Pt evaluation low complexity patient/family at MercyOne Clinton Medical Center
1410 N. Fourth St, Clinton, IA · MercyOne · · NPI 1427093962
$178.10
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.
$274.00
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.
$74.80 with IOWA TOTAL CARE vs $461.00 with GEHA — 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 | $74.80 | ↓ -58% |
| MOLINA MEDICAID | MOLINA MEDICAID | $75.53 | ↓ -58% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $75.82 | ↓ -57% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $77.54 | ↓ -56% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $77.54 | ↓ -56% |
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $79.19 | ↓ -56% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $92.33 | ↓ -48% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $92.33 | ↓ -48% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $92.33 | ↓ -48% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $93.25 | ↓ -48% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $94.17 | ↓ -47% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $96.09 | ↓ -46% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $125.30 | ↓ -30% |
| OSCAR | OSCAR | $128.52 | ↓ -28% |
| AMBETTER | AMBETTER MARKETPLACE | $158.27 | ↓ -11% |
| THE ALLIANCE | THE ALLIANCE | $166.18 | ↓ -7% |
| CLAIMDOC | CLAIMDOC | $189.36 | ↑ +6% |
| NOVA | CLAIMDOC | $189.36 | ↑ +6% |
| AETNA | AETNA | $239.75 | ↑ +35% |
| LUCENT HEALTH | AETNA | $239.75 | ↑ +35% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $239.75 | ↑ +35% |
| CHRISTIAN BROTHER SERVICES | AETNA | $239.75 | ↑ +35% |
| COVENTRY | AETNA | $239.75 | ↑ +35% |
| ALLIED BENEFIT SYSTEMS | AETNA | $239.75 | ↑ +35% |
| MERITAIN | AETNA | $239.75 | ↑ +35% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $239.75 | ↑ +35% |
| LUMINARE HEALTH | AETNA | $239.75 | ↑ +35% |
| FIRST HEALTH | AETNA | $239.75 | ↑ +35% |
| ASR HEALTH BENEFITS | AETNA | $239.75 | ↑ +35% |
| AETNA EAP | AETNA | $239.75 | ↑ +35% |
| AETNA DOMESTIC | AETNA | $239.75 | ↑ +35% |
| MEDICAL MUTUAL | AETNA | $239.75 | ↑ +35% |
| WEBTPA | AETNA | $239.75 | ↑ +35% |
| HEALTH PARTNERS | HEALTH PARTNERS | $240.30 | ↑ +35% |
| MIDLANDS | MIDLANDS CHOICE PPO | $246.60 | ↑ +38% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $246.60 | ↑ +38% |
| QUALCARE | QCCH | $246.60 | ↑ +38% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $246.60 | ↑ +38% |
| AUXIANT | MIDLANDS CHOICE PPO | $246.60 | ↑ +38% |
| MEDICA | MIDLANDS CHOICE PPO | $246.60 | ↑ +38% |
| CIGNA | MIDLANDS CHOICE PPO | $246.60 | ↑ +38% |
| MULTIPLAN | MULTIPLAN | $246.60 | ↑ +38% |
| USA MANAGED CARE | USA MANAGED CARE | $260.30 | ↑ +46% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $274.00 | ↑ +54% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $274.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $274.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $461.00 | ↑ +159% |
| GEHA | UNITED HEALTHCARE | $461.00 | ↑ +159% |
Visitor-reported prices
Comments
Pt evaluation low complexity patient/family at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $222.00 | $126.19 – $126.19 |
| MercyOne Dubuque Medical Center | Dubuque | $195.65 | $74.80 – $301.00 |
| MercyOne New Hampton Medical Center | New Hampton | $222.95 | $135.79 – $343.00 |
| MercyOne Dyersville Medical Center | Dyersville | $222.95 | $129.65 – $386.08 |
| MercyOne Oelwein Medical Center | Oelwein | $222.95 | $131.09 – $343.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $395.20 | $74.80 – $608.00 |
| MercyOne Elkader Medical Center | Elkader | $222.95 | $176.54 – $358.50 |
| MercyOne West Des Moines Medical Center | West Des Moines | $407.00 | $74.80 – $407.00 |