Athrectomy fem/pop/unilateral 37225 at MercyOne Clinton Medical Center
1410 N. Fourth St, Clinton, IA · MercyOne · · NPI 1427093962
$29,589.95
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.
$45,523.00
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.
$5,881.44 with IOWA TOTAL CARE vs $30,348.00 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 |
|---|---|---|---|
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $5,881.44 | ↓ -80% |
| MOLINA MEDICAID | MOLINA MEDICAID | $5,939.10 | ↓ -80% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $5,962.17 | ↓ -80% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $6,069.60 | ↓ -79% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $8,588.48 | ↓ -71% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $8,588.48 | ↓ -71% |
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $8,770.57 | ↓ -70% |
| OSCAR | OSCAR | $11,532.24 | ↓ -61% |
| NOVA | CLAIMDOC | $18,208.80 | ↓ -38% |
| CLAIMDOC | CLAIMDOC | $18,208.80 | ↓ -38% |
| THE ALLIANCE | THE ALLIANCE | $18,406.06 | ↓ -38% |
| AETNA EAP | AETNA | $26,554.50 | ↓ -10% |
| LUMINARE HEALTH | AETNA | $26,554.50 | ↓ -10% |
| CHRISTIAN BROTHER SERVICES | AETNA | $26,554.50 | ↓ -10% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $26,554.50 | ↓ -10% |
| LUCENT HEALTH | AETNA | $26,554.50 | ↓ -10% |
| AETNA | AETNA | $26,554.50 | ↓ -10% |
| ASR HEALTH BENEFITS | AETNA | $26,554.50 | ↓ -10% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $26,554.50 | ↓ -10% |
| FIRST HEALTH | AETNA | $26,554.50 | ↓ -10% |
| AETNA DOMESTIC | AETNA | $26,554.50 | ↓ -10% |
| COVENTRY | AETNA | $26,554.50 | ↓ -10% |
| ALLIED BENEFIT SYSTEMS | AETNA | $26,554.50 | ↓ -10% |
| MERITAIN | AETNA | $26,554.50 | ↓ -10% |
| WEBTPA | AETNA | $26,554.50 | ↓ -10% |
| MEDICAL MUTUAL | AETNA | $26,554.50 | ↓ -10% |
| HEALTH PARTNERS | HEALTH PARTNERS | $26,615.20 | ↓ -10% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $27,313.20 | ↓ -8% |
| QUALCARE | QCCH | $27,313.20 | ↓ -8% |
| CIGNA | MIDLANDS CHOICE PPO | $27,313.20 | ↓ -8% |
| MIDLANDS | MIDLANDS CHOICE PPO | $27,313.20 | ↓ -8% |
| AUXIANT | MIDLANDS CHOICE PPO | $27,313.20 | ↓ -8% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $27,313.20 | ↓ -8% |
| MEDICA | MIDLANDS CHOICE PPO | $27,313.20 | ↓ -8% |
| MULTIPLAN | MULTIPLAN | $27,313.20 | ↓ -8% |
| USA MANAGED CARE | USA MANAGED CARE | $28,830.60 | ↓ -3% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $30,348.00 | ↑ +3% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $30,348.00 | ↑ +3% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $30,348.00 | ↑ +3% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $12,251.40 | $13,272.35 – $17,188.53 |
| MercyOne Dubuque Medical Center | Dubuque | $18,251.35 | $3,627.74 – $18,719.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $33,115.00 | $3,602.80 – $22,076.00 |
| MercyOne Des Moines Medical Center | Des Moines | $58,330.75 | $9.09 – $9,370.00 |
| MercyOne North Iowa Medical Center | Mason City | $73,534.54 | $4.56 – $49,728.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $13,636.20 | $14,772.55 – $17,188.53 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $963.00 | $928.00 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $54,692.80 | $510.05 – $17,485.12 |