Membrane amniotic barrier 4x4cm-q4163-cost per sq cm at MercyOne Centerville Medical Center

1 Saint Joseph Dr, Centerville, IA · MercyOne · · NPI 1356391635

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$934.33

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$934.33

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$67.33 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $245.37 with CRIME VICTIM ASSISTANCE — 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 →

Payer
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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
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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 $67.33 ↓ -93%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $67.57 ↓ -93%
MOLINA MEDICAID MOLINA MEDICAID $68.57 ↓ -93%
WELLPOINT MEDICAID WELLPOINT MEDICAID $68.90 ↓ -93%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $70.42 ↓ -92%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $71.16 ↓ -92%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $71.87 ↓ -92%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $72.58 ↓ -92%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $73.93 ↓ -92%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $75.43 ↓ -92%
AMISH HOSPITAL AID AMISH HOSPITAL AID $94.64 ↓ -90%
AMBETTER AMBETTER MARKETPLACE $119.54 ↓ -87%
CLAIMDOC CLAIMDOC $143.03 ↓ -85%
NOVA CLAIMDOC $143.03 ↓ -85%
HEALTH CHOICES MEDICAL ASSOCIATES $187.46 ↓ -80%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $187.46 ↓ -80%
UNITED HEALTHCARE UNITED HEALTHCARE $214.70 ↓ -77%
GEHA UNITED HEALTHCARE $214.70 ↓ -77%
ALLIED BENEFIT SYSTEMS AETNA $229.91 ↓ -75%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $229.91 ↓ -75%
WEBTPA AETNA $229.91 ↓ -75%
ASR HEALTH BENEFITS AETNA $229.91 ↓ -75%
AETNA AETNA $229.91 ↓ -75%
CHRISTIAN BROTHER SERVICES AETNA $229.91 ↓ -75%
AETNA DOMESTIC AETNA $229.91 ↓ -75%
AETNA EAP AETNA $229.91 ↓ -75%
COVENTRY AETNA $229.91 ↓ -75%
FIRST HEALTH AETNA $229.91 ↓ -75%
LUCENT HEALTH AETNA $229.91 ↓ -75%
LUMINARE HEALTH AETNA $229.91 ↓ -75%
MEDICAL MUTUAL AETNA $229.91 ↓ -75%
MERITAIN AETNA $229.91 ↓ -75%
1199 NATIONAL BENEFIT FUND AETNA $229.91 ↓ -75%
HEALTH PARTNERS HEALTH PARTNERS $236.05 ↓ -75%
MIDLANDS MIDLANDS CHOICE PPO $240.46 ↓ -74%
AUXIANT MIDLANDS CHOICE PPO $240.46 ↓ -74%
CIGNA MIDLANDS CHOICE PPO $240.46 ↓ -74%
CIGNA EAP MIDLANDS CHOICE PPO $240.46 ↓ -74%
MEDICA MIDLANDS CHOICE PPO $240.46 ↓ -74%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $240.46 ↓ -74%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $245.37 ↓ -74%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $245.37 ↓ -74%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $245.37 ↓ -74%

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Membrane amniotic barrier 4x4cm-q4163-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $607.31 $87.60 – $245.37
MercyOne New Hampton Medical Center New Hampton $756.44 $100.89 – $254.84
MercyOne Dyersville Medical Center Dyersville $607.31 $92.75 – $276.19
MercyOne Clinton Medical Center Clinton $607.31 $69.44 – $245.37
MercyOne Oelwein Medical Center Oelwein $607.31 $93.78 – $245.37
MercyOne Cedar Falls Medical Center Cedar Falls $607.31 $57.66 – $245.37
MercyOne Elkader Medical Center Elkader $607.31 $126.29 – $256.46
MercyOne West Des Moines Medical Center West Des Moines $934.33 $49.32 – $245.37

All Iowa hospitals for this procedure →