Pt re-evaluation patient/family at MercyOne Clinton Medical Center
1410 N. Fourth St, Clinton, IA · MercyOne · · NPI 1427093962
$175.50
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.
$270.00
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.
$50.60 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 | $50.60 | ↓ -71% |
| MOLINA MEDICAID | MOLINA MEDICAID | $51.10 | ↓ -71% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $51.30 | ↓ -71% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $63.32 | ↓ -64% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $63.32 | ↓ -64% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $63.32 | ↓ -64% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $63.95 | ↓ -64% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $64.58 | ↓ -63% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $65.90 | ↓ -62% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $76.41 | ↓ -56% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $76.41 | ↓ -56% |
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $78.03 | ↓ -56% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $85.93 | ↓ -51% |
| OSCAR | OSCAR | $88.14 | ↓ -50% |
| AMBETTER | AMBETTER MARKETPLACE | $108.54 | ↓ -38% |
| CLAIMDOC | CLAIMDOC | $129.87 | ↓ -26% |
| NOVA | CLAIMDOC | $129.87 | ↓ -26% |
| THE ALLIANCE | THE ALLIANCE | $163.76 | ↓ -7% |
| AETNA | AETNA | $236.25 | ↑ +35% |
| LUCENT HEALTH | AETNA | $236.25 | ↑ +35% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $236.25 | ↑ +35% |
| CHRISTIAN BROTHER SERVICES | AETNA | $236.25 | ↑ +35% |
| COVENTRY | AETNA | $236.25 | ↑ +35% |
| ALLIED BENEFIT SYSTEMS | AETNA | $236.25 | ↑ +35% |
| MERITAIN | AETNA | $236.25 | ↑ +35% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $236.25 | ↑ +35% |
| LUMINARE HEALTH | AETNA | $236.25 | ↑ +35% |
| FIRST HEALTH | AETNA | $236.25 | ↑ +35% |
| ASR HEALTH BENEFITS | AETNA | $236.25 | ↑ +35% |
| AETNA EAP | AETNA | $236.25 | ↑ +35% |
| AETNA DOMESTIC | AETNA | $236.25 | ↑ +35% |
| MEDICAL MUTUAL | AETNA | $236.25 | ↑ +35% |
| WEBTPA | AETNA | $236.25 | ↑ +35% |
| HEALTH PARTNERS | HEALTH PARTNERS | $236.79 | ↑ +35% |
| MIDLANDS | MIDLANDS CHOICE PPO | $243.00 | ↑ +38% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $243.00 | ↑ +38% |
| QUALCARE | QCCH | $243.00 | ↑ +38% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $243.00 | ↑ +38% |
| AUXIANT | MIDLANDS CHOICE PPO | $243.00 | ↑ +38% |
| MEDICA | MIDLANDS CHOICE PPO | $243.00 | ↑ +38% |
| CIGNA | MIDLANDS CHOICE PPO | $243.00 | ↑ +38% |
| MULTIPLAN | MULTIPLAN | $243.00 | ↑ +38% |
| USA MANAGED CARE | USA MANAGED CARE | $256.50 | ↑ +46% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $270.00 | ↑ +54% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $270.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $270.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $461.00 | ↑ +163% |
| GEHA | UNITED HEALTHCARE | $461.00 | ↑ +163% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $222.00 | $86.04 – $86.04 |
| MercyOne Dubuque Medical Center | Dubuque | $91.00 | $49.98 – $231.00 |
| MercyOne New Hampton Medical Center | New Hampton | $162.50 | $98.98 – $250.00 |
| MercyOne Oelwein Medical Center | Oelwein | $162.50 | $95.55 – $250.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $266.50 | $50.60 – $410.00 |
| MercyOne Elkader Medical Center | Elkader | $162.50 | $128.68 – $261.30 |
| MercyOne West Des Moines Medical Center | West Des Moines | $179.00 | $35.98 – $189.00 |
| MercyOne Des Moines Medical Center | Des Moines | $1,320.00 | $35.98 – $189.00 |