CMS Price Transparency Data

Neurobehavioral status check

Facility: Mercyone North Iowa Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.4× the $221 Medicare rate · typically $88–$195
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
About the fair price
about $7 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $94 This hospital $87 Cash price $422 Hospital's list price $581

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 IA hospitals compared.

Cheapest $54 Priciest $128

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Neurobehavioral status check is about $94 (about 0.4× the $221 Medicare rate). Mercyone North Iowa Medical Center charges insurers about $87, or about $422 in cash — about the fair price. Located in Mason City, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $69 - $909 31%
Blue Cross Blue Shieldmajor $69 - $221 31%
Aetnamajor $51 - $477 23%
Cignamajor $69 - $636 31%
Humanamajor $69 - $112 31%
Kaiser Permanentemajor $151 - $221 68%
Ambetter (Centene) $87 - $119 39%
Clover Health $69 31%
GEHA $226 - $586 102%
Health Net $87 - $253 39%
HealthPartners $87 - $608 39%
Medica $253 - $636 115%
Medical Mutual $477 216%
Meridian $69 - $87 31%
Molina $87 39%
Oscar Health $137 62%
Paramount $87 39%
Presbyterian $69 - $87 31%
Sanford Health Plan $115 52%
Tufts Health Plan $87 39%
UCare $124 56%
WellMed $69 31%
WellSense $87 39%
+ 361 smaller / regional plans $61 - $909
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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