00 | $108.00 | $4.75 – $127.81 | 781 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $130.65 | $201.00 | $51.46 – $350.00 | 48 |
| Ecg < 30 days transmission & analysis CPT 93271 | $396.50 | $610.00 | $91.99 – $974.00 | 119 |
| Ecg external < 48 hours recording CPT 93225 | $1,737.00 | $683.00 | $11.54 – $683.00 | 779 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,737.00 | $1,054.00 | $57.08 – $1,054.00 | 119 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $921.00 | $921.00 | $36.14 – $974.00 | 119 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $921.00 | $921.00 | $36.14 – $974.00 | 119 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,825.20 | $2,808.00 | $528.71 – $2,808.00 | 119 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $714.35 | $1,099.00 | $15.55 – $1,099.00 | 780 |
| Echocardiography doppler color flow mapping CPT 93325 | $4,205.60 | $849.00 | $217.34 – $1,698.35 | 119 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,920.75 | $2,955.00 | $756.48 – $2,955.00 | 119 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,244.10 | $1,914.00 | $356.43 – $1,914.00 | 116 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $403.00 | $620.00 | $158.72 – $974.00 | 31 |
| Echo exam uterus 76831- CPT 76831 | $491.40 | $756.00 | $193.54 – $756.00 | 119 |
| Echo stress CPT 93350 | $1,209.65 | $1,861.00 | $476.42 – $1,861.00 | 119 |
| Echo tee guidance CPT 93355 | $1,804.40 | $2,776.00 | $710.66 – $2,776.00 | 31 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,985.10 | $3,054.00 | $528.71 – $3,054.00 | 119 |
| Echo transesophageal CPT 93313 | $1,067.95 | $1,643.00 | $420.61 – $1,643.00 | 119 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $2,640.95 | $4,063.00 | $1,040.13 – $4,063.00 | 30 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $3,914.95 | $6,023.00 | $1,541.89 – $6,023.00 | 30 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $18,199.20 | $18,199.20 | $44.13 – $18,199.20 | 116 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $84.00 | $103.00 | $19.81 – $103.00 | 780 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $336.05 | $517.00 | $132.35 – $1,944.00 | 119 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,265.50 | $1,263.00 | $53.46 – $1,263.00 | 780 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $852.00 | $852.00 | $114.46 – $612.00 | 766 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $426.00 | $426.00 | $59.22 – $313.00 | 766 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $396.00 | $396.00 | $74.42 – $396.00 | 766 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $852.00 | $852.00 | $89.10 – $468.00 | 766 |
| Eeg recording awake and asleep CPT 95819 | $1,339.21 | $1,306.00 | $35.36 – $1,265.00 | 780 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $1,502.80 | $2,312.00 | $208.93 – $2,312.00 | 119 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,605.00 | $2,428.00 | $96.19 – $2,428.00 | 558 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,942.60 | $18,942.60 | $31.34 – $18,942.60 | 119 |
| Egd control bleeding any CPT 43255 | $21,264.25 | not published | $31.45 – $4,157.27 | 89 |
| Egd dilate stricture CPT 43245 | $16,878.48 | not published | $69.55 – $4,157.27 | 89 |
| Egd remove foreign body CPT 43247 | $15,568.80 | not published | $31.45 – $1,964.96 | 89 |
| Egd remove lesion snare CPT 43251 | $10,961.85 | not published | $62.90 – $4,157.27 | 89 |
| Egfr gene com variants CPT 81235 | $312.65 | $481.00 | $123.14 – $652.41 | 48 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $76.70 | $118.00 | $30.21 – $118.00 | 48 |
| EKG (Electrocardiogram) CPT 93000 | $150.80 | $232.00 | $9.44 – $232.00 | 780 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $49.00 | $49.00 | $10.47 – $41.23 | 765 |
| EKG interpret & report preve g0405 HCPCS G0405 | $26.00 | $26.00 | $5.83 – $26.00 | 768 |
| EKG tracing for initial prev HCPCS G0404 | $25.35 | $39.00 | $9.98 – $350.00 | 116 |
| EKG (Tracing Only) CPT 93005 | $21,950.97 | $236.00 | $4.00 – $236.00 | 781 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $4,508.00 | $208.00 | $5.11 – $188.54 | 781 |
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.