Exc thigh/knee les sc<3cm 27327 at MercyOne Centerville Medical Center
1 Saint Joseph Dr, Centerville, IA · MercyOne · · NPI 1356391635
$5,760.00
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.
$5,760.00
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.
$1,053.70 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $3,840.00 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 | $1,053.70 | ↓ -82% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $1,057.54 | ↓ -82% |
| MOLINA MEDICAID | MOLINA MEDICAID | $1,073.09 | ↓ -81% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $1,078.27 | ↓ -81% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $1,102.08 | ↓ -81% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $1,113.60 | ↓ -81% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $1,124.74 | ↓ -80% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1,135.87 | ↓ -80% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $1,156.99 | ↓ -80% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $1,180.42 | ↓ -80% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $1,481.09 | ↓ -74% |
| AMBETTER | AMBETTER MARKETPLACE | $1,870.85 | ↓ -68% |
| NOVA | CLAIMDOC | $2,238.34 | ↓ -61% |
| CLAIMDOC | CLAIMDOC | $2,238.34 | ↓ -61% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $2,933.76 | ↓ -49% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $2,933.76 | ↓ -49% |
| GEHA | UNITED HEALTHCARE | $3,360.00 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,360.00 | ↓ -42% |
| COVENTRY | AETNA | $3,598.08 | ↓ -38% |
| ALLIED BENEFIT SYSTEMS | AETNA | $3,598.08 | ↓ -38% |
| MERITAIN | AETNA | $3,598.08 | ↓ -38% |
| LUCENT HEALTH | AETNA | $3,598.08 | ↓ -38% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $3,598.08 | ↓ -38% |
| FIRST HEALTH | AETNA | $3,598.08 | ↓ -38% |
| AETNA DOMESTIC | AETNA | $3,598.08 | ↓ -38% |
| ASR HEALTH BENEFITS | AETNA | $3,598.08 | ↓ -38% |
| AETNA | AETNA | $3,598.08 | ↓ -38% |
| CHRISTIAN BROTHER SERVICES | AETNA | $3,598.08 | ↓ -38% |
| LUMINARE HEALTH | AETNA | $3,598.08 | ↓ -38% |
| WEBTPA | AETNA | $3,598.08 | ↓ -38% |
| MEDICAL MUTUAL | AETNA | $3,598.08 | ↓ -38% |
| AETNA EAP | AETNA | $3,598.08 | ↓ -38% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $3,598.08 | ↓ -38% |
| HEALTH PARTNERS | HEALTH PARTNERS | $3,694.08 | ↓ -36% |
| MEDICA | MIDLANDS CHOICE PPO | $3,763.20 | ↓ -35% |
| CIGNA | MIDLANDS CHOICE PPO | $3,763.20 | ↓ -35% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $3,763.20 | ↓ -35% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $3,763.20 | ↓ -35% |
| MIDLANDS | MIDLANDS CHOICE PPO | $3,763.20 | ↓ -35% |
| AUXIANT | MIDLANDS CHOICE PPO | $3,763.20 | ↓ -35% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $3,840.00 | ↓ -33% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $3,840.00 | ↓ -33% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $3,840.00 | ↓ -33% |
Visitor-reported prices
Comments
Exc thigh/knee les sc<3cm 27327 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $810.60 | not published |
| MercyOne Des Moines Medical Center | Des Moines | $3,744.00 | $90.79 – $3,840.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $851.40 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $851.40 | $928.00 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $1,799.86 | $90.79 – $725.94 |
| UnityPoint Health - Allen Hospital | Waterloo | $2,369.60 | $284.18 – $1,342.97 |
| UnityPoint Health - Finley Hospital | Dubuque | $2,369.60 | $284.18 – $1,424.56 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $2,369.60 | $284.18 – $1,612.08 |