healthcosts.net
Shoulder MRI (with and without contrast) at MercyOne Centerville Medical Center
1 Saint Joseph Dr, Centerville, IA · MercyOne · · NPI 1356391635
$9,476.00
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.
$9,476.00
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.
$1,733.38 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $6,317.00 with IOWA DEPT OF PUBLIC HEALTH — 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 | $1,733.38 | ↓ -82% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $1,739.70 | ↓ -82% |
| MOLINA MEDICAID | MOLINA MEDICAID | $1,765.29 | ↓ -81% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $1,773.81 | ↓ -81% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $1,812.98 | ↓ -81% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $1,831.93 | ↓ -81% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $1,850.25 | ↓ -80% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1,868.57 | ↓ -80% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $1,903.31 | ↓ -80% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $1,941.85 | ↓ -80% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $2,436.47 | ↓ -74% |
| AMBETTER | AMBETTER MARKETPLACE | $3,077.64 | ↓ -68% |
| NOVA | CLAIMDOC | $3,682.18 | ↓ -61% |
| CLAIMDOC | CLAIMDOC | $3,682.18 | ↓ -61% |
| GEHA | UNITED HEALTHCARE | $4,548.24 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,548.24 | ↓ -52% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $4,826.19 | ↓ -49% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $4,826.19 | ↓ -49% |
| WEBTPA | AETNA | $5,919.03 | ↓ -38% |
| COVENTRY | AETNA | $5,919.03 | ↓ -38% |
| ALLIED BENEFIT SYSTEMS | AETNA | $5,919.03 | ↓ -38% |
| LUCENT HEALTH | AETNA | $5,919.03 | ↓ -38% |
| LUMINARE HEALTH | AETNA | $5,919.03 | ↓ -38% |
| ASR HEALTH BENEFITS | AETNA | $5,919.03 | ↓ -38% |
| CHRISTIAN BROTHER SERVICES | AETNA | $5,919.03 | ↓ -38% |
| FIRST HEALTH | AETNA | $5,919.03 | ↓ -38% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $5,919.03 | ↓ -38% |
| AETNA | AETNA | $5,919.03 | ↓ -38% |
| MERITAIN | AETNA | $5,919.03 | ↓ -38% |
| MEDICAL MUTUAL | AETNA | $5,919.03 | ↓ -38% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $5,919.03 | ↓ -38% |
| AETNA DOMESTIC | AETNA | $5,919.03 | ↓ -38% |
| AETNA EAP | AETNA | $5,919.03 | ↓ -38% |
| HEALTH PARTNERS | HEALTH PARTNERS | $6,076.95 | ↓ -36% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $6,190.66 | ↓ -35% |
| MIDLANDS | MIDLANDS CHOICE PPO | $6,190.66 | ↓ -35% |
| AUXIANT | MIDLANDS CHOICE PPO | $6,190.66 | ↓ -35% |
| MEDICA | MIDLANDS CHOICE PPO | $6,190.66 | ↓ -35% |
| CIGNA | MIDLANDS CHOICE PPO | $6,190.66 | ↓ -35% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $6,190.66 | ↓ -35% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $6,317.00 | ↓ -33% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $6,317.00 | ↓ -33% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $6,317.00 | ↓ -33% |
Visitor-reported prices
Comments
Shoulder MRI (with and without contrast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $3,953.68 | $94.35 – $1,452.98 |
| MercyOne Dubuque Medical Center | Dubuque | $5,964.40 | $312.99 – $6,117.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $2,425.67 | $94.35 – $1,597.91 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $10,871.25 | $328.68 – $11,150.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $3,451.80 | $341.85 – $478.59 |
| MercyOne New Hampton Medical Center | New Hampton | $6,159.40 | $2,500.90 – $6,317.00 |
| MercyOne Clinton Medical Center | Clinton | $4,715.10 | $321.26 – $4,836.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $11,106.00 | $329.29 – $7,404.00 |