Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) at MercyOne Centerville Medical Center
1 Saint Joseph Dr, Centerville, IA · MercyOne · · NPI 1356391635
$2,178.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$2,178.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$398.43 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $1,452.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $398.43 | ↓ -82% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $399.88 | ↓ -82% |
| MOLINA MEDICAID | MOLINA MEDICAID | $405.76 | ↓ -81% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $407.72 | ↓ -81% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $416.72 | ↓ -81% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $425.29 | ↓ -80% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $429.50 | ↓ -80% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $437.49 | ↓ -80% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $446.34 | ↓ -80% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $560.04 | ↓ -74% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $665.93 | ↓ -69% |
| AMBETTER | AMBETTER MARKETPLACE | $707.41 | ↓ -68% |
| NOVA | CLAIMDOC | $846.37 | ↓ -61% |
| CLAIMDOC | CLAIMDOC | $846.37 | ↓ -61% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $1,109.33 | ↓ -49% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $1,109.33 | ↓ -49% |
| GEHA | UNITED HEALTHCARE | $1,270.50 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,270.50 | ↓ -42% |
| COVENTRY | AETNA | $1,360.52 | ↓ -38% |
| ALLIED BENEFIT SYSTEMS | AETNA | $1,360.52 | ↓ -38% |
| MERITAIN | AETNA | $1,360.52 | ↓ -38% |
| LUCENT HEALTH | AETNA | $1,360.52 | ↓ -38% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $1,360.52 | ↓ -38% |
| FIRST HEALTH | AETNA | $1,360.52 | ↓ -38% |
| AETNA DOMESTIC | AETNA | $1,360.52 | ↓ -38% |
| ASR HEALTH BENEFITS | AETNA | $1,360.52 | ↓ -38% |
| AETNA | AETNA | $1,360.52 | ↓ -38% |
| CHRISTIAN BROTHER SERVICES | AETNA | $1,360.52 | ↓ -38% |
| LUMINARE HEALTH | AETNA | $1,360.52 | ↓ -38% |
| WEBTPA | AETNA | $1,360.52 | ↓ -38% |
| MEDICAL MUTUAL | AETNA | $1,360.52 | ↓ -38% |
| AETNA EAP | AETNA | $1,360.52 | ↓ -38% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $1,360.52 | ↓ -38% |
| HEALTH PARTNERS | HEALTH PARTNERS | $1,396.82 | ↓ -36% |
| MEDICA | MIDLANDS CHOICE PPO | $1,422.96 | ↓ -35% |
| CIGNA | MIDLANDS CHOICE PPO | $1,422.96 | ↓ -35% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $1,422.96 | ↓ -35% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1,422.96 | ↓ -35% |
| MIDLANDS | MIDLANDS CHOICE PPO | $1,422.96 | ↓ -35% |
| AUXIANT | MIDLANDS CHOICE PPO | $1,422.96 | ↓ -35% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $1,452.00 | ↓ -33% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $1,452.00 | ↓ -33% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $1,452.00 | ↓ -33% |
Visitor-reported prices
Comments
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $26,925.68 | $0.96 – $6,537.75 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $38,211.57 | $0.36 – $14,021.15 |
| MercyOne West Des Moines Medical Center | West Des Moines | $27,599.65 | $9.09 – $14,087.30 |
| MercyOne Newton Medical Center | Newton | $18,623.27 | $0.96 – $6,352.30 |
| MercyOne Waterloo Medical Center | Waterloo | $41,920.82 | $9.09 – $14,021.15 |
| UnityPoint Health - Allen Hospital | Waterloo | $3,321.60 | $612.55 – $2,689.38 |
| UnityPoint Health - Finley Hospital | Dubuque | $3,321.60 | $612.55 – $2,852.76 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $3,321.60 | $612.55 – $3,228.27 |