CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Mercyone North Iowa Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $77
  • Cash Discount Price: $247
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mercyone North Iowa Medical Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.72x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$247

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $247 (231%)
Insurance Median: $77 (72%)
Cash: $247 (231% of Medicare)
Ins. Median: $77 (72% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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
Medicaid / KanCare $18 - $250 17%
Aetna $21 - $433 20%
Wc Corvel $25 - $76 23%
Align Senior Care $26 - $78 24%
Ally Align Care Adv $26 - $78 24%
American Health Advantage Of Idaho $26 - $78 24%
Aurora Special Needs $26 - $78 24%
Blue Care Network Advantage $26 - $78 24%
Blue Cross Blue Shield $26 - $181 24%
Blue Shield - De (Highmark) Medciare Advantage $26 - $78 24%
Care Dimensions $26 - $78 24%
Care Improvement Plus $26 - $78 24%
Care Resources Pace $26 - $78 24%
Careplus Health Plans $26 - $78 24%
Cca - Zing Health $26 - $78 24%
Cca Senior Care Options $26 - $78 24%
Central Valley Medical Services Corp Pace $26 - $78 24%
Champion Health Plan Mcr Advantage $26 - $78 24%
Champva $26 - $78 24%
Cigna $26 - $578 24%
Clear Spring Health $26 - $78 24%
Clover Health $26 - $78 24%
Commonwealth Care Alliance $26 - $78 24%
Community Pace At Home $26 - $78 24%
Eddy Senior Care-Pace $26 - $78 24%
Eddy Seniorcare Pace $26 - $78 24%
Elementcare $26 - $78 24%
Evercare $26 - $78 24%
Everence $26 - $78 24%
Gateway Health Plan $26 - $78 24%
Genesys Pace Of Genesee County $26 - $78 24%
Georgia Health Advantage $26 - $78 24%
Gold Advantage $26 - $78 24%
Gpa Croell Redi Mix $26 - $78 24%
Health America Advantra $26 - $78 24%
Highmark Health Options Dual Plan $26 - $78 24%
Hope Select Pace $26 - $78 24%
Horizon Nj Total Care $26 - $78 24%
Hudson Headwaters Pace $26 - $78 24%
Humana $26 - $128 24%
Huron Valley Pace $26 - $78 24%
Innovative Integrated Health Community Plans $26 - $78 24%
Johns Hopkins Advantage Md $26 - $78 24%
Lasso Healthcare Msa $26 - $78 24%
Life St Marys Pace $26 - $78 24%
Lifecircles Pace $26 - $78 24%
Longevity Health Plan $26 - $78 24%
Longevity Ipa Of Michigan Llc Health Plan Isnp $26 - $78 24%
Martins Point Generations Advantage $26 - $78 24%
Mass General Brigham Mcr Adv $26 - $78 24%
Medicare (plans) $26 - $115 24%
Medipak Advantage $26 - $78 24%
Mercy Life $26 - $78 24%
Mercyone Cedar Valley $26 - $78 24%
Meridian Complete $26 - $78 24%
Michigan Complete Health $26 - $78 24%
Nascentia Health Plus $26 - $78 24%
New Centry Health Careplus $26 - $78 24%
Osu Prime Care Advantage $26 - $78 24%
Pace Cny $26 - $78 24%
Pace Iowa Immanuel Pathways $26 - $78 24%
Pace Of Southwest Michigan $26 - $78 24%
Pace Southeast $26 - $78 24%
Pace-Trinity Health $26 - $78 24%
Peak Pace Solutions $26 - $78 24%
Perennial Advantage $26 - $78 24%
Preferred Care Partners $26 - $78 24%
Presbyterian Senior Plan $26 - $78 24%
Provider Partners Health Plan Of Illinois $26 - $78 24%
Provider Partners Health Plan Of Indiana $26 - $78 24%
Pruitthealth Premier $26 - $78 24%
Reliance Community Care Partners Care Resources Pace $26 - $78 24%
Rx Allwin $26 - $78 24%
Rx Grane Grnmedd $26 - $78 24%
Rx Retiree Rx Care $26 - $78 24%
Scan Health Plan Mcr Ipa Meritage Oon $26 - $78 24%
Secure Horizons Ma Pffs $26 - $78 24%
Serenity Pace $26 - $78 24%
Siouxland Pace $26 - $78 24%
Solis Health Plans $26 - $78 24%
Sunnyview-Pace Finance Dept $26 - $78 24%
Texan Plus $26 - $78 24%
The Health Plan $26 - $78 24%
Thome Pace $26 - $78 24%
Todays Options $26 - $78 24%
Tribute Health Plans $26 - $78 24%
Tricare $26 - $78 24%
Triwest Health Alliance $26 - $78 24%
Um Health Advantage $26 - $78 24%
Union Health Service $26 - $78 24%
UnitedHealthcare $26 - $825 24%
Us Family Health Plan $26 - $78 24%
Veterans Administration $26 - $80 24%
Veterans Eval Services $26 - $78 24%
Welbe Health $26 - $78 24%
Wellmed $26 - $78 24%
American Health Plan $27 - $82 25%
Iowa Health Advantage $27 - $82 25%
Albany County Correctional Facility $29 - $77 27%
Ambetter / Centene $29 - $189 27%
Amish Mennonite $29 - $77 27%
Ascension St. Vincent Public Safety Medical $29 - $77 27%
Bcccp-Michigan $29 - $77 27%
Bccp $29 - $77 27%
Bmc Healthnet $29 - $77 27%
Breast Grant-Connecticut $29 - $77 27%
Broward County Dept Of Health $29 - $77 27%
California Health And Wellness $29 - $77 27%
Cardinal Innovations Lme $29 - $77 27%
Care Connections Of Northern Iowa $29 - $77 27%
Care Oregon Ohp $29 - $77 27%
Cencal Health Plan $29 - $77 27%
Cenpatico $29 - $77 27%
Chhuny $29 - $77 27%
Childrens Comm Health Plan $29 - $77 27%
Childrens Medical Services Title 19 $29 - $77 27%
City Of Philadelphia $29 - $77 27%
Cmh Allegan County $29 - $77 27%
Cmh Ausable Valley $29 - $77 27%
Cmh Barry County $29 - $77 27%
Cmh Bay-Arenac County $29 - $77 27%
Cmh Berrien County $29 - $77 27%
Cmh Cass County $29 - $77 27%
Cmh Central Mi County $29 - $77 27%
Cmh Clinton-Eaton-Ingham County $29 - $77 27%
Cmh Detroit Wayne Integrated Health Network $29 - $77 27%
Cmh Genesee County $29 - $77 27%
Cmh Ionia County $29 - $77 27%
Cmh Jackson County/Lifeways $29 - $77 27%
Cmh Kalamazoo $29 - $77 27%
Cmh Kent County $29 - $77 27%
Cmh Lenawee County $29 - $77 27%
Cmh Livingston County $29 - $77 27%
Cmh Macomb $29 - $77 27%
Cmh Misc $29 - $77 27%
Cmh Monroe County $29 - $77 27%
Cmh Montcalm County $29 - $77 27%
Cmh Muskegon County $29 - $77 27%
Cmh Newaygo County $29 - $77 27%
Cmh North Country $29 - $77 27%
Cmh Northern Lakes County $29 - $77 27%
Cmh Oakland County $29 - $77 27%
Cmh Ottawa County $29 - $77 27%
Cmh Van Buren County $29 - $77 27%
Cmh Washtenaw County $29 - $77 27%
Cmh Wayne County/Carelink $29 - $77 27%
Cmh Wayne Cty/Com Liv Svcs $29 - $77 27%
Cmh West Mi County $29 - $77 27%
Community Benefit Health $29 - $77 27%
Community Care Behavorial Health $29 - $77 27%
Community Care Partners $29 - $77 27%
Community Health Choice $29 - $77 27%
Connections Csp $29 - $77 27%
County Coroner $29 - $77 27%
County Funding Generic $29 - $77 27%
Covid19 Hrsa Uninsured Testing And Treatment Fund $29 - $77 27%
Dean Wi Badgercare $29 - $77 27%
Delaware County Department Of Health $29 - $77 27%
Delaware First Health $29 - $77 27%
Delta Dental Nj $29 - $77 27%
Dph Tb Program $29 - $77 27%
Dscc $29 - $77 27%
Eastpointe Lme $29 - $77 27%
Family Health Network $29 - $77 27%
Freedom First Healthcare $29 - $77 27%
Fresno County Ccs $29 - $77 27%
Ghc Scw Wi Badgercare $29 - $77 27%
Harbor Health $29 - $77 27%
Health Safety Net $29 - $77 27%
Healthy Blue Ne $29 - $77 27%
Hennepin Health $29 - $77 27%
Id County Ada $29 - $77 27%
Id County Canyon $29 - $77 27%
Id County Cat Fund $29 - $77 27%
Id County Other $29 - $77 27%
Id County Payette $29 - $77 27%
Idaho Dept Health And Wellfare $29 - $77 27%
Idaho Womens Health Check $29 - $77 27%
Indiana Breast Cervical Cancer $29 - $77 27%
Inland Empire Health Plan $29 - $77 27%
Intercommunity Health Ohp $29 - $77 27%
Iowa Total Care $29 - $101 27%
Jai Medical System $29 - $77 27%
Kern Family Health Plan $29 - $77 27%
Keystone First $29 - $77 27%
Keystone First Chip $29 - $77 27%
La Care Health Plan $29 - $77 27%
Lakeland Care Inc $29 - $77 27%
Managed Health Services - Indiana $29 - $77 27%
Maryland Breast & Cervical Program $29 - $77 27%
Maryland Healthy Smiles - Scion Dental $29 - $77 27%
Maryland Physicians Care $29 - $77 27%
Massachusetts Behavioral Health Partnership $29 - $77 27%
Mdwise $29 - $77 27%
Medi-Cal $29 - $77 27%
Medi-Cal Healthnet $29 - $77 27%
Medstar Dc Healthy Family $29 - $77 27%
Medstar Md Health Choice $29 - $77 27%
Mo Home State Health Plan $29 - $77 27%
Molina Centennial Care $29 - $77 27%
Nascentia Health Options $29 - $77 27%
New York Cancer Services Program $29 - $77 27%
Nextlevel Health $29 - $77 27%
Oregon Screenwise $29 - $77 27%
Paramount Advantage $29 - $77 27%
Parkland Community Health Plan $29 - $77 27%
Partners Behavioral Lme $29 - $77 27%
Peach State Healthplan $29 - $77 27%
Philadelphia County Funding $29 - $77 27%
Presbyterian Centennial Care $29 - $77 27%
Prestige Health Choice $29 - $77 27%
Priority Partners $29 - $77 27%
Robert F Sing Program $29 - $77 27%
Rx 340B Pass Along $29 - $77 27%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $29 - $77 27%
Rx Medi-Cal $29 - $77 27%
Rx Meridian Rx $29 - $77 27%
Ryan White Florida Mssrp $29 - $77 27%
Sandhills Center Lme $29 - $77 27%
Screening For Life $29 - $77 27%
St Joseph County Hlth Dpt $29 - $77 27%
Stephenson Cty Health $29 - $88 27%
Sunshine State Health Plan $29 - $77 27%
Superior Health $29 - $77 27%
Tenncare $29 - $77 27%
Texas Children'S Health Plan $29 - $77 27%
Trillium Community Ohp $29 - $77 27%
Tufts Health Public Plans $29 - $77 27%
Vaya Health Lme $29 - $77 27%
Washtenaw Health Plan $29 - $77 27%
Wellpoint $29 - $79 27%
Wellsense Health Plan $29 - $77 27%
Wi Womens Wellness $29 - $77 27%
Amish Hospital Aid $35 - $150 33%
Amps $35 - $108 33%
Avera $40 - $128 37%
Newton Correctional Facility $40 - $162 37%
Medical Associates $44 - $211 41%
Sanford Health Plan $44 - $138 41%
Genex Wc $46 - $188 43%
Health Partners $47 - $552 44%
Lucent Health $47 - $433 44%
Oscar $47 - $149 44%
Ucare $47 - $152 44%
Health Smart $48 - $148 45%
Bcn Domestic $49 - $154 46%
Blue Benefit Administrators Of Massachusetts $49 - $154 46%
Blue Care Network $49 - $154 46%
Blue Distinction Transplant $49 - $154 46%
Blue Shield - Ca $49 - $154 46%
Blue Shield - Id (Regence) $49 - $154 46%
Blue Shield - Ny Highmark Northeastern $49 - $154 46%
Blue Shield - Ny Highmark Western $49 - $154 46%
Blue Shield - Pa (Highmark) $49 - $154 46%
Blue Shield - Wa (Regence) $49 - $154 46%
Health Choices $49 - $225 46%
Kaiser Domestic $49 - $154 46%
Pre-Employment $49 - $154 46%
Wc Align Network $49 - $200 46%
Wc Domestic $49 - $154 46%
Centivo $50 - $151 47%
Meritain $50 - $433 47%
Quiktrip $51 - $156 48%
Usa Managed Care $51 - $155 48%
Wc Praxis Health Network $52 - $212 49%
Wc Reny Company $53 - $218 50%
Wc Velocity $53 - $218 50%
Auto Velocity $55 - $225 51%
Claimdoc $55 - $226 51%
Geha $55 - $240 51%
The Alliance $55 - $168 51%
Wc O'Hara Corp $55 - $225 51%
Multiplan $56 - $742 52%
Preferred One $57 - $536 53%
Global Excel $59 - $180 55%
Allied Benefit Systems $61 - $433 57%
Andrie Inc $61 - $250 57%
Auxiant $61 - $578 57%
East Greenbush Central School District $61 - $250 57%
First Choice Health $61 - $225 57%
Group Administrators $61 - $225 57%
Healthsmart Workers Comp $61 - $250 57%
Iowa Dept Of Public Health $61 - $825 57%
Jag Source $61 - $250 57%
Midlands $61 - $578 57%
Midlands Choice $61 - $578 57%
Nebraska Total Care $61 - $250 57%
New York State Insurance Fund $61 - $250 57%
Njm Insurance Group $61 - $250 57%
Rx Heatlhcomp $61 - $250 57%
Rx Restat $61 - $250 57%
Rx Saif Opdp Wc $61 - $250 57%
Rx Worker'S Comp $61 - $250 57%
Velocity $61 - $188 57%
Wc Accident Fund $61 - $250 57%
Wc Ace $61 - $250 57%
Wc Acs Federal Employees $61 - $250 57%
Wc Acuity $61 - $250 57%
Wc Advantage $61 - $250 57%
Wc Aegis $61 - $250 57%
Wc Aig $61 - $250 57%
Wc Aims $61 - $250 57%
Wc Alaska National Ins $61 - $250 57%
Wc Allied $61 - $250 57%
Wc Am Trust N America $61 - $250 57%
Wc American Claims Mgmt $61 - $250 57%
Wc Amerisure $61 - $250 57%
Wc Amtrust $61 - $250 57%
Wc Asu Risk Mgt $61 - $250 57%
Wc Benetech $61 - $250 57%
Wc Berkley Admin $61 - $250 57%
Wc Broadspire $61 - $250 57%
Wc Broward County $61 - $250 57%
Wc Bunch & Associates $61 - $250 57%
Wc California State Comp Ins $61 - $250 57%
Wc California State Ins Fund $61 - $250 57%
Wc Capitol Area Health Consortium $61 - $250 57%
Wc Ccmsi $61 - $250 57%
Wc Chartis $61 - $250 57%
Wc Chubb $61 - $250 57%
Wc Cirma $61 - $250 57%
Wc City Of Albany $61 - $250 57%
Wc City Of Sioux City $61 - $250 57%
Wc Claims Mgmt Inc $61 - $250 57%
Wc Cna $61 - $250 57%
Wc Comp One Admin C/O Manageability $61 - $250 57%
Wc Compone Admin $61 - $250 57%
Wc Ct Healthcare Trust $61 - $250 57%
Wc Donegal Insurance Group $61 - $250 57%
Wc Emc Insurance Company $61 - $250 57%
Wc Employee Mutual $61 - $250 57%
Wc Enablecomp $61 - $250 57%
Wc Encore Health Network $61 - $250 57%
Wc Erie $61 - $250 57%
Wc Esis $61 - $250 57%
Wc Evolutions $61 - $250 57%
Wc Fcci $61 - $250 57%
Wc Fed Ex $61 - $250 57%
Wc Federal Black Lung $61 - $250 57%
Wc Federated $61 - $250 57%
Wc Finley Occupational Health $61 - $250 57%
Wc First Agency/Occunet $61 - $250 57%
Wc Ford Motor $61 - $250 57%
Wc Fresno Unified Emp $61 - $250 57%
Wc Gallagher Bassett $61 - $250 57%
Wc General Motors $61 - $250 57%
Wc Generic $61 - $250 57%
Wc Genex Care For Ohio $61 - $250 57%
Wc Great West Casualty $61 - $250 57%
Wc Guarantee Insurance $61 - $250 57%
Wc Guard Insurance Company $61 - $250 57%
Wc Hab $61 - $250 57%
Wc Hartford $61 - $250 57%
Wc Hastings $61 - $250 57%
Wc Health Management $61 - $250 57%
Wc Heritage Summit $61 - $250 57%
Wc Hireright $61 - $250 57%
Wc Horizon $61 - $250 57%
Wc Icw Group $61 - $250 57%
Wc Idaho State Ins Fund $61 - $250 57%
Wc Intercare Insurance $61 - $250 57%
Wc Intermountain $61 - $250 57%
Wc Johns Eastern $61 - $250 57%
Wc Kemberton $61 - $250 57%
Wc Key Ins & Benefit Solutions $61 - $250 57%
Wc Liberty Mutual $61 - $250 57%
Wc Mac Risk Management $61 - $250 57%
Wc Massachusetts $61 - $250 57%
Wc Mdia $61 - $250 57%
Wc Meadowbrook Claim $61 - $250 57%
Wc Medical Administrators $61 - $250 57%
Wc Meijers $61 - $250 57%
Wc Memic $61 - $250 57%
Wc Mercy Workcare $61 - $250 57%
Wc Michigan $61 - $250 57%
Wc Michigan Millers Mutual $61 - $250 57%
Wc Mitchell Frankenmuth $61 - $250 57%
Wc Mra $61 - $250 57%
Wc Nationwide $61 - $250 57%
Wc Nca Comp $61 - $250 57%
Wc New York $61 - $250 57%
Wc New York Special Funds $61 - $250 57%
Wc North American Rishces $61 - $250 57%
Wc Northeast Health $61 - $250 57%
Wc Notre Dame $61 - $250 57%
Wc Novanet $61 - $250 57%
Wc Occ Health Allen $61 - $250 57%
Wc Ohio Bureau $61 - $250 57%
Wc One Call Medical $61 - $250 57%
Wc Paradigm $61 - $250 57%
Wc Peerless $61 - $250 57%
Wc Pma $61 - $250 57%
Wc Price Chopper $61 - $250 57%
Wc Procura Management $61 - $250 57%
Wc Qualcare $61 - $250 57%
Wc Quiktrip $61 - $250 57%
Wc Rev Claims $61 - $250 57%
Wc Risico $61 - $250 57%
Wc Rural Mutual $61 - $250 57%
Wc Saif Oregon $61 - $250 57%
Wc Secura $61 - $250 57%
Wc Sedgwick $61 - $250 57%
Wc Sentry $61 - $250 57%
Wc Sheakley Unicomp $61 - $250 57%
Wc Smile Lodge $61 - $250 57%
Wc Society $61 - $250 57%
Wc Srs $61 - $250 57%
Wc Taconic (Mro) $61 - $250 57%
Wc Taconic Farms $61 - $250 57%
Wc Travelers $61 - $250 57%
Wc Triad Group $61 - $250 57%
Wc Tristar $61 - $250 57%
Wc Troy Ny $61 - $250 57%
Wc Tyson $61 - $250 57%
Wc Unified Health Services $61 - $250 57%
Wc United Heartland $61 - $250 57%
Wc Us Dept Of Labor $61 - $250 57%
Wc Walmart $61 - $250 57%
Wc West Bend $61 - $250 57%
Wc West Bend Mutual/Argent $61 - $250 57%
Wc Winnebago Industries $61 - $250 57%
Wc Yankee Trails $61 - $250 57%
Wc York Risk $61 - $250 57%
Wc Zenith $61 - $250 57%
Wc Zurich $61 - $250 57%
Nova $226 212%
1199 National Benefit Fund $433 405%
Asr Health Benefits $433 405%
Christian Brother Services $433 405%
Coventry $433 405%
First Health $433 405%
Luminare Health $433 405%
Medical Mutual $433 405%
Trustmark Small Business Benefits $433 405%
Webtpa $433 405%
Medica $578 541%
Mhnet $660 618%
Crime Victim Assistance $825 772%

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