CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Mercyone North Iowa Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $211
  • Cash Discount Price: $249
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Mercyone North Iowa Medical Center is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.67x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$249

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $249 (197%)
Insurance Median: $211 (167%)
Cash: $249 (197% of Medicare)
Ins. Median: $211 (167% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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
Aetna $82 - $227 65%
Blue Cross Blue Shield $82 65%
Medicare (plans) $82 - $85 65%
UnitedHealthcare $83 - $433 66%
Health Choices $86 - $111 68%
Medical Associates $86 - $111 68%
Centivo $102 81%
Oscar $110 87%
Amish Hospital Aid $111 88%
Iowa Dept Of Public Health $115 91%
Iowa Total Care $116 92%
Medicaid / KanCare $117 - $118 93%
Ambetter / Centene $140 111%
Claimdoc $167 132%
Nova $167 132%
1199 National Benefit Fund $175 - $227 139%
Allied Benefit Systems $175 - $227 139%
Asr Health Benefits $175 - $227 139%
Christian Brother Services $175 - $227 139%
Coventry $175 - $227 139%
First Health $175 - $227 139%
Lucent Health $175 - $227 139%
Luminare Health $175 - $227 139%
Medical Mutual $175 - $227 139%
Meritain $175 - $227 139%
Trustmark Small Business Benefits $175 - $227 139%
Webtpa $175 - $227 139%
Geha $211 167%
Preferred One $217 - $281 172%
Health Partners $223 - $290 177%
Auxiant $234 - $303 185%
Cigna $234 - $303 185%
Medica $234 - $303 185%
Midlands $234 - $303 185%
Midlands Choice $234 - $303 185%
Mhnet $267 - $346 211%
Multiplan $301 - $390 238%
Crime Victim Assistance $334 - $433 265%

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