CMS Price Transparency Data

Blood test, magnesium

Facility: Mercyone North Iowa Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $74
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 11.04x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Mercyone North Iowa Medical Center is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 11.04x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.7

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.7 (100%)
Cash / Self-Pay: $73 (1090%)
Insurance Median: $74 (1104%)
Cash: $73 (1090% of Medicare)
Ins. Median: $74 (1104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.7 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1104% of the Medicare baseline (a markup of 1004%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Iowa Total Care $6 - $129 90%
Aetna $7 - $131 104%
Blue Cross Blue Shield $7 - $136 104%
Geha $7 104%
Medicaid / KanCare $7 - $131 104%
Medicare (plans) $7 - $141 104%
UnitedHealthcare $7 - $135 104%
Centivo $8 - $99 119%
Amish Hospital Aid $9 - $107 134%
Oscar $9 - $106 134%
Ambetter / Centene $11 - $135 164%
Claimdoc $13 - $162 194%
Nova $13 - $162 194%
Health Choices $28 - $29 418%
Medical Associates $28 - $29 418%
1199 National Benefit Fund $57 - $59 851%
Allied Benefit Systems $57 - $59 851%
Asr Health Benefits $57 - $59 851%
Christian Brother Services $57 - $59 851%
Coventry $57 - $59 851%
First Health $57 - $59 851%
Lucent Health $57 - $59 851%
Luminare Health $57 - $59 851%
Medical Mutual $57 - $59 851%
Meritain $57 - $59 851%
Trustmark Small Business Benefits $57 - $59 851%
Webtpa $57 - $59 851%
Preferred One $71 - $73 1060%
Health Partners $73 - $75 1090%
Auxiant $76 - $78 1134%
Cigna $76 - $78 1134%
Medica $76 - $78 1134%
Midlands $76 - $78 1134%
Midlands Choice $76 - $78 1134%
Mhnet $87 - $90 1299%
Iowa Dept Of Public Health $89 - $112 1328%
Multiplan $98 - $101 1463%
Crime Victim Assistance $109 - $112 1627%
Bcn Domestic $136 2030%
Blue Benefit Administrators Of Massachusetts $136 2030%
Blue Care Network $136 2030%
Blue Distinction Transplant $136 2030%
Blue Shield - Ca $136 2030%
Blue Shield - Id (Regence) $136 2030%
Blue Shield - Ny Highmark Northeastern $136 2030%
Blue Shield - Ny Highmark Western $136 2030%
Blue Shield - Pa (Highmark) $136 2030%
Blue Shield - Wa (Regence) $136 2030%
Kaiser Domestic $136 2030%
Pre-Employment $136 2030%
Wc Domestic $136 2030%

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