CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mercyone North Iowa Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $58
  • Cash Discount Price: $180
  • vs. Medicare Baseline: 0.49x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Mercyone North Iowa Medical Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.49x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$180

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $180 (153%)
Insurance Median: $58 (49%)
Cash: $180 (153% of Medicare)
Ins. Median: $58 (49% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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
Albany County Correctional Facility $36 - $58 31%
Ambetter / Centene $36 - $114 31%
Amish Mennonite $36 - $58 31%
Ascension St. Vincent Public Safety Medical $36 - $58 31%
Bcccp-Michigan $36 - $58 31%
Bccp $36 - $58 31%
Blue Cross Blue Shield $36 - $116 31%
Bmc Healthnet $36 - $58 31%
Breast Grant-Connecticut $36 - $58 31%
Broward County Dept Of Health $36 - $58 31%
California Health And Wellness $36 - $58 31%
Cardinal Innovations Lme $36 - $58 31%
Care Connections Of Northern Iowa $36 - $58 31%
Care Oregon Ohp $36 - $58 31%
Cencal Health Plan $36 - $58 31%
Cenpatico $36 - $58 31%
Chhuny $36 - $58 31%
Childrens Comm Health Plan $36 - $58 31%
Childrens Medical Services Title 19 $36 - $58 31%
Cigna $36 - $141 31%
City Of Philadelphia $36 - $58 31%
Cmh Allegan County $36 - $58 31%
Cmh Ausable Valley $36 - $58 31%
Cmh Barry County $36 - $58 31%
Cmh Bay-Arenac County $36 - $58 31%
Cmh Berrien County $36 - $58 31%
Cmh Cass County $36 - $58 31%
Cmh Central Mi County $36 - $58 31%
Cmh Clinton-Eaton-Ingham County $36 - $58 31%
Cmh Detroit Wayne Integrated Health Network $36 - $58 31%
Cmh Genesee County $36 - $58 31%
Cmh Ionia County $36 - $58 31%
Cmh Jackson County/Lifeways $36 - $58 31%
Cmh Kalamazoo $36 - $58 31%
Cmh Kent County $36 - $58 31%
Cmh Lenawee County $36 - $58 31%
Cmh Livingston County $36 - $58 31%
Cmh Macomb $36 - $58 31%
Cmh Misc $36 - $58 31%
Cmh Monroe County $36 - $58 31%
Cmh Montcalm County $36 - $58 31%
Cmh Muskegon County $36 - $58 31%
Cmh Newaygo County $36 - $58 31%
Cmh North Country $36 - $58 31%
Cmh Northern Lakes County $36 - $58 31%
Cmh Oakland County $36 - $58 31%
Cmh Ottawa County $36 - $58 31%
Cmh Van Buren County $36 - $58 31%
Cmh Washtenaw County $36 - $58 31%
Cmh Wayne County/Carelink $36 - $58 31%
Cmh Wayne Cty/Com Liv Svcs $36 - $58 31%
Cmh West Mi County $36 - $58 31%
Community Benefit Health $36 - $58 31%
Community Care Behavorial Health $36 - $58 31%
Community Care Partners $36 - $58 31%
Community Health Choice $36 - $58 31%
Connections Csp $36 - $58 31%
County Coroner $36 - $58 31%
County Funding Generic $36 - $58 31%
Covid19 Hrsa Uninsured Testing And Treatment Fund $36 - $58 31%
Dean Wi Badgercare $36 - $58 31%
Delaware County Department Of Health $36 - $58 31%
Delaware First Health $36 - $58 31%
Delta Dental Nj $36 - $58 31%
Dph Tb Program $36 - $58 31%
Dscc $36 - $58 31%
Eastpointe Lme $36 - $58 31%
Family Health Network $36 - $58 31%
Freedom First Healthcare $36 - $58 31%
Fresno County Ccs $36 - $58 31%
Ghc Scw Wi Badgercare $36 - $58 31%
Harbor Health $36 - $58 31%
Health Safety Net $36 - $58 31%
Healthy Blue Ne $36 - $58 31%
Hennepin Health $36 - $58 31%
Humana $36 - $107 31%
Id County Ada $36 - $58 31%
Id County Canyon $36 - $58 31%
Id County Cat Fund $36 - $58 31%
Id County Other $36 - $58 31%
Id County Payette $36 - $58 31%
Idaho Dept Health And Wellfare $36 - $58 31%
Idaho Womens Health Check $36 - $58 31%
Indiana Breast Cervical Cancer $36 - $58 31%
Inland Empire Health Plan $36 - $58 31%
Intercommunity Health Ohp $36 - $58 31%
Iowa Total Care $36 - $59 31%
Jai Medical System $36 - $58 31%
Kern Family Health Plan $36 - $58 31%
Keystone First $36 - $58 31%
Keystone First Chip $36 - $58 31%
La Care Health Plan $36 - $58 31%
Lakeland Care Inc $36 - $58 31%
Managed Health Services - Indiana $36 - $58 31%
Maryland Breast & Cervical Program $36 - $58 31%
Maryland Healthy Smiles - Scion Dental $36 - $58 31%
Maryland Physicians Care $36 - $58 31%
Massachusetts Behavioral Health Partnership $36 - $58 31%
Mdwise $36 - $58 31%
Medi-Cal $36 - $58 31%
Medi-Cal Healthnet $36 - $58 31%
Medicaid / KanCare $36 - $81 31%
Medstar Dc Healthy Family $36 - $58 31%
Medstar Md Health Choice $36 - $58 31%
Mo Home State Health Plan $36 - $58 31%
Molina Centennial Care $36 - $58 31%
Nascentia Health Options $36 - $58 31%
New York Cancer Services Program $36 - $58 31%
Nextlevel Health $36 - $58 31%
Oregon Screenwise $36 - $58 31%
Pace Of Southwest Michigan $36 - $66 31%
Paramount Advantage $36 - $58 31%
Parkland Community Health Plan $36 - $58 31%
Partners Behavioral Lme $36 - $58 31%
Peach State Healthplan $36 - $58 31%
Philadelphia County Funding $36 - $58 31%
Presbyterian Centennial Care $36 - $58 31%
Prestige Health Choice $36 - $58 31%
Priority Partners $36 - $58 31%
Robert F Sing Program $36 - $58 31%
Rx 340B Pass Along $36 - $58 31%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $36 - $58 31%
Rx Medi-Cal $36 - $58 31%
Rx Meridian Rx $36 - $58 31%
Ryan White Florida Mssrp $36 - $58 31%
Sandhills Center Lme $36 - $58 31%
Screening For Life $36 - $58 31%
St Joseph County Hlth Dpt $36 - $58 31%
Sunshine State Health Plan $36 - $58 31%
Superior Health $36 - $58 31%
Tenncare $36 - $58 31%
Texas Children'S Health Plan $36 - $58 31%
Trillium Community Ohp $36 - $58 31%
Tufts Health Public Plans $36 - $58 31%
UnitedHealthcare $36 - $160 31%
Vaya Health Lme $36 - $58 31%
Washtenaw Health Plan $36 - $58 31%
Wellsense Health Plan $36 - $58 31%
Wi Womens Wellness $36 - $58 31%
Wellpoint $37 - $60 31%
Aetna $56 - $180 48%
Align Senior Care $56 - $66 48%
Ally Align Care Adv $56 - $66 48%
American Health Advantage Of Idaho $56 - $66 48%
Aurora Special Needs $56 - $66 48%
Blue Care Network Advantage $56 - $66 48%
Blue Shield - De (Highmark) Medciare Advantage $56 - $66 48%
Care Dimensions $56 - $66 48%
Care Improvement Plus $56 - $66 48%
Care Resources Pace $56 - $66 48%
Careplus Health Plans $56 - $66 48%
Cca - Zing Health $56 - $66 48%
Cca Senior Care Options $56 - $66 48%
Central Valley Medical Services Corp Pace $56 - $66 48%
Champion Health Plan Mcr Advantage $56 - $66 48%
Clear Spring Health $56 - $66 48%
Clover Health $56 - $66 48%
Commonwealth Care Alliance $56 - $66 48%
Community Pace At Home $56 - $66 48%
Eddy Senior Care-Pace $56 - $66 48%
Eddy Seniorcare Pace $56 - $66 48%
Elementcare $56 - $66 48%
Evercare $56 - $66 48%
Everence $56 - $66 48%
Gateway Health Plan $56 - $66 48%
Genesys Pace Of Genesee County $56 - $66 48%
Georgia Health Advantage $56 - $66 48%
Gold Advantage $56 - $66 48%
Gpa Croell Redi Mix $56 - $66 48%
Health America Advantra $56 - $66 48%
Highmark Health Options Dual Plan $56 - $66 48%
Hope Select Pace $56 - $66 48%
Horizon Nj Total Care $56 - $66 48%
Hudson Headwaters Pace $56 - $66 48%
Huron Valley Pace $56 - $66 48%
Innovative Integrated Health Community Plans $56 - $66 48%
Johns Hopkins Advantage Md $56 - $66 48%
Lasso Healthcare Msa $56 - $66 48%
Life St Marys Pace $56 - $66 48%
Lifecircles Pace $56 - $66 48%
Longevity Health Plan $56 - $66 48%
Longevity Ipa Of Michigan Llc Health Plan Isnp $56 - $66 48%
Martins Point Generations Advantage $56 - $66 48%
Mass General Brigham Mcr Adv $56 - $66 48%
Medicare (plans) $56 - $70 48%
Medipak Advantage $56 - $66 48%
Mercy Life $56 - $66 48%
Mercyone Cedar Valley $56 - $66 48%
Meridian Complete $56 - $66 48%
Michigan Complete Health $56 - $66 48%
Nascentia Health Plus $56 - $66 48%
New Centry Health Careplus $56 - $66 48%
Osu Prime Care Advantage $56 - $66 48%
Pace Cny $56 - $66 48%
Pace Iowa Immanuel Pathways $56 - $66 48%
Pace Southeast $56 - $66 48%
Pace-Trinity Health $56 - $66 48%
Peak Pace Solutions $56 - $66 48%
Perennial Advantage $56 - $66 48%
Preferred Care Partners $56 - $66 48%
Presbyterian Senior Plan $56 - $66 48%
Provider Partners Health Plan Of Illinois $56 - $66 48%
Provider Partners Health Plan Of Indiana $56 - $66 48%
Pruitthealth Premier $56 - $66 48%
Reliance Community Care Partners Care Resources Pace $56 - $66 48%
Rx Allwin $56 - $66 48%
Rx Grane Grnmedd $56 - $66 48%
Rx Retiree Rx Care $56 - $66 48%
Scan Health Plan Mcr Ipa Meritage Oon $56 - $66 48%
Secure Horizons Ma Pffs $56 - $66 48%
Serenity Pace $56 - $66 48%
Siouxland Pace $56 - $66 48%
Solis Health Plans $56 - $66 48%
Sunnyview-Pace Finance Dept $56 - $66 48%
Texan Plus $56 - $66 48%
The Health Plan $56 - $66 48%
Thome Pace $56 - $66 48%
Todays Options $56 - $66 48%
Tribute Health Plans $56 - $66 48%
Um Health Advantage $56 - $66 48%
Union Health Service $56 - $66 48%
Welbe Health $56 - $66 48%
Wellmed $56 - $66 48%
Veterans Administration $57 - $67 48%
American Health Plan $59 - $69 50%
Iowa Health Advantage $59 - $69 50%
Champva $63 - $74 54%
Tricare $63 - $74 54%
Triwest Health Alliance $63 - $74 54%
Us Family Health Plan $63 - $74 54%
Veterans Eval Services $63 - $74 54%
Wc Corvel $64 54%
Amps $73 - $91 62%
Iowa Dept Of Public Health $74 63%
Amish Hospital Aid $76 - $89 65%
Nebraska Total Care $78 66%
Avera $87 - $102 74%
Preferred Health Choice $94 - $111 80%
Medical Associates $95 - $112 81%
Sanford Health Plan $97 - $114 83%
Bcn Domestic $99 - $116 84%
Blue Benefit Administrators Of Massachusetts $99 - $116 84%
Blue Care Network $99 - $116 84%
Blue Distinction Transplant $99 - $116 84%
Blue Shield - Ca $99 - $116 84%
Blue Shield - Id (Regence) $99 - $116 84%
Blue Shield - Ny Highmark Northeastern $99 - $116 84%
Blue Shield - Ny Highmark Western $99 - $116 84%
Blue Shield - Pa (Highmark) $99 - $116 84%
Blue Shield - Wa (Regence) $99 - $116 84%
Health Choices $99 - $141 84%
Health Smart $99 - $124 84%
Kaiser Domestic $99 - $116 84%
Pre-Employment $99 - $116 84%
Wc Domestic $99 - $116 84%
Ucare $101 - $119 86%
Lucent Health $103 - $121 88%
Oscar $105 - $124 89%
Health Partners $106 - $161 90%
Usa Managed Care $111 - $130 94%
Newton Correctional Facility $117 100%
Claimdoc $119 - $140 101%
The Alliance $120 - $141 102%
Stephenson Cty Health $125 106%
Meritain $128 - $150 109%
Global Excel $129 - $152 110%
Centivo $131 111%
Velocity $134 - $158 114%
Genex Wc $135 115%
Geha $136 - $160 116%
Preferred One $139 - $164 118%
Allied Benefit Systems $141 120%
Auxiant $141 120%
First Choice Health $141 120%
Group Administrators $141 120%
Midlands $141 120%
Midlands Choice $141 120%
Wc Align Network $144 122%
Wc Praxis Health Network $153 130%
Multiplan $157 134%
Wc Reny Company $157 134%
Wc Velocity $157 134%
Auto Velocity $162 138%
Wc O'Hara Corp $162 138%
Andrie Inc $180 153%
East Greenbush Central School District $180 153%
Healthsmart Workers Comp $180 153%
Jag Source $180 153%
Medica $180 153%
New York State Insurance Fund $180 153%
Njm Insurance Group $180 153%
Quiktrip $180 153%
Rx Heatlhcomp $180 153%
Rx Restat $180 153%
Rx Saif Opdp Wc $180 153%
Rx Worker'S Comp $180 153%
Wc Accident Fund $180 153%
Wc Ace $180 153%
Wc Acs Federal Employees $180 153%
Wc Acuity $180 153%
Wc Advantage $180 153%
Wc Aegis $180 153%
Wc Aig $180 153%
Wc Aims $180 153%
Wc Alaska National Ins $180 153%
Wc Allied $180 153%
Wc Am Trust N America $180 153%
Wc American Claims Mgmt $180 153%
Wc Amerisure $180 153%
Wc Amtrust $180 153%
Wc Asu Risk Mgt $180 153%
Wc Benetech $180 153%
Wc Berkley Admin $180 153%
Wc Broadspire $180 153%
Wc Broward County $180 153%
Wc Bunch & Associates $180 153%
Wc California State Comp Ins $180 153%
Wc California State Ins Fund $180 153%
Wc Capitol Area Health Consortium $180 153%
Wc Ccmsi $180 153%
Wc Chartis $180 153%
Wc Chubb $180 153%
Wc Cirma $180 153%
Wc City Of Albany $180 153%
Wc City Of Sioux City $180 153%
Wc Claims Mgmt Inc $180 153%
Wc Cna $180 153%
Wc Comp One Admin C/O Manageability $180 153%
Wc Compone Admin $180 153%
Wc Ct Healthcare Trust $180 153%
Wc Donegal Insurance Group $180 153%
Wc Emc Insurance Company $180 153%
Wc Employee Mutual $180 153%
Wc Enablecomp $180 153%
Wc Encore Health Network $180 153%
Wc Erie $180 153%
Wc Esis $180 153%
Wc Evolutions $180 153%
Wc Fcci $180 153%
Wc Fed Ex $180 153%
Wc Federal Black Lung $180 153%
Wc Federated $180 153%
Wc Finley Occupational Health $180 153%
Wc First Agency/Occunet $180 153%
Wc Ford Motor $180 153%
Wc Fresno Unified Emp $180 153%
Wc Gallagher Bassett $180 153%
Wc General Motors $180 153%
Wc Generic $180 153%
Wc Genex Care For Ohio $180 153%
Wc Great West Casualty $180 153%
Wc Guarantee Insurance $180 153%
Wc Guard Insurance Company $180 153%
Wc Hab $180 153%
Wc Hartford $180 153%
Wc Hastings $180 153%
Wc Health Management $180 153%
Wc Heritage Summit $180 153%
Wc Hireright $180 153%
Wc Horizon $180 153%
Wc Icw Group $180 153%
Wc Idaho State Ins Fund $180 153%
Wc Intercare Insurance $180 153%
Wc Intermountain $180 153%
Wc Johns Eastern $180 153%
Wc Kemberton $180 153%
Wc Key Ins & Benefit Solutions $180 153%
Wc Liberty Mutual $180 153%
Wc Mac Risk Management $180 153%
Wc Massachusetts $180 153%
Wc Mdia $180 153%
Wc Meadowbrook Claim $180 153%
Wc Medical Administrators $180 153%
Wc Meijers $180 153%
Wc Memic $180 153%
Wc Mercy Workcare $180 153%
Wc Michigan $180 153%
Wc Michigan Millers Mutual $180 153%
Wc Mitchell Frankenmuth $180 153%
Wc Mra $180 153%
Wc Nationwide $180 153%
Wc Nca Comp $180 153%
Wc New York $180 153%
Wc New York Special Funds $180 153%
Wc North American Rishces $180 153%
Wc Northeast Health $180 153%
Wc Notre Dame $180 153%
Wc Novanet $180 153%
Wc Occ Health Allen $180 153%
Wc Ohio Bureau $180 153%
Wc One Call Medical $180 153%
Wc Paradigm $180 153%
Wc Peerless $180 153%
Wc Pma $180 153%
Wc Price Chopper $180 153%
Wc Procura Management $180 153%
Wc Qualcare $180 153%
Wc Quiktrip $180 153%
Wc Rev Claims $180 153%
Wc Risico $180 153%
Wc Rural Mutual $180 153%
Wc Saif Oregon $180 153%
Wc Secura $180 153%
Wc Sedgwick $180 153%
Wc Sentry $180 153%
Wc Sheakley Unicomp $180 153%
Wc Smile Lodge $180 153%
Wc Society $180 153%
Wc Srs $180 153%
Wc Taconic (Mro) $180 153%
Wc Taconic Farms $180 153%
Wc Travelers $180 153%
Wc Triad Group $180 153%
Wc Tristar $180 153%
Wc Troy Ny $180 153%
Wc Tyson $180 153%
Wc Unified Health Services $180 153%
Wc United Heartland $180 153%
Wc Us Dept Of Labor $180 153%
Wc Walmart $180 153%
Wc West Bend $180 153%
Wc West Bend Mutual/Argent $180 153%
Wc Winnebago Industries $180 153%
Wc Yankee Trails $180 153%
Wc York Risk $180 153%
Wc Zenith $180 153%
Wc Zurich $180 153%

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