healthcosts.net
Knee MRI (with and without contrast) at MercyOne Clinton Medical Center
1410 N. Fourth St, Clinton, IA · MercyOne · · NPI 1427093962
$2,603.90
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.
$4,006.00
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.
$255.10 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $2,670.00 with IOWA DEPT OF PUBLIC HEALTH — 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 |
|---|---|---|---|
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $255.10 | ↓ -90% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $321.26 | ↓ -88% |
| MOLINA MEDICAID | MOLINA MEDICAID | $324.41 | ↓ -88% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $325.67 | ↓ -87% |
| BLUE CROSS - WY | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - MI | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - OK | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - VT | WELLMARK PPO | $356.43 | ↓ -86% |
| BCN DOMESTIC | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - TX | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - FEDERAL | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - AZ | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - RI | WELLMARK PPO | $356.43 | ↓ -86% |
| PRE-EMPLOYMENT | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - NC | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - SC | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CARE NETWORK | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $356.43 | ↓ -86% |
| BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - MT | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - KS | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - FL | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - LA | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS DOMESTIC | WELLMARK PPO | $356.43 | ↓ -86% |
| WC DOMESTIC | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE SHIELD - CA | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - IL | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - TN | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - AR | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - NE | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - MS | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - MA | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - AL | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - ND | WELLMARK PPO | $356.43 | ↓ -86% |
| KAISER DOMESTIC | WELLMARK PPO | $356.43 | ↓ -86% |
| BCBS GENERIC | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - MN | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - HI | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - ID | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $356.43 | ↓ -86% |
| BLUE CROSS - NM | WELLMARK PPO | $356.43 | ↓ -86% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $364.00 | ↓ -86% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $364.00 | ↓ -86% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $364.00 | ↓ -86% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $371.28 | ↓ -86% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $378.86 | ↓ -85% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $494.00 | ↓ -81% |
| OSCAR | OSCAR | $506.70 | ↓ -81% |
| AMBETTER | AMBETTER MARKETPLACE | $624.00 | ↓ -76% |
| NOVA | CLAIMDOC | $746.57 | ↓ -71% |
| CLAIMDOC | CLAIMDOC | $746.57 | ↓ -71% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $755.61 | ↓ -71% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $755.61 | ↓ -71% |
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $771.63 | ↓ -70% |
| GEHA | UNITED HEALTHCARE | $828.97 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $828.97 | ↓ -68% |
| THE ALLIANCE | THE ALLIANCE | $1,619.36 | ↓ -38% |
| WEBTPA | AETNA | $2,336.25 | ↓ -10% |
| COVENTRY | AETNA | $2,336.25 | ↓ -10% |
| ALLIED BENEFIT SYSTEMS | AETNA | $2,336.25 | ↓ -10% |
| LUCENT HEALTH | AETNA | $2,336.25 | ↓ -10% |
| LUMINARE HEALTH | AETNA | $2,336.25 | ↓ -10% |
| ASR HEALTH BENEFITS | AETNA | $2,336.25 | ↓ -10% |
| CHRISTIAN BROTHER SERVICES | AETNA | $2,336.25 | ↓ -10% |
| FIRST HEALTH | AETNA | $2,336.25 | ↓ -10% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $2,336.25 | ↓ -10% |
| AETNA | AETNA | $2,336.25 | ↓ -10% |
| MERITAIN | AETNA | $2,336.25 | ↓ -10% |
| MEDICAL MUTUAL | AETNA | $2,336.25 | ↓ -10% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $2,336.25 | ↓ -10% |
| AETNA DOMESTIC | AETNA | $2,336.25 | ↓ -10% |
| AETNA EAP | AETNA | $2,336.25 | ↓ -10% |
| HEALTH PARTNERS | HEALTH PARTNERS | $2,341.59 | ↓ -10% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $2,403.00 | ↓ -8% |
| MIDLANDS | MIDLANDS CHOICE PPO | $2,403.00 | ↓ -8% |
| AUXIANT | MIDLANDS CHOICE PPO | $2,403.00 | ↓ -8% |
| MEDICA | MIDLANDS CHOICE PPO | $2,403.00 | ↓ -8% |
| CIGNA | MIDLANDS CHOICE PPO | $2,403.00 | ↓ -8% |
| QUALCARE | QCCH | $2,403.00 | ↓ -8% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $2,403.00 | ↓ -8% |
| MULTIPLAN | MULTIPLAN | $2,403.00 | ↓ -8% |
| USA MANAGED CARE | USA MANAGED CARE | $2,536.50 | ↓ -3% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $2,670.00 | ↑ +3% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $2,670.00 | ↑ +3% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $2,670.00 | ↑ +3% |
Visitor-reported prices
Comments
Knee MRI (with and without contrast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $4,166.61 | $94.35 – $1,531.23 |
| UnityPoint Health - Allen Hospital | Waterloo | $3,784.96 | $94.35 – $2,493.34 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,514.00 | $341.85 – $478.59 |
| MercyOne Dubuque Medical Center | Dubuque | $5,265.65 | $312.99 – $5,400.00 |
| MercyOne New Hampton Medical Center | New Hampton | $4,938.70 | $2,026.00 – $5,065.00 |
| MercyOne Oelwein Medical Center | Oelwein | $4,938.70 | $1,935.84 – $5,065.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $9,209.20 | $255.10 – $9,445.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $6,996.00 | $255.10 – $4,664.00 |