healthcosts.net
Prolng off/op e/m ea 15 min 99417 at MercyOne Genesis DeWitt Medical Center
1118 11th Street, DeWitt, IA · MercyOne · · NPI 1407938269
$57.00
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.
$95.00
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.
$69.35 with UHC vs $2,679.00 with Wellmark — 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 |
|---|---|---|---|
| UHC | All Products | $69.35 | ↑ +22% |
| Wellmark | All Products | $928.00 | ↑ +1528% |
| Naphcare | All Products | $2,679.00 | ↑ +4600% |
| Wellmark | Medicare Advantage | $2,679.00 | ↑ +4600% |
Visitor-reported prices
Comments
Prolng off/op e/m ea 15 min 99417 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $54.00 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $79.00 | $16.83 – $82.00 |
| MercyOne Clinton Medical Center | Clinton | $79.00 | $16.83 – $79.00 |
| MercyOne Des Moines Medical Center | Des Moines | $156.00 | $16.83 – $240.00 |
| MercyOne North Iowa Medical Center | Mason City | $79.00 | $18.71 – $79.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $57.00 | not published |
| MercyOne Waterloo Medical Center | Waterloo | $79.00 | $16.83 – $79.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $61.60 | $28.01 – $73.42 |