Office visit, established patient (20-29 min)
Facility: Mercyone North Iowa Medical Center
Billing Code: 99213 (CPT)
A typical price — 0 charge more and 5 charge less, among the 9 IA hospitals compared.
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 Office visit, established patient (20-29 min) is about $62 (about 0.7× the $95 Medicare rate). Mercyone North Iowa Medical Center charges insurers about $46, or about $141 in cash — below the fair price — a good deal. 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
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 | $27 - $109 | 28% |
| Blue Cross Blue Shieldmajor | $27 - $93 | 28% |
| Aetnamajor | $45 - $141 | 47% |
| Cignamajor | $27 - $112 | 28% |
| Humanamajor | $27 - $88 | 28% |
| Kaiser Permanentemajor | $79 - $93 | 83% |
| Ambetter (Centene) | $27 - $93 | 28% |
| Clover Health | $46 - $54 | 48% |
| GEHA | $93 - $109 | 98% |
| Health Net | $27 - $141 | 28% |
| HealthPartners | $27 - $123 | 28% |
| Meridian | $27 - $54 | 28% |
| Molina | $27 - $31 | 28% |
| Oscar Health | $86 - $101 | 90% |
| Paramount | $27 - $31 | 28% |
| Presbyterian | $27 - $54 | 28% |
| Sanford Health Plan | $78 - $92 | 82% |
| Tufts Health Plan | $27 - $31 | 28% |
| UCare | $83 - $97 | 87% |
| WellMed | $46 - $54 | 48% |
| WellSense | $27 - $31 | 28% |
| + 354 smaller / regional plans | $27 - $141 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercyone North Iowa Medical Center
Compare: Office visit, established patient (20-29 min) at other IA hospitals
- Mercyone Newton Medical Center · Newton $31
- Sartori Memorial Hospital, Inc · Cedar Falls $31
- Mercyone Dubuque Medical Center · Dubuque $31
- Mercyone Oelwein Medical Center · Oelwein $31
- Dallas County Hospital · Perry $36
- Mercyone Waterloo Medical Center · Waterloo $46
- Mercy Medical Center-New Hampton · New Hampton $46
- Mercyone Centerville Medical Center · Centerville $46
Insurance negotiated median for the same procedure, sorted lowest first.