Mercy Medical Center - Cedar Rapids
701 10Th Street Se, Cedar Rapids, IA 52403 · 116 Priced Procedures · 81% Patient Recommendation
Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 0.92× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Mercy Medical Center - Cedar Rapids prices routine shoppable procedures near 0.8× Medicare (p50 0.91×) while skewing captive emergency, lab, and upper-quartile codes to 1.4× Medicare (p75 1.11×, +22% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
- Self-pay cash beats commercial insurance on 34% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 81% patient recommendation (74/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (35.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.92× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.6×) & laboratory (1.2×) services average 1.75× higher multiples than routine shoppable care (0.8×)
- Upper-quartile procedures (Q75 1.11×) jump +22% above the median procedure ratio (Q50 0.91×)
- Consolidated metro market (HHI 4,878) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Mercy Medical Center - Cedar Rapids
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| C-section delivery (full package) CPT Code: 59510 | $2,783 | 0.9× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,512 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $860 | 0.1× |
| Inguinal hernia repair CPT Code: 49505 | $669 | 0.2× |
| Trauma team activation HCPCS Code: G0390 | $599 | 0.4× |
| Breast lump removal CPT Code: 19120 | $537 | 0.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $507 | 0.5× |
| Blood transfusion CPT Code: 36430 | $435 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $351 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $351 | 0.7× |
| Rabies immune globulin HCPCS Code: 90375 | $290 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $240 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $240 | 0.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $252 | 0.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $266 | 0.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $240 | 0.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $240 | 0.7× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $203 | 0.2× |
| CT scan, chest (no contrast) CPT Code: 71250 | $172 | 1.0× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $172 | 0.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $176 | 0.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $176 | 0.7× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $172 | unverified |
| Family therapy session CPT Code: 90847 | $175 | unverified |
| Review of medical records for care CPT Code: 90889 | $126 | 1.1× |
Audit a Bill or Quote at Mercy Medical Center - Cedar Rapids (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,712
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (35.3% of gross = $1,712).
Self-Pay Cash Rate ($2,908) Beats Your Bill
Mercy Medical Center - Cedar Rapids's published 45 CFR § 180 self-pay cash rate is $2,908 (vs. $2,783 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)
Your bill ($4,847) is $1,872 above the denoised Fair BaseRate ($2,975) and 2.0× the $2,473 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (35.3% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (943 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Medical Center - Cedar Rapids.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.