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 |
|---|---|---|---|---|
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $13,801.85 | $13,801.85 | $8.99 – $13,801.85 | 779 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.50 | $188.50 | $0.60 – $8.10 | 102 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $56,796.70 | $56,796.70 | $22.32 – $56,796.70 | 119 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,864.85 | $2,869.00 | $13.57 – $3,410.37 | 781 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,285.10 | $5,054.00 | $1,252.70 – $5,054.00 | 119 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,012.40 | $3,096.00 | $792.58 – $3,410.37 | 118 |
| Rpl tun cvc wo subq port CPT 36581 | $6,314.75 | $9,715.00 | $2,487.04 – $9,715.00 | 118 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $38,050.82 | not published | $1.92 – $13,097.50 | 89 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $46,260.26 | not published | $9.09 – $14,025.39 | 89 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $40,317.93 | not published | $5.46 – $7,756.86 | 89 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $36,884.88 | not published | $0.96 – $13,097.50 | 89 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $81,569.71 | not published | $2.88 – $1,389.65 | 89 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $50,959.11 | not published | $9.09 – $14,025.39 | 89 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $33,292.44 | not published | $0.96 – $7,756.86 | 89 |
| Rpr rem hernia init reduce CPT 49550 | $41,581.51 | not published | $9.09 – $7,756.86 | 89 |
| Rsv assay w/optic CPT 87807 | $84.50 | $130.00 | $10.48 – $130.00 | 780 |
| Rubella antibody igg CPT 86762 | $67.60 | $104.00 | $12.80 – $50.00 | 48 |
| Rubeola antibody igg CPT 86765 | $42.25 | $65.00 | $12.48 – $64.00 | 48 |
| Russell viper venom diluted CPT 85613 | $232.05 | $357.00 | $9.28 – $74.00 | 48 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $7,844.35 | $7,844.35 | $33.65 – $7,844.35 | 119 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $199.55 | $307.00 | $6.82 – $307.00 | 781 |
| Sargramostim injection HCPCS J2820 | $1,573.15 | $1,573.15 | $280.45 – $1,573.15 | 102 |
| Sarscov coronavirus ag ia CPT 87426 | $122.85 | $189.00 | $24.73 – $108.00 | 780 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $162.50 | $250.00 | $30.94 – $250.00 | 780 |
| Sbrt management CPT 77435 | $2,068.00 | $2,068.00 | $414.50 – $2,068.00 | 766 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $165.00 | $165.00 | $30.80 – $165.00 | 769 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $221.00 | $221.00 | $66.13 – $221.00 | 769 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $105.00 | $105.00 | $24.50 – $105.00 | 769 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $662.35 | $1,019.00 | $230.87 – $1,019.00 | 119 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $87.10 | $134.00 | $34.30 – $699.00 | 119 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $720.85 | $1,109.00 | $101.16 – $1,109.00 | 119 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,241.00 | $1,241.00 | $101.16 – $1,241.00 | 119 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $367.90 | $566.00 | $101.16 – $699.00 | 119 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $421.20 | $648.00 | $101.16 – $699.00 | 119 |
| Scan proc cranial extra CPT 61782 | $54,774.79 | not published | $1.92 – $15,289.83 | 89 |
| Scan proc cranial intra 61781 CPT 61781 | $706.00 | $706.00 | $21.34 – $82.08 | 767 |
| Scan proc spinal CPT 61783 | $89,605.12 | not published | $2.88 – $37,986.64 | 89 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,645.15 | $2,531.00 | $647.94 – $3,578.15 | 118 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $6,118.74 | $9,413.45 | $466.76 – $1,823.27 | 31 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $13,035.80 | not published | $899.83 – $2,014.73 | 88 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $13,131.60 | not published | $899.83 – $2,014.73 | 88 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $735.00 | $74.00 | $17.69 – $74.00 | 48 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $49.40 | $76.00 | $19.46 – $76.00 | 45 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $65.00 | $100.00 | $25.60 – $100.00 | 48 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $1,210.00 | $163.00 | $23.60 – $163.00 | 119 |
| Screening Mammogram CPT 77067 | $281.45 | $433.00 | $81.59 – $334.00 | 48 |
| Screening prostate cancer PSA HCPCS G0103 | $122.20 | $188.00 | $18.92 – $188.00 | 45 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $10.00 | $10.00 | $1.80 – $10.00 | 569 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $776,558.25 | $1,194,705.00 | $0.01 – $0.06 | 31 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $544.05 | $837.00 | $101.16 – $837.00 | 119 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $6,565.00 | $10,100.00 | $2,585.60 – $10,100.00 | 30 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $12,724.00 | $299.00 | $31.45 – $3,856.11 | 119 |
| Sedimentation rate erythrocyte automated CPT 85652 | $50.05 | $77.00 | $2.62 – $77.00 | 48 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $74.10 | $114.00 | $28.47 – $350.00 | 48 |
| Self-meas bp 2 readg bid 30d CPT 99474 | $37.00 | $37.00 | $5.54 – $37.00 | 769 |
| Semen analysis presence/motility CPT 89321 | $41.60 | $64.00 | $11.68 – $64.00 | 48 |
| Semen analysis w/count CPT 89310 | $68.90 | $106.00 | $8.34 – $106.00 | 48 |
| Set radiation therapy field CPT 77280 | $835.25 | $1,285.00 | $130.06 – $1,285.00 | 119 |
| Set radiation therapy field CPT 77290 | $1,823.90 | $2,806.00 | $52.82 – $2,806.00 | 780 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $1.50 | $1.50 | $0.30 – $1.50 | 107 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $260.06 | $231.00 | $10.31 – $434.67 | 781 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $157.95 | $243.00 | $62.21 – $434.67 | 118 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $260.00 | $400.00 | $102.40 – $880.71 | 118 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $1,137.00 | $210.00 | $8.06 – $434.67 | 780 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $1,410.00 | $210.00 | $12.22 – $434.67 | 780 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $157.95 | $243.00 | $62.21 – $434.67 | 118 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $1,529.00 | $400.00 | $6.98 – $400.00 | 782 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $1,399.00 | $210.00 | $11.78 – $288.44 | 782 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $1,189.00 | $210.00 | $13.98 – $288.44 | 782 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $4,725.71 | $7,270.33 | $187.03 – $730.60 | 31 |
| Sheath laser cavaclear 14f HCPCS C1603 | $5,815.06 | $8,946.25 | $1,701.96 – $6,648.28 | 31 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $77,386.95 | not published | $0.36 – $15,720.43 | 89 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $63,336.26 | not published | $0.96 – $7,088.72 | 89 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $60,456.75 | not published | $0.96 – $7,088.72 | 89 |
| Shoe post-op mens m HCPCS L3260 | $42.87 | $65.95 | $0.58 – $2.90 | 39 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $3,712.30 | $153.00 | $3.21 – $155.99 | 779 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $225.55 | $347.00 | $84.21 – $347.00 | 119 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $70,167.83 | not published | $9.09 – $15,720.43 | 89 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $266.50 | $410.00 | $69.89 – $273.00 | 119 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,465.45 | $3,793.00 | $337.57 – $2,528.00 | 119 |
| Shoulder MRI (with contrast) CPT 73222 | $3,214.90 | $4,946.00 | $758.52 – $3,297.00 | 119 |
| Shoulder MRI (without contrast) CPT 73221 | $1,550.25 | $2,385.00 | $128.22 – $1,590.00 | 119 |
| Shoulder X-ray CPT 73030 | $782.00 | $6,021.75 | $5.75 – $257.00 | 782 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $343.20 | $528.00 | $84.21 – $352.00 | 119 |
| Shrinker prosth above knee HCPCS L8460 | $230.16 | $354.09 | $90.65 – $354.09 | 31 |
| Shrinker prosth below knee HCPCS L8440 | $178.39 | $274.45 | $70.26 – $274.45 | 31 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,209.23 | $4,937.28 | $45.72 – $178.61 | 31 |
| Sickling rbc CPT 85660 | $33.15 | $51.00 | $5.33 – $51.00 | 48 |
| Sigmoidoscopy and biopsy CPT 45331 | $13,774.50 | not published | $69.55 – $2,014.73 | 89 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $232.05 | $357.00 | $57.08 – $357.00 | 119 |
| Simple cystometrogram 51725 CPT 51725 | $1,309.75 | $2,015.00 | $14.22 – $2,015.00 | 780 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $407.75 | $407.75 | $104.38 – $407.75 | 101 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,295.45 | $1,993.00 | $169.72 – $1,993.00 | 119 |
| Sinus CT scan (with contrast) CPT 70487 | $1,760.85 | $2,709.00 | $169.72 – $2,709.00 | 119 |
| Sinus CT scan (without contrast) CPT 70486 | $1,597.70 | $2,458.00 | $101.16 – $2,458.00 | 119 |
| Sinus/juglr venogram s&i CPT 75860 | $3,081.00 | $4,740.00 | $1,213.44 – $6,840.61 | 119 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $56,881.64 | not published | $1.92 – $7,182.87 | 89 |
| Sinus X-ray (complete) CPT 70220 | $214.50 | $330.00 | $84.21 – $330.00 | 119 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $42,938.50 | $42,938.50 | $9,250.00 – $42,938.50 | 102 |
| Skin Biopsy CPT 11102 | $1,850.00 | $261.00 | $11.78 – $880.71 | 782 |
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.