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 |
|---|---|---|---|---|
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $1.00 | $1.00 | $0.15 – $1.00 | 101 |
| Tacrolimus therapeutic drug level CPT 80197 | $60.45 | $93.00 | $13.30 – $92.00 | 48 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $4,272.00 | $4,272.00 | $13.52 – $4,272.00 | 119 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $244.40 | $376.00 | $5.33 – $376.00 | 781 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $35,941.50 | $35,941.50 | $73.42 – $4,492.75 | 116 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $3.02 | $4.64 | $1.19 – $4.64 | 31 |
| Target gsa panel hmtlmph neop CPT 81450 | $934.05 | $1,437.00 | $367.87 – $1,526.66 | 48 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $46,350.00 | $46,350.00 | $1,186.56 – $4,635.00 | 116 |
| Tavr perq femoral CPT 33361 | $18,001.75 | $27,695.00 | $7,089.92 – $27,695.00 | 30 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $463.10 | $463.10 | $0.24 – $289.40 | 119 |
| Tbs techl calculation only CPT 77091 | $203.45 | $313.00 | $80.13 – $313.00 | 119 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $191.75 | $295.00 | $52.74 – $206.00 | 48 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $191.75 | $295.00 | $60.06 – $282.00 | 48 |
| Tc-99m apcitide diag HCPCS A9504 | $1,765.30 | $1,765.30 | $451.92 – $1,765.30 | 31 |
| Tc-99m arcitumomab HCPCS A9568 | $4,224.15 | $4,224.15 | $844.83 – $4,224.15 | 39 |
| Tc-99m bicisate HCPCS A9557 | $7,128.20 | $7,128.20 | $760.01 – $7,128.20 | 116 |
| Tc-99m depreotide HCPCS A9536 | $1,937.35 | $1,937.35 | $495.96 – $1,937.35 | 31 |
| Tc-99m diag per dose HCPCS A4641 | $575.50 | $575.50 | $147.33 – $575.50 | 31 |
| Tc-99m disofenin HCPCS A9510 | $339.80 | $339.80 | $86.99 – $339.80 | 31 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $8,194.15 | $8,194.15 | $915.45 – $8,194.15 | 116 |
| Tc-99m exametazime diag HCPCS A9521 | $7,382.05 | $7,382.05 | $909.16 – $7,382.05 | 116 |
| Tc-99m fanolesomab diag HCPCS A9566 | $17,688.75 | $17,688.75 | $3,537.75 – $17,688.75 | 103 |
| Tc-99m gluceptate HCPCS A9550 | $1,105.40 | $1,105.40 | $282.98 – $1,105.40 | 31 |
| Tc-99m labeled rbc HCPCS A9560 | $857.40 | $857.40 | $219.49 – $857.40 | 31 |
| Tc-99m maa HCPCS A9540 | $760.95 | $760.95 | $194.80 – $760.95 | 31 |
| Tc-99m mebrofenin HCPCS A9537 | $308.25 | $308.25 | $78.91 – $308.25 | 31 |
| Tc-99m medronate HCPCS A9503 | $210.35 | $210.35 | $53.85 – $210.35 | 31 |
| Tc-99m mertiatide HCPCS A9562 | $1,340.90 | $1,340.90 | $343.27 – $1,340.90 | 31 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $1.00 | $1.00 | $0.20 – $10.60 | 39 |
| Tc-99m oxidronate HCPCS A9561 | $199.60 | $199.60 | $51.10 – $199.60 | 31 |
| Tc-99m pentetate dtpa HCPCS A9539 | $627.25 | $627.25 | $160.58 – $627.25 | 31 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $627.25 | $627.25 | $160.58 – $627.25 | 31 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $99.30 | $99.30 | $25.42 – $99.30 | 31 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $335.80 | $335.80 | $85.96 – $335.80 | 31 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $221.60 | $221.60 | $56.73 – $221.60 | 31 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,988.10 | $2,988.10 | $646.73 – $2,988.10 | 116 |
| Tc-99m sulfur colloid HCPCS A9541 | $855.40 | $855.40 | $218.98 – $855.40 | 31 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $198.05 | $198.05 | $50.70 – $198.05 | 31 |
| Tc-99m tilmanocept diag HCPCS A9520 | $2,740.00 | $2,740.00 | $701.44 – $2,740.00 | 31 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $146.25 | $225.00 | $36.10 – $141.00 | 48 |
| T cells absolute cd 4 count CPT 86361 | $102.70 | $158.00 | $25.95 – $158.00 | 48 |
| T cells total count CPT 86359 | $73.45 | $113.00 | $28.93 – $113.00 | 48 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $107,550.00 | $107,550.00 | $203.61 – $107,550.00 | 119 |
| Telavancin injection HCPCS J3095 | $3,365.50 | $3,365.50 | $7.22 – $3,365.50 | 119 |
| Telethx isodose plan cplx CPT 77307 | $982.80 | $1,512.00 | $362.29 – $1,512.00 | 119 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $5,015.55 | $5,015.55 | $1,102.40 – $5,015.55 | 102 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $10,501.70 | $10,501.70 | $53.30 – $10,501.70 | 34 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $23,582.35 | $23,582.35 | $4,172.96 – $23,273.85 | 102 |
| Tenodesis biceps tdn at elbw CPT 24340 | $53,277.60 | not published | $0.96 – $15,720.43 | 89 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $90.60 | $90.60 | $23.19 – $90.60 | 31 |
| Test for chlorohydrocarbons CPT 82441 | $68.90 | $106.00 | $6.01 – $106.00 | 31 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $104.00 | $160.00 | $40.96 – $160.00 | 119 |
| Test stress cardiovascular tracing only CPT 93017 | $709.15 | $1,091.00 | $208.93 – $1,091.00 | 119 |
| Tetanus immune globulin inj HCPCS J1670 | $2,622.15 | $2,622.15 | $576.77 – $2,622.15 | 119 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $22,937.05 | $22,937.05 | $15.69 – $22,937.05 | 778 |
| Theophylline therapeutic drug level CPT 80198 | $96.20 | $148.00 | $13.70 – $148.00 | 48 |
| Therapeutic pulpotomy HCPCS D3220 | $44,598.30 | not published | $0.96 – $1,400.60 | 89 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $1,712.00 | $103.00 | $26.11 – $350.00 | 48 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $1,580.00 | $121.00 | $25.38 – $350.00 | 48 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $34.00 | $34.00 | $8.70 – $350.00 | 48 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $19.50 | $30.00 | $7.68 – $350.00 | 48 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $421.00 | $421.00 | $43.00 – $434.67 | 779 |
| Ther radiology tx plng cplx CPT 77263 | $544.00 | $544.00 | $108.63 – $496.69 | 766 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $8.30 | $8.30 | $1.79 – $8.30 | 101 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $325.65 | $501.00 | $5.54 – $334.00 | 781 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | $1,090.00 | $1,090.00 | $279.04 – $1,090.00 | 31 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,169.50 | $4,644.00 | $8.69 – $3,096.00 | 780 |
| Thorax spine fusion CPT 22610 | $4,285.00 | $4,285.00 | $37.48 – $459.84 | 767 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,855.10 | $2,854.00 | $386.82 – $2,854.00 | 119 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,627.30 | $4,042.00 | $1,034.75 – $4,042.00 | 30 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $43,513.72 | $26,755.00 | $9.09 – $26,755.00 | 118 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $25,104.30 | $38,622.00 | $9,887.23 – $39,715.10 | 118 |
| Thrombin time CPT 85670 | $161.20 | $248.00 | $5.59 – $248.00 | 48 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $133.25 | $205.00 | $6.27 – $205.00 | 48 |
| Thyroglobulin antibody CPT 86800 | $100.75 | $155.00 | $15.41 – $97.00 | 48 |
| Thyroid mets imag whole body CPT 78018 | $1,066.00 | $1,640.00 | $419.84 – $1,640.00 | 119 |
| Thyroid (TSH) Test CPT 84443 | $1,675.00 | $190.00 | $9.09 – $143.00 | 119 |
| Thyroid Ultrasound CPT 76536 | $492.70 | $758.00 | $101.16 – $758.00 | 119 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $10,828.50 | $10,828.50 | $1,992.78 – $10,828.50 | 119 |
| Thyroxine binding globulin (tbg) CPT 84442 | $53.30 | $82.00 | $14.32 – $82.00 | 48 |
| Tigecycline injection HCPCS J3243 | $78.20 | $78.20 | $20.02 – $78.20 | 31 |
| Tilt table study CPT 93660 | $1,937.00 | $2,980.00 | $361.06 – $2,980.00 | 119 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $359.50 | $359.50 | $51.45 – $256.30 | 102 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $69,616.25 | $22,202.40 | $9.09 – $22,202.40 | 119 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $2,555.89 | $3,932.14 | $528.73 – $2,065.35 | 31 |
| Tissue culture placenta CPT 88235 | $737.75 | $1,135.00 | $145.65 – $1,135.00 | 48 |
| Tissue culture skin/biopsy CPT 88233 | $748.80 | $1,152.00 | $136.36 – $1,152.00 | 48 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | $67.73 | $104.20 | $26.68 – $104.20 | 31 |
| Tissue exam koh skin/hair/nails CPT 87220 | $55.90 | $86.00 | $4.14 – $86.00 | 48 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $271.69 | $417.99 | $83.60 – $417.99 | 39 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $49.04 | $75.45 | $15.09 – $75.45 | 39 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $38.88 | $59.82 | $15.31 – $59.82 | 31 |
| Tissue transglutaminase iga CPT 86364 | $1,240.00 | $71.00 | $11.17 – $136.02 | 119 |
| Tl-201 thallium diag per mci HCPCS A9505 | $80.10 | $80.10 | $20.51 – $80.10 | 31 |
| Tlh uterus 250 g or less CPT 58570 | $67,575.53 | not published | $183.41 – $23,029.31 | 89 |
| Tlh w/t/o 250 g or less CPT 58571 | $67,330.14 | $2,717.00 | $37.48 – $23,029.31 | 768 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $70,167.33 | $3,638.00 | $37.48 – $23,029.31 | 768 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $354.15 | $354.15 | $0.92 – $3.60 | 101 |
| Tobramycin peak therapeutic drug level CPT 80200 | $76.05 | $117.00 | $15.63 – $117.00 | 48 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,214.20 | $12,214.20 | $5.50 – $2,442.90 | 119 |
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.