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 |
|---|---|---|---|---|
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $677.30 | $1,042.00 | $101.16 – $1,042.00 | 119 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $592.15 | $911.00 | $29.82 – $911.00 | 781 |
| Pregnancy Ultrasound (limited) CPT 76815 | $1,455.00 | $569.00 | $8.04 – $569.00 | 782 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $247.00 | $309.00 | $32.15 – $309.00 | 570 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $1,400.00 | $1,400.00 | $65.89 – $1,400.00 | 769 |
| Prenatal Care Only (7+ visits) CPT 59426 | $2,571.00 | $2,571.00 | $65.22 – $2,571.00 | 769 |
| Pressure max expiratory/inspiratory CPT 94799 | $252.85 | $389.00 | $99.58 – $389.00 | 119 |
| Pressure velocity wire add ves CPT 93572 | $30,292.41 | $693.00 | $9.09 – $12,330.65 | 118 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $333.45 | $513.00 | $102.60 – $513.00 | 119 |
| Pretreat rbc absorption reference CPT 86978 | $49.40 | $76.00 | $19.46 – $127.81 | 119 |
| Pretreat rbc density gradient separation reference CPT 86972 | $84.50 | $130.00 | $33.28 – $369.10 | 119 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $86.45 | $133.00 | $26.60 – $133.00 | 119 |
| Pretreat rbc w enzyme reference CPT 86971 | $75.40 | $116.00 | $29.70 – $369.10 | 119 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $421.00 | $421.00 | $81.35 – $413.33 | 766 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $1,236.00 | $404.00 | $36.10 – $404.00 | 781 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $25,617.40 | $3,570.00 | $25.86 – $3,578.15 | 781 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,047.80 | $1,612.00 | $47.05 – $3,578.15 | 782 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $805.00 | $422.00 | $32.70 – $880.71 | 782 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $4,853.00 | $4,853.00 | $35.19 – $473.12 | 767 |
| Prgrmg dev eval impltbl sys CPT 93260 | $30.55 | $47.00 | $12.03 – $80.86 | 118 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $36.40 | $56.00 | $14.34 – $80.86 | 118 |
| Prgrmg eval implantable dfb CPT 93282 | $36.40 | $56.00 | $14.34 – $80.86 | 118 |
| Prgrmg eval implantable dfb CPT 93283 | $36.40 | $56.00 | $14.34 – $80.86 | 118 |
| Prgrmg eval implantable dfb CPT 93284 | $36.40 | $56.00 | $14.34 – $80.86 | 118 |
| Prgr stim/pace a/iv drug CPT 93623 | $2,641.60 | $4,064.00 | $1,040.38 – $4,064.00 | 30 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $483.00 | $483.00 | $110.12 – $368.00 | 767 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $328.00 | $328.00 | $82.64 – $276.00 | 766 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $241.00 | $241.00 | $52.40 – $175.00 | 766 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $255.00 | $255.00 | $72.99 – $250.00 | 767 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $173.00 | $173.00 | $50.27 – $168.00 | 766 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $106.00 | $106.00 | $31.10 – $104.00 | 766 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $17,392.05 | $26,757.00 | $4,566.53 – $39,715.10 | 118 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,009.85 | $6,169.00 | $1,579.26 – $6,169.00 | 30 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $2,245.00 | $607.00 | $43.00 – $880.71 | 782 |
| Pr incision & drainage abscess simple/single CPT 10060 | $762.00 | $350.00 | $25.41 – $434.67 | 782 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $618.15 | $951.00 | $39.06 – $951.00 | 780 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $995.00 | $400.00 | $23.30 – $880.71 | 782 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $549.00 | $549.00 | $36.10 – $549.00 | 782 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $374.00 | $374.00 | $36.10 – $374.00 | 782 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $37.00 | $37.00 | $5.94 – $26.00 | 766 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $34,288.85 | $2,738.00 | $2.88 – $4,230.54 | 768 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,097.91 | $6,304.48 | $107.90 – $421.50 | 31 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,889.60 | $2,889.60 | $70.64 – $692.51 | 119 |
| Procalcitonin CPT 84145 | $230.75 | $355.00 | $26.38 – $355.00 | 48 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $24.95 | $24.95 | $1.80 – $24.95 | 778 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.00 | $1.00 | $0.26 – $1.00 | 101 |
| Progesterone CPT 84144 | $120.90 | $186.00 | $20.22 – $186.00 | 48 |
| Prolactin CPT 84146 | $130.65 | $201.00 | $18.78 – $201.00 | 48 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $99.00 | $99.00 | $22.00 – $83.00 | 554 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $79.00 | $79.00 | $18.71 – $79.00 | 557 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.00 | $1.00 | $0.06 – $1.00 | 549 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $99.50 | $99.50 | $5.09 – $19.90 | 31 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $9.20 | $9.20 | $2.36 – $9.20 | 101 |
| Prostatectomy (turp) CPT 52601 | $50,936.35 | not published | $31.45 – $11,616.22 | 89 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $2,365.32 | $3,638.95 | $0.18 – $0.89 | 39 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $462.69 | $711.83 | $15.55 – $60.73 | 31 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $150.50 | $150.50 | $8.20 – $50.15 | 101 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,580.71 | $5,508.79 | $1,397.50 – $5,459.00 | 31 |
| Protein c activity CPT 85303 | $162.50 | $250.00 | $13.41 – $250.00 | 48 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $1,976.00 | $89.00 | $9.09 – $39.00 | 48 |
| Protein s total CPT 85305 | $157.30 | $242.00 | $11.25 – $242.00 | 48 |
| Protein total 24 hour urine CPT 84156 | $800.00 | $75.00 | $3.56 – $75.00 | 48 |
| Protein total body fluid CPT 84157 | $59.80 | $92.00 | $3.88 – $92.00 | 48 |
| Protein total serum plasma whole blood CPT 84155 | $2,389.00 | $54.00 | $3.56 – $136.02 | 119 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $126.75 | $195.00 | $3.81 – $195.00 | 48 |
| Provide inr test mater/equip HCPCS G0249 | $168.00 | $168.00 | $36.10 – $288.44 | 781 |
| Provox xtraflange 17fr HCPCS L8499 | $84.23 | $129.58 | $26.55 – $103.73 | 31 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $190.00 | $251.00 | $39.02 – $251.00 | 782 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $81.00 | $81.00 | $16.95 – $81.00 | 769 |
| Prq cardiac angio addl art CPT 92921 | $2,826.85 | $4,349.00 | $869.80 – $4,349.00 | 38 |
| Prq card revasc mi 1 vsl CPT 92941 | $12,090.00 | $18,600.00 | $4,761.60 – $18,600.00 | 30 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $15,800.20 | $24,308.00 | $6,222.85 – $24,308.00 | 30 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $10,309.65 | $15,861.00 | $4,060.42 – $25,010.24 | 118 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $45,292.20 | $28,608.00 | $9.09 – $28,608.00 | 118 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $22,998.30 | $35,382.00 | $9,057.79 – $35,382.00 | 30 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,653.70 | $8,698.00 | $2,226.69 – $12,330.65 | 118 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $3,522.35 | $5,419.00 | $1,387.26 – $25,010.24 | 118 |
| Pr removal drug delivery implant CPT 11982 | $297.00 | $373.00 | $23.22 – $967.82 | 782 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $366.00 | $257.00 | $8.04 – $288.25 | 782 |
| Pr removal intrauterine device CPT 58301 | $213.20 | $328.00 | $11.08 – $660.19 | 782 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,162.00 | $627.00 | $31.45 – $880.71 | 782 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $265.00 | $265.00 | $17.79 – $434.67 | 782 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $405.00 | $351.00 | $18.43 – $434.67 | 782 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $548.00 | $256.00 | $14.27 – $434.67 | 782 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $598.00 | $330.00 | $18.75 – $434.67 | 782 |
| Pr robotic surgical system HCPCS S2900 | $66,821.98 | not published | $183.41 – $23,029.31 | 89 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $101.00 | $101.00 | $25.35 – $84.00 | 767 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,018.60 | $4,644.00 | $7.11 – $3,410.37 | 781 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $42.00 | $42.00 | $0.02 – $42.00 | 768 |
| PSA (Prostate) Test CPT 84153 | $669.00 | $202.00 | $9.09 – $136.02 | 119 |
| Psychotherapy group therapy CPT 90853 | $167.70 | $258.00 | $14.38 – $258.00 | 781 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $300.30 | $462.00 | $40.83 – $462.00 | 781 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $300.30 | $462.00 | $53.53 – $462.00 | 781 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $376.00 | $376.00 | $74.50 – $376.00 | 781 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $334.00 | $334.00 | $37.29 – $334.00 | 781 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $251.00 | $280.00 | $37.29 – $280.00 | 781 |
| Psycl/nrpsyc tech 1st CPT 96138 | $750.10 | $1,154.00 | $24.28 – $1,154.00 | 780 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $240.50 | $370.00 | $13.42 – $370.00 | 781 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $85.15 | $131.00 | $33.54 – $586.00 | 31 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $106.00 | $110.00 | $22.62 – $110.00 | 780 |
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.