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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercyone Newton Medical Center

MercyOne · Newton, IA

204 North Fourth Avenue East, Newton, IA 50208(641) 792-1273

4 of 5

CMS star rating

48

Beds

610

Inpatient discharges a year

$30.9M

Net patient revenue a year

27

In-network payers

About this hospital

Mercyone Newton Medical Center is a 48-bed voluntary non-profit - private hospital in Newton, IA, affiliated with MercyOne. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 231 disclosed rate categories.

  • Medicare-dependent hospital
CCN
160032
NPI
1003296179
Health system
MercyOne
Teaching
No Medicare-funded residents
County
Jasper County
Metro area
Des Moines-West Des Moines, IA MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
1966
Last CMS survey
2022

Prices for common services

The 24 services Mercyone Newton Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$356 - $5,186

from 4 insurers · median $1,909

Aetna$604
Insurer A*$356
Insurer B*$3,213
Insurer C*$5,186
Medicare $320Nearby hospitals $2,44422% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$107 - $1,937

from 4 insurers · median $705

Aetna$210
Insurer A*$107
Insurer B*$1,200
Insurer C*$1,937
Medicare $96Nearby hospitals $7638% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$1,871 - $2,358

from 2 insurers · median $2,114

Aetna$1,871
Insurer A*$2,358
Medicare $2,119Nearby hospitals $5,71063% below nearby hospitals

79 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Mammography

Screening mammography, bilateral

CPT 77067

$207 - $544

from 4 insurers · median $279

UnitedHealthcare$337
Insurer A*est.$207
Insurer B*$221
Insurer C*$544
Medicare $83Nearby hospitals $2636% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mercyone Newton Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
655%
172
Insurer B*22
476%
164
Insurer C*24
147%
023
Insurer D*24
100%
118

How we chose these services: 2 appear in this hospital's own Medicare claims, 20 are common here based on CMS Medicare volume, and 2 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercyone Newton Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    4 of 5 stars

    • 155 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    No Medicare-funded residents

    • 35 services
    • 202 affiliated clinicians
    See doctors and services
  • Finances

    $30.9M net patient revenue

    • Operating margin on patient care -7.3%
    • $764,144 unreimbursed and uncompensated care
    • -$206,553 net income
    See finances
  • Ownership and leadership

    Owned by Catholic Health Initiatives-iowa Corp

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Mercyone Newton Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
42-1470935Skiff Medical Center47Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 42 more1003296179 Mercy Medical Center-newton1649650714 Mercy Medical Center-newton1376923441 Mercy Medical Center-newtonand 14 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

204 North Fourth Avenue East, Newton, IA 50208

(641) 792-1273

Get directions

Frequently asked questions

About Mercyone Newton Medical Center's rates and hospital price transparency.

How much does an MRI cost at Mercyone Newton Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercyone Newton Medical Center range from $356 to $5,105 across 4 insurers. Blue Cross Blue Shield's rate is $356. The median at nearby comparable hospitals is $2,561. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mercyone Newton Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercyone Newton Medical Center range from $356 to $5,186 across 4 insurers. Aetna's rate is $604. The median at nearby comparable hospitals is $2,444. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercyone Newton Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercyone Newton Medical Center range from $398 to $1,223 across 4 insurers. Aetna's rate is $1,172. The median at nearby comparable hospitals is $2,625. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercyone Newton Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercyone Newton Medical Center range from $207 to $544 across 4 insurers. UnitedHealthcare's rate is $337. The median at nearby comparable hospitals is $263. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercyone Newton Medical Center's CMS star rating?

Mercyone Newton Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Mercyone Newton Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mercyone Newton Medical Center for fiscal year 2027.

Does Medicare penalize Mercyone Newton Medical Center for readmissions?

No. Mercyone Newton Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Mercyone Newton Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (48 discharges), heart failure and shock with mcc (18 discharges), simple pneumonia and pleurisy with mcc (11 discharges).

What is Mercyone Newton Medical Center's case mix index?

Mercyone Newton Medical Center's Medicare case mix index is 1.32 for fiscal year 2027, higher than 12% of hospitals paid under the inpatient prospective payment system.

How many patients does Mercyone Newton Medical Center admit?

Mercyone Newton Medical Center reported 610 inpatient discharges and 2,505 inpatient days from Jul 1, 2024 to Jun 30, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
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