Irinotecan 20 mg/ml intravenous solution (wrapper) at MercyOne Clinton Medical Center

1410 N. Fourth St, Clinton, IA · MercyOne · · NPI 1427093962

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

$522.90

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.

$522.90

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.

$18.10 with MEDICAL ASSOCIATES vs $63.95 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 →

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
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $18.10 ↓ -97%
HEALTH CHOICES MEDICAL ASSOCIATES $18.10 ↓ -97%
PREFERRED HEALTH CHOICE PREFERRED HEALTH CHOICES $18.48 ↓ -96%
GEHA UNITED HEALTHCARE $38.37 ↓ -93%
UNITED HEALTHCARE UNITED HEALTHCARE $38.37 ↓ -93%
THE ALLIANCE THE ALLIANCE $38.79 ↓ -93%
AETNA EAP AETNA $55.96 ↓ -89%
CHRISTIAN BROTHER SERVICES AETNA $55.96 ↓ -89%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $55.96 ↓ -89%
LUCENT HEALTH AETNA $55.96 ↓ -89%
AETNA AETNA $55.96 ↓ -89%
ASR HEALTH BENEFITS AETNA $55.96 ↓ -89%
1199 NATIONAL BENEFIT FUND AETNA $55.96 ↓ -89%
FIRST HEALTH AETNA $55.96 ↓ -89%
AETNA DOMESTIC AETNA $55.96 ↓ -89%
COVENTRY AETNA $55.96 ↓ -89%
ALLIED BENEFIT SYSTEMS AETNA $55.96 ↓ -89%
MERITAIN AETNA $55.96 ↓ -89%
WEBTPA AETNA $55.96 ↓ -89%
MEDICAL MUTUAL AETNA $55.96 ↓ -89%
LUMINARE HEALTH AETNA $55.96 ↓ -89%
HEALTH PARTNERS HEALTH PARTNERS $56.08 ↓ -89%
CIGNA MIDLANDS CHOICE PPO $57.56 ↓ -89%
CIGNA EAP MIDLANDS CHOICE PPO $57.56 ↓ -89%
AUXIANT MIDLANDS CHOICE PPO $57.56 ↓ -89%
QUALCARE QCCH $57.56 ↓ -89%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $57.56 ↓ -89%
MULTIPLAN MULTIPLAN $57.56 ↓ -89%
MEDICA MIDLANDS CHOICE PPO $57.56 ↓ -89%
MIDLANDS MIDLANDS CHOICE PPO $57.56 ↓ -89%
USA MANAGED CARE USA MANAGED CARE $60.75 ↓ -88%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $63.95 ↓ -88%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $63.95 ↓ -88%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $63.95 ↓ -88%

Visitor-reported prices

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Irinotecan 20 mg/ml intravenous solution (wrapper) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $1,060.36 not published
MercyOne Dubuque Medical Center Dubuque $522.90 $22.83 – $63.95
MercyOne New Hampton Medical Center New Hampton $522.90 $25.32 – $63.95
MercyOne Dyersville Medical Center Dyersville $522.90 $24.17 – $71.98
MercyOne Oelwein Medical Center Oelwein $522.90 $24.44 – $63.95
MercyOne Cedar Falls Medical Center Cedar Falls $522.90 $15.03 – $63.95
MercyOne Elkader Medical Center Elkader $522.90 $32.92 – $66.84
MercyOne West Des Moines Medical Center West Des Moines $522.90 $12.85 – $63.95

All Iowa hospitals for this procedure →