Allograft graftjacket 2x12cm-q4107-cost per sq cm 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

$238.13

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.

$366.35

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.

$38.76 with IOWA TOTAL CARE vs $200.01 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 $38.76 ↓ -84%
MOLINA MEDICAID MOLINA MEDICAID $39.14 ↓ -84%
WELLPOINT MEDICAID WELLPOINT MEDICAID $39.29 ↓ -84%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $40.00 ↓ -83%
PREFERRED HEALTH CHOICE PREFERRED HEALTH CHOICES $71.40 ↓ -70%
HEALTH CHOICES MEDICAL ASSOCIATES $73.20 ↓ -69%
CENTIVO CENTIVO $75.20 ↓ -68%
OSCAR OSCAR $76.00 ↓ -68%
UNITED HEALTHCARE UNITED HEALTHCARE $100.01 ↓ -58%
GEHA UNITED HEALTHCARE $100.01 ↓ -58%
MIDLANDS CHOICE MIDLANDS CHOICE EAGLE WINDOW AND DOOR $116.01 ↓ -51%
WPS WISCONSIN PHYSICIAN SERVICES $119.81 ↓ -50%
CLAIMDOC CLAIMDOC $120.01 ↓ -50%
NOVA CLAIMDOC $120.01 ↓ -50%
THE ALLIANCE THE ALLIANCE $120.83 ↓ -49%
MHNET MENTAL HEALTH ASSOCIATES $160.01 ↓ -33%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $166.01 ↓ -30%
AETNA EAP AETNA $167.01 ↓ -30%
LUMINARE HEALTH AETNA $167.01 ↓ -30%
CHRISTIAN BROTHER SERVICES AETNA $167.01 ↓ -30%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $167.01 ↓ -30%
LUCENT HEALTH AETNA $167.01 ↓ -30%
AETNA AETNA $167.01 ↓ -30%
ASR HEALTH BENEFITS AETNA $167.01 ↓ -30%
1199 NATIONAL BENEFIT FUND AETNA $167.01 ↓ -30%
FIRST HEALTH AETNA $167.01 ↓ -30%
AETNA DOMESTIC AETNA $167.01 ↓ -30%
COVENTRY AETNA $167.01 ↓ -30%
ALLIED BENEFIT SYSTEMS AETNA $167.01 ↓ -30%
MERITAIN AETNA $167.01 ↓ -30%
WEBTPA AETNA $167.01 ↓ -30%
MEDICAL MUTUAL AETNA $167.01 ↓ -30%
CIGNA EAP MIDLANDS CHOICE PPO $180.01 ↓ -24%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $180.01 ↓ -24%
AUXIANT MIDLANDS CHOICE PPO $180.01 ↓ -24%
MEDICA MIDLANDS CHOICE PPO $180.01 ↓ -24%
CIGNA MIDLANDS CHOICE PPO $180.01 ↓ -24%
MIDLANDS MIDLANDS CHOICE PPO $180.01 ↓ -24%
MULTIPLAN MULTIPLAN $180.01 ↓ -24%
UNITY UNITY HMO $180.01 ↓ -24%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $200.01 ↓ -16%
STEPHENSON CTY HEALTH STEPHENSON COUNTY HEALTH $200.01 ↓ -16%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $200.01 ↓ -16%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $200.01 ↓ -16%

Visitor-reported prices

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Allograft graftjacket 2x12cm-q4107-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Finley Hospital Dubuque not published $34.99 – $169.44
MercyOne New Hampton Medical Center New Hampton $292.91 $82.24 – $207.73
MercyOne Dyersville Medical Center Dyersville $238.13 $75.60 – $225.13
MercyOne Clinton Medical Center Clinton $238.13 $38.76 – $200.01
MercyOne Oelwein Medical Center Oelwein $238.13 $76.44 – $200.01
MercyOne Cedar Falls Medical Center Cedar Falls $239.77 $34.68 – $200.01
MercyOne Elkader Medical Center Elkader $238.13 $102.95 – $209.05
MercyOne West Des Moines Medical Center West Des Moines $366.35 $32.64 – $200.01

All Iowa hospitals for this procedure →