CMS Price Transparency Data

Total knee replacement

Facility: Mercyone North Iowa Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$7,089
about 0.5× the $13,117 Medicare rate · typically $3,463–$14,742
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,117
Well above the fair price
about $6,028 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $7,089 This hospital $13,117 Cash price $76,626

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 $2,402 Priciest $13,117

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Total knee replacement is about $7,089 (about 0.5× the $13,117 Medicare rate). Mercyone North Iowa Medical Center charges insurers about $13,117, or about $76,626 in cash — well above the fair price. Located in Mason City, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $7,089. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Kaiser Permanente CignaHumana

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 $13,833 105%
Blue Cross Blue Shieldmajor $13,117 - $13,697 100%
Aetnamajor $13,561 103%
Kaiser Permanentemajor $13,117 100%
Ambetter (Centene) $23,248 177%
Oscar Health $18,240 139%
+ 10 smaller / regional plans $12,423 - $27,815
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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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