CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mercy Medical Center-New Hampton

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$83
about 0.7× the $118 Medicare rate · typically $66–$200
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Below the fair price — a good deal
about $25 under the fair price · 0.5× Medicare
Medicare pays $118 Fair price $83 This hospital $58 Cash price $180 Hospital's list price $180

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 4 of 8 other IA hospitals charge more for the same procedure.

Cheapest $46 Priciest $69

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 New patient office visit (30-44 min) is about $83 (about 0.7× the $118 Medicare rate). Mercy Medical Center-New Hampton charges insurers about $58, or about $180 in cash — below the fair price — a good deal. Located in New Hampton, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

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 $36 - $174 31%
Blue Cross Blue Shieldmajor $36 - $116 31%
Aetnamajor $56 - $238 48%
Cignamajor $36 - $244 31%
Humanamajor $36 - $107 31%
Kaiser Permanentemajor $99 - $116 84%
Ambetter (Centene) $36 - $169 31%
Clover Health $56 - $66 48%
GEHA $136 - $174 116%
Health Net $36 - $180 31%
HealthPartners $36 - $242 31%
Medica $244 208%
Medical Mutual $238 202%
Meridian $36 - $66 31%
Molina $36 - $58 31%
Oscar Health $105 - $148 89%
Paramount $36 - $58 31%
Presbyterian $36 - $66 31%
Sanford Health Plan $97 - $114 83%
Tufts Health Plan $36 - $58 31%
UCare $101 - $119 86%
WellMed $56 - $66 48%
WellSense $36 - $58 31%
+ 361 smaller / regional plans $36 - $252
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals