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 |
|---|---|---|---|---|
| Ultrasound guidance for vascular access CPT 76937 | $19,912.36 | $637.00 | $1.36 – $6,840.61 | 781 |
| Ultrasound hips infant dynamic CPT 76885 | $740.35 | $1,139.00 | $84.21 – $1,139.00 | 119 |
| Ultrasound joint complete left CPT 76881 | $425.75 | $655.00 | $101.16 – $655.00 | 119 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $193.70 | $298.00 | $24.92 – $298.00 | 780 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,131.65 | $1,741.00 | $56.87 – $1,741.00 | 781 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $429.00 | $660.00 | $25.56 – $660.00 | 780 |
| Ultrasound prostate/transrectal CPT 76872 | $87.10 | $134.00 | $34.30 – $240.48 | 119 |
| Ultrasound spinal canal and contents CPT 76800 | $396.50 | $610.00 | $101.16 – $610.00 | 119 |
| Ultrasound transabd ea addl gest CPT 76812 | $553.80 | $852.00 | $53.46 – $852.00 | 780 |
| Umbilicoplasty 15847 CPT 15847 | $80,127.30 | not published | $9.09 – $14,385.78 | 89 |
| Unit mobile power mpu HCPCS Q0479 | $11,821.68 | $18,187.20 | $4,655.92 – $18,187.20 | 31 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $78,897.61 | not published | $366.82 – $23,029.31 | 89 |
| Unlisted procedure microbiology CPT 87999 | $507.00 | $780.00 | $199.68 – $780.00 | 31 |
| Unlisted px lacrimal system CPT 68899 | $39,927.35 | not published | $0.96 – $8,517.29 | 89 |
| Unlstd laps px sprmatic cord CPT 55559 | $62,536.66 | not published | $0.96 – $13,097.50 | 89 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $971.75 | $1,495.00 | $382.72 – $1,495.00 | 116 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $761.00 | $309.00 | $4.90 – $309.00 | 781 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,733.55 | $2,667.00 | $169.72 – $2,667.00 | 119 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,542.45 | $2,373.00 | $101.16 – $2,373.00 | 119 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,643.20 | $2,528.00 | $190.58 – $2,528.00 | 116 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,033.50 | $1,590.00 | $109.28 – $1,590.00 | 116 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $248.95 | $383.00 | $6.18 – $383.00 | 781 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $89.70 | $138.00 | $6.82 – $226.50 | 781 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $10,469.95 | not published | $0.96 – $1,964.96 | 89 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $17,156.61 | not published | $69.55 – $1,964.96 | 89 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $619.45 | $953.00 | $169.72 – $953.00 | 119 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $447.85 | $689.00 | $169.72 – $689.00 | 119 |
| Urea nitrogen CPT 84520 | $729.00 | $44.00 | $3.83 – $44.00 | 48 |
| Urea nitrogen 24 hour urine CPT 84540 | $42.90 | $66.00 | $5.39 – $66.00 | 48 |
| Ureteral reflux study CPT 78740 | $567.00 | $567.00 | $17.04 – $70.00 | 766 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $596.05 | $917.00 | $230.87 – $917.00 | 119 |
| Urethrocystography void s&i CPT 74455 | $619.45 | $953.00 | $230.87 – $953.00 | 119 |
| Uric acid blood CPT 84550 | $40.95 | $63.00 | $4.38 – $63.00 | 48 |
| Uric acid urine CPT 84560 | $163.15 | $251.00 | $4.93 – $70.00 | 48 |
| Urinalysis microscopic only CPT 81015 | $37.05 | $57.00 | $2.96 – $57.00 | 48 |
| Urinalysis (with microscopy) CPT 81001 | $659.00 | $79.00 | $3.07 – $79.00 | 48 |
| Urinalysis (without microscopy) CPT 81003 | $599.00 | $50.00 | $1.80 – $50.00 | 780 |
| Urinary bldr retent nuc study CPT 78730 | $567.00 | $567.00 | $4.69 – $20.00 | 766 |
| Urine Culture Test CPT 87086 | $451.00 | $156.00 | $7.82 – $156.00 | 119 |
| Urine pregnancy test CPT 81025 | $73.45 | $113.00 | $6.03 – $113.00 | 780 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $6,677.00 | $6,677.00 | $12.24 – $6,677.00 | 119 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $45,913.60 | $45,913.60 | $3,644.10 – $45,913.60 | 110 |
| Vaccine Administration (one shot) CPT 90471 | $39.65 | $61.00 | $4.32 – $155.99 | 781 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $286.65 | $441.00 | $112.90 – $441.00 | 119 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $559.65 | $861.00 | $147.06 – $861.00 | 119 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $341.00 | $341.00 | $40.70 – $268.86 | 780 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $68.90 | $106.00 | $27.14 – $106.00 | 119 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $52.00 | $80.00 | $20.48 – $80.00 | 119 |
| Vaccine dtap < 7 years im CPT 90700 | $142.05 | $142.05 | $13.82 – $57.77 | 547 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $513.00 | $513.00 | $30.80 – $193.90 | 550 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $142.00 | $142.00 | $22.53 – $111.25 | 546 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $135.20 | $208.00 | $41.60 – $208.00 | 109 |
| Vaccine dtap-ipv/hib im CPT 90698 | $103.35 | $159.00 | $40.70 – $159.00 | 101 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $39.00 | $60.00 | $15.36 – $60.00 | 101 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $37.05 | $57.00 | $10.98 – $57.00 | 547 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $157.00 | $219.00 | $56.06 – $219.00 | 778 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $124.80 | $192.00 | $49.15 – $192.00 | 101 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $87.00 | $87.00 | $17.92 – $70.00 | 547 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $48.10 | $74.00 | $18.94 – $74.00 | 30 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $57.20 | $88.00 | $22.53 – $88.00 | 119 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $345.70 | $345.70 | $56.58 – $221.00 | 779 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $326.30 | $502.00 | $128.51 – $502.00 | 119 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $138.80 | $138.80 | $24.32 – $95.00 | 119 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $686.00 | $686.00 | $79.20 – $492.93 | 552 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $226.20 | $348.00 | $69.60 – $348.00 | 38 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $149.50 | $230.00 | $58.88 – $230.00 | 119 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $303.40 | $303.40 | $22.27 – $183.00 | 781 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $21.45 | $33.00 | $6.60 – $33.00 | 115 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $530.00 | $102.45 | $8.19 – $49.00 | 779 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $42.90 | $66.00 | $16.90 – $66.00 | 119 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $157.95 | $243.00 | $62.21 – $243.00 | 119 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $20.80 | $32.00 | $8.19 – $32.00 | 116 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $45.50 | $70.00 | $17.92 – $70.00 | 119 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $22.10 | $34.00 | $8.70 – $34.00 | 116 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $56.55 | $87.00 | $22.27 – $87.00 | 116 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $149.50 | $230.00 | $58.88 – $230.00 | 119 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $524.55 | $807.00 | $33.39 – $807.00 | 119 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $32.50 | $50.00 | $11.03 – $50.00 | 116 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $499.00 | $499.00 | $58.40 – $382.25 | 552 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $169.00 | $260.00 | $66.56 – $260.00 | 101 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $149.50 | $230.00 | $46.00 – $230.00 | 109 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $401.05 | $617.00 | $86.59 – $617.00 | 552 |
| Vaccine mmr live subcutaneous CPT 90707 | $466.05 | $466.05 | $32.77 – $156.00 | 549 |
| Vaccine mmrv live subcutaneous CPT 90710 | $619.00 | $652.00 | $95.64 – $652.00 | 550 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $556.15 | $556.15 | $107.01 – $418.00 | 119 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $524.55 | $807.00 | $206.59 – $807.00 | 119 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $501.15 | $771.00 | $197.38 – $771.00 | 119 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,647.00 | $1,419.70 | $9.09 – $903.00 | 779 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $100.00 | $100.00 | $15.10 – $75.18 | 549 |
| Vaccine rabies im CPT 90675 | $2,371.90 | $2,157.90 | $263.17 – $1,028.00 | 779 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $658.00 | $658.00 | $81.20 – $451.87 | 551 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,159.00 | $1,159.00 | $136.20 – $810.72 | 549 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,159.00 | $1,159.00 | $136.20 – $810.80 | 550 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $250.90 | $386.00 | $77.20 – $386.00 | 109 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $309.00 | $309.00 | $37.20 – $270.46 | 549 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $102.70 | $158.00 | $40.45 – $158.00 | 101 |
| Vaccine tdap >=7 years im CPT 90715 | $761.00 | $231.55 | $20.99 – $155.99 | 781 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $211.80 | $211.80 | $23.55 – $92.00 | 778 |
| Vaccine typhoid vicps im CPT 90691 | $312.00 | $312.00 | $47.10 – $227.39 | 549 |
| Vaccine varicella live subcutaneous CPT 90716 | $960.60 | $960.60 | $48.00 – $242.00 | 552 |
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.