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 |
|---|---|---|---|---|
| Allergy injections; 2 or more 95117 CPT 95117 | $40.00 | $51.00 | $7.87 – $101.45 | 779 |
| Allergy injection; single 95115 CPT 95115 | $33.15 | $51.00 | $13.06 – $101.45 | 119 |
| Allergy Skin Testing CPT 95004 | $85.15 | $131.00 | $33.54 – $1,860.44 | 119 |
| Allg patch or app # of tests 95044 CPT 95044 | $289.00 | $137.00 | $3.13 – $1,860.44 | 779 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $43.26 | $66.55 | $13.31 – $66.55 | 39 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $424.66 | $653.33 | $46.36 – $231.82 | 39 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $3,961.09 | $6,093.98 | $22.76 – $113.80 | 39 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $3,663.49 | $5,636.14 | $7.10 – $35.50 | 39 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $159.49 | $245.37 | $5.77 – $28.85 | 39 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $2,097.63 | $3,227.12 | $12.59 – $62.95 | 39 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $238.13 | $366.35 | $40.00 – $200.01 | 39 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $5,609.82 | $8,630.50 | $154.55 – $772.75 | 39 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $232.74 | $358.06 | $69.08 – $345.41 | 39 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $815.54 | $1,254.67 | $81.33 – $602.10 | 779 |
| All tstg perq&iq drugs/biol CPT 95018 | $29.90 | $46.00 | $11.78 – $234.00 | 119 |
| All tstg perq&iq w/venoms CPT 95017 | $22.75 | $35.00 | $8.96 – $234.00 | 119 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,450.00 | $2,450.00 | $5.33 – $2,450.00 | 34 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $221.65 | $341.00 | $62.41 – $341.00 | 48 |
| Alpha-fetoprotein tumor marker CPT 82105 | $70.85 | $109.00 | $16.25 – $109.00 | 48 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $25,477.05 | $25,477.05 | $67.60 – $264.05 | 119 |
| Alt/sgpt CPT 84460 | $1,226.95 | $59.00 | $5.14 – $217.31 | 119 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $1,170.00 | $1,800.00 | $91.99 – $1,800.00 | 119 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $32.20 | $32.20 | $1.33 – $5.20 | 102 |
| Amino acids quant 2-5 CPT 82136 | $48.75 | $75.00 | $19.00 – $75.00 | 48 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $49.90 | $49.90 | $7.04 – $27.50 | 102 |
| Aminolevulinic acid delta CPT 82135 | $299.00 | $460.00 | $15.94 – $460.00 | 48 |
| Aminolevulinic acid hcl top HCPCS J7308 | $864.00 | $864.00 | $290.28 – $864.00 | 765 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $101.15 | $101.15 | $4.70 – $18.35 | 31 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $212.00 | $212.00 | $13.05 – $159.50 | 101 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $21.85 | $21.85 | $1.00 – $3.90 | 101 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $11,933.95 | $11,933.95 | $19.77 – $11,933.95 | 119 |
| Ammonia CPT 82140 | $120.90 | $186.00 | $14.12 – $186.00 | 48 |
| Amphetamine confirm urine -sendout CPT 80324 | $58.50 | $90.00 | $23.04 – $116.72 | 41 |
| Amphetamines 5 or more CPT 80326 | $23.40 | $36.00 | $9.22 – $116.72 | 41 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $8.75 | $8.75 | $2.24 – $34.12 | 101 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,507.85 | $1,507.85 | $52.63 – $562.35 | 34 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $38.85 | $38.85 | $0.49 – $3.75 | 101 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $24.65 | $24.65 | $1.63 – $6.35 | 102 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $512.85 | $789.00 | $201.98 – $789.00 | 45 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $38,801.40 | not published | $31.45 – $7,088.72 | 89 |
| Amputation thru metatarsal CPT 28805 | $47,248.10 | not published | $183.41 – $7,088.72 | 89 |
| Amputation toe interphalangeal joint CPT 28825 | $28,954.15 | not published | $31.45 – $7,088.72 | 89 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $26,755.30 | not published | $31.45 – $7,088.72 | 89 |
| Amylase CPT 82150 | $81.25 | $125.00 | $6.28 – $125.00 | 48 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $150.80 | $232.00 | $57.09 – $223.00 | 44 |
| Anal/urinary muscle study CPT 51784 | $107.25 | $165.00 | $42.24 – $278.77 | 118 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $299.00 | $460.00 | $91.99 – $460.00 | 119 |
| Analysis gene f2 20210g>a variant CPT 81240 | $176.80 | $272.00 | $63.66 – $272.00 | 48 |
| Analysis gene f5 leiden variant CPT 81241 | $159.25 | $245.00 | $62.72 – $245.00 | 48 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $40.30 | $62.00 | $15.87 – $350.00 | 119 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $76.70 | $118.00 | $30.21 – $118.00 | 48 |
| Anca screen with reflex to titer -quest CPT 86021 | $78.00 | $120.00 | $14.59 – $120.00 | 48 |
| An cholangiogram percutaneous compl CPT 47531 | $2,626.65 | $4,041.00 | $1,034.50 – $7,756.86 | 118 |
| Anchor suture 3.5mm pushlock HCPCS C1741 | $2,155.00 | $3,315.38 | $366.59 – $1,431.98 | 31 |
| An fluoro guide for cvp CPT 77001 | $19,769.33 | $740.00 | $0.96 – $6,840.61 | 118 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $16,387.06 | $7,771.00 | $0.96 – $7,771.00 | 118 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $65,268.66 | $24,049.00 | $2.64 – $16,032.00 | 118 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $80,481.39 | $19,875.00 | $0.96 – $13,250.00 | 118 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $43,302.40 | $13,250.00 | $1.92 – $13,250.00 | 109 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $43,302.40 | $24,048.00 | $1.92 – $16,032.00 | 109 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $15,155.40 | $23,316.00 | $3,979.26 – $15,544.00 | 118 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $19,431.75 | $29,895.00 | $5,102.08 – $19,930.00 | 30 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $16,670.55 | $25,647.00 | $4,377.09 – $17,098.00 | 118 |
| Ankle arthroscopy/surgery CPT 29897 | $60,716.68 | not published | $9.09 – $15,720.43 | 89 |
| Ankle arthroscopy/surgery CPT 29898 | $72,278.70 | not published | $0.96 – $15,720.43 | 89 |
| Ankle X-ray CPT 73610 | $2,983.00 | $460.00 | $5.33 – $307.00 | 782 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $574.00 | $400.00 | $68.35 – $267.00 | 119 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $145.00 | $145.00 | $29.18 – $98.00 | 766 |
| Annual alcohol screen 15 min HCPCS G0442 | $46.86 | $33.00 | $5.64 – $33.00 | 765 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $468.00 | $216.00 | $16.00 – $216.00 | 571 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $235.00 | $235.00 | $16.00 – $235.00 | 570 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $237.00 | $237.00 | $34.00 – $237.00 | 568 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $288.00 | $288.00 | $43.00 – $288.00 | 570 |
| Anora (draw only) CPT 99001 | $23.40 | $36.00 | $3.22 – $36.00 | 39 |
| Anoscopy control bleeding 46614 CPT 46614 | $321.00 | $321.00 | $20.77 – $225.25 | 766 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $38,733.25 | $1,840.00 | $0.96 – $10,837.70 | 768 |
| Antibody elution rbc reference CPT 86860 | $204.75 | $315.00 | $63.00 – $369.10 | 119 |
| Antibody htlv/hiv confirm test CPT 86689 | $162.50 | $250.00 | $18.75 – $250.00 | 48 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $165.75 | $255.00 | $17.80 – $255.00 | 48 |
| Antibody id rbc panel CPT 86870 | $128.70 | $198.00 | $50.69 – $776.57 | 119 |
| Antibody screen rbc CPT 86850 | $69.55 | $107.00 | $7.94 – $112.90 | 119 |
| Anticoag mgmt pt warfarin CPT 93793 | $35.00 | $35.00 | $7.58 – $35.00 | 768 |
| Antidepressant not specified CPT 80338 | $48.75 | $75.00 | $19.20 – $116.72 | 44 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,144.60 | $5,144.60 | $1.46 – $2,670.45 | 119 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $46.80 | $72.00 | $11.68 – $72.00 | 48 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $84.50 | $130.00 | $11.68 – $130.00 | 48 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $70,421.43 | $2,391.00 | $2.28 – $27,814.73 | 768 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $91,251.78 | $2,487.00 | $2.28 – $27,814.73 | 768 |
| Antinuclear antibodies CPT 86038 | $42.25 | $65.00 | $8.70 – $34.00 | 48 |
| Antinuclear antibodies titer CPT 86039 | $219.70 | $338.00 | $10.81 – $102.00 | 48 |
| Antiphosphatidylserine antibody CPT 86148 | $131.95 | $203.00 | $15.58 – $203.00 | 48 |
| Antistreptolysin o screen CPT 86063 | $48.75 | $75.00 | $5.59 – $75.00 | 48 |
| Antistreptolysin o titer CPT 86060 | $42.90 | $66.00 | $7.08 – $66.00 | 48 |
| Antithrombin iii activity CPT 85300 | $161.20 | $248.00 | $11.49 – $248.00 | 48 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $14,664.50 | $14,664.50 | $3,754.11 – $14,664.50 | 102 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $303.55 | $467.00 | $101.16 – $467.00 | 119 |
| Apl(pml-rara) quant - sendout CPT 81315 | $778.05 | $1,197.00 | $203.16 – $1,197.00 | 45 |
| Appendix Removal (Laparoscopic) CPT 44970 | $51,418.66 | $2,161.00 | $74.50 – $13,097.50 | 768 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,233.05 | $1,897.00 | $71.04 – $4,470.05 | 780 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $635.00 | $635.00 | $61.67 – $468.18 | 766 |
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.