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 |
|---|---|---|---|---|
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $110,829.85 | $110,829.85 | $172.83 – $27,707.50 | 119 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $69.00 | $69.00 | $17.66 – $69.00 | 31 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $9,268.95 | $9,268.95 | $64.64 – $9,268.95 | 119 |
| Iron CPT 83540 | $1,027.00 | $78.00 | $6.27 – $136.02 | 119 |
| Iron binding capacity CPT 83550 | $1,027.00 | $86.00 | $8.47 – $136.02 | 119 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $185.90 | $185.90 | $17.46 – $185.90 | 34 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $82.80 | $82.80 | $21.20 – $82.80 | 101 |
| Irradiation of blood product each unit reference CPT 86945 | $32.50 | $50.00 | $12.80 – $80.92 | 48 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $191.10 | $294.00 | $57.08 – $459.00 | 119 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $131.88 | $93.00 | $5.61 – $93.00 | 765 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $2,779.35 | $2,779.35 | $77.83 – $2,779.35 | 119 |
| Ivc venogram s&i CPT 75825 | $6,602.05 | $10,157.00 | $2,600.19 – $10,157.00 | 119 |
| IV Fluids (each additional hour) CPT 96361 | $33,215.50 | $208.00 | $9.09 – $459.00 | 119 |
| IV Fluids (first hour) CPT 96360 | $33,215.50 | $473.00 | $9.09 – $473.00 | 119 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $12,413.10 | $214.00 | $9.09 – $3,434.80 | 119 |
| IV Medicine Infusion (additional drug) CPT 96367 | $27,709.80 | $286.00 | $9.09 – $459.00 | 119 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $10,354.25 | $271.00 | $45.31 – $459.00 | 119 |
| IV Medicine Infusion (first hour) CPT 96365 | $1,634.00 | $660.00 | $8.04 – $660.00 | 119 |
| IV Push Injection (each additional drug) CPT 96375 | $15,675.00 | $245.00 | $45.31 – $459.00 | 119 |
| IV Push Injection (first drug) CPT 96374 | $11,062.20 | $398.00 | $9.09 – $460.82 | 119 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $619.45 | $953.00 | $169.72 – $953.00 | 119 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $18,131.05 | $18,131.05 | $127.12 – $6,043.70 | 119 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $227.50 | $350.00 | $84.21 – $350.00 | 119 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $330.85 | $509.00 | $101.16 – $509.00 | 119 |
| Jkt lso inter HCPCS L0560 | $41.27 | $63.49 | $16.25 – $63.49 | 31 |
| John cunningham antibody CPT 86711 | $65.65 | $101.00 | $16.55 – $101.00 | 45 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $30.55 | $47.00 | $7.92 – $47.00 | 48 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $45.90 | $45.90 | $0.29 – $2.60 | 778 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,398.15 | $2,151.00 | $525.38 – $2,151.00 | 119 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,860.00 | $1,075.00 | $101.16 – $1,075.00 | 119 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $87.10 | $134.00 | $34.30 – $240.48 | 119 |
| Kit case 4.2mm spinejack HCPCS C1062 | $5,937.40 | $9,134.46 | $750.64 – $2,932.18 | 31 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $257.21 | $395.71 | $87.22 – $340.71 | 31 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $1.31 | $2.02 | $0.34 – $1.33 | 31 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,430.77 | $9,893.50 | $1,481.92 – $5,788.75 | 31 |
| Kit gene analys d816 variant CPT 81273 | $471.25 | $725.00 | $121.00 – $725.00 | 48 |
| Kit hfx iq ipg bundle HCPCS C1822 | $26,541.53 | $40,833.13 | $10,070.87 – $39,339.32 | 31 |
| Kit ipg optimizer smart HCPCS C1824 | $29,051.10 | $44,694.00 | $10,121.47 – $39,537.00 | 31 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | $2.06 | $3.17 | $0.81 – $3.17 | 31 |
| Kit lead specify 5-6-5 HCPCS C1778 | $13,454.45 | $20,699.16 | $36.69 – $143.33 | 31 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | $1,313.77 | $2,021.18 | $517.42 – $2,021.18 | 31 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,391.79 | $2,141.22 | $521.54 – $2,037.25 | 31 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $234.08 | $360.12 | $42.17 – $210.83 | 39 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $76,267.30 | $9,394.28 | $0.96 – $23,248.13 | 119 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $3,140.14 | $4,830.98 | $10.53 – $41.15 | 31 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $45,685.12 | not published | $1.92 – $7,088.72 | 89 |
| Knee arthroscopy/surgery CPT 29888 | $83,116.25 | not published | $2.88 – $15,720.43 | 89 |
| Knee MRI (with and without contrast) CPT 73723 | $2,465.45 | $3,793.00 | $255.10 – $2,528.00 | 119 |
| Knee MRI (with contrast) CPT 73722 | $3,047.85 | $4,689.00 | $288.55 – $3,126.00 | 119 |
| Knee MRI (without contrast) CPT 73721 | $1,550.25 | $2,385.00 | $126.66 – $1,590.00 | 119 |
| Knee X-ray CPT 73564 | $216.45 | $333.00 | $7.03 – $226.50 | 781 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $2,413.00 | $545.00 | $5.11 – $363.00 | 782 |
| Knee X-ray (3 views, both knees) CPT 73562 | $225.55 | $347.00 | $5.75 – $231.00 | 782 |
| Kras gene addl variants CPT 81276 | $604.50 | $930.00 | $187.26 – $930.00 | 48 |
| Kras gene variants exon 2 CPT 81275 | $657.80 | $1,012.00 | $187.26 – $1,012.00 | 48 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $19.45 | $19.45 | $4.98 – $19.45 | 31 |
| Labioplasty 56800 CPT 56800 | $762.00 | $762.00 | $81.58 – $762.00 | 767 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $55.60 | $55.60 | $14.23 – $55.60 | 31 |
| Lactate dehydrogenase (ldh) CPT 83615 | $48.75 | $75.00 | $5.85 – $75.00 | 48 |
| Lactated ringers intravenous solution HCPCS J7120 | $20.00 | $20.00 | $5.12 – $20.00 | 31 |
| Lactic acid CPT 83605 | $2,232.00 | $153.00 | $11.21 – $136.02 | 119 |
| Lactoferrin fecal qualitative CPT 83630 | $84.50 | $130.00 | $19.09 – $130.00 | 48 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $108,801.31 | $769.00 | $9.09 – $58,785.27 | 768 |
| Lam facetec & foramot crv CPT 63045 | $63,253.97 | $3,879.00 | $1.92 – $15,720.43 | 768 |
| Lam facetec & foramot lumbar CPT 63047 | $70,565.05 | $3,337.00 | $2.88 – $15,720.43 | 768 |
| Lam facetec & foramot thrc CPT 63046 | $119,324.09 | $3,699.00 | $2.88 – $37,986.64 | 768 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $103,213.12 | not published | $1.92 – $58,785.27 | 89 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | $5,178.00 | $5,178.00 | $37.48 – $610.56 | 767 |
| Laminotomy single lumbar CPT 63042 | $56,154.77 | $5,742.00 | $0.96 – $15,720.43 | 768 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $5.15 | $5.15 | $1.03 – $5.15 | 107 |
| Laparo cholecystectomy/graph CPT 47563 | $62,856.95 | not published | $0.96 – $13,097.50 | 89 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $57,991.71 | not published | $9.09 – $13,097.50 | 89 |
| Laparoscopy aspiration CPT 49322 | $1,350.00 | $1,350.00 | $17.34 – $131.36 | 767 |
| Laparoscopy biopsy CPT 49321 | $56,074.95 | $1,241.00 | $16.16 – $13,097.50 | 768 |
| Laparoscopy excise lesions CPT 58662 | $64,601.91 | $2,134.00 | $0.96 – $13,097.50 | 768 |
| Laparoscopy fundoplasty CPT 43280 | $63,064.05 | not published | $2.88 – $23,029.31 | 89 |
| Laparoscopy lysis CPT 58660 | $2,043.00 | $2,043.00 | $31.80 – $238.72 | 767 |
| Laparoscopy remove adnexa CPT 58661 | $58,308.84 | $3,910.00 | $30.63 – $13,097.50 | 768 |
| Laparoscopy surg colpopexy CPT 57425 | $70,925.89 | not published | $31.45 – $23,029.31 | 89 |
| Laparo-vag hyst incl t/o CPT 58552 | $65,403.65 | $2,939.00 | $31.45 – $23,029.31 | 768 |
| Lap enterolysis CPT 44180 | $46,914.77 | not published | $2.88 – $13,097.50 | 89 |
| Lap ing hernia repair init CPT 49650 | $66,845.87 | not published | $0.96 – $13,097.50 | 89 |
| Lap ing hernia repair recur CPT 49651 | $63,486.41 | not published | $0.96 – $13,097.50 | 89 |
| Lap insert tunnel ip cath CPT 49324 | $40,956.20 | not published | $0.96 – $13,097.50 | 89 |
| Lap paraesophag hern repair CPT 43281 | $86,360.67 | not published | $1.92 – $23,029.31 | 89 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $79,317.44 | not published | $2.88 – $23,029.31 | 89 |
| Lap sleeve gastrectomy CPT 43775 | $78,897.61 | not published | $366.82 – $23,029.31 | 89 |
| Laps surg prst8ect smpl stot CPT 55867 | $102,133.08 | not published | $9.09 – $23,029.31 | 89 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $1,879.00 | $1,526.00 | $12.26 – $1,017.00 | 782 |
| Laryngoscopy w/bx & op scope CPT 31536 | $30,078.05 | not published | $31.45 – $8,077.38 | 89 |
| Lateral canthopexy CPT 21282 | $34,657.40 | not published | $0.96 – $7,182.87 | 89 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,873.32 | $4,420.50 | $25.87 – $101.07 | 31 |
| Lead capillary CPT 83655 | $74.10 | $114.00 | $11.73 – $50.00 | 48 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,159.75 | $6,399.62 | $0.07 – $0.26 | 31 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,202.66 | $12,619.48 | $23.92 – $93.42 | 31 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,042.60 | $1,604.00 | $230.87 – $1,604.00 | 119 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,161.25 | $3,325.00 | $169.72 – $2,217.00 | 119 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,801.15 | $2,771.00 | $101.16 – $1,847.00 | 119 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,302.60 | $2,004.00 | $230.87 – $2,004.00 | 119 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $419.25 | $645.00 | $12.80 – $50.00 | 31 |
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.