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 |
|---|---|---|---|---|
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $692.25 | $1,065.00 | $12.80 – $50.00 | 31 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $354.25 | $545.00 | $12.80 – $50.00 | 31 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $396.40 | $396.40 | $3.52 – $13.75 | 101 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $37,312.35 | $37,312.35 | $89.77 – $473.02 | 119 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $15,655.60 | $15,655.60 | $1,335.94 – $5,218.50 | 119 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $17.90 | $17.90 | $2.04 – $10.74 | 102 |
| Levetiracetam therapeutic drug level CPT 80177 | $106.60 | $164.00 | $12.84 – $164.00 | 48 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $61.50 | $61.50 | $1.66 – $6.50 | 101 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $875.45 | $875.45 | $77.00 – $422.25 | 101 |
| Liberta rc ipg HCPCS C1820 | $29,884.39 | $45,975.98 | $17.59 – $68.71 | 31 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $37.50 | $37.50 | $9.60 – $37.50 | 31 |
| Lidocaine therapeutic drug level CPT 80176 | $11.05 | $17.00 | $4.35 – $17.00 | 31 |
| Lift heel adj small gl60404sm HCPCS L3332 | $38.34 | $58.98 | $15.10 – $58.98 | 31 |
| Lift heel adjustable med HCPCS L3334 | $3.03 | $4.66 | $1.19 – $4.66 | 31 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $874.90 | $1,346.00 | $3.83 – $1,346.00 | 780 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $87.00 | $87.00 | $10.41 – $87.00 | 101 |
| Lipase CPT 83690 | $75.40 | $116.00 | $6.68 – $116.00 | 48 |
| Lipoprotein blood quant CPT 83704 | $137.80 | $212.00 | $33.13 – $212.00 | 48 |
| Lipoprotein direct measurement hdl CPT 83718 | $44.85 | $69.00 | $7.94 – $69.00 | 48 |
| Lipoprotein direct measurement ldl CPT 83721 | $726.00 | $89.00 | $10.18 – $136.02 | 119 |
| Lithium therapeutic drug level CPT 80178 | $50.70 | $78.00 | $6.41 – $78.00 | 48 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $58,952.82 | $1,402.00 | $9.09 – $25,010.24 | 119 |
| Liver elastography 91200 CPT 91200 | $338.00 | $520.00 | $124.51 – $520.00 | 118 |
| Liver Function Test CPT 80076 | $255.45 | $393.00 | $7.92 – $393.00 | 48 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $46,908.28 | not published | $366.82 – $7,088.72 | 89 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $87,089.35 | $87,089.35 | $197.84 – $87,089.35 | 119 |
| Loop ostmy bridg ster HCPCS A4421 | $45.43 | $69.90 | $0.09 – $0.37 | 31 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $60.90 | $60.90 | $1.36 – $5.30 | 102 |
| Low back disk surgery CPT 63030 | $66,693.75 | $4,106.00 | $0.96 – $15,720.43 | 768 |
| Low cost skin substitute app HCPCS C5271 | $909.35 | $1,399.00 | $279.80 – $1,601.18 | 41 |
| Low cost skin substitute app HCPCS C5275 | $11,101.76 | $1,708.00 | $74.50 – $1,708.00 | 118 |
| Low cost skin substitute app HCPCS C5272 | $555.10 | $854.00 | $218.62 – $854.00 | 30 |
| Low cost skin substitute app HCPCS C5276 | $555.10 | $854.00 | $218.62 – $854.00 | 30 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $207.35 | $319.00 | $81.66 – $319.00 | 119 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,798.55 | $2,767.00 | $337.57 – $2,767.00 | 119 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,571.05 | $2,417.00 | $101.16 – $2,417.00 | 119 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,643.20 | $2,528.00 | $190.28 – $2,528.00 | 116 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,033.50 | $1,590.00 | $110.18 – $1,590.00 | 116 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $900.00 | $480.00 | $6.82 – $480.00 | 781 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $374.40 | $576.00 | $8.09 – $576.00 | 781 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $374.40 | $576.00 | $101.16 – $576.00 | 119 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $1,327.00 | $475.00 | $4.90 – $316.00 | 781 |
| Lumbar diskogram s&i CPT 72295 | $6,646.90 | $10,226.00 | $1,889.45 – $10,226.00 | 119 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $85,494.17 | $5,321.00 | $2.88 – $37,986.64 | 768 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $2,105.00 | $579.00 | $6.39 – $808.44 | 782 |
| Lung Function Test (Spirometry) CPT 94010 | $277.55 | $427.00 | $5.06 – $467.79 | 782 |
| Lung perfusion imaging CPT 78580 | $805.35 | $1,239.00 | $317.18 – $1,239.00 | 119 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $56,049.90 | $25,230.00 | $9.09 – $25,230.00 | 119 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $37,758.50 | $37,758.50 | $39.26 – $12,586.20 | 119 |
| Lvad shower bag heartmate HCPCS Q0501 | $887.68 | $1,365.66 | $349.61 – $1,365.66 | 31 |
| Lymphatics/lymph node imaging CPT 78195 | $1,763.45 | $2,713.00 | $525.38 – $2,713.00 | 119 |
| Magnesium CPT 83735 | $1,099.00 | $112.00 | $6.50 – $136.02 | 119 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $237.00 | $237.00 | $0.50 – $24.90 | 102 |
| Mammosite ced HCPCS C1728 | $1,437.46 | $2,211.47 | $566.14 – $2,211.47 | 31 |
| Mapping io sentinel lymph node CPT 38900 | $51,125.85 | not published | $183.41 – $14,385.78 | 89 |
| Map tachycard site(s) CPT 93609 | $1,966.90 | $3,026.00 | $774.66 – $3,026.00 | 30 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $8,622.65 | $8,622.65 | $46.45 – $8,622.65 | 119 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,312.87 | $5,096.73 | $0.01 – $0.12 | 31 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,262.93 | $1,942.97 | $388.59 – $1,942.97 | 39 |
| Mask full face lg af531 HCPCS A7030 | $47.34 | $72.83 | $18.19 – $71.04 | 31 |
| Mastectomy partial CPT 19301 | $44,573.75 | not published | $366.82 – $14,385.78 | 89 |
| Mast mod rad CPT 19307 | $77,426.69 | not published | $733.64 – $14,385.78 | 89 |
| Mast simple complete CPT 19303 | $82,354.60 | not published | $366.82 – $14,385.78 | 90 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | $6,518.34 | $10,028.22 | $2,567.22 – $10,028.22 | 31 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $72.92 | $112.19 | $0.72 – $3.61 | 39 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $104.65 | $161.00 | $14.01 – $69.00 | 48 |
| Mayo aathr protein s free CPT 85306 | $150.80 | $232.00 | $14.84 – $232.00 | 48 |
| Mayo activated protein c resistance assay CPT 85307 | $161.20 | $248.00 | $14.84 – $248.00 | 48 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $141.05 | $217.00 | $37.37 – $217.00 | 48 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $97.50 | $150.00 | $38.40 – $150.00 | 44 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $145.60 | $224.00 | $43.52 – $170.00 | 44 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $106.60 | $164.00 | $14.32 – $124.00 | 48 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $180.70 | $278.00 | $71.17 – $278.00 | 44 |
| Mayo alpha 1 antitrypsin CPT 82103 | $59.80 | $92.00 | $13.03 – $92.00 | 48 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $58.50 | $90.00 | $14.62 – $90.00 | 48 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $39.65 | $61.00 | $15.62 – $116.72 | 44 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $169.65 | $261.00 | $66.82 – $261.00 | 41 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $4,054.00 | $980.00 | $9.09 – $980.00 | 119 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $2,484.00 | $1,547.00 | $9.09 – $725.00 | 119 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $411.45 | $633.00 | $132.75 – $633.00 | 48 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,683.50 | $2,590.00 | $663.04 – $2,590.00 | 48 |
| Mayo androstenedione CPT 82157 | $137.80 | $212.00 | $28.38 – $212.00 | 48 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $90.35 | $139.00 | $14.15 – $139.00 | 48 |
| Mayo antithrombin iii antigen CPT 85301 | $109.85 | $169.00 | $10.48 – $169.00 | 48 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $54.60 | $84.00 | $11.26 – $44.00 | 48 |
| Mayo avwpr vw factor activity CPT 85397 | $196.95 | $303.00 | $29.91 – $303.00 | 48 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $82.55 | $127.00 | $32.51 – $127.00 | 48 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $39.00 | $60.00 | $15.36 – $116.72 | 41 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $25.35 | $39.00 | $9.86 – $39.00 | 48 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $308.75 | $475.00 | $121.60 – $475.00 | 48 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $232.70 | $358.00 | $91.65 – $431.39 | 48 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $90.35 | $139.00 | $12.51 – $139.00 | 48 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $58.50 | $90.00 | $23.04 – $116.72 | 44 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $48.75 | $75.00 | $12.78 – $75.00 | 48 |
| Mayo brcmg brucella antibody igm CPT 86622 | $352.95 | $543.00 | $8.65 – $543.00 | 48 |
| Mayo c1 esterase inhibitor CPT 83883 | $117.65 | $181.00 | $13.18 – $181.00 | 48 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $62.40 | $96.00 | $24.58 – $116.72 | 44 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $56.55 | $87.00 | $16.35 – $87.00 | 48 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $250.25 | $385.00 | $26.24 – $385.00 | 45 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $478.40 | $736.00 | $119.78 – $736.00 | 45 |
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.