CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercyone North Iowa Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $115
  • Cash Discount Price: $142
  • vs. Medicare Baseline: 3.89x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercyone North Iowa Medical Center is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.89x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$142

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $142 (480%)
Insurance Median: $115 (389%)
Cash: $142 (480% of Medicare)
Ins. Median: $115 (389% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.6 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 389% of the Medicare baseline (a markup of 289%). 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
Aetna $29 - $115 98%
Blue Cross Blue Shield $29 98%
Iowa Total Care $29 98%
Medicaid / KanCare $29 98%
Medicare (plans) $29 - $30 98%
Geha $30 101%
UnitedHealthcare $30 - $219 101%
Centivo $36 122%
Amish Hospital Aid $39 132%
Oscar $39 132%
Ambetter / Centene $50 169%
Health Choices $56 189%
Medical Associates $56 189%
Claimdoc $60 203%
Nova $60 203%
1199 National Benefit Fund $115 389%
Allied Benefit Systems $115 389%
Asr Health Benefits $115 389%
Christian Brother Services $115 389%
Coventry $115 389%
First Health $115 389%
Lucent Health $115 389%
Luminare Health $115 389%
Medical Mutual $115 389%
Meritain $115 389%
Trustmark Small Business Benefits $115 389%
Webtpa $115 389%
Preferred One $142 480%
Health Partners $147 497%
Auxiant $153 517%
Cigna $153 517%
Medica $153 517%
Midlands $153 517%
Midlands Choice $153 517%
Mhnet $175 591%
Multiplan $197 666%
Crime Victim Assistance $219 740%
Iowa Dept Of Public Health $219 740%

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