Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at MercyOne Dubuque Medical Center

250 Mercy Drive, Dubuque, IA · MercyOne · · NPI 1659348506

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

$3,961.09

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.

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What you pay up front if you don't use insurance.

$6,093.98

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.

$22.05 with IOWA TOTAL CARE vs $113.80 with CRIME VICTIM ASSISTANCE — 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
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $22.05 ↓ -99%
MOLINA MEDICAID MOLINA MEDICAID $22.27 ↓ -99%
WELLPOINT MEDICAID WELLPOINT MEDICAID $22.36 ↓ -99%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $22.76 ↓ -99%
PREFERRED HEALTH CHOICE PREFERRED HEALTH CHOICES $40.63 ↓ -99%
HEALTH CHOICES MEDICAL ASSOCIATES $41.65 ↓ -99%
CENTIVO CENTIVO $42.79 ↓ -99%
OSCAR OSCAR $43.24 ↓ -99%
UNITED HEALTHCARE UNITED HEALTHCARE $56.90 ↓ -99%
GEHA UNITED HEALTHCARE $56.90 ↓ -99%
MIDLANDS CHOICE MIDLANDS CHOICE EAGLE WINDOW AND DOOR $66.00 ↓ -98%
WPS WISCONSIN PHYSICIAN SERVICES $68.17 ↓ -98%
CLAIMDOC CLAIMDOC $68.28 ↓ -98%
NOVA CLAIMDOC $68.28 ↓ -98%
THE ALLIANCE THE ALLIANCE $68.75 ↓ -98%
MHNET MENTAL HEALTH ASSOCIATES $91.04 ↓ -98%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $94.45 ↓ -98%
AETNA EAP AETNA $95.02 ↓ -98%
LUMINARE HEALTH AETNA $95.02 ↓ -98%
CHRISTIAN BROTHER SERVICES AETNA $95.02 ↓ -98%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $95.02 ↓ -98%
LUCENT HEALTH AETNA $95.02 ↓ -98%
AETNA AETNA $95.02 ↓ -98%
ASR HEALTH BENEFITS AETNA $95.02 ↓ -98%
1199 NATIONAL BENEFIT FUND AETNA $95.02 ↓ -98%
FIRST HEALTH AETNA $95.02 ↓ -98%
AETNA DOMESTIC AETNA $95.02 ↓ -98%
COVENTRY AETNA $95.02 ↓ -98%
ALLIED BENEFIT SYSTEMS AETNA $95.02 ↓ -98%
MERITAIN AETNA $95.02 ↓ -98%
WEBTPA AETNA $95.02 ↓ -98%
MEDICAL MUTUAL AETNA $95.02 ↓ -98%
CIGNA EAP MIDLANDS CHOICE PPO $102.42 ↓ -97%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $102.42 ↓ -97%
AUXIANT MIDLANDS CHOICE PPO $102.42 ↓ -97%
MEDICA MIDLANDS CHOICE PPO $102.42 ↓ -97%
CIGNA MIDLANDS CHOICE PPO $102.42 ↓ -97%
MIDLANDS MIDLANDS CHOICE PPO $102.42 ↓ -97%
MULTIPLAN MULTIPLAN $102.42 ↓ -97%
UNITY UNITY HMO $102.42 ↓ -97%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $113.80 ↓ -97%
STEPHENSON CTY HEALTH STEPHENSON COUNTY HEALTH $113.80 ↓ -97%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $113.80 ↓ -97%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $113.80 ↓ -97%

Visitor-reported prices

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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $12,402.00 not published
MercyOne New Hampton Medical Center New Hampton $3,763.50 $53.48 – $135.08
MercyOne Dyersville Medical Center Dyersville $3,961.09 $43.02 – $128.09
MercyOne Clinton Medical Center Clinton $3,961.09 $22.05 – $113.80
MercyOne Oelwein Medical Center Oelwein $3,961.09 $43.49 – $113.80
MercyOne Cedar Falls Medical Center Cedar Falls $3,961.09 $19.73 – $113.80
MercyOne Elkader Medical Center Elkader $3,961.09 $58.57 – $118.94
MercyOne West Des Moines Medical Center West Des Moines $6,093.98 $18.57 – $113.80

All Iowa hospitals for this procedure →