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 |
|---|---|---|---|---|
| Perq dev breast 1st strtctc CPT 19283 | $5,577.76 | $6,432.00 | $89.21 – $4,288.00 | 119 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $68,142.29 | not published | $9.09 – $20,508.88 | 89 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $64,131.14 | not published | $9.09 – $20,508.88 | 89 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $39,737.90 | $20,666.10 | $15.59 – $20,666.10 | 119 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $96.38 | $148.28 | $28.47 – $111.21 | 31 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,685.55 | $8,747.00 | $1,383.61 – $8,747.00 | 119 |
| Pet CT whole body initial CPT 78816 | $5,768.10 | $8,874.00 | $1,383.61 – $8,874.00 | 119 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $54,744.57 | $84,222.41 | $0.01 – $0.01 | 31 |
| Ph body fluid CPT 83986 | $52.65 | $81.00 | $3.47 – $36.00 | 48 |
| Phencyclidine (pcp) CPT 83992 | $54.60 | $84.00 | $21.50 – $116.72 | 45 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $201.80 | $201.80 | $27.36 – $180.95 | 101 |
| Phenobarbital therapeutic drug level CPT 80184 | $89.70 | $138.00 | $14.83 – $138.00 | 48 |
| Phentolaine mesylate inj HCPCS J2760 | $2,253.40 | $2,253.40 | $412.15 – $2,253.40 | 119 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $43.70 | $43.70 | $0.77 – $3.00 | 31 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $8.25 | $8.25 | $0.66 – $3.45 | 102 |
| Phenytoin total therapeutic drug level CPT 80185 | $70.85 | $109.00 | $12.84 – $109.00 | 48 |
| Phlebotomy therapeutic CPT 99195 | $240.50 | $370.00 | $94.72 – $370.00 | 119 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $9,844.90 | $15,146.00 | $2,584.83 – $10,097.00 | 118 |
| Phosphorus CPT 84100 | $1,252.00 | $62.00 | $4.59 – $62.00 | 48 |
| Phosphorus 24 hour urine CPT 84105 | $69.55 | $107.00 | $5.60 – $107.00 | 48 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $164.45 | $253.00 | $64.77 – $350.00 | 48 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $979.00 | $253.00 | $64.77 – $350.00 | 48 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $164.45 | $253.00 | $64.77 – $350.00 | 48 |
| Physical Therapy Re-Evaluation CPT 97164 | $109.85 | $169.00 | $43.26 – $350.00 | 48 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $67.60 | $67.60 | $2.84 – $22.60 | 101 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $781.90 | $1,202.93 | $37.27 – $186.36 | 39 |
| Pin caspar distraction 12mm HCPCS C1821 | $24,304.88 | $37,392.12 | $0.01 – $0.29 | 31 |
| Pinworm exam CPT 87172 | $23.40 | $36.00 | $4.14 – $36.00 | 48 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $120.55 | $120.55 | $2.22 – $10.15 | 101 |
| Place gastrostomy tube perc CPT 49440 | $3,264.30 | $5,022.00 | $1,285.63 – $5,022.00 | 118 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,955.26 | $3,329.00 | $88.76 – $3,578.15 | 118 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,264.25 | $1,945.00 | $44.46 – $1,945.00 | 30 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,380.30 | $3,662.00 | $75.66 – $2,441.00 | 118 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $6,453.85 | $9,929.00 | $1,694.46 – $6,619.00 | 118 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $391.95 | $603.00 | $154.37 – $603.00 | 30 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $26,086.45 | $40,133.00 | $6,849.28 – $26,755.00 | 118 |
| Place non-slctv cath thoracic arta CPT 36221 | $7,475.00 | $11,500.00 | $2,944.00 – $11,500.00 | 118 |
| Place slctv cath subclavian art CPT 36225 | $8,851.05 | $13,617.00 | $2,323.97 – $9,078.00 | 118 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $247.65 | $381.00 | $97.54 – $381.00 | 31 |
| Platelet aggregation each agent teg CPT 85576 | $114.40 | $176.00 | $24.13 – $113.00 | 48 |
| Platelet automated CPT 85049 | $3,335.00 | $38.00 | $4.35 – $680.61 | 119 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,996.15 | $3,071.00 | $317.00 – $3,071.00 | 119 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $235.95 | $363.00 | $92.93 – $363.00 | 119 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $400.40 | $616.00 | $157.70 – $616.00 | 119 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,787.50 | $2,750.00 | $317.00 – $2,750.00 | 31 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,146.60 | $1,764.00 | $317.00 – $1,764.00 | 119 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $3,952.00 | $774.00 | $9.09 – $1,101.30 | 119 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $588.90 | $906.00 | $231.94 – $1,465.16 | 119 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $724.75 | $1,115.00 | $285.44 – $1,307.62 | 119 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $3,158.35 | $4,859.00 | $1,243.90 – $4,859.00 | 30 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $9,609.60 | $14,784.00 | $2,523.14 – $9,856.00 | 118 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $9,609.60 | $14,784.00 | $2,523.14 – $9,856.00 | 118 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $3,967.05 | $3,384.00 | $75.66 – $2,256.00 | 118 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $41,074.99 | $1,395.00 | $44.46 – $14,385.78 | 119 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $306.15 | $471.00 | $7.46 – $808.44 | 782 |
| Plmt nephroureteral catheter CPT 50433 | $64,131.14 | $9,929.00 | $9.09 – $7,636.79 | 118 |
| Plug insert indwelling 16f HCPCS L8511 | $153.33 | $235.90 | $60.39 – $235.90 | 31 |
| Pm device progr eval dual CPT 93280 | $36.40 | $56.00 | $14.34 – $80.86 | 118 |
| Pm device progr eval multi CPT 93281 | $36.40 | $56.00 | $14.34 – $80.86 | 118 |
| Pm phone r-strip device eval CPT 93293 | $36.40 | $56.00 | $14.34 – $80.86 | 118 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $2,139.00 | $504.00 | $25.27 – $504.00 | 119 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $59,184.30 | $59,184.30 | $122.12 – $12,682.40 | 119 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,915.60 | $6,024.00 | $77.11 – $6,024.00 | 782 |
| Positioner proc acufex leg acs HCPCS E0190 | $197.14 | $303.30 | $60.66 – $303.30 | 39 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $50,121.45 | not published | $0.96 – $1,400.60 | 89 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | $42,843.45 | not published | $0.96 – $1,400.60 | 89 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $82,589.51 | $2,502.00 | $2.28 – $37,986.64 | 768 |
| Postpartum Care Only CPT 59430 | $580.00 | $580.00 | $34.87 – $580.00 | 769 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $91,234.92 | $2,515.00 | $4.56 – $37,986.64 | 768 |
| Potassium 24 hour urine CPT 84133 | $49.40 | $76.00 | $4.58 – $76.00 | 48 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $35.00 | $35.00 | $0.17 – $6.00 | 102 |
| Potassium serum/plasma/whole blood CPT 84132 | $204.00 | $42.00 | $4.61 – $42.00 | 48 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $282.29 | $434.29 | $111.18 – $434.29 | 31 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | $0.28 | $0.43 | $0.11 – $0.43 | 31 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | $0.38 | $0.59 | $0.12 – $0.47 | 31 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $67.84 | $104.37 | $0.13 – $0.49 | 31 |
| Powder prem protct 1oz HCPCS A4371 | $0.45 | $0.70 | $0.18 – $0.70 | 31 |
| Pq dr cath chg w cont s&i CPT 75984 | $586.95 | $903.00 | $231.17 – $903.00 | 30 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $21,852.35 | $33,619.00 | $7,021.09 – $33,619.00 | 118 |
| Pq thr inj ext pse CPT 36002 | $2,744.95 | $4,223.00 | $606.98 – $2,815.00 | 118 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $27,627.45 | not published | $31.45 – $7,088.72 | 89 |
| Pr application of long arm splint CPT 29105 | $675.00 | $251.00 | $13.21 – $352.05 | 782 |
| Pr application splint static short arm CPT 29125 | $416.00 | $257.00 | $10.08 – $288.25 | 782 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $574.00 | $117.00 | $2.92 – $117.00 | 781 |
| Pr biopsy skin punch single lesion CPT 11104 | $1,502.00 | $405.00 | $12.80 – $880.71 | 782 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $80,402.07 | not published | $0.96 – $27,814.73 | 89 |
| Pr correction hammertoe CPT 28285 | $55,156.48 | not published | $31.45 – $15,720.43 | 89 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $563.00 | $39.00 | $7.46 – $81.17 | 782 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,576.25 | $2,425.00 | $620.80 – $2,425.00 | 30 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $36,507.53 | not published | $0.96 – $7,636.79 | 89 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $174.00 | $174.00 | $51.55 – $173.00 | 766 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $256.00 | $256.00 | $72.85 – $245.00 | 767 |
| Prealbumin CPT 84134 | $67.60 | $104.00 | $14.14 – $104.00 | 48 |
| Pr ecg 12 lead report only CPT 93010 | $26.00 | $26.00 | $5.11 – $26.00 | 769 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $83.00 | $83.00 | $11.50 – $83.00 | 767 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $5.90 | $5.90 | $0.54 – $5.90 | 779 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.00 | $1.00 | $0.14 – $1.00 | 707 |
| Prefab stnlss steel crown pe HCPCS D2931 | $47,050.20 | not published | $0.96 – $7,182.87 | 89 |
| Prefab stnlss steel crwn pri HCPCS D2930 | $45,129.65 | not published | $0.96 – $1,400.60 | 89 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $10,516.91 | $724.00 | $10.07 – $4,157.27 | 768 |
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.