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 |
|---|---|---|---|---|
| Excise intrspinl lesion thrc CPT 63271 | $6,265.00 | $6,265.00 | $37.48 – $738.56 | 767 |
| Excise/repair mouth lesion CPT 40812 | $959.40 | $1,476.00 | $377.86 – $3,361.47 | 118 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $465.40 | $716.00 | $39.49 – $1,534.15 | 782 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,324.00 | $1,612.00 | $43.00 – $3,578.15 | 782 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,478.00 | $716.00 | $30.56 – $1,534.15 | 782 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $1,096.55 | $1,687.00 | $59.65 – $3,578.15 | 782 |
| Excision of anal lesion(s) CPT 46922 | $42,215.55 | not published | $31.45 – $6,013.41 | 89 |
| Excision of neck cyst CPT 42815 | $36,218.93 | not published | $31.45 – $12,825.18 | 89 |
| Excis partial tal calc CPT 28120 | $56,235.55 | not published | $1.92 – $15,720.43 | 89 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $677.30 | $1,042.00 | $266.75 – $1,534.15 | 118 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $600.00 | $716.00 | $58.36 – $1,534.15 | 782 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $34,083.00 | $1,687.00 | $35.88 – $3,578.15 | 118 |
| Exc malig feenl >4cm 11646 CPT 11646 | $1,762.80 | $2,712.00 | $694.27 – $6,293.00 | 118 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $34,894.70 | not published | $31.45 – $1,534.15 | 89 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $1,047.80 | $1,612.00 | $67.10 – $3,578.15 | 780 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $677.30 | $1,042.00 | $266.75 – $1,534.15 | 118 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $518.89 | $716.00 | $33.39 – $1,534.15 | 780 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $534.00 | $534.00 | $41.93 – $880.71 | 782 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $638.00 | $716.00 | $48.16 – $1,534.15 | 782 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $701.00 | $716.00 | $58.69 – $1,534.15 | 782 |
| Exc prtl bn phlnx toe CPT 28124 | $40,972.40 | not published | $0.96 – $7,088.72 | 89 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $559.00 | $716.00 | $54.32 – $1,534.15 | 780 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $2,623.00 | $1,687.00 | $31.45 – $3,578.15 | 780 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $1,762.80 | $2,712.00 | $694.27 – $2,712.00 | 30 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $56,040.00 | $1,526.00 | $3.84 – $6,293.00 | 768 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $1,411.70 | $1,093.00 | $33.34 – $367.00 | 766 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $5,396.95 | $8,303.00 | $18.02 – $5,535.00 | 781 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $22,540.18 | not published | $1,555.89 – $3,483.68 | 88 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $3,527.00 | $1,687.00 | $62.90 – $3,578.15 | 782 |
| Exc vagina lesion 57135 CPT 57135 | $29,742.60 | $566.00 | $8.20 – $7,013.16 | 768 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,420.11 | $3,723.25 | $0.02 – $0.12 | 39 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,952.42 | $4,542.19 | $6.40 – $25.00 | 31 |
| Exploration maxillary sinus CPT 31256 | $59,629.80 | not published | $0.96 – $15,289.83 | 89 |
| Exploration of spinal fusion CPT 22830 | $2,771.00 | $2,771.00 | $37.48 – $294.56 | 767 |
| Explore parathyroid glands CPT 60500 | $54,843.34 | not published | $94.35 – $12,825.18 | 89 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $33,954.60 | not published | $0.96 – $3,578.15 | 89 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $80.00 | $80.00 | $14.48 – $63.53 | 767 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $87.00 | $87.00 | $15.98 – $87.00 | 767 |
| External chromosome analysis 20-25 cells CPT 88264 | $368.55 | $567.00 | $140.13 – $567.00 | 48 |
| External newborn metabolic screening panel HCPCS S3620 | $123.50 | $190.00 | $38.00 – $190.00 | 38 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $61.10 | $94.00 | $24.06 – $94.00 | 119 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $3,003.00 | $4,620.00 | $1,182.72 – $7,784.73 | 48 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $6,324.00 | $1,135.00 | $122.26 – $1,135.00 | 119 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $2,042.00 | $119.00 | $3.33 – $136.02 | 119 |
| Extraction erupted tooth/exr HCPCS D7140 | $44,110.10 | not published | $0.96 – $1,400.60 | 89 |
| Eye implant band 40 HCPCS C1784 | $1,141.56 | $1,756.25 | $13.63 – $53.25 | 31 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,337.70 | $2,058.00 | $169.72 – $2,058.00 | 119 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,209.65 | $1,861.00 | $169.72 – $1,861.00 | 119 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,661.00 | $1,661.00 | $101.16 – $1,661.00 | 119 |
| F-18 fdg pet diag HCPCS A9552 | $1,768.20 | $1,768.20 | $452.66 – $1,768.20 | 31 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $15,145.00 | $15,145.00 | $1,789.13 – $15,145.00 | 115 |
| F-18 fluciclovine per mci HCPCS A9588 | $27,455.00 | $27,455.00 | $315.82 – $27,455.00 | 116 |
| F-18 sodium fluoride HCPCS A9580 | $1,391.25 | $1,391.25 | $356.16 – $1,391.25 | 31 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,987.90 | $2,528.00 | $21.60 – $2,528.00 | 118 |
| Facial Bones X-ray (complete) CPT 70150 | $317.85 | $489.00 | $7.88 – $489.00 | 780 |
| Facility svs dental rehab HCPCS G0330 | $43,980.75 | not published | $0.96 – $7,182.87 | 89 |
| Factor ix CPT 85250 | $100.10 | $154.00 | $18.45 – $154.00 | 48 |
| Factor viii CPT 85240 | $144.30 | $222.00 | $17.35 – $222.00 | 48 |
| Family therapy without pt 50min 90846 CPT 90846 | $303.00 | $384.00 | $27.88 – $384.00 | 780 |
| Family therapy with patient 50 min 90847 CPT 90847 | $315.00 | $466.00 | $27.91 – $466.00 | 781 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.10 | $4.10 | $0.77 – $3.00 | 102 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,722.40 | $9,722.40 | $27.37 – $9,722.40 | 119 |
| Fat/lipids feces qualitative CPT 82705 | $41.60 | $64.00 | $4.95 – $64.00 | 48 |
| Fatty acids nonesterified CPT 82725 | $81.25 | $125.00 | $18.19 – $125.00 | 48 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $28,233.45 | $28,233.45 | $61.99 – $28,233.45 | 119 |
| #fecal-sodium CPT 84302 | $13.00 | $20.00 | $4.71 – $20.00 | 48 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $90.35 | $139.00 | $18.06 – $139.00 | 48 |
| Fem/popl revasc w/stent CPT 37226 | $55,547.42 | $48,563.00 | $9.09 – $32,375.00 | 118 |
| Feno poc CPT 95012 | $157.95 | $243.00 | $36.14 – $350.00 | 119 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $90,074.59 | $78.50 | $0.77 – $7,756.86 | 119 |
| Ferritin CPT 82728 | $1,037.00 | $144.00 | $13.21 – $144.00 | 48 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,386.35 | $1,333.80 | $0.35 – $712.85 | 119 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $202.80 | $312.00 | $79.87 – $312.00 | 119 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,592.50 | $2,450.00 | $627.20 – $2,450.00 | 48 |
| Fetal fibronectin CPT 82731 | $395.20 | $608.00 | $62.41 – $608.00 | 48 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $135.20 | $208.00 | $7.49 – $208.00 | 48 |
| Fetal hemoglobin rosette CPT 85461 | $91.00 | $140.00 | $9.07 – $140.00 | 48 |
| Fetal monitor w/report CPT 59050 | $161.00 | $161.00 | $31.95 – $161.00 | 766 |
| Fetal non stress test CPT 59025 | $3,712.30 | $513.00 | $7.90 – $513.00 | 782 |
| Fibrin degradation d dimer quantitative CPT 85379 | $161.20 | $248.00 | $9.86 – $248.00 | 48 |
| Fibrin degradation products CPT 85362 | $26.65 | $41.00 | $6.89 – $41.00 | 31 |
| Fibrinogen activity CPT 85384 | $161.20 | $248.00 | $9.41 – $142.00 | 48 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $268.45 | $413.00 | $15.00 – $200.00 | 48 |
| Fibrinolytic antiplasmin CPT 85410 | $154.05 | $237.00 | $7.47 – $237.00 | 48 |
| Fibrinolytic plasminogen CPT 85415 | $113.10 | $174.00 | $16.66 – $174.00 | 48 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $155.35 | $239.00 | $6.32 – $239.00 | 48 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,611.50 | $1,611.50 | $0.27 – $1,007.20 | 119 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,447.95 | $1,447.95 | $0.98 – $1,447.95 | 119 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,018.90 | $2,018.90 | $0.34 – $1,261.80 | 119 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $17,509.15 | $26,937.16 | $684.11 – $2,672.31 | 31 |
| Filter vena cava fem denali HCPCS C1880 | $23,327.77 | $35,888.87 | $92.93 – $363.00 | 31 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $551.20 | $848.00 | $46.74 – $848.00 | 30 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $3,998.40 | $530.00 | $45.05 – $1,534.15 | 118 |
| Fine needle asp without image guide 10021 CPT 10021 | $294.47 | $381.00 | $17.58 – $880.71 | 781 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $2,105.74 | $3,239.60 | $226.60 – $885.15 | 31 |
| Finger X-ray (both hands) CPT 73140 | $842.00 | $340.00 | $4.26 – $227.00 | 781 |
| Fixation of knee joint CPT 27570 | $15,855.00 | not published | $1.92 – $3,483.68 | 89 |
| Flecainide (tambocor)-sendout CPT 80181 | $60.45 | $93.00 | $18.06 – $93.00 | 48 |
| Fl exam g/colon tube w contrast CPT 49465 | $805.35 | $1,239.00 | $230.87 – $1,239.00 | 118 |
| Flexible Sigmoidoscopy CPT 45330 | $12,646.90 | not published | $899.83 – $2,014.73 | 88 |
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.