Supplies, drugs & other prices at MercyOne North Iowa Medical Center
Mason City, IA · every code in this section with a posted price and a Medicare benchmark.
79 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,018.90 | $3,106 | 2.6× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,244.10 | $1,914 | 3.5× |
| Adm tocilizu covid-19 1st (M0249) | $443.95 | $683 | 1.0× |
| Adm tocilizu covid-19 2nd (M0250) | $443.95 | $683 | 1.0× |
| Admin hepatitis b vaccine (G0010) | $703 | — | 14.9× |
| Admin influenza virus vac (G0008) | $688 | — | 14.6× |
| Admin pneumococcal vaccine (G0009) | $1,663 | — | 35.3× |
| Amalgam 4 or > surfaces perm (D2161) | $45,472.90 | — | 69.9× |
| Amalgam one surface permanen (D2140) | $44,388.50 | — | 68.2× |
| Ascvd rsk mng clin stf pr mo (G0538) | $60.45 | $93 | 0.6× |
| Behavior counsel obesity 15m (G0447) | $59.15 | $91 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) | $617 | — | 6.0× |
| Catheterize for urine spec (P9612) | $20.80 | $32 | 2.2× |
| Colon ca scrn not hi rsk ind (G0121) | $13,035.80 | — | 13.9× |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$6,898.60–$13,131.60 | — | varies |
| Core build-up incl any pins (D2950) | $50,000.70 | — | 76.9× |
| Demonstrate use home inr mon (G0248) | $91.65 | $141 | 0.7× |
| Depression screen annual (G0444) | $34.45 | $53 | 0.9× |
| Devlopment test interpt&rep (G0451) | $65.65 | $101 | 0.6× |
| Diab manage trn per indiv (G0108) | $242 | — | 4.3× |
| Direct refer hospital observ (G0379) | $8,633 | — | 14.4× |
| Drug test def 1-7 classes (G0480) | $950 | — | 8.3× |
| Ekg tracing for initial prev (G0404) | $25.35 | $39 | 0.9× |
| Elec stim other than wound (G0283) range across 4 matching MRF lines |
$86.45–$87.75 | $133–$135 | varies |
| Extraction erupted tooth/exr (D7140) | $44,110.10 | — | 67.8× |
| Facility svs dental rehab (G0330) | $43,980.75 | — | 13.2× |
| Fecal blood scrn immunoassay (G0328) | $735 | — | 40.7× |
| Hbot, full body chamber, 30m (G0277) | $4,681.01 | — | 33.8× |
| Hep c screen high risk/other (G0472) | $65 | $100 | 1.4× |
| Hepb screen high risk indiv (G0499) | $49.40 | $76 | 1.7× |
| Hiv combination assay (G0475) | $1,210 | — | 50.2× |
| Home sleep test/type 2 porta (G0398) | $22.75 | $35 | 0.1× |
| Home sleep test/type 3 porta (G0399) | $110.50 | $170 | 0.5× |
| Hospital outpt clinic visit (G0463) range across 5 matching MRF lines |
$143–$2,271 | — | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $213.20 | $328 | 4.9× |
| Impact tooth remov part bony (D7230) | $43,785.95 | — | 67.3× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$1,143–$1,236 | — | varies |
| Inj for sacroiliac jt anesth (G0260) range across 6 matching MRF lines |
$2,158.65–$3,238.30 | $3,321–$4,982 | varies |
| Intraoral occlusal film (D0240) | $46,153.85 | — | 527.0× |
| Intraoral periapical first (D0220) | $43,266.90 | — | 494.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $254.80 | $392 | 2.1× |
| Mra w/cont, abd (C8900) | $2,223 | $3,420 | 6.3× |
| Mra w/o fol w/cont, abd (C8902) | $1,807.65 | $2,781 | 5.1× |
| Mra w/o fol w/cont, chest (C8911) | $3,659.50 | $5,630 | 10.4× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 6 matching MRF lines |
$1,643.20–$2,465.45 | $2,528–$3,793 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,643.85 | $2,529 | 4.7× |
| Mri w/o fol w/cont, breast, (C8908) | $1,671.80 | $2,572 | 4.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,086.15 | $1,671 | 3.1× |
| Neuro csf prion prtn qual (0035U) | $975 | $1,500 | 1.8× |
| Obtaining screen pap smear (Q0091) | $53.95 | $83 | 1.9× |
| Pathogen test for platelets (P9100) | $104 | $160 | 1.8× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$8,455.20 | $13,008 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) | $17,147 | $26,380 | 1.5× |
| Perc d-e cor stent ather s (C9602) | $14,236.95 | $21,903 | 0.8× |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$52,054.50–$54,505 | — | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $10,687.95 | $16,443 | 0.9× |
| Post 2 srfc resinbased cmpst (D2392) | $50,121.45 | — | 77.0× |
| Post >=4srfc resinbase cmpst (D2394) | $42,843.45 | — | 65.9× |
| Prefab stnlss steel crown pe (D2931) | $47,050.20 | — | 72.3× |
| Prefab stnlss steel crwn pri (D2930) | $45,129.65 | — | 69.4× |
| Provide inr test mater/equip (G0249) | $141 | — | 1.1× |
| Psa screening (G0103) | $122.20 | $188 | 6.3× |
| Resin two surfaces-anterior (D2331) | $46,146.40 | — | 70.9× |
| Revasc intra lithotrip-ather (C9766) | $10,781.55 | $16,587 | 0.6× |
| Revasc intra lithotrip-stent (C9765) | $56,100.93 | — | 3.0× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$5,660.85 | $8,709 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) | $16,649.10 | $25,614 | 1.4× |
| Risk ascvd tst once pr 12 mo (G0537) | $55.90 | $86 | 1.5× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $780 | $1,200 | 1.1× |
| Therapeutic pulpotomy (D3220) | $44,598.30 | — | 68.5× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$43.55–$65.65 | $67–$101 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $903.50 | $1,390 | 1.9× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$2,073.50–$2,804.75 | $3,190–$4,315 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $25,104.30 | $38,622 | 1.4× |
| Tte w or w/o contr, cont ecg (C8930) | $1,431.95 | $2,203 | 1.8× |
| Tte w or w/o fol w/con,stres (C8928) | $1,745.25 | $2,685 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,920.75 | $2,955 | 2.4× |
| Unsched dialysis esrd pt hos (G0257) | $971.75 | $1,495 | 1.4× |
| Visit to determ ldct elig (G0296) | $59.15 | $91 | 0.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.