CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Mercyone North Iowa Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$116

about 0.9× the $126 Medicare rate · typically $81–$147

modeled estimate · not a bill or quote

What this hospital charges insurers

$115

About the fair price

about $1 under the fair price · 0.9× Medicare

Medicare pays $126 Fair price $116 This hospital $115 Cash price $249 Hospital's list price $384

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $115

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

A fair price for a Screening mammogram (both breasts) is about $116 (about 0.9× the $126 Medicare rate). Mercyone North Iowa Medical Center charges insurers about $115, or about $249 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$83 - $433	66%
Blue Cross Blue Shieldmajor	$82	65%
Aetnamajor	$82 - $227	65%
Cignamajor	$234 - $303	185%
Ambetter (Centene)	$140	111%
GEHA	$211	167%
HealthPartners	$223 - $290	177%
Medica	$234 - $303	185%
Medical Mutual	$175 - $227	139%
Oscar Health	$110	87%
+ 20 smaller / regional plans	$86 - $433

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 249), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77067.

Insurance Before you use insurance

Call your insurance company to confirm Mercyone North Iowa Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 77067.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercyone North Iowa Medical Center

Compare: Screening mammogram (both breasts) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.