Visits & medical services prices at MercyOne North Iowa Medical Center

Mason City, IA · every code in this section with a posted price and a Medicare benchmark.

249 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $7,927.40 $12,196 1.0×
Actinotherapy Ultraviolet Light (96900) $29.90 $46 0.8×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$12.79–$71.50 $19.68–$110 varies
Advncd Care Plan 30 Min (99497) $163.15 $251 1.6×
Airway Inhalation Treatment (94640) $41,535.85 — 188.5×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $29.90 $46 0.8×
Allg tstg perq & ic venoms immed react w/i&r (95017) $22.75 $35 0.8×
Analyze neurostim complex (95972) $1,170 $1,800 12.2×
Analyze neurostim no prog (95970) $87.10 $134 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $68.90 $106 4.8×
Application on-body injector (96377) $122.20 $188 2.6×
Behavral qualit analys voice (92524) $228.80 $352 2.1×
Breath hydrogen/methane test (91065) $608.40 $936 2.8×
Brief Emotional/Behav Assmt (96127)
range across 3 matching MRF lines
$245–$574 — varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$1,324–$2,105 — varies
Bundle of his recording (93600) $7,549.75 $11,615 1.0×
Canalith repositioning proc (95992) $98.15 $151 2.4×
Car seat/bed test 60 min (94780) $80.60 $124 2.1×
Cardiac Stress Tst,Tracing Only (93017) $709.15 $1,091 3.3×
Cardiopulmonary exercise testing (94621) $884 $1,360 2.4×
Cardiopulmonary resuscitation (92950) $628.55 $967 2.9×
Cardioversion (92960) $5,343.20 — 8.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $70.85 $109 2.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $8,856.90 $13,626 2.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $23,443.71 — 7.2×
Cbt 1st hour (94644) $111.15 $171 0.8×
Chemo Anti-Neopl Sq/Im (96401) $280.15 $431 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $138.45 $213 1.9×
Chemo IV infusion addl hr (96415) $588.25 $905 8.1×
Chemo IV push addl drug (96411) $280.80 $432 3.9×
Chemother Prolong Infuse W/Pump (96416) $1,454.05 $2,237 4.4×
Chemotherapy Into Cns (96450) $481 $740 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $1,834.95 $2,823 25.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $25,241.75 — 75.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $12,719.95 — 38.3×
Chest Wall Manipulation (94668) $98.80 $152 0.7×
Color/duplex Doppler, complete (93975) $1,209 $1,860 5.0×
Color/duplex Doppler, limited (93976) $2,088 — 19.8×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $236.60 $364 1.3×
Cont Gluc Mntr Pt Prov Eqp (95249) $87.75 $135 1.5×
Continuous Pulse Ox (94762) $273.65 $421 2.1×
Coronary Art/Grft Angio S&I (93455) $21,072.76 — 6.5×
Coronary Artery Angio S&I (93454) $19,730.41 — 6.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $814.45 $1,253 3.7×
Cpt initial (94667) $110.50 $170 0.8×
Critical care first hour (99291)
range across 3 matching MRF lines
$2,270.45–$5,215.60 $3,493–$8,024 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$1,495–$5,103 — varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 2 matching MRF lines
$280.15–$293.15 $431–$451 varies
Dialysis One Evaluation (90945) $745.55 $1,147 1.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $662.35 $1,019 2.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $87.10 $134 0.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $555.75 $855 5.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,042.60 $1,604 4.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $367.90 $566 3.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,302.60 $2,004 5.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,241 — 11.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $573.30 $882 2.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $200.20 $308 1.9×
Duplex Scan Hemodialysis Access (93990) $244.40 $376 2.3×
Duplex up extrem art bilat (93930) $688.35 $1,059 2.9×
Duplex up extrem art unilat/ltd (93931) $421.20 $648 4.0×
ECG/monitoring and analysis (93271) $396.50 $610 4.1×
Echo Heart Xthoracic,Limited (93308) $714.35 $1,099 3.0×
Echo r-t 2d w/probe placement only (93313) $1,067.95 $1,643 1.9×
Echo transesophageal (93312) $1,985.10 $3,054 3.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $945.10 $1,454 1.7×
Eeg 41-60 Minutes (95812) $336.05 $517 1.5×
EEG awake and asleep (95819) $1,265 — 5.8×
EEG cont rec w/video by tech min 8 channels (95700) $642.20 $988 3.0×
EEG extended monitoring 61-119 minutes (95813) $694.85 $1,069 3.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,502.80 $2,312 6.9×
EEG wo vid ea 12-26hr unmntr (95708) $1,578.20 $2,428 4.2×
EKG signal averaged (93278) $232.05 $357 3.9×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $299 $460 3.1×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $40.30 $62 1.1×
Electrical Stimulation Ea 15 Min (97032) $85.15 $131 5.8×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$481–$21,950.97 — varies
Emergency Dept Visit Level 2 (99282) $787 — 5.1×
Emergency Dept Visit Level 3 (99283) $1,684 — 6.1×
Emergency Dept Visit Level 4 (99284) $3,710 — 8.8×
Ep & ablate supravent arrhyt (93653) $25,402.65 $39,081 1.0×
Ep & ablate ventric tachy (93654) $26,211.90 $40,326 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,549.75 $11,615 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $9,224.80 $14,192 1.2×
Er level 1 (99281) $393 — 4.6×
Er level v (99285) $6,724 — 11.2×
Esophgl Balo Distension Dx Std W/Provocation (91040) $17,937.96 — 47.8×
Evaluate pt use of inhaler (94664) $503 — 2.3×
Evaluate Speech Production (92522) $228.80 $352 2.0×
Evaluate Swallowing Function (92610) $731 — 8.6×
Evoked Auditory Test,Limited (92587) $205.40 $316 0.9×
External ECG rec>48hr<7d recording (93242) $921 — 24.5×
External ECG rec>7d<15d recording (93246) $921 — 24.5×
External Ecg Scanning Analysis Report (93226) $1,737 — 29.3×
Extracranial Bilat Study (93880) $1,136 — 4.7×
Extracranial Uni/Ltd Study (93882) $720.85 $1,109 6.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $17,260.06 — 20.0×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$627.90–$2,942.55 $966–$4,527 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $8,740.55 $13,447 2.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 4 matching MRF lines
$1,062.10–$1,727.05 $1,634–$2,657 varies
Holter monitor recording (93225) $1,737 — 13.0×
Icd Device Interrogate (93289) $36.40 $56 1.0×
Icd device progr eval dual (93283) $36.40 $56 1.0×
Icd Device Progr Eval Mult (93284) $36.40 $56 1.0×
Ilr Device Interrogate (93291) $36.40 $56 1.3×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$12.79–$39.65 $19.68–$61 varies
Immunization administration (90471)
range across 4 matching MRF lines
$12.79–$39.65 $19.68–$61 varies
Ingestion challenge test initial 120 minutes (95076) $380.25 $585 1.0×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $458.25 $705 1.2×
Insert/Place Heart Catheter (93503) $1,787.50 $2,750 1.1×
Interrogate Subq Defib (93261) $31.85 $49 0.8×
Iontophoresis 15 min (97033) $131.95 $203 6.9×
Irrig Drug Delivery Device (96523) $191.10 $294 3.2×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$10,382.60–$33,215.50 — varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$962–$33,215.50 — varies
IV infusion ther proph addl sequential to 1 hr (96367) $27,709.80 — 382.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $10,354.25 — 219.7×
IV push initial (96374)
range across 2 matching MRF lines
$898.50–$11,062.20 — varies
L Hrt Art/Grft Angio (93459) $24,538.18 — 7.5×
Liver Elastography W/O Imag W/I&R (91200) $338 $520 2.6×
Lwr Xtr Vasc Stdy Bilat (93924) $821.60 $1,264 3.8×
Mechanical chest wall oscillation per session (94669) $499.20 $768 2.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $19.50 $30 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $34 — 0.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $22.10 $34 1.3×
Methacholine challenge (94070) $445.90 $686 1.2×
Motility study esophagus (91010) $3,083 — 8.2×
Motion Fluoroscopy/Swallow (92611) $1,412 — 15.4×
Multiple Sleep Latency Test (95805) $1,636.05 $2,517 1.9×
Nasopharyngoscopy (92511) $208 $320 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $706.55 $1,087 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $2,753 — 13.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,635 — 4.0×
Nerve Conduction Studies 11-12 Studies (95912) $380.25 $585 1.0×
Nerve conduction studies 13 or more studies (95913) $362.05 $557 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $208 $320 1.0×
Nerve conduction studies 5-6 studies (95909) $208 $320 1.0×
Nerve conduction studies 7-8 studies (95910) $208 $320 0.6×
Nerve Conduction Studies 9-10 Studies (95911) $380.25 $585 1.0×
Neurobehavioral Status Exam (96116) $590.85 $909 2.7×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$1,212–$1,689 — varies
Newborn resuscitation (99465) $942.50 $1,450 1.4×
Nitric oxide expired gas determination (95012) $157.95 $243 4.2×
Nrpsyc tst eval phys/qhp 1st (96132) $1,009.45 $1,553 2.7×
Oral Function Therapy (92526) $206.05 $317 2.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $115.70 $178 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $84.50 $130 1.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $24.05 $37 1.1×
Osteopathic manipulative tx 3-4 body regions (98926) $29.90 $46 1.4×
Osteopathic manipulative tx 5-6 body regions (98927) $24.05 $37 1.1×
Osteopathic manipulative tx 7-8 body regions (98928) $41.60 $64 1.9×
Osteopathic manipulative tx 9-10 body regions (98929) $24.05 $37 1.1×
Ot eval high complexity (97167) $163.15 $251 1.6×
Ot Eval Low Complex (97165) $1,415 — 14.1×
Ot Eval Moderate Complexity (97166) $163.15 $251 1.6×
Ot manual therapy 15 min (97140) $78.65 $121 2.8×
Ot paraffin bath (97018)
range across 3 matching MRF lines
$1,382–$2,705 — varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$56.55–$74.75 $87–$115 varies
Ot Re-Eval Est Plan Care (97168) $106.60 $164 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $266.50 $410 2.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $215.80 $332 1.7×
Patch/Application Test Specify Number Tests (95044) $89.05 $137 0.1×
Pdt dstr prmlg les skn illum/activj per day (96567) $136.50 $210 0.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $258.05 $397 1.2×
Percutaneous tests w/allergenic extracts (95004) $85.15 $131 0.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,653.70 $8,698 1.0×
Phlebotomy therapeutic (99195) $240.50 $370 1.8×
Physical Performance Test (97750)
range across 2 matching MRF lines
$104.65–$113.75 $161–$175 varies
Plethysmography (94726) $306.15 $471 0.8×
Pm device eval in person (93288) $36.40 $56 1.0×
Pm device progr eval dual (93280) $36.40 $56 1.0×
Pm device progr eval multi (93281) $36.40 $56 1.0×
Pm Device Progr Eval Sngl (93279) $36.40 $56 1.0×
Pm/Icd Remote Tech Serv (93296) $36.40 $56 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,915.60 $6,024 4.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $30.55 $47 0.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $36.40 $56 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $33.15 $51 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $33.15 $51 0.7×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure
$3,522.35 $5,419 0.3×
Prq Card Stent W/Angio 1 Vsl (92928) $45,292.20 — 3.9×
Prq Revasc Byp Graft 1 Vsl (92937) $10,309.65 $15,861 0.9×
Prq trl rvs ch occ ant&rtrgr (92945) $22,998.30 $35,382 2.0×
Psychiatric diagnostic evaluation (90791) $339.95 $523 1.9×
Psychological tst eval svc phys/qhp first hour (96130) $208 $320 1.0×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $750.10 $1,154 1.7×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $240.50 $370 1.8×
Psytx Crisis Initial 60 Min (90839) $300.30 $462 1.7×
Pt Eval High Complex (97163) $164.45 $253 1.7×
Pt eval low complex 20 min (97161) $979 — 10.0×
Pt Eval Mod Complex (97162) $164.45 $253 1.7×
Pt gait training 15 min (97116) $76.05 $117 2.6×
Pt mechanical traction (97012) $84.50 $130 5.9×
Pt Re-Eval Est Plan Care (97164) $109.85 $169 1.6×
Pulm function test by gas (94727) $114.40 $176 0.5×
Pulmonary service/procedure (94799) $252.85 $389 2.0×
Pulmonary Stress Testing (94618) $202.15 $311 1.5×
R Hrt Art/Grft Angio (93457) $8,979.75 $13,815 2.8×
R hrt coronary artery angio (93456) $7,594.60 $11,684 2.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $5,791.50 $8,910 1.8×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $240.50 $370 0.7×
Refill/Maint Portable Pump (96521) $301.60 $464 1.4×
Rem interrog icpms <30 d phys/qhp (93297) $31.85 $49 0.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $31.85 $49 0.8×
Remote 30 Day Ecg Rev/Report (93270) $249.60 $384 6.6×
Remote 30 Day Ecg Tech Supp (93229) $583.70 $898 1.6×
Respiratory flow volume loop (94375) $215.80 $332 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $130.65 $201 2.2×
Right Heart Cath (93451) $5,429.45 $8,353 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $3,837 — 19.0×
Self Care Mngment Training (97535) $74.10 $114 2.3×
Sleep study unattended (95806) $653 — 3.0×
Slp caregiver training 1st 30 min (97550) $74.10 $114 1.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $521.95 $803 2.4×
Speech sound lang comprehen (92523) $276.25 $425 1.2×
Spirometry (94010) $277.55 $427 1.3×
Stress Tte Only (93350) $1,209.65 $1,861 2.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $427.05 $657 2.0×
Surfactant Admin Thru Tube (94610) $189.80 $292 0.9×
Temp transcutaneous pacing (92953) $550.55 $847 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$57.20–$72.15 $88–$111 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$69.55–$72.15 $107–$111 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $94.25 $145 2.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$57.20–$100.75 $88–$155 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $223.60 $344 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $3,712.30 — 51.2×
Ther/Proph/Diag Iv Inf Init (96365) $1,634 — 7.6×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$1,086–$1,712 — varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,937 $2,980 5.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $23.40 $36 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $563 — 14.9×
Trans Care Mgmt 14 Day Disch (99495) $91.65 $141 0.7×
Trans Care Mgmt 7 Day Disch (99496) $282 — 2.1×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $36.40 $56 1.0×
Tte w/doppler, complete (93306) $1,825.20 $2,808 3.3×
Tx atrial fib pulm vein isol (93656) $24,610.95 $37,863 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $216.45 $333 2.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $15,675 — 332.6×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$27,244.76–$28,997.45 — varies
Upr/L Xtremity Art 2 Levels (93922) $1,104 — 8.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $559 $860 2.6×
Vasopneumatic device (97016) $37.70 $58 3.1×
Veeg 2-12 hr intmt mntr (95712) $2,052.05 $3,157 5.5×
Veeg 2-12 hr unmonitored (95711) $2,597.40 $3,996 12.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,052.05 $3,157 5.5×
Veeg Ea 12-26 Hr Unmntr (95714) $1,846.65 $2,841 4.9×
Vent Mgmt Inpat Init Day (94002) $15,063.80 — 24.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,340.95 $2,063 2.2×
Wheelchair Mgmt Ea 15 Min (97542) $66.95 $103 2.2×

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.