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 |
|---|---|---|---|---|
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $9,857.02 | $521.00 | $10.65 – $521.00 | 780 |
| Application finger splntstatic 29130 CPT 29130 | $653.00 | $612.00 | $43.00 – $408.00 | 119 |
| Application long leg splint 29505 CPT 29505 | $204.68 | $179.00 | $13.98 – $179.00 | 766 |
| Application lower leg splint 29515 CPT 29515 | $171.00 | $251.00 | $13.39 – $352.05 | 782 |
| Application multi layer compression below knee (both sides) CPT 29581 | $5,805.00 | $701.00 | $8.42 – $467.00 | 780 |
| Application of forearm cast 29075 CPT 29075 | $273.00 | $420.00 | $13.34 – $605.95 | 782 |
| Application of long arm cast 29065 CPT 29065 | $273.00 | $420.00 | $71.68 – $605.95 | 118 |
| Application of paste boot 29580 CPT 29580 | $380.90 | $586.00 | $8.31 – $391.00 | 780 |
| Application short leg cast 29405 CPT 29405 | $273.00 | $420.00 | $18.45 – $605.95 | 782 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $5,178.38 | $1,259.00 | $4.52 – $1,601.18 | 781 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $9,857.02 | $1,259.00 | $26.84 – $1,601.18 | 780 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,783.02 | $4,281.57 | $0.68 – $2.64 | 31 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $2,705.00 | $81.00 | $5.42 – $350.00 | 48 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $37.70 | $58.00 | $11.17 – $350.00 | 48 |
| Apply hand/wrist cast 29085 CPT 29085 | $155.35 | $239.00 | $40.70 – $352.05 | 119 |
| Apply rigid leg cast 29445 CPT 29445 | $7,031.00 | $1,067.00 | $74.50 – $711.00 | 118 |
| Apply short leg castambul type 29425 CPT 29425 | $273.00 | $420.00 | $17.58 – $605.95 | 780 |
| App topical fluoride varnish CPT 99188 | $37.70 | $58.00 | $14.85 – $58.00 | 31 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,185.25 | $1,185.25 | $1.68 – $1,185.25 | 119 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $330.85 | $509.00 | $36.56 – $509.00 | 48 |
| Aqmbf pet rest & rx stress CPT 78434 | $3,615.95 | $5,563.00 | $1,424.13 – $5,563.00 | 30 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $94.25 | $145.00 | $27.67 – $350.00 | 48 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $528.90 | $528.90 | $0.60 – $528.90 | 119 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $4,612.90 | $3,554.00 | $337.57 – $2,369.00 | 119 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,969.50 | $3,030.00 | $101.16 – $2,020.00 | 119 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $638.00 | $638.00 | $18.36 – $638.00 | 780 |
| Arterial blood draw/perc 36620 CPT 36620 | $152.00 | $152.00 | $13.74 – $91.00 | 767 |
| Artery-vein nonautograft CPT 36830 | $64,843.91 | not published | $9.09 – $12,055.34 | 89 |
| Artery xray each vessel 7577426 CPT 75774 | $51,668.03 | $2,452.00 | $1.92 – $6,840.61 | 118 |
| Artery xray of abdomen 75726-26 CPT 75726 | $79,948.84 | $16,717.00 | $6.47 – $16,717.00 | 119 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $43,858.67 | $10,157.00 | $2.28 – $10,157.00 | 119 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $46,702.83 | $10,157.00 | $9.09 – $10,157.00 | 119 |
| Artery x-rays chest CPT 75756 | $8.45 | $13.00 | $3.33 – $6,702.68 | 31 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $6,287.45 | $9,673.00 | $2,476.29 – $12,055.34 | 119 |
| Artery x-rays spine CPT 75705 | $10,348.65 | $15,921.00 | $4,075.78 – $15,921.00 | 119 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $76,184.36 | $4,216.00 | $37.48 – $27,814.73 | 768 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | $164,930.33 | $5,134.00 | $1.92 – $58,785.27 | 768 |
| Arthrd ant ntrbdy cervical CPT 22551 | $72,791.76 | $5,660.00 | $2.28 – $27,814.73 | 768 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $108,801.31 | $6,036.00 | $9.09 – $58,785.27 | 768 |
| Arthrd lat xtrcvtry tq thrc CPT 22532 | $5,992.00 | $5,992.00 | $580.85 – $3,166.00 | 767 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $133,349.81 | $5,173.00 | $1.92 – $58,785.27 | 768 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,937.80 | $627.00 | $11.12 – $665.00 | 782 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,630.20 | $2,508.00 | $16.62 – $1,672.00 | 780 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $2,166.40 | $1,758.00 | $18.85 – $1,172.00 | 781 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $421.85 | $649.00 | $9.24 – $665.00 | 780 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $76,377.81 | $1,303.00 | $4.80 – $27,814.73 | 768 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | $1,078.00 | $1,078.00 | $33.13 – $111.84 | 767 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $118,326.73 | not published | $2.28 – $58,785.27 | 89 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | $169,011.15 | not published | $4.56 – $58,785.27 | 89 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | $4,344.00 | $4,344.00 | $37.48 – $467.36 | 767 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $90,557.72 | $1,288.00 | $4.80 – $37,986.64 | 768 |
| Arthrodesis subtalar CPT 28725 | $79,606.97 | not published | $1.92 – $27,814.73 | 89 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $61,484.07 | not published | $4.80 – $15,720.43 | 89 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $53,202.23 | not published | $0.96 – $7,088.72 | 89 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $66,795.64 | not published | $0.96 – $15,720.43 | 89 |
| Ascenda two piece catheter HCPCS C1772 | $15,324.40 | $23,576.00 | $22.13 – $86.44 | 31 |
| Ascvd rsk mng clin stf pr mo HCPCS G0538 | $60.45 | $93.00 | $23.81 – $350.00 | 116 |
| Asp core fat pad CPT 17999 | $14,942.22 | not published | $0.96 – $434.67 | 89 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $57,018.64 | $1,783.00 | $1.92 – $1,783.00 | 118 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $702.00 | $702.00 | $44.84 – $301.00 | 767 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $223.00 | $303.00 | $13.21 – $665.00 | 780 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $2,762.40 | $2,052.00 | $65.83 – $2,052.00 | 118 |
| Assay dir meas fr estradiol CPT 82681 | $54.60 | $84.00 | $21.50 – $84.00 | 48 |
| Assay of breath ethanol CPT 82075 | $125.45 | $193.00 | $30.00 – $193.00 | 31 |
| Assay of interleukin-6 (il-6) CPT 83529 | $243.75 | $375.00 | $16.74 – $375.00 | 48 |
| Assay of leflunomide CPT 80193 | $227.50 | $350.00 | $37.37 – $350.00 | 48 |
| Assay of osteocalcin CPT 83937 | $183.95 | $283.00 | $28.93 – $283.00 | 48 |
| Assay of prostaglandin CPT 84150 | $64.35 | $99.00 | $25.34 – $99.00 | 48 |
| Assay of urine sulfate CPT 84392 | $22.75 | $35.00 | $5.32 – $35.00 | 48 |
| Assess cyst contrast inject CPT 49424 | $2,062.90 | $792.00 | $202.75 – $1,183.80 | 118 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $354.90 | $546.00 | $4.14 – $546.00 | 48 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | $66,693.75 | not published | $0.96 – $15,720.43 | 89 |
| Ast/sgot CPT 84450 | $35.75 | $55.00 | $5.02 – $55.00 | 48 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $73,534.54 | $74,592.00 | $4.56 – $49,728.00 | 118 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $44,077.15 | $67,811.00 | $9,041.40 – $45,207.00 | 38 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $143.35 | $143.35 | $1.75 – $47.20 | 102 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $189.00 | $189.00 | $45.58 – $189.00 | 766 |
| Audit/dast 15-30 min CPT 99408 | $81.00 | $81.00 | $19.49 – $81.00 | 554 |
| Audit/dast over 30 min CPT 99409 | $161.00 | $161.00 | $39.11 – $161.00 | 553 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,652.05 | $7,157.00 | $107.01 – $417.99 | 31 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $6,632.60 | $10,204.00 | $2,612.22 – $10,204.00 | 30 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $19,865.95 | $30,563.00 | $7,021.09 – $30,563.00 | 118 |
| Av fusion direct any site CPT 36821 | $54,356.60 | not published | $9.09 – $6,840.61 | 89 |
| Avul nail plate addl CPT 11732 | $239.85 | $369.00 | $94.46 – $369.00 | 30 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $405.00 | $225.00 | $13.70 – $434.67 | 782 |
| Azathioprine 50 mg tablet HCPCS J7500 | $3.00 | $3.00 | $0.26 – $2.14 | 101 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $23.50 | $23.50 | $2.24 – $8.75 | 102 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $282.40 | $282.40 | $22.58 – $156.35 | 102 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $367.20 | $367.20 | $94.00 – $367.20 | 31 |
| Baclofen eval charges CPT 97750 | $113.75 | $175.00 | $24.81 – $350.00 | 48 |
| Bacterial meningitis antigen CPT 86403 | $40.95 | $63.00 | $11.18 – $63.00 | 48 |
| Bacterial vaginosis pcr CPT 87801 | $631.15 | $971.00 | $68.02 – $971.00 | 48 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $63.46 | $97.63 | $17.96 – $70.16 | 31 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $1,689.00 | $122.00 | $26.48 – $350.00 | 48 |
| Balloon dilate urtrl strix CPT 50706 | $1,534.65 | $2,361.00 | $402.94 – $1,574.00 | 30 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $436.80 | $672.00 | $169.72 – $672.00 | 119 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $369.20 | $568.00 | $145.41 – $568.00 | 119 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.23 | $0.35 | $0.09 – $0.35 | 31 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $19.11 | $29.40 | $7.53 – $29.40 | 31 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.44 | $0.67 | $0.17 – $0.67 | 31 |
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.