CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mercyone North Iowa Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$28,409

about 1.2× the $23,504 Medicare rate · typically $24,570–$40,419

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,751

About the fair price

about $2,342 over the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $28,409 This hospital $30,751 Cash price $88,533

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 $21,458 Priciest $30,751

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $28,409 (about 1.2× the $23,504 Medicare rate). Mercyone North Iowa Medical Center charges insurers about $30,751, or about $88,533 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$23,853 - $56,677	101%
Blue Cross Blue Shieldmajor	$23,619	100%
Aetnamajor	$23,385	99%
Ambetter (Centene)	$40,089	171%
GEHA	$56,677	241%
Oscar Health	$30,751	131%
+ 6 smaller / regional plans	$26,353 - $47,963

Government programs also on file: Medicare, Medicaid.

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 88,533), 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 MS-DRG code on your bill matches exactly: 451.

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 MS-DRG code 451.
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: Spinal fusion, single level (inpatient stay) at other IA hospitals

Grinnell Regional Medical Center · Grinnell $21,458
Mary Greeley Medical Center · Ames $21,582
Allen Hospital · Waterloo $22,716
St Lukes Hospital · Cedar Rapids $22,775
University of Iowa Health Care Medical Center Down · Iowa City $23,452
Finley Hospital · Dubuque $24,116
St Lukes Regional Medical Center · Sioux City $24,341
Unitypoint Health - Des Moines Iowa Methodist Medi · Des Moines $24,386

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