Mercy Medical Center-New Hampton
308 North Maple Avenue, New Hampton, IA 50659 · 105 Priced Procedures
Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Mercy Medical Center-New Hampton maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.86× Fair BaseRate) and emergency/ancillary services (1.3× Medicare, p75 1.03× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
- Self-pay cash beats commercial insurance on 46% of shoppable procedures (85/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (42.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.88× 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 (2.2×) services average 1.86× higher multiples than routine shoppable care (0.7×)
- Upper-quartile procedures (Q75 1.03×) jump +20% above the median procedure ratio (Q50 0.86×)
- Unnegotiated chargemaster list prices average 9.6× Medicare (19¢ true HCRIS cost per $1 gross)
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-New Hampton
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $28,336 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $25,030 | 1.3× |
| Total knee replacement CPT Code: 27447 | $22,450 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,587 | 1.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $9,979 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,901 | 3.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,920 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,607 | 7.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $3,253 | 8.8× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $3,149 | 20.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,052 | 10.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,599 | 7.7× |
| Trauma team activation HCPCS Code: G0390 | $2,518 | 1.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,297 | 6.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,747 | 6.8× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,517 | 9.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,506 | 8.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,528 | 2.6× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,442 | 8.6× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,368 | 8.6× |
| CT scan, pelvis CPT Code: 72192 | $1,291 | 7.9× |
| CT scan, sinuses CPT Code: 70486 | $1,275 | 7.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,038 | 0.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $987 | 3.6× |
| Upper endoscopy with biopsy CPT Code: 43239 | — | — |
Audit a Bill or Quote at Mercy Medical Center-New Hampton (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $28,699
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (42.2% of gross = $28,699).
Self-Pay Cash Rate ($28,336) Beats Your Bill
Mercy Medical Center-New Hampton's published 45 CFR § 180 self-pay cash rate is $28,336 (vs. $28,336 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($68,006) is $54,593 above the denoised Fair BaseRate ($13,413) and 5.2× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (42.2% 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Mercy Medical Center-New Hampton. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-10·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare. 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-New Hampton.
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.