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 |
|---|---|---|---|---|
| Obtaining screen pap smear HCPCS Q0091 | $103.00 | $103.00 | $11.22 – $83.00 | 780 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $465.40 | $716.00 | $101.16 – $716.00 | 119 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $163.15 | $251.00 | $64.26 – $350.00 | 48 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $1,415.00 | $251.00 | $64.26 – $350.00 | 48 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $163.15 | $251.00 | $64.26 – $350.00 | 48 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $65,142.90 | $65,142.90 | $62.03 – $65,142.90 | 34 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $32.20 | $32.20 | $0.49 – $1.90 | 101 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $19,011.30 | $19,011.30 | $195.19 – $9,690.35 | 119 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $1,810.15 | $1,810.15 | $463.40 – $1,810.15 | 102 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $725.10 | $1,115.54 | $285.58 – $1,115.54 | 31 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $129.10 | $129.10 | $33.05 – $129.10 | 31 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $7,768.80 | $7,768.80 | $44.59 – $7,768.80 | 119 |
| Omental flap intra-abdom 49905 CPT 49905 | $1,254.00 | $1,254.00 | $35.75 – $120.00 | 767 |
| Oncology colon mrna CPT 81525 | $11,381.50 | $17,510.00 | $3,116.00 – $17,510.00 | 31 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $14.38 | $1.00 | $0.06 – $1.00 | 532 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1,692.00 | $37.00 | $0.08 – $773.00 | 119 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $12.97 | $12.97 | $0.07 – $3.00 | 778 |
| Open bx/exc inguinofem nodes CPT 38531 | $34,291.30 | not published | $607.39 – $8,482.70 | 89 |
| Open skull for drainage 61312 CPT 61312 | $6,238.00 | $6,238.00 | $37.48 – $734.56 | 767 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $94,723.74 | not published | $9.09 – $66,852.54 | 89 |
| Optx carpl scphd fx int fixj CPT 25628 | $49,420.37 | not published | $9.09 – $15,720.43 | 89 |
| Optx ulnar shft fx int fixj CPT 25545 | $54,364.46 | not published | $0.96 – $15,720.43 | 89 |
| Optx ulnar styloid fracture CPT 25652 | $78,206.14 | not published | $0.96 – $15,720.43 | 89 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $28,018.60 | $28,018.60 | $42.20 – $28,018.60 | 119 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,978.20 | $5,978.20 | $29.11 – $5,978.20 | 34 |
| Oropharyngeal biopsy 42800 CPT 42800 | $1,007.50 | $1,550.00 | $396.80 – $3,361.47 | 118 |
| Orthopantogram CPT 70355 | $209.95 | $323.00 | $82.69 – $323.00 | 119 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $899.04 | $1,383.14 | $354.08 – $1,383.14 | 31 |
| Oscillation chest wall mechanical per session CPT 94669 | $499.20 | $768.00 | $196.61 – $768.00 | 119 |
| Osmolality blood CPT 83930 | $65.00 | $100.00 | $6.41 – $100.00 | 48 |
| Osmolality urine CPT 83935 | $53.30 | $82.00 | $6.61 – $82.00 | 48 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $142.00 | $142.00 | $9.47 – $142.00 | 782 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $178.00 | $178.00 | $16.38 – $178.00 | 782 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $216.00 | $216.00 | $9.47 – $208.03 | 780 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $115.70 | $178.00 | $44.48 – $350.00 | 48 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $62.40 | $96.00 | $24.58 – $350.00 | 31 |
| Ot re-evaluation patient/family CPT 97168 | $106.60 | $164.00 | $41.98 – $350.00 | 48 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $72.15 | $111.00 | $17.81 – $350.00 | 48 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $72.15 | $111.00 | $18.89 – $350.00 | 48 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $14.50 | $14.50 | $3.28 – $14.50 | 101 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,200.00 | $1,200.00 | $8.24 – $32.20 | 31 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.20 | $7.20 | $0.87 – $7.20 | 101 |
| P-32 chromic phos ther per mci HCPCS A9564 | $1,730.00 | $1,730.00 | $346.00 – $1,730.00 | 103 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,383.10 | $1,383.10 | $179.12 – $1,383.10 | 103 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $14,528.90 | $22,352.16 | $5,722.15 – $22,352.16 | 31 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $253.00 | $253.00 | $3.60 – $151.80 | 102 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,531.65 | $3,531.65 | $8.02 – $3,531.65 | 119 |
| Pad repl cerv collr univ adult HCPCS L0999 | $60.66 | $93.32 | $10.10 – $39.45 | 31 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $16,808.50 | $16,808.50 | $14.78 – $2,801.25 | 34 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $136.60 | $136.60 | $10.96 – $81.96 | 102 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $20,996.10 | $20,996.10 | $162.13 – $5,249.05 | 119 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.25 | $10.25 | $1.89 – $10.25 | 101 |
| Papaverin hcl injection HCPCS J2440 | $29.90 | $29.90 | $5.98 – $39.27 | 106 |
| Parathormone (pth) intact CPT 83970 | $189.80 | $292.00 | $40.00 – $292.00 | 48 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,434.90 | $3,746.00 | $525.38 – $3,746.00 | 119 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $136.50 | $210.00 | $2.89 – $434.67 | 780 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $44,934.20 | not published | $0.96 – $7,088.72 | 89 |
| Partial removal of thyroid CPT 60220 | $50,632.04 | not published | $183.41 – $13,097.50 | 89 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $221.06 | $340.09 | $0.48 – $2.41 | 39 |
| Part removal of metatarsal CPT 28110 | $29,020.00 | not published | $0.96 – $7,088.72 | 89 |
| Passy muir valve metal trach HCPCS L8501 | $242.38 | $372.89 | $20.14 – $78.66 | 31 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.22 | $0.34 | $0.09 – $0.34 | 31 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $94.19 | $144.91 | $37.10 – $144.91 | 31 |
| Ped crit care age 2-5 init CPT 99475 | $1,444.00 | $1,444.00 | $378.34 – $1,376.20 | 766 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $17,709.85 | $17,709.85 | $120.38 – $17,709.85 | 119 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $10,830.70 | $10,830.70 | $130.39 – $10,830.70 | 119 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $20,144.40 | $20,144.40 | $158.75 – $11,497.50 | 119 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $11,866.15 | $11,866.15 | $2,749.32 – $11,866.15 | 102 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,037.30 | $5,037.30 | $96.89 – $5,037.30 | 119 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $11,497.50 | $11,497.50 | $124.68 – $11,497.50 | 119 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $95,364.75 | $95,364.75 | $3,610.60 – $95,364.75 | 119 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,844.70 | $2,838.00 | $169.72 – $2,838.00 | 119 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,706.25 | $2,625.00 | $169.72 – $2,625.00 | 119 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,157.65 | $1,781.00 | $101.16 – $1,781.00 | 119 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,643.20 | $2,528.00 | $208.25 – $2,528.00 | 116 |
| Pelvic MRI (without contrast) CPT 72195 | $984.10 | $1,514.00 | $143.73 – $1,514.00 | 116 |
| Pelvic Ultrasound (complete) CPT 76856 | $2,194.00 | $1,150.00 | $101.16 – $1,150.00 | 119 |
| Pelvic Ultrasound (limited) CPT 76857 | $604.00 | $604.00 | $101.16 – $604.00 | 119 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $1,114.00 | $293.00 | $5.33 – $293.00 | 781 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $217.10 | $334.00 | $85.50 – $334.00 | 119 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $39,131.10 | $18,047.05 | $9.09 – $18,047.05 | 119 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $6,210.00 | $1,181.25 | $3.52 – $130.60 | 119 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,928.25 | $1,928.25 | $15.23 – $1,113.35 | 779 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $234.00 | $234.00 | $0.83 – $3.25 | 101 |
| Penile injection CPT 54235 | $200.20 | $308.00 | $78.85 – $541.29 | 115 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $13,529.89 | $20,815.21 | $12.80 – $50.00 | 31 |
| Penile vascular study CPT 93980 | $555.75 | $855.00 | $101.16 – $855.00 | 119 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $664.60 | $664.60 | $170.14 – $664.60 | 31 |
| Pentobarbital sodium inj HCPCS J2515 | $4,693.50 | $4,693.50 | $54.57 – $4,693.50 | 34 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $14,509.25 | $14,509.25 | $2,486.35 – $14,509.25 | 119 |
| Perc cryo ablate renal tum CPT 50593 | $13,365.30 | $20,562.00 | $3,509.25 – $23,029.31 | 118 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $8,455.20 | $13,008.00 | $3,330.05 – $39,715.10 | 118 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $14,290.90 | $21,986.00 | $5,628.42 – $21,986.00 | 30 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $17,147.00 | $26,380.00 | $6,753.28 – $26,380.00 | 118 |
| Perc d-e cor stent ather s HCPCS C9602 | $14,236.95 | $21,903.00 | $5,607.17 – $39,715.10 | 118 |
| Perc drug-el cor stent bran HCPCS C9601 | $5,068.70 | $7,798.00 | $1,996.29 – $7,798.00 | 30 |
| Perc drug-el cor stent sing HCPCS C9600 | $54,505.00 | $28,239.00 | $1.92 – $28,239.00 | 118 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $393.60 | $393.60 | $100.76 – $393.60 | 31 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,576.25 | $2,425.00 | $620.80 – $3,410.37 | 118 |
| Perq clsr tcat l atr apndge CPT 33340 | $12,421.50 | $19,110.00 | $542.64 – $19,110.00 | 47 |
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.