CMS Price Transparency Data

X-ray, lower back

Facility: Mercyone North Iowa Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $26
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mercyone North Iowa Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.24x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $67 (63%)
Insurance Median: $26 (24%)
Cash: $67 (63% of Medicare)
Ins. Median: $26 (24% 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 $8 - $103 7%
Wc Corvel $11 - $26 10%
Aetna $12 - $302 11%
Align Senior Care $12 - $26 11%
Ally Align Care Adv $12 - $26 11%
American Health Advantage Of Idaho $12 - $26 11%
American Health Plan $12 - $28 11%
Aurora Special Needs $12 - $26 11%
Blue Care Network Advantage $12 - $26 11%
Blue Cross Blue Shield $12 - $112 11%
Blue Shield - De (Highmark) Medciare Advantage $12 - $26 11%
Care Dimensions $12 - $26 11%
Care Improvement Plus $12 - $26 11%
Care Resources Pace $12 - $26 11%
Careplus Health Plans $12 - $26 11%
Cca - Zing Health $12 - $26 11%
Cca Senior Care Options $12 - $26 11%
Central Valley Medical Services Corp Pace $12 - $26 11%
Champion Health Plan Mcr Advantage $12 - $26 11%
Champva $12 - $26 11%
Cigna $12 - $403 11%
Clear Spring Health $12 - $26 11%
Clover Health $12 - $26 11%
Commonwealth Care Alliance $12 - $26 11%
Community Pace At Home $12 - $26 11%
Eddy Senior Care-Pace $12 - $26 11%
Eddy Seniorcare Pace $12 - $26 11%
Elementcare $12 - $26 11%
Evercare $12 - $26 11%
Everence $12 - $26 11%
Gateway Health Plan $12 - $26 11%
Genesys Pace Of Genesee County $12 - $26 11%
Georgia Health Advantage $12 - $26 11%
Gold Advantage $12 - $26 11%
Gpa Croell Redi Mix $12 - $26 11%
Health America Advantra $12 - $26 11%
Highmark Health Options Dual Plan $12 - $26 11%
Hope Select Pace $12 - $26 11%
Horizon Nj Total Care $12 - $26 11%
Hudson Headwaters Pace $12 - $26 11%
Humana $12 - $43 11%
Huron Valley Pace $12 - $26 11%
Innovative Integrated Health Community Plans $12 - $26 11%
Iowa Health Advantage $12 - $28 11%
Johns Hopkins Advantage Md $12 - $26 11%
Lasso Healthcare Msa $12 - $26 11%
Life St Marys Pace $12 - $26 11%
Lifecircles Pace $12 - $26 11%
Longevity Health Plan $12 - $26 11%
Longevity Ipa Of Michigan Llc Health Plan Isnp $12 - $26 11%
Martins Point Generations Advantage $12 - $26 11%
Mass General Brigham Mcr Adv $12 - $26 11%
Medicare (plans) $12 - $115 11%
Medipak Advantage $12 - $26 11%
Mercy Life $12 - $26 11%
Mercyone Cedar Valley $12 - $26 11%
Meridian Complete $12 - $26 11%
Michigan Complete Health $12 - $26 11%
Nascentia Health Plus $12 - $26 11%
New Centry Health Careplus $12 - $26 11%
Osu Prime Care Advantage $12 - $26 11%
Pace Cny $12 - $26 11%
Pace Iowa Immanuel Pathways $12 - $26 11%
Pace Of Southwest Michigan $12 - $26 11%
Pace Southeast $12 - $26 11%
Pace-Trinity Health $12 - $26 11%
Peak Pace Solutions $12 - $26 11%
Perennial Advantage $12 - $26 11%
Preferred Care Partners $12 - $26 11%
Presbyterian Senior Plan $12 - $26 11%
Provider Partners Health Plan Of Illinois $12 - $26 11%
Provider Partners Health Plan Of Indiana $12 - $26 11%
Pruitthealth Premier $12 - $26 11%
Reliance Community Care Partners Care Resources Pace $12 - $26 11%
Rx Allwin $12 - $26 11%
Rx Grane Grnmedd $12 - $26 11%
Rx Retiree Rx Care $12 - $26 11%
Scan Health Plan Mcr Ipa Meritage Oon $12 - $26 11%
Secure Horizons Ma Pffs $12 - $26 11%
Serenity Pace $12 - $26 11%
Siouxland Pace $12 - $26 11%
Solis Health Plans $12 - $26 11%
Sunnyview-Pace Finance Dept $12 - $26 11%
Texan Plus $12 - $26 11%
The Health Plan $12 - $26 11%
Thome Pace $12 - $26 11%
Todays Options $12 - $26 11%
Tribute Health Plans $12 - $26 11%
Tricare $12 - $26 11%
Triwest Health Alliance $12 - $26 11%
Um Health Advantage $12 - $26 11%
Union Health Service $12 - $26 11%
UnitedHealthcare $12 - $576 11%
Us Family Health Plan $12 - $26 11%
Veterans Administration $12 - $27 11%
Veterans Eval Services $12 - $26 11%
Welbe Health $12 - $26 11%
Wellmed $12 - $26 11%
Stephenson Cty Health $14 - $30 13%
Albany County Correctional Facility $15 - $23 14%
Ambetter / Centene $15 - $189 14%
Amish Mennonite $15 - $23 14%
Ascension St. Vincent Public Safety Medical $15 - $23 14%
Bcccp-Michigan $15 - $23 14%
Bccp $15 - $23 14%
Bmc Healthnet $15 - $23 14%
Breast Grant-Connecticut $15 - $23 14%
Broward County Dept Of Health $15 - $23 14%
California Health And Wellness $15 - $23 14%
Cardinal Innovations Lme $15 - $23 14%
Care Connections Of Northern Iowa $15 - $23 14%
Care Oregon Ohp $15 - $23 14%
Cencal Health Plan $15 - $23 14%
Cenpatico $15 - $23 14%
Chhuny $15 - $23 14%
Childrens Comm Health Plan $15 - $23 14%
Childrens Medical Services Title 19 $15 - $23 14%
City Of Philadelphia $15 - $23 14%
Cmh Allegan County $15 - $23 14%
Cmh Ausable Valley $15 - $23 14%
Cmh Barry County $15 - $23 14%
Cmh Bay-Arenac County $15 - $23 14%
Cmh Berrien County $15 - $23 14%
Cmh Cass County $15 - $23 14%
Cmh Central Mi County $15 - $23 14%
Cmh Clinton-Eaton-Ingham County $15 - $23 14%
Cmh Detroit Wayne Integrated Health Network $15 - $23 14%
Cmh Genesee County $15 - $23 14%
Cmh Ionia County $15 - $23 14%
Cmh Jackson County/Lifeways $15 - $23 14%
Cmh Kalamazoo $15 - $23 14%
Cmh Kent County $15 - $23 14%
Cmh Lenawee County $15 - $23 14%
Cmh Livingston County $15 - $23 14%
Cmh Macomb $15 - $23 14%
Cmh Misc $15 - $23 14%
Cmh Monroe County $15 - $23 14%
Cmh Montcalm County $15 - $23 14%
Cmh Muskegon County $15 - $23 14%
Cmh Newaygo County $15 - $23 14%
Cmh North Country $15 - $23 14%
Cmh Northern Lakes County $15 - $23 14%
Cmh Oakland County $15 - $23 14%
Cmh Ottawa County $15 - $23 14%
Cmh Van Buren County $15 - $23 14%
Cmh Washtenaw County $15 - $23 14%
Cmh Wayne County/Carelink $15 - $23 14%
Cmh Wayne Cty/Com Liv Svcs $15 - $23 14%
Cmh West Mi County $15 - $23 14%
Community Benefit Health $15 - $23 14%
Community Care Behavorial Health $15 - $23 14%
Community Care Partners $15 - $23 14%
Community Health Choice $15 - $23 14%
Connections Csp $15 - $23 14%
County Coroner $15 - $23 14%
County Funding Generic $15 - $23 14%
Covid19 Hrsa Uninsured Testing And Treatment Fund $15 - $23 14%
Dean Wi Badgercare $15 - $23 14%
Delaware County Department Of Health $15 - $23 14%
Delaware First Health $15 - $23 14%
Delta Dental Nj $15 - $23 14%
Dph Tb Program $15 - $23 14%
Dscc $15 - $23 14%
Eastpointe Lme $15 - $23 14%
Family Health Network $15 - $23 14%
Freedom First Healthcare $15 - $23 14%
Fresno County Ccs $15 - $23 14%
Ghc Scw Wi Badgercare $15 - $23 14%
Harbor Health $15 - $23 14%
Health Safety Net $15 - $23 14%
Healthy Blue Ne $15 - $23 14%
Hennepin Health $15 - $23 14%
Id County Ada $15 - $23 14%
Id County Canyon $15 - $23 14%
Id County Cat Fund $15 - $23 14%
Id County Other $15 - $23 14%
Id County Payette $15 - $23 14%
Idaho Dept Health And Wellfare $15 - $23 14%
Idaho Womens Health Check $15 - $23 14%
Indiana Breast Cervical Cancer $15 - $23 14%
Inland Empire Health Plan $15 - $23 14%
Intercommunity Health Ohp $15 - $23 14%
Iowa Total Care $15 - $101 14%
Jai Medical System $15 - $23 14%
Kern Family Health Plan $15 - $23 14%
Keystone First $15 - $23 14%
Keystone First Chip $15 - $23 14%
La Care Health Plan $15 - $23 14%
Lakeland Care Inc $15 - $23 14%
Managed Health Services - Indiana $15 - $23 14%
Maryland Breast & Cervical Program $15 - $23 14%
Maryland Healthy Smiles - Scion Dental $15 - $23 14%
Maryland Physicians Care $15 - $23 14%
Massachusetts Behavioral Health Partnership $15 - $23 14%
Mdwise $15 - $23 14%
Medi-Cal $15 - $23 14%
Medi-Cal Healthnet $15 - $23 14%
Medstar Dc Healthy Family $15 - $23 14%
Medstar Md Health Choice $15 - $23 14%
Mo Home State Health Plan $15 - $23 14%
Molina Centennial Care $15 - $23 14%
Nascentia Health Options $15 - $23 14%
New York Cancer Services Program $15 - $23 14%
Nextlevel Health $15 - $23 14%
Oregon Screenwise $15 - $23 14%
Paramount Advantage $15 - $23 14%
Parkland Community Health Plan $15 - $23 14%
Partners Behavioral Lme $15 - $23 14%
Peach State Healthplan $15 - $23 14%
Philadelphia County Funding $15 - $23 14%
Presbyterian Centennial Care $15 - $23 14%
Prestige Health Choice $15 - $23 14%
Priority Partners $15 - $23 14%
Robert F Sing Program $15 - $23 14%
Rx 340B Pass Along $15 - $23 14%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $15 - $23 14%
Rx Medi-Cal $15 - $23 14%
Rx Meridian Rx $15 - $23 14%
Ryan White Florida Mssrp $15 - $23 14%
Sandhills Center Lme $15 - $23 14%
Screening For Life $15 - $23 14%
St Joseph County Hlth Dpt $15 - $23 14%
Sunshine State Health Plan $15 - $23 14%
Superior Health $15 - $23 14%
Tenncare $15 - $23 14%
Texas Children'S Health Plan $15 - $23 14%
Trillium Community Ohp $15 - $23 14%
Tufts Health Public Plans $15 - $23 14%
Vaya Health Lme $15 - $23 14%
Washtenaw Health Plan $15 - $23 14%
Wellpoint $15 - $23 14%
Wellsense Health Plan $15 - $23 14%
Wi Womens Wellness $15 - $23 14%
Amish Hospital Aid $16 - $150 15%
Amps $16 - $36 15%
Avera $18 - $44 17%
Newton Correctional Facility $18 - $43 17%
Genex Wc $20 - $50 19%
Medical Associates $20 - $147 19%
Sanford Health Plan $20 - $48 19%
Oscar $21 - $149 20%
Bcn Domestic $22 - $107 21%
Blue Benefit Administrators Of Massachusetts $22 - $107 21%
Blue Care Network $22 - $107 21%
Blue Distinction Transplant $22 - $107 21%
Blue Shield - Ca $22 - $107 21%
Blue Shield - Id (Regence) $22 - $107 21%
Blue Shield - Ny Highmark Northeastern $22 - $107 21%
Blue Shield - Ny Highmark Western $22 - $107 21%
Blue Shield - Pa (Highmark) $22 - $107 21%
Blue Shield - Wa (Regence) $22 - $107 21%
Health Choices $22 - $147 21%
Health Smart $22 - $50 21%
Kaiser Domestic $22 - $107 21%
Lucent Health $22 - $302 21%
Meritain $22 - $302 21%
Pre-Employment $22 - $107 21%
Ucare $22 - $53 21%
Wc Align Network $22 - $53 21%
Wc Domestic $22 - $107 21%
Centivo $23 - $139 22%
Health Partners $23 - $385 22%
Quiktrip $23 - $53 22%
Usa Managed Care $23 - $52 22%
Wc Praxis Health Network $23 - $57 22%
Wc Reny Company $23 - $58 22%
Wc Velocity $23 - $58 22%
Auto Velocity $24 - $60 22%
Wc O'Hara Corp $24 - $60 22%
Claimdoc $25 - $226 23%
Geha $25 - $240 23%
Multiplan $25 - $518 23%
Preferred One $25 - $374 23%
The Alliance $25 - $57 23%
Allied Benefit Systems $27 - $302 25%
Andrie Inc $27 - $67 25%
Auxiant $27 - $403 25%
East Greenbush Central School District $27 - $67 25%
First Choice Health $27 - $67 25%
Global Excel $27 - $61 25%
Group Administrators $27 - $67 25%
Healthsmart Workers Comp $27 - $67 25%
Iowa Dept Of Public Health $27 - $576 25%
Jag Source $27 - $67 25%
Midlands $27 - $403 25%
Midlands Choice $27 - $403 25%
Nebraska Total Care $27 - $28 25%
New York State Insurance Fund $27 - $67 25%
Njm Insurance Group $27 - $67 25%
Rx Heatlhcomp $27 - $67 25%
Rx Restat $27 - $67 25%
Rx Saif Opdp Wc $27 - $67 25%
Rx Worker'S Comp $27 - $67 25%
Velocity $27 - $64 25%
Wc Accident Fund $27 - $67 25%
Wc Ace $27 - $67 25%
Wc Acs Federal Employees $27 - $67 25%
Wc Acuity $27 - $67 25%
Wc Advantage $27 - $67 25%
Wc Aegis $27 - $67 25%
Wc Aig $27 - $67 25%
Wc Aims $27 - $67 25%
Wc Alaska National Ins $27 - $67 25%
Wc Allied $27 - $67 25%
Wc Am Trust N America $27 - $67 25%
Wc American Claims Mgmt $27 - $67 25%
Wc Amerisure $27 - $67 25%
Wc Amtrust $27 - $67 25%
Wc Asu Risk Mgt $27 - $67 25%
Wc Benetech $27 - $67 25%
Wc Berkley Admin $27 - $67 25%
Wc Broadspire $27 - $67 25%
Wc Broward County $27 - $67 25%
Wc Bunch & Associates $27 - $67 25%
Wc California State Comp Ins $27 - $67 25%
Wc California State Ins Fund $27 - $67 25%
Wc Capitol Area Health Consortium $27 - $67 25%
Wc Ccmsi $27 - $67 25%
Wc Chartis $27 - $67 25%
Wc Chubb $27 - $67 25%
Wc Cirma $27 - $67 25%
Wc City Of Albany $27 - $67 25%
Wc City Of Sioux City $27 - $67 25%
Wc Claims Mgmt Inc $27 - $67 25%
Wc Cna $27 - $67 25%
Wc Comp One Admin C/O Manageability $27 - $67 25%
Wc Compone Admin $27 - $67 25%
Wc Ct Healthcare Trust $27 - $67 25%
Wc Donegal Insurance Group $27 - $67 25%
Wc Emc Insurance Company $27 - $67 25%
Wc Employee Mutual $27 - $67 25%
Wc Enablecomp $27 - $67 25%
Wc Encore Health Network $27 - $67 25%
Wc Erie $27 - $67 25%
Wc Esis $27 - $67 25%
Wc Evolutions $27 - $67 25%
Wc Fcci $27 - $67 25%
Wc Fed Ex $27 - $67 25%
Wc Federal Black Lung $27 - $67 25%
Wc Federated $27 - $67 25%
Wc Finley Occupational Health $27 - $67 25%
Wc First Agency/Occunet $27 - $67 25%
Wc Ford Motor $27 - $67 25%
Wc Fresno Unified Emp $27 - $67 25%
Wc Gallagher Bassett $27 - $67 25%
Wc General Motors $27 - $67 25%
Wc Generic $27 - $67 25%
Wc Genex Care For Ohio $27 - $67 25%
Wc Great West Casualty $27 - $67 25%
Wc Guarantee Insurance $27 - $67 25%
Wc Guard Insurance Company $27 - $67 25%
Wc Hab $27 - $67 25%
Wc Hartford $27 - $67 25%
Wc Hastings $27 - $67 25%
Wc Health Management $27 - $67 25%
Wc Heritage Summit $27 - $67 25%
Wc Hireright $27 - $67 25%
Wc Horizon $27 - $67 25%
Wc Icw Group $27 - $67 25%
Wc Idaho State Ins Fund $27 - $67 25%
Wc Intercare Insurance $27 - $67 25%
Wc Intermountain $27 - $67 25%
Wc Johns Eastern $27 - $67 25%
Wc Kemberton $27 - $67 25%
Wc Key Ins & Benefit Solutions $27 - $67 25%
Wc Liberty Mutual $27 - $67 25%
Wc Mac Risk Management $27 - $67 25%
Wc Massachusetts $27 - $67 25%
Wc Mdia $27 - $67 25%
Wc Meadowbrook Claim $27 - $67 25%
Wc Medical Administrators $27 - $67 25%
Wc Meijers $27 - $67 25%
Wc Memic $27 - $67 25%
Wc Mercy Workcare $27 - $67 25%
Wc Michigan $27 - $67 25%
Wc Michigan Millers Mutual $27 - $67 25%
Wc Mitchell Frankenmuth $27 - $67 25%
Wc Mra $27 - $67 25%
Wc Nationwide $27 - $67 25%
Wc Nca Comp $27 - $67 25%
Wc New York $27 - $67 25%
Wc New York Special Funds $27 - $67 25%
Wc North American Rishces $27 - $67 25%
Wc Northeast Health $27 - $67 25%
Wc Notre Dame $27 - $67 25%
Wc Novanet $27 - $67 25%
Wc Occ Health Allen $27 - $67 25%
Wc Ohio Bureau $27 - $67 25%
Wc One Call Medical $27 - $67 25%
Wc Paradigm $27 - $67 25%
Wc Peerless $27 - $67 25%
Wc Pma $27 - $67 25%
Wc Price Chopper $27 - $67 25%
Wc Procura Management $27 - $67 25%
Wc Qualcare $27 - $67 25%
Wc Quiktrip $27 - $67 25%
Wc Rev Claims $27 - $67 25%
Wc Risico $27 - $67 25%
Wc Rural Mutual $27 - $67 25%
Wc Saif Oregon $27 - $67 25%
Wc Secura $27 - $67 25%
Wc Sedgwick $27 - $67 25%
Wc Sentry $27 - $67 25%
Wc Sheakley Unicomp $27 - $67 25%
Wc Smile Lodge $27 - $67 25%
Wc Society $27 - $67 25%
Wc Srs $27 - $67 25%
Wc Taconic (Mro) $27 - $67 25%
Wc Taconic Farms $27 - $67 25%
Wc Travelers $27 - $67 25%
Wc Triad Group $27 - $67 25%
Wc Tristar $27 - $67 25%
Wc Troy Ny $27 - $67 25%
Wc Tyson $27 - $67 25%
Wc Unified Health Services $27 - $67 25%
Wc United Heartland $27 - $67 25%
Wc Us Dept Of Labor $27 - $67 25%
Wc Walmart $27 - $67 25%
Wc West Bend $27 - $67 25%
Wc West Bend Mutual/Argent $27 - $67 25%
Wc Winnebago Industries $27 - $67 25%
Wc Yankee Trails $27 - $67 25%
Wc York Risk $27 - $67 25%
Wc Zenith $27 - $67 25%
Wc Zurich $27 - $67 25%
Nova $226 212%
1199 National Benefit Fund $302 283%
Asr Health Benefits $302 283%
Christian Brother Services $302 283%
Coventry $302 283%
First Health $302 283%
Luminare Health $302 283%
Medical Mutual $302 283%
Trustmark Small Business Benefits $302 283%
Webtpa $302 283%
Medica $403 377%
Mhnet $461 432%
Crime Victim Assistance $576 539%

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