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 |
|---|---|---|---|---|
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $18,898.20 | $18,898.20 | $3.79 – $17,963.25 | 119 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $617.00 | $117.00 | $17.25 – $220.09 | 782 |
| Cesarean section delivery only 59514 CPT 59514 | $2,909.00 | $2,909.00 | $37.48 – $312.00 | 767 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,685.70 | $4,685.70 | $78.74 – $2,342.85 | 119 |
| #cf-97variants CPT 81220 | $355.55 | $547.00 | $140.03 – $1,118.77 | 48 |
| Cftr gene dup/delet variants CPT 81222 | $302.90 | $466.00 | $119.30 – $874.49 | 48 |
| Change cystostomy tube; complex 51710 CPT 51710 | $430.95 | $663.00 | $169.73 – $1,510.68 | 118 |
| Change cystostomy tube simple CPT 51705 | $471.00 | $471.00 | $13.29 – $541.29 | 781 |
| Change g-tube to g-j perc CPT 49446 | $1,515.80 | $2,332.00 | $596.99 – $4,157.27 | 118 |
| Change of windpipe airway 31502 CPT 31502 | $257.40 | $396.00 | $10.97 – $513.13 | 781 |
| Chemo adm cns w/lmbr punct CPT 96450 | $481.00 | $740.00 | $189.44 – $773.00 | 119 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $176.80 | $272.00 | $69.63 – $272.00 | 30 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $219.05 | $337.00 | $86.27 – $337.00 | 30 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $474.50 | $730.00 | $186.88 – $1,529.28 | 118 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $474.50 | $730.00 | $186.88 – $1,529.28 | 118 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $296.40 | $456.00 | $77.57 – $665.00 | 118 |
| Chemodenerv musc migraine 64615 CPT 64615 | $368.00 | $368.00 | $34.09 – $665.00 | 782 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $296.40 | $456.00 | $77.57 – $665.00 | 118 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $196.95 | $303.00 | $77.57 – $665.00 | 118 |
| Chest apical lordotic proj CPT 71047 | $63.05 | $97.00 | $24.83 – $195.48 | 119 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,938.00 | $3,743.00 | $169.72 – $3,743.00 | 119 |
| Chest CT scan (with contrast) CPT 71260 | $2,235.35 | $3,439.00 | $169.72 – $3,439.00 | 119 |
| Chest CT scan (without contrast) CPT 71250 | $1,578.20 | $2,428.00 | $101.16 – $2,428.00 | 119 |
| Chest Physiotherapy (first session) CPT 94667 | $110.50 | $170.00 | $43.52 – $350.00 | 119 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $98.80 | $152.00 | $38.91 – $350.00 | 119 |
| Chest Ultrasound CPT 76604 | $382.85 | $589.00 | $17.25 – $589.00 | 780 |
| Chest X-ray CPT 71046 | $896.00 | $415.00 | $3.30 – $415.00 | 781 |
| Chest X-ray (single view) CPT 71045 | $16,131.14 | $605.00 | $5.54 – $394.00 | 780 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $471.25 | $725.00 | $169.72 – $725.00 | 119 |
| Chloride CPT 82435 | $482.00 | $39.00 | $4.46 – $39.00 | 48 |
| Chloride 24 hour urine CPT 82436 | $53.30 | $82.00 | $5.57 – $82.00 | 48 |
| Chloroprocaine hcl injection HCPCS J2401 | $92.60 | $92.60 | $23.71 – $92.60 | 31 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $122.35 | $122.35 | $31.32 – $122.35 | 101 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $116.50 | $116.50 | $1.31 – $27.07 | 101 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $2.10 | $2.10 | $0.54 – $7.00 | 101 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $274.30 | $422.00 | $108.03 – $422.00 | 30 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $5,762.25 | $8,865.00 | $2,269.44 – $8,865.00 | 118 |
| Cholesterol CPT 82465 | $34.45 | $53.00 | $4.21 – $53.00 | 48 |
| Cholesterol body fluid CPT 84999 | $139.10 | $214.00 | $5.80 – $29.00 | 39 |
| Cholesterol (Lipid) Test CPT 80061 | $92.30 | $142.00 | $12.97 – $86.00 | 48 |
| Cholinesterase CPT 82480 | $66.30 | $102.00 | $7.63 – $102.00 | 48 |
| Chromatography CPT 83021 | $80.60 | $124.00 | $17.50 – $124.00 | 48 |
| Chromogenic substrate assay CPT 85130 | $185.25 | $285.00 | $11.89 – $285.00 | 31 |
| Chromo high res and frag x - sendout CPT 81243 | $399.75 | $615.00 | $55.27 – $615.00 | 48 |
| Chronic urticaria - sendout CPT 86343 | $89.70 | $138.00 | $12.08 – $138.00 | 48 |
| Chylomicron screen, bf - sendout CPT 82664 | $84.50 | $130.00 | $33.28 – $130.00 | 48 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $13.00 | $13.00 | $0.60 – $13.00 | 106 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $37.00 | $37.00 | $2.32 – $17.00 | 101 |
| Circum 28 days or older CPT 54161 | $31,044.70 | not published | $9.09 – $4,528.77 | 89 |
| Circumcision (newborn) CPT 54150 | $27,716.65 | $1,972.00 | $0.96 – $4,528.77 | 781 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $379.00 | $379.00 | $10.65 – $93.75 | 102 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,149.75 | $1,149.75 | $7.27 – $1,149.75 | 119 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $15,050.75 | $23,155.00 | $8.87 – $34.65 | 31 |
| Clearance of airways CPT 31720 | $367.90 | $566.00 | $144.90 – $566.00 | 118 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $20.75 | $20.75 | $3.34 – $17.50 | 102 |
| Clip ligating vesolock lg HCPCS C1760 | $8,209.50 | $12,630.00 | $0.76 – $2.97 | 31 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $538.82 | $828.95 | $212.21 – $828.95 | 31 |
| Cllr miami j sm HCPCS L0174 | $607.31 | $934.33 | $11.20 – $55.98 | 39 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $14.08 – $17,608.50 | 119 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $79.35 | $79.35 | $17.67 – $79.35 | 101 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $305.50 | $470.00 | $80.13 – $534.40 | 118 |
| Clot factor xii hageman CPT 85280 | $100.10 | $154.00 | $18.75 – $154.00 | 48 |
| Clot factor xiii fibrin scrn CPT 85291 | $81.25 | $125.00 | $8.82 – $125.00 | 48 |
| Clot factor xiii fibrin stab CPT 85290 | $195.00 | $300.00 | $15.83 – $300.00 | 48 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,053.00 | $1,053.00 | $80.34 – $1,053.00 | 766 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,078.00 | $1,078.00 | $83.46 – $1,064.89 | 766 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $807.00 | $807.00 | $62.72 – $807.00 | 782 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $159.25 | $245.00 | $62.72 – $534.40 | 118 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $227.50 | $350.00 | $59.65 – $534.40 | 118 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $350.00 | $350.00 | $25.46 – $339.71 | 766 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $239.20 | $368.00 | $62.72 – $534.40 | 118 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $1,144.00 | $1,144.00 | $43.00 – $1,144.00 | 782 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $18,637.26 | $2,344.00 | $0.96 – $3,483.68 | 768 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $824.20 | $1,268.00 | $216.32 – $845.00 | 118 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $16,620.55 | not published | $1,555.89 – $3,483.68 | 88 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $234.00 | $360.00 | $61.44 – $534.40 | 118 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,449.00 | $1,449.00 | $138.56 – $1,040.53 | 766 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $234.00 | $360.00 | $61.44 – $534.40 | 118 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $350.35 | $539.00 | $91.90 – $534.40 | 118 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $78,534.85 | $1,251.00 | $9.09 – $37,986.64 | 767 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $1,197.00 | $1,197.00 | $30.88 – $880.38 | 780 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $721.00 | $721.00 | $52.36 – $721.00 | 782 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,203.00 | $1,203.00 | $73.53 – $1,121.50 | 766 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $234.00 | $360.00 | $61.44 – $534.40 | 118 |
| Clsd tx pelvic ring fx CPT 27197 | $156.00 | $240.00 | $61.44 – $534.40 | 118 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $668.00 | $668.00 | $47.77 – $668.00 | 782 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $239.20 | $368.00 | $62.72 – $534.40 | 118 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $234.00 | $360.00 | $61.44 – $534.40 | 118 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,424.00 | $1,424.00 | $122.49 – $1,074.15 | 766 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $234.00 | $360.00 | $61.44 – $534.40 | 118 |
| Cmbn ant pst colprhy CPT 57260 | $54,572.85 | $2,334.00 | $9.09 – $16,065.38 | 768 |
| Cmv pcr-sendout CPT 87496 | $316.55 | $487.00 | $34.01 – $227.00 | 48 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $17,257.50 | $17,257.50 | $2.57 – $17,257.50 | 119 |
| Coagulation time activated teg CPT 85347 | $85.15 | $131.00 | $4.15 – $84.00 | 48 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $2,948.58 | $4,536.28 | $502.83 – $1,964.19 | 31 |
| Cold agglutinin screen (arc) CPT 86156 | $97.50 | $150.00 | $7.82 – $150.00 | 48 |
| Cold agglutinin titer CPT 86157 | $54.60 | $84.00 | $7.81 – $84.00 | 48 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $272.35 | $419.00 | $5.11 – $279.00 | 781 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $44.47 | $68.41 | $0.47 – $2.36 | 39 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $34.12 | $52.50 | $1.16 – $4.52 | 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.