CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Mercyone North Iowa Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $131
  • Cash Discount Price: $376
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Mercyone North Iowa Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $376. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.72x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$376

Average discount available for prompt cash payment at this facility.

Insurance Median
$131

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $376 (207%)
Insurance Median: $131 (72%)
Cash: $376 (207% of Medicare)
Ins. Median: $131 (72% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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
UnitedHealthcare $74 - $336 41%
Health Choices $76 - $196 42%
Medical Associates $76 - $224 42%
Albany County Correctional Facility $79 - $122 44%
Ambetter / Centene $79 - $228 44%
Amish Mennonite $79 - $122 44%
Ascension St. Vincent Public Safety Medical $79 - $122 44%
Bcccp-Michigan $79 - $122 44%
Bccp $79 - $122 44%
Blue Cross Blue Shield $79 - $196 44%
Bmc Healthnet $79 - $122 44%
Breast Grant-Connecticut $79 - $122 44%
Broward County Dept Of Health $79 - $122 44%
California Health And Wellness $79 - $122 44%
Cardinal Innovations Lme $79 - $122 44%
Care Connections Of Northern Iowa $79 - $122 44%
Care Oregon Ohp $79 - $122 44%
Cencal Health Plan $79 - $122 44%
Cenpatico $79 - $122 44%
Chhuny $79 - $122 44%
Childrens Comm Health Plan $79 - $122 44%
Childrens Medical Services Title 19 $79 - $122 44%
Cigna $79 - $207 44%
City Of Philadelphia $79 - $122 44%
Cmh Allegan County $79 - $122 44%
Cmh Ausable Valley $79 - $122 44%
Cmh Barry County $79 - $122 44%
Cmh Bay-Arenac County $79 - $122 44%
Cmh Berrien County $79 - $122 44%
Cmh Cass County $79 - $122 44%
Cmh Central Mi County $79 - $122 44%
Cmh Clinton-Eaton-Ingham County $79 - $122 44%
Cmh Detroit Wayne Integrated Health Network $79 - $122 44%
Cmh Genesee County $79 - $122 44%
Cmh Ionia County $79 - $122 44%
Cmh Jackson County/Lifeways $79 - $122 44%
Cmh Kalamazoo $79 - $122 44%
Cmh Kent County $79 - $122 44%
Cmh Lenawee County $79 - $122 44%
Cmh Livingston County $79 - $122 44%
Cmh Macomb $79 - $122 44%
Cmh Misc $79 - $122 44%
Cmh Monroe County $79 - $122 44%
Cmh Montcalm County $79 - $122 44%
Cmh Muskegon County $79 - $122 44%
Cmh Newaygo County $79 - $122 44%
Cmh North Country $79 - $122 44%
Cmh Northern Lakes County $79 - $122 44%
Cmh Oakland County $79 - $122 44%
Cmh Ottawa County $79 - $122 44%
Cmh Van Buren County $79 - $122 44%
Cmh Washtenaw County $79 - $122 44%
Cmh Wayne County/Carelink $79 - $122 44%
Cmh Wayne Cty/Com Liv Svcs $79 - $122 44%
Cmh West Mi County $79 - $122 44%
Community Benefit Health $79 - $122 44%
Community Care Behavorial Health $79 - $122 44%
Community Care Partners $79 - $122 44%
Community Health Choice $79 - $122 44%
Connections Csp $79 - $122 44%
County Coroner $79 - $122 44%
County Funding Generic $79 - $122 44%
Covid19 Hrsa Uninsured Testing And Treatment Fund $79 - $122 44%
Dean Wi Badgercare $79 - $122 44%
Delaware County Department Of Health $79 - $122 44%
Delaware First Health $79 - $122 44%
Delta Dental Nj $79 - $122 44%
Dph Tb Program $79 - $122 44%
Dscc $79 - $122 44%
Eastpointe Lme $79 - $122 44%
Family Health Network $79 - $122 44%
Freedom First Healthcare $79 - $122 44%
Fresno County Ccs $79 - $122 44%
Ghc Scw Wi Badgercare $79 - $122 44%
Harbor Health $79 - $122 44%
Health Safety Net $79 - $122 44%
Healthy Blue Ne $79 - $122 44%
Hennepin Health $79 - $122 44%
Humana $79 - $215 44%
Id County Ada $79 - $122 44%
Id County Canyon $79 - $122 44%
Id County Cat Fund $79 - $122 44%
Id County Other $79 - $122 44%
Id County Payette $79 - $122 44%
Idaho Dept Health And Wellfare $79 - $122 44%
Idaho Womens Health Check $79 - $122 44%
Indiana Breast Cervical Cancer $79 - $122 44%
Inland Empire Health Plan $79 - $122 44%
Intercommunity Health Ohp $79 - $122 44%
Jai Medical System $79 - $122 44%
Kern Family Health Plan $79 - $122 44%
Keystone First $79 - $122 44%
Keystone First Chip $79 - $122 44%
La Care Health Plan $79 - $122 44%
Lakeland Care Inc $79 - $122 44%
Managed Health Services - Indiana $79 - $122 44%
Maryland Breast & Cervical Program $79 - $122 44%
Maryland Healthy Smiles - Scion Dental $79 - $122 44%
Maryland Physicians Care $79 - $122 44%
Massachusetts Behavioral Health Partnership $79 - $122 44%
Mdwise $79 - $122 44%
Medi-Cal $79 - $122 44%
Medi-Cal Healthnet $79 - $122 44%
Medicaid / KanCare $79 - $267 44%
Medstar Dc Healthy Family $79 - $122 44%
Medstar Md Health Choice $79 - $122 44%
Mo Home State Health Plan $79 - $122 44%
Molina Centennial Care $79 - $122 44%
Nascentia Health Options $79 - $122 44%
New York Cancer Services Program $79 - $122 44%
Nextlevel Health $79 - $122 44%
Oregon Screenwise $79 - $122 44%
Pace Of Southwest Michigan $79 - $131 44%
Paramount Advantage $79 - $122 44%
Parkland Community Health Plan $79 - $122 44%
Partners Behavioral Lme $79 - $122 44%
Peach State Healthplan $79 - $122 44%
Philadelphia County Funding $79 - $122 44%
Presbyterian Centennial Care $79 - $122 44%
Prestige Health Choice $79 - $122 44%
Priority Partners $79 - $122 44%
Robert F Sing Program $79 - $122 44%
Rx 340B Pass Along $79 - $122 44%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $79 - $122 44%
Rx Medi-Cal $79 - $122 44%
Rx Meridian Rx $79 - $122 44%
Ryan White Florida Mssrp $79 - $122 44%
Sandhills Center Lme $79 - $122 44%
Screening For Life $79 - $122 44%
St Joseph County Hlth Dpt $79 - $122 44%
Sunshine State Health Plan $79 - $122 44%
Superior Health $79 - $122 44%
Tenncare $79 - $122 44%
Texas Children'S Health Plan $79 - $122 44%
Trillium Community Ohp $79 - $122 44%
Tufts Health Public Plans $79 - $122 44%
Vaya Health Lme $79 - $122 44%
Washtenaw Health Plan $79 - $122 44%
Wellsense Health Plan $79 - $122 44%
Wi Womens Wellness $79 - $122 44%
Iowa Total Care $80 - $124 44%
Wellpoint $81 - $125 45%
Champva $99 - $132 55%
Tricare $99 - $132 55%
Triwest Health Alliance $99 - $132 55%
Us Family Health Plan $99 - $132 55%
Veterans Eval Services $99 - $132 55%
American Health Plan $117 65%
Wc Corvel $127 70%
Aetna $131 - $376 72%
Align Senior Care $131 72%
Ally Align Care Adv $131 72%
American Health Advantage Of Idaho $131 72%
Aurora Special Needs $131 72%
Blue Care Network Advantage $131 72%
Blue Shield - De (Highmark) Medciare Advantage $131 72%
Care Dimensions $131 72%
Care Improvement Plus $131 72%
Care Resources Pace $131 72%
Careplus Health Plans $131 72%
Cca - Zing Health $131 72%
Cca Senior Care Options $131 72%
Central Valley Medical Services Corp Pace $131 72%
Champion Health Plan Mcr Advantage $131 72%
Clear Spring Health $131 72%
Clover Health $131 72%
Commonwealth Care Alliance $131 72%
Community Pace At Home $131 72%
Eddy Senior Care-Pace $131 72%
Eddy Seniorcare Pace $131 72%
Elementcare $131 72%
Evercare $131 72%
Everence $131 72%
Gateway Health Plan $131 72%
Genesys Pace Of Genesee County $131 72%
Georgia Health Advantage $131 72%
Gold Advantage $131 72%
Gpa Croell Redi Mix $131 72%
Health America Advantra $131 72%
Highmark Health Options Dual Plan $131 72%
Hope Select Pace $131 72%
Horizon Nj Total Care $131 72%
Hudson Headwaters Pace $131 72%
Huron Valley Pace $131 72%
Innovative Integrated Health Community Plans $131 72%
Johns Hopkins Advantage Md $131 72%
Lasso Healthcare Msa $131 72%
Life St Marys Pace $131 72%
Lifecircles Pace $131 72%
Longevity Health Plan $131 72%
Longevity Ipa Of Michigan Llc Health Plan Isnp $131 72%
Martins Point Generations Advantage $131 72%
Mass General Brigham Mcr Adv $131 72%
Medicare (plans) $131 - $139 72%
Medipak Advantage $131 72%
Mercy Life $131 72%
Mercyone Cedar Valley $131 72%
Meridian Complete $131 72%
Michigan Complete Health $131 72%
Nascentia Health Plus $131 72%
New Centry Health Careplus $131 72%
Osu Prime Care Advantage $131 72%
Pace Cny $131 72%
Pace Iowa Immanuel Pathways $131 72%
Pace Southeast $131 72%
Pace-Trinity Health $131 72%
Peak Pace Solutions $131 72%
Perennial Advantage $131 72%
Preferred Care Partners $131 72%
Presbyterian Senior Plan $131 72%
Provider Partners Health Plan Of Illinois $131 72%
Provider Partners Health Plan Of Indiana $131 72%
Pruitthealth Premier $131 72%
Reliance Community Care Partners Care Resources Pace $131 72%
Rx Allwin $131 72%
Rx Grane Grnmedd $131 72%
Rx Retiree Rx Care $131 72%
Scan Health Plan Mcr Ipa Meritage Oon $131 72%
Secure Horizons Ma Pffs $131 72%
Serenity Pace $131 72%
Siouxland Pace $131 72%
Solis Health Plans $131 72%
Sunnyview-Pace Finance Dept $131 72%
Texan Plus $131 72%
The Health Plan $131 72%
Thome Pace $131 72%
Todays Options $131 72%
Tribute Health Plans $131 72%
Um Health Advantage $131 72%
Union Health Service $131 72%
Welbe Health $131 72%
Wellmed $131 72%
Veterans Administration $134 74%
Iowa Health Advantage $138 76%
Amps $145 80%
Bcn Domestic $151 - $196 83%
Blue Benefit Administrators Of Massachusetts $151 - $196 83%
Blue Care Network $151 - $196 83%
Blue Distinction Transplant $151 - $196 83%
Blue Shield - Ca $151 - $196 83%
Blue Shield - Id (Regence) $151 - $196 83%
Blue Shield - Ny Highmark Northeastern $151 - $196 83%
Blue Shield - Ny Highmark Western $151 - $196 83%
Blue Shield - Pa (Highmark) $151 - $196 83%
Blue Shield - Wa (Regence) $151 - $196 83%
Kaiser Domestic $151 - $196 83%
Pre-Employment $151 - $196 83%
Wc Domestic $151 - $196 83%
1199 National Benefit Fund $155 85%
Allied Benefit Systems $155 - $186 85%
Asr Health Benefits $155 85%
Christian Brother Services $155 85%
Coventry $155 85%
First Health $155 85%
Lucent Health $155 - $241 85%
Luminare Health $155 85%
Medical Mutual $155 85%
Meritain $155 - $259 85%
Trustmark Small Business Benefits $155 85%
Webtpa $155 85%
Stephenson Cty Health $169 93%
Amish Hospital Aid $178 98%
Health Partners $178 - $273 98%
Nebraska Total Care $179 - $215 99%
Auxiant $186 - $207 103%
First Choice Health $186 103%
Group Administrators $186 103%
Midlands $186 - $207 103%
Midlands Choice $186 - $207 103%
Preferred One $192 - $262 106%
Avera $202 111%
Medica $207 - $376 114%
The Alliance $211 - $343 116%
Sanford Health Plan $216 119%
Preferred Health Choice $221 122%
Health Smart $232 - $248 128%
Ucare $236 130%
Mhnet $237 131%
Newton Correctional Facility $244 135%
Usa Managed Care $260 143%
Centivo $261 144%
Multiplan $266 - $303 147%
Claimdoc $280 154%
Genex Wc $282 156%
Crime Victim Assistance $296 163%
Iowa Dept Of Public Health $296 - $376 163%
Wc Align Network $301 166%
Global Excel $303 167%
Velocity $315 174%
Quiktrip $318 175%
Wc Praxis Health Network $320 176%
Wc Reny Company $327 180%
Wc Velocity $327 180%
Geha $336 185%
Auto Velocity $338 186%
Wc O'Hara Corp $338 186%
Andrie Inc $376 207%
East Greenbush Central School District $376 207%
Healthsmart Workers Comp $376 207%
Jag Source $376 207%
New York State Insurance Fund $376 207%
Njm Insurance Group $376 207%
Oscar $376 207%
Rx Heatlhcomp $376 207%
Rx Restat $376 207%
Rx Saif Opdp Wc $376 207%
Rx Worker'S Comp $376 207%
Wc Accident Fund $376 207%
Wc Ace $376 207%
Wc Acs Federal Employees $376 207%
Wc Acuity $376 207%
Wc Advantage $376 207%
Wc Aegis $376 207%
Wc Aig $376 207%
Wc Aims $376 207%
Wc Alaska National Ins $376 207%
Wc Allied $376 207%
Wc Am Trust N America $376 207%
Wc American Claims Mgmt $376 207%
Wc Amerisure $376 207%
Wc Amtrust $376 207%
Wc Asu Risk Mgt $376 207%
Wc Benetech $376 207%
Wc Berkley Admin $376 207%
Wc Broadspire $376 207%
Wc Broward County $376 207%
Wc Bunch & Associates $376 207%
Wc California State Comp Ins $376 207%
Wc California State Ins Fund $376 207%
Wc Capitol Area Health Consortium $376 207%
Wc Ccmsi $376 207%
Wc Chartis $376 207%
Wc Chubb $376 207%
Wc Cirma $376 207%
Wc City Of Albany $376 207%
Wc City Of Sioux City $376 207%
Wc Claims Mgmt Inc $376 207%
Wc Cna $376 207%
Wc Comp One Admin C/O Manageability $376 207%
Wc Compone Admin $376 207%
Wc Ct Healthcare Trust $376 207%
Wc Donegal Insurance Group $376 207%
Wc Emc Insurance Company $376 207%
Wc Employee Mutual $376 207%
Wc Enablecomp $376 207%
Wc Encore Health Network $376 207%
Wc Erie $376 207%
Wc Esis $376 207%
Wc Evolutions $376 207%
Wc Fcci $376 207%
Wc Fed Ex $376 207%
Wc Federal Black Lung $376 207%
Wc Federated $376 207%
Wc Finley Occupational Health $376 207%
Wc First Agency/Occunet $376 207%
Wc Ford Motor $376 207%
Wc Fresno Unified Emp $376 207%
Wc Gallagher Bassett $376 207%
Wc General Motors $376 207%
Wc Generic $376 207%
Wc Genex Care For Ohio $376 207%
Wc Great West Casualty $376 207%
Wc Guarantee Insurance $376 207%
Wc Guard Insurance Company $376 207%
Wc Hab $376 207%
Wc Hartford $376 207%
Wc Hastings $376 207%
Wc Health Management $376 207%
Wc Heritage Summit $376 207%
Wc Hireright $376 207%
Wc Horizon $376 207%
Wc Icw Group $376 207%
Wc Idaho State Ins Fund $376 207%
Wc Intercare Insurance $376 207%
Wc Intermountain $376 207%
Wc Johns Eastern $376 207%
Wc Kemberton $376 207%
Wc Key Ins & Benefit Solutions $376 207%
Wc Liberty Mutual $376 207%
Wc Mac Risk Management $376 207%
Wc Massachusetts $376 207%
Wc Mdia $376 207%
Wc Meadowbrook Claim $376 207%
Wc Medical Administrators $376 207%
Wc Meijers $376 207%
Wc Memic $376 207%
Wc Mercy Workcare $376 207%
Wc Michigan $376 207%
Wc Michigan Millers Mutual $376 207%
Wc Mitchell Frankenmuth $376 207%
Wc Mra $376 207%
Wc Nationwide $376 207%
Wc Nca Comp $376 207%
Wc New York $376 207%
Wc New York Special Funds $376 207%
Wc North American Rishces $376 207%
Wc Northeast Health $376 207%
Wc Notre Dame $376 207%
Wc Novanet $376 207%
Wc Occ Health Allen $376 207%
Wc Ohio Bureau $376 207%
Wc One Call Medical $376 207%
Wc Paradigm $376 207%
Wc Peerless $376 207%
Wc Pma $376 207%
Wc Price Chopper $376 207%
Wc Procura Management $376 207%
Wc Qualcare $376 207%
Wc Quiktrip $376 207%
Wc Rev Claims $376 207%
Wc Risico $376 207%
Wc Rural Mutual $376 207%
Wc Saif Oregon $376 207%
Wc Secura $376 207%
Wc Sedgwick $376 207%
Wc Sentry $376 207%
Wc Sheakley Unicomp $376 207%
Wc Smile Lodge $376 207%
Wc Society $376 207%
Wc Srs $376 207%
Wc Taconic (Mro) $376 207%
Wc Taconic Farms $376 207%
Wc Travelers $376 207%
Wc Triad Group $376 207%
Wc Tristar $376 207%
Wc Troy Ny $376 207%
Wc Tyson $376 207%
Wc Unified Health Services $376 207%
Wc United Heartland $376 207%
Wc Us Dept Of Labor $376 207%
Wc Walmart $376 207%
Wc West Bend $376 207%
Wc West Bend Mutual/Argent $376 207%
Wc Winnebago Industries $376 207%
Wc Yankee Trails $376 207%
Wc York Risk $376 207%
Wc Zenith $376 207%
Wc Zurich $376 207%

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