CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Mercyone North Iowa Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $355
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Mercyone North Iowa Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $355. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$355

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)
Cash / Self-Pay: $355 (11199%)
Insurance Median: $5 (158%)
Cash: $355 (11199% of Medicare)
Ins. Median: $5 (158% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 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 $3 - $41 95%
Blue Cross Blue Shield $3 95%
Geha $3 95%
Iowa Total Care $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
UnitedHealthcare $3 - $79 95%
Amish Hospital Aid $4 126%
Centivo $4 126%
Oscar $4 126%
Ambetter / Centene $5 158%
Claimdoc $6 189%
Nova $6 189%
Health Choices $20 631%
Medical Associates $20 631%
1199 National Benefit Fund $41 1293%
Allied Benefit Systems $41 1293%
Asr Health Benefits $41 1293%
Christian Brother Services $41 1293%
Coventry $41 1293%
First Health $41 1293%
Lucent Health $41 1293%
Luminare Health $41 1293%
Medical Mutual $41 1293%
Meritain $41 1293%
Trustmark Small Business Benefits $41 1293%
Webtpa $41 1293%
Preferred One $51 1609%
Health Partners $53 1672%
Auxiant $55 1735%
Cigna $55 1735%
Medica $55 1735%
Midlands $55 1735%
Midlands Choice $55 1735%
Mhnet $63 1987%
Multiplan $71 2240%
Crime Victim Assistance $79 2492%
Iowa Dept Of Public Health $79 2492%

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