CMS Price Transparency Data

Blood test, hemoglobin

Facility: Mercyone North Iowa Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Mercyone North Iowa Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2.37

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2.37 (100%)
Cash / Self-Pay: $25 (1055%)
Insurance Median: $3 (127%)
Cash: $25 (1055% of Medicare)
Ins. Median: $3 (127% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2.37 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $2 - $131 84%
Align Senior Care $2 84%
Ally Align Care Adv $2 84%
American Health Advantage Of Idaho $2 84%
American Health Plan $2 84%
Aurora Special Needs $2 84%
Bcn Domestic $2 - $183 84%
Blue Benefit Administrators Of Massachusetts $2 - $183 84%
Blue Care Network $2 - $183 84%
Blue Care Network Advantage $2 84%
Blue Cross Blue Shield $2 - $183 84%
Blue Distinction Transplant $2 - $183 84%
Blue Shield - Ca $2 - $183 84%
Blue Shield - De (Highmark) Medciare Advantage $2 84%
Blue Shield - Id (Regence) $2 - $183 84%
Blue Shield - Ny Highmark Northeastern $2 - $183 84%
Blue Shield - Ny Highmark Western $2 - $183 84%
Blue Shield - Pa (Highmark) $2 - $183 84%
Blue Shield - Wa (Regence) $2 - $183 84%
Care Dimensions $2 84%
Care Improvement Plus $2 84%
Care Resources Pace $2 84%
Careplus Health Plans $2 84%
Cca - Zing Health $2 84%
Cca Senior Care Options $2 84%
Central Valley Medical Services Corp Pace $2 84%
Champion Health Plan Mcr Advantage $2 84%
Champva $2 84%
Cigna $2 - $27 84%
Clear Spring Health $2 84%
Clover Health $2 84%
Commonwealth Care Alliance $2 84%
Community Pace At Home $2 84%
Eddy Senior Care-Pace $2 84%
Eddy Seniorcare Pace $2 84%
Elementcare $2 84%
Evercare $2 84%
Everence $2 84%
Gateway Health Plan $2 84%
Geha $2 84%
Genesys Pace Of Genesee County $2 84%
Georgia Health Advantage $2 84%
Gold Advantage $2 84%
Gpa Croell Redi Mix $2 84%
Health America Advantra $2 84%
Health Choices $2 - $10 84%
Health Partners $2 - $26 84%
Highmark Health Options Dual Plan $2 84%
Hope Select Pace $2 84%
Horizon Nj Total Care $2 84%
Hudson Headwaters Pace $2 84%
Humana $2 - $3 84%
Huron Valley Pace $2 84%
Innovative Integrated Health Community Plans $2 84%
Iowa Health Advantage $2 84%
Iowa Total Care $2 - $82 84%
Johns Hopkins Advantage Md $2 84%
Kaiser Domestic $2 - $183 84%
Lasso Healthcare Msa $2 84%
Life St Marys Pace $2 84%
Lifecircles Pace $2 84%
Longevity Health Plan $2 84%
Longevity Ipa Of Michigan Llc Health Plan Isnp $2 84%
Martins Point Generations Advantage $2 84%
Mass General Brigham Mcr Adv $2 84%
Medicaid / KanCare $2 - $182 84%
Medicare (plans) $2 - $134 84%
Medipak Advantage $2 84%
Mercy Life $2 84%
Mercyone Cedar Valley $2 84%
Meridian Complete $2 84%
Michigan Complete Health $2 84%
Nascentia Health Plus $2 84%
New Centry Health Careplus $2 84%
Oscar $2 - $102 84%
Osu Prime Care Advantage $2 84%
Pace Cny $2 84%
Pace Iowa Immanuel Pathways $2 84%
Pace Of Southwest Michigan $2 - $3 84%
Pace Southeast $2 84%
Pace-Trinity Health $2 84%
Peak Pace Solutions $2 84%
Perennial Advantage $2 84%
Pre-Employment $2 - $183 84%
Preferred Care Partners $2 84%
Presbyterian Senior Plan $2 84%
Provider Partners Health Plan Of Illinois $2 84%
Provider Partners Health Plan Of Indiana $2 84%
Pruitthealth Premier $2 84%
Reliance Community Care Partners Care Resources Pace $2 84%
Rx Allwin $2 84%
Rx Grane Grnmedd $2 84%
Rx Retiree Rx Care $2 84%
Scan Health Plan Mcr Ipa Meritage Oon $2 84%
Secure Horizons Ma Pffs $2 84%
Serenity Pace $2 84%
Siouxland Pace $2 84%
Solis Health Plans $2 84%
Stephenson Cty Health $2 84%
Sunnyview-Pace Finance Dept $2 84%
Texan Plus $2 84%
The Health Plan $2 84%
Thome Pace $2 84%
Todays Options $2 84%
Tribute Health Plans $2 84%
Tricare $2 84%
Triwest Health Alliance $2 84%
Um Health Advantage $2 84%
Union Health Service $2 84%
UnitedHealthcare $2 - $135 84%
Us Family Health Plan $2 84%
Veterans Administration $2 84%
Veterans Eval Services $2 84%
Wc Corvel $2 84%
Wc Domestic $2 - $183 84%
Welbe Health $2 84%
Wellmed $2 84%
Albany County Correctional Facility $3 127%
Allied Benefit Systems $3 - $20 127%
Ambetter / Centene $3 - $241 127%
Amish Hospital Aid $3 - $103 127%
Amish Mennonite $3 127%
Amps $3 127%
Ascension St. Vincent Public Safety Medical $3 127%
Auxiant $3 - $27 127%
Bcccp-Michigan $3 127%
Bccp $3 127%
Bmc Healthnet $3 127%
Breast Grant-Connecticut $3 127%
Broward County Dept Of Health $3 127%
California Health And Wellness $3 127%
Cardinal Innovations Lme $3 127%
Care Connections Of Northern Iowa $3 127%
Care Oregon Ohp $3 127%
Cencal Health Plan $3 127%
Cenpatico $3 127%
Centivo $3 - $95 127%
Chhuny $3 127%
Childrens Comm Health Plan $3 127%
Childrens Medical Services Title 19 $3 127%
City Of Philadelphia $3 127%
Cmh Allegan County $3 127%
Cmh Ausable Valley $3 127%
Cmh Barry County $3 127%
Cmh Bay-Arenac County $3 127%
Cmh Berrien County $3 127%
Cmh Cass County $3 127%
Cmh Central Mi County $3 127%
Cmh Clinton-Eaton-Ingham County $3 127%
Cmh Detroit Wayne Integrated Health Network $3 127%
Cmh Genesee County $3 127%
Cmh Ionia County $3 127%
Cmh Jackson County/Lifeways $3 127%
Cmh Kalamazoo $3 127%
Cmh Kent County $3 127%
Cmh Lenawee County $3 127%
Cmh Livingston County $3 127%
Cmh Macomb $3 127%
Cmh Misc $3 127%
Cmh Monroe County $3 127%
Cmh Montcalm County $3 127%
Cmh Muskegon County $3 127%
Cmh Newaygo County $3 127%
Cmh North Country $3 127%
Cmh Northern Lakes County $3 127%
Cmh Oakland County $3 127%
Cmh Ottawa County $3 127%
Cmh Van Buren County $3 127%
Cmh Washtenaw County $3 127%
Cmh Wayne County/Carelink $3 127%
Cmh Wayne Cty/Com Liv Svcs $3 127%
Cmh West Mi County $3 127%
Community Benefit Health $3 127%
Community Care Behavorial Health $3 127%
Community Care Partners $3 127%
Community Health Choice $3 127%
Connections Csp $3 127%
County Coroner $3 127%
County Funding Generic $3 127%
Covid19 Hrsa Uninsured Testing And Treatment Fund $3 127%
Dean Wi Badgercare $3 127%
Delaware County Department Of Health $3 127%
Delaware First Health $3 127%
Delta Dental Nj $3 127%
Dph Tb Program $3 127%
Dscc $3 127%
Eastpointe Lme $3 127%
Family Health Network $3 127%
First Choice Health $3 127%
Freedom First Healthcare $3 127%
Fresno County Ccs $3 127%
Ghc Scw Wi Badgercare $3 127%
Group Administrators $3 127%
Harbor Health $3 127%
Health Safety Net $3 127%
Healthy Blue Ne $3 127%
Hennepin Health $3 127%
Id County Ada $3 127%
Id County Canyon $3 127%
Id County Cat Fund $3 127%
Id County Other $3 127%
Id County Payette $3 127%
Idaho Dept Health And Wellfare $3 127%
Idaho Womens Health Check $3 127%
Indiana Breast Cervical Cancer $3 127%
Inland Empire Health Plan $3 127%
Intercommunity Health Ohp $3 127%
Jai Medical System $3 127%
Kern Family Health Plan $3 127%
Keystone First $3 127%
Keystone First Chip $3 127%
La Care Health Plan $3 127%
Lakeland Care Inc $3 127%
Managed Health Services - Indiana $3 127%
Maryland Breast & Cervical Program $3 127%
Maryland Healthy Smiles - Scion Dental $3 127%
Maryland Physicians Care $3 127%
Massachusetts Behavioral Health Partnership $3 127%
Mdwise $3 127%
Medi-Cal $3 127%
Medi-Cal Healthnet $3 127%
Medstar Dc Healthy Family $3 127%
Medstar Md Health Choice $3 127%
Midlands $3 - $27 127%
Midlands Choice $3 - $27 127%
Mo Home State Health Plan $3 127%
Molina Centennial Care $3 127%
Nascentia Health Options $3 127%
New York Cancer Services Program $3 127%
Nextlevel Health $3 127%
Oregon Screenwise $3 127%
Paramount Advantage $3 127%
Parkland Community Health Plan $3 127%
Partners Behavioral Lme $3 127%
Peach State Healthplan $3 127%
Philadelphia County Funding $3 127%
Preferred One $3 - $25 127%
Presbyterian Centennial Care $3 127%
Prestige Health Choice $3 127%
Priority Partners $3 127%
Robert F Sing Program $3 127%
Rx 340B Pass Along $3 127%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $3 127%
Rx Medi-Cal $3 127%
Rx Meridian Rx $3 127%
Ryan White Florida Mssrp $3 127%
Sandhills Center Lme $3 127%
Screening For Life $3 127%
St Joseph County Hlth Dpt $3 127%
Sunshine State Health Plan $3 127%
Superior Health $3 127%
Tenncare $3 127%
Texas Children'S Health Plan $3 127%
Trillium Community Ohp $3 127%
Tufts Health Public Plans $3 127%
Vaya Health Lme $3 127%
Washtenaw Health Plan $3 127%
Wellpoint $3 127%
Wellsense Health Plan $3 127%
Wi Womens Wellness $3 127%
Avera $4 169%
Health Smart $4 169%
Lucent Health $4 - $20 169%
Medical Associates $4 - $10 169%
Meritain $4 - $20 169%
Multiplan $4 - $35 169%
Sanford Health Plan $4 169%
Ucare $4 169%
Claimdoc $5 - $156 211%
Global Excel $5 211%
Nova $5 - $156 211%
Quiktrip $5 211%
The Alliance $5 211%
Usa Managed Care $5 211%
Newton Correctional Facility $6 253%
Velocity $6 253%
Genex Wc $7 - $8 295%
Auto Velocity $8 - $9 338%
Wc Align Network $8 338%
Wc O'Hara Corp $8 - $9 338%
Wc Praxis Health Network $8 338%
Wc Reny Company $8 - $9 338%
Wc Velocity $8 - $9 338%
Andrie Inc $9 - $10 380%
East Greenbush Central School District $9 - $10 380%
Healthsmart Workers Comp $9 - $10 380%
Iowa Dept Of Public Health $9 - $39 380%
Jag Source $9 - $10 380%
Nebraska Total Care $9 - $10 380%
New York State Insurance Fund $9 - $10 380%
Njm Insurance Group $9 - $10 380%
Rx Heatlhcomp $9 - $10 380%
Rx Restat $9 - $10 380%
Rx Saif Opdp Wc $9 - $10 380%
Rx Worker'S Comp $9 - $10 380%
Wc Accident Fund $9 - $10 380%
Wc Ace $9 - $10 380%
Wc Acs Federal Employees $9 - $10 380%
Wc Acuity $9 - $10 380%
Wc Advantage $9 - $10 380%
Wc Aegis $9 - $10 380%
Wc Aig $9 - $10 380%
Wc Aims $9 - $10 380%
Wc Alaska National Ins $9 - $10 380%
Wc Allied $9 - $10 380%
Wc Am Trust N America $9 - $10 380%
Wc American Claims Mgmt $9 - $10 380%
Wc Amerisure $9 - $10 380%
Wc Amtrust $9 - $10 380%
Wc Asu Risk Mgt $9 - $10 380%
Wc Benetech $9 - $10 380%
Wc Berkley Admin $9 - $10 380%
Wc Broadspire $9 - $10 380%
Wc Broward County $9 - $10 380%
Wc Bunch & Associates $9 - $10 380%
Wc California State Comp Ins $9 - $10 380%
Wc California State Ins Fund $9 - $10 380%
Wc Capitol Area Health Consortium $9 - $10 380%
Wc Ccmsi $9 - $10 380%
Wc Chartis $9 - $10 380%
Wc Chubb $9 - $10 380%
Wc Cirma $9 - $10 380%
Wc City Of Albany $9 - $10 380%
Wc City Of Sioux City $9 - $10 380%
Wc Claims Mgmt Inc $9 - $10 380%
Wc Cna $9 - $10 380%
Wc Comp One Admin C/O Manageability $9 - $10 380%
Wc Compone Admin $9 - $10 380%
Wc Ct Healthcare Trust $9 - $10 380%
Wc Donegal Insurance Group $9 - $10 380%
Wc Emc Insurance Company $9 - $10 380%
Wc Employee Mutual $9 - $10 380%
Wc Enablecomp $9 - $10 380%
Wc Encore Health Network $9 - $10 380%
Wc Erie $9 - $10 380%
Wc Esis $9 - $10 380%
Wc Evolutions $9 - $10 380%
Wc Fcci $9 - $10 380%
Wc Fed Ex $9 - $10 380%
Wc Federal Black Lung $9 - $10 380%
Wc Federated $9 - $10 380%
Wc Finley Occupational Health $9 - $10 380%
Wc First Agency/Occunet $9 - $10 380%
Wc Ford Motor $9 - $10 380%
Wc Fresno Unified Emp $9 - $10 380%
Wc Gallagher Bassett $9 - $10 380%
Wc General Motors $9 - $10 380%
Wc Generic $9 - $10 380%
Wc Genex Care For Ohio $9 - $10 380%
Wc Great West Casualty $9 - $10 380%
Wc Guarantee Insurance $9 - $10 380%
Wc Guard Insurance Company $9 - $10 380%
Wc Hab $9 - $10 380%
Wc Hartford $9 - $10 380%
Wc Hastings $9 - $10 380%
Wc Health Management $9 - $10 380%
Wc Heritage Summit $9 - $10 380%
Wc Hireright $9 - $10 380%
Wc Horizon $9 - $10 380%
Wc Icw Group $9 - $10 380%
Wc Idaho State Ins Fund $9 - $10 380%
Wc Intercare Insurance $9 - $10 380%
Wc Intermountain $9 - $10 380%
Wc Johns Eastern $9 - $10 380%
Wc Kemberton $9 - $10 380%
Wc Key Ins & Benefit Solutions $9 - $10 380%
Wc Liberty Mutual $9 - $10 380%
Wc Mac Risk Management $9 - $10 380%
Wc Massachusetts $9 - $10 380%
Wc Mdia $9 - $10 380%
Wc Meadowbrook Claim $9 - $10 380%
Wc Medical Administrators $9 - $10 380%
Wc Meijers $9 - $10 380%
Wc Memic $9 - $10 380%
Wc Mercy Workcare $9 - $10 380%
Wc Michigan $9 - $10 380%
Wc Michigan Millers Mutual $9 - $10 380%
Wc Mitchell Frankenmuth $9 - $10 380%
Wc Mra $9 - $10 380%
Wc Nationwide $9 - $10 380%
Wc Nca Comp $9 - $10 380%
Wc New York $9 - $10 380%
Wc New York Special Funds $9 - $10 380%
Wc North American Rishces $9 - $10 380%
Wc Northeast Health $9 - $10 380%
Wc Notre Dame $9 - $10 380%
Wc Novanet $9 - $10 380%
Wc Occ Health Allen $9 - $10 380%
Wc Ohio Bureau $9 - $10 380%
Wc One Call Medical $9 - $10 380%
Wc Paradigm $9 - $10 380%
Wc Peerless $9 - $10 380%
Wc Pma $9 - $10 380%
Wc Price Chopper $9 - $10 380%
Wc Procura Management $9 - $10 380%
Wc Qualcare $9 - $10 380%
Wc Quiktrip $9 - $10 380%
Wc Rev Claims $9 - $10 380%
Wc Risico $9 - $10 380%
Wc Rural Mutual $9 - $10 380%
Wc Saif Oregon $9 - $10 380%
Wc Secura $9 - $10 380%
Wc Sedgwick $9 - $10 380%
Wc Sentry $9 - $10 380%
Wc Sheakley Unicomp $9 - $10 380%
Wc Smile Lodge $9 - $10 380%
Wc Society $9 - $10 380%
Wc Srs $9 - $10 380%
Wc Taconic (Mro) $9 - $10 380%
Wc Taconic Farms $9 - $10 380%
Wc Travelers $9 - $10 380%
Wc Triad Group $9 - $10 380%
Wc Tristar $9 - $10 380%
Wc Troy Ny $9 - $10 380%
Wc Tyson $9 - $10 380%
Wc Unified Health Services $9 - $10 380%
Wc United Heartland $9 - $10 380%
Wc Us Dept Of Labor $9 - $10 380%
Wc Walmart $9 - $10 380%
Wc West Bend $9 - $10 380%
Wc West Bend Mutual/Argent $9 - $10 380%
Wc Winnebago Industries $9 - $10 380%
Wc Yankee Trails $9 - $10 380%
Wc York Risk $9 - $10 380%
Wc Zenith $9 - $10 380%
Wc Zurich $9 - $10 380%
1199 National Benefit Fund $20 844%
Asr Health Benefits $20 844%
Christian Brother Services $20 844%
Coventry $20 844%
First Health $20 844%
Luminare Health $20 844%
Medical Mutual $20 844%
Trustmark Small Business Benefits $20 844%
Webtpa $20 844%
Medica $27 1139%
Mhnet $31 1308%
Crime Victim Assistance $39 1646%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Fourth Street Sw, Mason City, IA 50401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals