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 |
|---|---|---|---|---|
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $722.00 | $722.00 | $70.61 – $880.71 | 780 |
| Ghs mbp CPT 83873 | $81.90 | $126.00 | $16.67 – $126.00 | 48 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $250.00 | $250.00 | $52.40 – $250.00 | 766 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $230.00 | $230.00 | $46.86 – $230.00 | 767 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $32.00 | $32.00 | $8.88 – $30.92 | 765 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $188.00 | $188.00 | $36.42 – $179.50 | 766 |
| Ghs musc test done w/n test comp CPT 95886 | $353.60 | $544.00 | $28.33 – $362.00 | 781 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $323.05 | $497.00 | $11.50 – $331.00 | 781 |
| Ghs myocardial strain img spckl track CPT 93356 | $328.90 | $506.00 | $129.54 – $974.00 | 31 |
| Ghs nailbed repair/nail removal CPT 11760 | $51,856.87 | $459.00 | $0.96 – $7,088.72 | 767 |
| Ghs nerve block brachial plexus CPT 64415 | $61,283.43 | not published | $0.96 – $15,720.43 | 89 |
| Ghs ng placement w fluoro guidance CPT 43752 | $705.90 | $1,086.00 | $278.02 – $1,086.00 | 118 |
| Ghs o2 saturation CPT 82810 | $55.90 | $86.00 | $9.47 – $86.00 | 48 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $71.00 | $71.00 | $9.47 – $71.00 | 782 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $107.00 | $107.00 | $11.78 – $107.00 | 782 |
| Ghs ot prosthetic training/15 min CPT 97761 | $74.75 | $115.00 | $22.27 – $350.00 | 48 |
| Ghs pacing - transcutaneous CPT 92953 | $550.55 | $847.00 | $216.83 – $1,431.92 | 118 |
| Ghs ppd (tb intradermal) CPT 86580 | $31.85 | $49.00 | $6.39 – $62.66 | 780 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $33.15 | $51.00 | $9.36 – $51.00 | 48 |
| Ghs refill of implantable pump CPT 95990 | $260.00 | $370.00 | $43.63 – $715.60 | 779 |
| Ghs removal intranasal foreign body CPT 30300 | $485.49 | $399.00 | $22.24 – $399.00 | 780 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $485.00 | $485.00 | $30.04 – $308.00 | 766 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $389.00 | $389.00 | $23.33 – $282.81 | 766 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $531.00 | $531.00 | $29.93 – $346.56 | 766 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $707.00 | $707.00 | $46.12 – $505.75 | 766 |
| Ghs sleep study unattended CPT 95800 | $521.95 | $803.00 | $24.50 – $803.00 | 780 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $223.60 | $344.00 | $49.33 – $350.00 | 48 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $427.05 | $657.00 | $168.19 – $657.00 | 119 |
| Ghs urine, porphyrins quant CPT 84120 | $92.30 | $142.00 | $14.25 – $142.00 | 48 |
| Ghs vaginal delivery only CPT 59409 | $2,587.00 | $2,587.00 | $37.48 – $274.88 | 767 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,052.05 | $3,157.00 | $361.06 – $3,157.00 | 119 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,942.55 | $4,527.00 | $247.30 – $1,964.96 | 118 |
| Glove finger flexion right lg xl HCPCS L3912 | $53.03 | $81.59 | $14.97 – $58.47 | 31 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $655.40 | $655.40 | $167.78 – $655.40 | 34 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $567.40 | $567.40 | $145.25 – $567.40 | 34 |
| Glucagon plasma - sendout CPT 82943 | $48.75 | $75.00 | $13.85 – $75.00 | 48 |
| Glucose 1 hr post dose CPT 82950 | $538.00 | $88.00 | $4.60 – $136.02 | 119 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $7.00 | $10.00 | $2.30 – $10.00 | 780 |
| Glucose blood quantitative CPT 82947 | $435.00 | $55.00 | $3.07 – $12.00 | 48 |
| Glucose body fluid CPT 82945 | $103.35 | $159.00 | $3.80 – $90.00 | 48 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $87.75 | $135.00 | $34.56 – $350.00 | 119 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $92.30 | $142.00 | $12.47 – $142.00 | 48 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $53.95 | $83.00 | $3.79 – $83.00 | 48 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $64,314.16 | $7.00 | $0.86 – $39,715.10 | 119 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $19,563.85 | $5,516.60 | $9.09 – $5,516.60 | 119 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $157.30 | $242.00 | $18.00 – $242.00 | 48 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $117.65 | $181.00 | $17.94 – $181.00 | 48 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $16,064.55 | $16,064.55 | $699.10 – $5,895.10 | 116 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $1,290.00 | $233.00 | $22.38 – $233.00 | 518 |
| Graft axiofill 1000mg HCPCS J3590 | $6,300.79 | $9,693.53 | $414.35 – $1,618.56 | 31 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | $1.41 | $2.17 | $0.56 – $2.17 | 31 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,885.86 | $2,901.33 | $19.26 – $96.28 | 39 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $4,970.86 | $7,647.47 | $0.09 – $0.46 | 39 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $1,548.87 | $2,382.88 | $610.02 – $2,382.88 | 31 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $16,761.06 | $25,786.25 | $0.11 – $0.43 | 31 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $35,755.20 | $55,008.00 | $0.01 – $0.55 | 31 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $304.44 | $468.37 | $0.31 – $1.56 | 39 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $397.50 | $611.54 | $47.74 – $238.70 | 39 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $414.05 | $637.00 | $61.18 – $305.89 | 39 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $476.79 | $733.52 | $16.28 – $81.42 | 39 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $58.05 | $89.31 | $22.86 – $89.31 | 31 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $1,705.66 | $2,624.09 | $0.01 – $0.05 | 31 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | $593.61 | $913.25 | $70.00 – $350.01 | 39 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $312.02 | $480.03 | $15.90 – $62.10 | 31 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $25,506.74 | $39,241.14 | $12.80 – $50.00 | 31 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $17,074.23 | $26,268.04 | $28.00 – $109.36 | 31 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $53,854.76 | not published | $0.96 – $7,677.40 | 89 |
| Grfg autol fat lipo ea addl CPT 15772 | $53,854.76 | not published | $0.96 – $7,677.40 | 89 |
| Grfg autol soft tiss dir exc CPT 15769 | $36,274.03 | not published | $9.09 – $7,182.87 | 89 |
| G-tube reposition CPT 43761 | $1,003.60 | $1,544.00 | $241.75 – $1,544.00 | 118 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,586.65 | $2,441.00 | $624.90 – $2,441.00 | 118 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,547.89 | $3,919.83 | $996.16 – $3,891.24 | 31 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $24,333.98 | $7,578.25 | $0.01 – $7,023.57 | 119 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $747.95 | $1,150.70 | $0.01 – $21.98 | 31 |
| Guid loc target vol rad tx CPT 77387 | $845.00 | $1,300.00 | $19.11 – $1,300.00 | 778 |
| Gw stiffened micro access kit HCPCS C1894 | $9,830.88 | $15,124.43 | $0.01 – $0.60 | 31 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $31.05 | $31.05 | $7.95 – $31.05 | 31 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $3.65 | $3.65 | $0.93 – $3.65 | 31 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $14,876.30 | $22,886.61 | $1,890.00 – $7,382.80 | 31 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $78.65 | $121.00 | $23.75 – $350.00 | 48 |
| Hand X-ray CPT 73130 | $1,491.00 | $390.00 | $5.33 – $259.00 | 782 |
| Hand X-ray (2 views, both hands) CPT 73120 | $229.45 | $353.00 | $60.16 – $240.48 | 119 |
| Haptoglobin quantitative CPT 83010 | $59.80 | $92.00 | $12.19 – $92.00 | 48 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,537.25 | $2,365.00 | $588.00 – $2,365.00 | 45 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $568.75 | $875.00 | $198.35 – $875.00 | 45 |
| Hbb full gene sequence CPT 81364 | $1,066.00 | $1,640.00 | $318.09 – $1,640.00 | 45 |
| Hbb gene dup/del variants CPT 81363 | $455.00 | $700.00 | $179.20 – $700.00 | 31 |
| Hbot, full body chamber, 30m HCPCS G0277 | $4,681.01 | $522.00 | $8.04 – $4,658.00 | 119 |
| Hcg qualitative CPT 84703 | $83.20 | $128.00 | $7.28 – $128.00 | 48 |
| Hcg quantitative CPT 84702 | $128.70 | $198.00 | $14.59 – $198.00 | 48 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $1,178.00 | $1,178.00 | $112.89 – $1,601.18 | 782 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $790.40 | $1,216.00 | $112.38 – $1,216.00 | 781 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $1,056.00 | $1,056.00 | $101.39 – $1,601.18 | 782 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $721.00 | $1,055.00 | $109.38 – $1,055.00 | 779 |
| Head CT scan (with and without contrast) CPT 70470 | $2,247.05 | $3,457.00 | $169.72 – $3,457.00 | 119 |
| Head CT scan (with contrast) CPT 70460 | $2,188.55 | $3,367.00 | $169.72 – $3,367.00 | 119 |
| Head CT scan (without contrast) CPT 70450 | $2,574.00 | $2,429.00 | $74.50 – $2,429.00 | 119 |
| Heart image spect CPT 78494 | $2,382.90 | $3,666.00 | $386.82 – $3,666.00 | 119 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $185.90 | $286.00 | $4.90 – $190.00 | 781 |
| Helicobacter pylori antibody igm CPT 86677 | $79.95 | $123.00 | $16.33 – $123.00 | 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.