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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercyone North Iowa Medical Center

MercyOne · Mason City, IA

1000 Fourth Street Sw, Mason City, IA 50401(641) 428-7000

2 of 5

CMS star rating

233

Beds

8,387

Inpatient discharges a year

$429.5M

Net patient revenue a year

41

In-network payers

About this hospital

Mercyone North Iowa Medical Center is a 233-bed voluntary non-profit - private hospital in Mason City, IA, affiliated with MercyOne. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 146 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
CCN
160064
NPI
1467537886
Health system
MercyOne
Teaching
Teaching hospital
County
Cerro Gordo County
Metro area
Mason City, IA MicroSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
1966
Last CMS survey
2018

Prices for common services

The 24 services Mercyone North Iowa 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 - $6,826

from 4 insurers · median $4,181

Aetna$3,584
Insurer A*$356
Insurer B*$4,778
Insurer C*$6,826
Medicare $360Nearby hospitals $1,293223% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$55,805 - $62,706

from 2 insurers · median $59,255

Blue Cross$55,805
Insurer A*$62,706
Medicare $25,904Nearby hospitals $44,84432% above nearby hospitals

70 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$11,069

negotiated rate

UnitedHealthcare$11,069

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$14,989

negotiated rate

UnitedHealthcare$14,989

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

How the insurers pay at Mercyone North Iowa 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*21
432%
181
Insurer B*11
419%
91
Insurer C*18
343%
153
Insurer D*21
100%
412

How we chose these services: 9 appear in this hospital's own Medicare claims, 13 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 North Iowa 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 193 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.43%)
    See quality ratings
  • Doctors and services

    Teaching hospital

    • 44 services, including trauma care
    • 489 affiliated clinicians
    See doctors and services
  • Finances

    $429.5M net patient revenue

    • Operating margin on patient care -28.5%
    • $7.6M unreimbursed and uncompensated care
    • -$27.2M net income
    See finances
  • Ownership and leadership

    Owned by Trinity Health Corporation

    • Private (not for profit)
    • Robert P Ritz, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Mercyone North Iowa 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
31-1373080Mercy Health Services-Iowa CORP65Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 60 more1467537886 Mercy Health Services-iowa Corp1699865402 Mercy Health Services-iowa Corp.1346763554 Mercy Health Services-iowa Corp.and 61 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

1000 Fourth Street Sw, Mason City, IA 50401

(641) 428-7000

Get directions

Frequently asked questions

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

How much does an MRI cost at Mercyone North Iowa Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercyone North Iowa Medical Center range from $356 to $3,372 across 4 insurers. Blue Cross Blue Shield's rate is $356. The median at nearby comparable hospitals is $1,654. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercyone North Iowa Medical Center range from $356 to $6,826 across 4 insurers. Aetna's rate is $3,584. The median at nearby comparable hospitals is $1,293. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercyone North Iowa Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercyone North Iowa Medical Center range from $1,223 to $6,050 across 2 insurers. Aetna's rate is $6,050. The median at nearby comparable hospitals is $2,253. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercyone North Iowa Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercyone North Iowa Medical Center range from $11,069 to $11,069 across 1 insurers. UnitedHealthcare's rate is $11,069. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercyone North Iowa Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercyone North Iowa Medical Center range from $230 to $334 across 3 insurers. Cigna's rate is $268. The median at nearby comparable hospitals is $179. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mercyone North Iowa Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercyone North Iowa Medical Center range from $16,881 to $32,868 across 2 insurers. Blue Cross Blue Shield's rate is $16,881. The median at nearby comparable hospitals is $23,567. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercyone North Iowa Medical Center's CMS star rating?

Mercyone North Iowa Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Mercyone North Iowa Medical Center a teaching hospital?

Yes. CMS counts 0.19 Medicare-funded residents per bed at Mercyone North Iowa Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Mercyone North Iowa Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercyone North Iowa Medical Center's base inpatient payments by an estimated 0.43% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (181 discharges), heart failure and shock with mcc (159 discharges), psychoses (127 discharges).

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
      }
    ]
  }]
}
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  • 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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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
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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