CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Mercyone North Iowa Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $194
  • Cash Discount Price: $493
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Mercyone North Iowa Medical Center is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $493. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.82x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$493

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $493 (462%)
Insurance Median: $194 (182%)
Cash: $493 (462% of Medicare)
Ins. Median: $194 (182% 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
Iowa Total Care $101 95%
Medicaid / KanCare $102 - $103 95%
Bcn Domestic $107 100%
Blue Benefit Administrators Of Massachusetts $107 100%
Blue Care Network $107 100%
Blue Cross Blue Shield $107 - $112 100%
Blue Distinction Transplant $107 100%
Blue Shield - Ca $107 100%
Blue Shield - Id (Regence) $107 100%
Blue Shield - Ny Highmark Northeastern $107 100%
Blue Shield - Ny Highmark Western $107 100%
Blue Shield - Pa (Highmark) $107 100%
Blue Shield - Wa (Regence) $107 100%
Kaiser Domestic $107 100%
Pre-Employment $107 100%
Wc Domestic $107 100%
Aetna $110 - $398 103%
Medicare (plans) $110 - $115 103%
UnitedHealthcare $113 - $758 106%
Centivo $139 130%
Oscar $149 140%
Amish Hospital Aid $150 140%
Ambetter / Centene $189 177%
Health Choices $194 182%
Medical Associates $194 182%
Claimdoc $226 212%
Nova $226 212%
Geha $240 225%
1199 National Benefit Fund $398 373%
Allied Benefit Systems $398 373%
Asr Health Benefits $398 373%
Christian Brother Services $398 373%
Coventry $398 373%
First Health $398 373%
Lucent Health $398 373%
Luminare Health $398 373%
Medical Mutual $398 373%
Meritain $398 373%
Trustmark Small Business Benefits $398 373%
Webtpa $398 373%
Preferred One $493 462%
Health Partners $507 475%
Auxiant $531 497%
Cigna $531 497%
Medica $531 497%
Midlands $531 497%
Midlands Choice $531 497%
Mhnet $606 567%
Multiplan $682 639%
Crime Victim Assistance $758 710%
Iowa Dept Of Public Health $758 710%

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