healthcosts.net
Blood Count (CBC) Test (without differential) at MercyOne Clinton Medical Center
1410 N. Fourth St, Clinton, IA · MercyOne · · NPI 1427093962
$70.85
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.
$109.00
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.
$6.27 with IOWA TOTAL CARE vs $109.00 with CRIME VICTIM ASSISTANCE — 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 |
|---|---|---|---|
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $6.27 | ↓ -91% |
| MOLINA MEDICAID | MOLINA MEDICAID | $6.33 | ↓ -91% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $6.34 | ↓ -91% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $6.34 | ↓ -91% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $6.34 | ↓ -91% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $6.36 | ↓ -91% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $6.40 | ↓ -91% |
| GEHA | UNITED HEALTHCARE | $6.47 | ↓ -91% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $6.47 | ↓ -91% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $6.47 | ↓ -91% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $6.47 | ↓ -91% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $6.60 | ↓ -91% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $8.61 | ↓ -88% |
| OSCAR | OSCAR | $8.83 | ↓ -88% |
| AMBETTER | AMBETTER MARKETPLACE | $10.87 | ↓ -85% |
| NOVA | CLAIMDOC | $13.00 | ↓ -82% |
| CLAIMDOC | CLAIMDOC | $13.00 | ↓ -82% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $30.85 | ↓ -56% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $30.85 | ↓ -56% |
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $31.50 | ↓ -56% |
| THE ALLIANCE | THE ALLIANCE | $66.11 | ↓ -7% |
| WEBTPA | AETNA | $95.38 | ↑ +35% |
| COVENTRY | AETNA | $95.38 | ↑ +35% |
| ALLIED BENEFIT SYSTEMS | AETNA | $95.38 | ↑ +35% |
| LUCENT HEALTH | AETNA | $95.38 | ↑ +35% |
| LUMINARE HEALTH | AETNA | $95.38 | ↑ +35% |
| ASR HEALTH BENEFITS | AETNA | $95.38 | ↑ +35% |
| CHRISTIAN BROTHER SERVICES | AETNA | $95.38 | ↑ +35% |
| FIRST HEALTH | AETNA | $95.38 | ↑ +35% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $95.38 | ↑ +35% |
| AETNA | AETNA | $95.38 | ↑ +35% |
| MERITAIN | AETNA | $95.38 | ↑ +35% |
| MEDICAL MUTUAL | AETNA | $95.38 | ↑ +35% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $95.38 | ↑ +35% |
| AETNA DOMESTIC | AETNA | $95.38 | ↑ +35% |
| AETNA EAP | AETNA | $95.38 | ↑ +35% |
| HEALTH PARTNERS | HEALTH PARTNERS | $95.59 | ↑ +35% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $98.10 | ↑ +38% |
| MIDLANDS | MIDLANDS CHOICE PPO | $98.10 | ↑ +38% |
| AUXIANT | MIDLANDS CHOICE PPO | $98.10 | ↑ +38% |
| MEDICA | MIDLANDS CHOICE PPO | $98.10 | ↑ +38% |
| CIGNA | MIDLANDS CHOICE PPO | $98.10 | ↑ +38% |
| QUALCARE | QCCH | $98.10 | ↑ +38% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $98.10 | ↑ +38% |
| MULTIPLAN | MULTIPLAN | $98.10 | ↑ +38% |
| USA MANAGED CARE | USA MANAGED CARE | $103.55 | ↑ +46% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $109.00 | ↑ +54% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $109.00 | ↑ +54% |
Visitor-reported prices
Comments
Blood Count (CBC) Test (without differential) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $33.57 | $3.88 – $12.34 |
| UnityPoint Health - Allen Hospital | Waterloo | $33.57 | $3.88 – $22.11 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $357.60 | $6.47 – $6.47 |
| MercyOne New Hampton Medical Center | New Hampton | $56.55 | $6.47 – $87.00 |
| MercyOne Dyersville Medical Center | Dyersville | $56.55 | $6.47 – $97.93 |
| MercyOne Elkader Medical Center | Elkader | $618.00 | $6.47 – $90.93 |
| MercyOne Newton Medical Center | Newton | $605.00 | $6.27 – $87.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $398.40 | not published |