CMS Price Transparency Data

Psychological testing by technician

Facility: Mercyone North Iowa Medical Center

Billing Code: 96138 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$69
about 0.2× the $456 Medicare rate · typically $41–$302
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
Below the fair price — a good deal
about $21 under the fair price · 0.1× Medicare
Medicare pays $456 Fair price $69 This hospital $48 Cash price $106 Hospital's list price $106

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 6 of 8 other IA hospitals charge more for the same procedure.

Cheapest $35 Priciest $92

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

A fair price for a Psychological testing by technician is about $69 (about 0.2× the $456 Medicare rate). Mercyone North Iowa Medical Center charges insurers about $48, or about $106 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

✓ 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 $33 - $1,154 7%
Blue Cross Blue Shieldmajor $34 - $418 7%
Aetnamajor $24 - $606 5%
Cignamajor $34 - $808 7%
Humanamajor $31 - $55 7%
Kaiser Permanentemajor $67 - $418 15%
Ambetter (Centene) $48 - $58 11%
Clover Health $34 7%
GEHA $95 - $586 21%
Health Net $48 - $106 11%
HealthPartners $48 - $772 11%
Medica $106 - $808 23%
Medical Mutual $606 133%
Meridian $34 - $48 7%
Molina $48 11%
Oscar Health $67 15%
Paramount $48 11%
Presbyterian $34 - $48 7%
Sanford Health Plan $60 13%
Tufts Health Plan $48 11%
UCare $68 15%
WellMed $34 7%
WellSense $48 11%
+ 361 smaller / regional plans $30 - $1,154
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