Epidural/lumbar/sacral/ea add level64484 at MercyOne Centerville Medical Center
1 Saint Joseph Dr, Centerville, IA · MercyOne · · NPI 1356391635
$5,418.00
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.
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What you pay up front if you don't use insurance.
$5,418.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$991.13 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $3,612.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 | $991.13 | ↓ -82% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $994.74 | ↓ -82% |
| MOLINA MEDICAID | MOLINA MEDICAID | $1,009.37 | ↓ -81% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $1,014.25 | ↓ -81% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $1,036.64 | ↓ -81% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $1,047.48 | ↓ -81% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $1,057.95 | ↓ -80% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1,068.43 | ↓ -80% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $1,088.30 | ↓ -80% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $1,110.33 | ↓ -80% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $1,393.15 | ↓ -74% |
| AMBETTER | AMBETTER MARKETPLACE | $1,759.77 | ↓ -68% |
| NOVA | CLAIMDOC | $2,105.43 | ↓ -61% |
| CLAIMDOC | CLAIMDOC | $2,105.43 | ↓ -61% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $2,759.57 | ↓ -49% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $2,759.57 | ↓ -49% |
| GEHA | UNITED HEALTHCARE | $3,160.50 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,160.50 | ↓ -42% |
| COVENTRY | AETNA | $3,384.44 | ↓ -38% |
| ALLIED BENEFIT SYSTEMS | AETNA | $3,384.44 | ↓ -38% |
| MERITAIN | AETNA | $3,384.44 | ↓ -38% |
| LUCENT HEALTH | AETNA | $3,384.44 | ↓ -38% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $3,384.44 | ↓ -38% |
| FIRST HEALTH | AETNA | $3,384.44 | ↓ -38% |
| AETNA DOMESTIC | AETNA | $3,384.44 | ↓ -38% |
| ASR HEALTH BENEFITS | AETNA | $3,384.44 | ↓ -38% |
| AETNA | AETNA | $3,384.44 | ↓ -38% |
| CHRISTIAN BROTHER SERVICES | AETNA | $3,384.44 | ↓ -38% |
| LUMINARE HEALTH | AETNA | $3,384.44 | ↓ -38% |
| WEBTPA | AETNA | $3,384.44 | ↓ -38% |
| MEDICAL MUTUAL | AETNA | $3,384.44 | ↓ -38% |
| AETNA EAP | AETNA | $3,384.44 | ↓ -38% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $3,384.44 | ↓ -38% |
| HEALTH PARTNERS | HEALTH PARTNERS | $3,474.74 | ↓ -36% |
| MEDICA | MIDLANDS CHOICE PPO | $3,539.76 | ↓ -35% |
| CIGNA | MIDLANDS CHOICE PPO | $3,539.76 | ↓ -35% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $3,539.76 | ↓ -35% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $3,539.76 | ↓ -35% |
| MIDLANDS | MIDLANDS CHOICE PPO | $3,539.76 | ↓ -35% |
| AUXIANT | MIDLANDS CHOICE PPO | $3,539.76 | ↓ -35% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $3,612.00 | ↓ -33% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $3,612.00 | ↓ -33% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $3,612.00 | ↓ -33% |
Visitor-reported prices
Comments
Epidural/lumbar/sacral/ea add level64484 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $490.80 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $410.00 | $27.90 – $161.62 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,695.20 | $408.67 – $3,576.15 |
| MercyOne Des Moines Medical Center | Des Moines | $6,992.00 | $277.18 – $1,717.13 |
| MercyOne Newton Medical Center | Newton | $3,521.70 | $2,347.80 – $3,612.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $567.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $567.00 | $305.87 – $321.30 |
| MercyOne Waterloo Medical Center | Waterloo | $9,356.95 | $27.90 – $3,576.15 |