Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-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

$414.05

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.

$637.00

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.

$59.28 with IOWA TOTAL CARE vs $305.89 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 $59.28 ↓ -86%
MOLINA MEDICAID MOLINA MEDICAID $59.86 ↓ -86%
WELLPOINT MEDICAID WELLPOINT MEDICAID $60.10 ↓ -85%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $61.18 ↓ -85%
PREFERRED HEALTH CHOICE PREFERRED HEALTH CHOICES $109.20 ↓ -74%
HEALTH CHOICES MEDICAL ASSOCIATES $111.96 ↓ -73%
CENTIVO CENTIVO $115.01 ↓ -72%
OSCAR OSCAR $116.24 ↓ -72%
UNITED HEALTHCARE UNITED HEALTHCARE $152.95 ↓ -63%
GEHA UNITED HEALTHCARE $152.95 ↓ -63%
MIDLANDS CHOICE MIDLANDS CHOICE EAGLE WINDOW AND DOOR $177.42 ↓ -57%
WPS WISCONSIN PHYSICIAN SERVICES $183.23 ↓ -56%
CLAIMDOC CLAIMDOC $183.53 ↓ -56%
NOVA CLAIMDOC $183.53 ↓ -56%
THE ALLIANCE THE ALLIANCE $184.79 ↓ -55%
MHNET MENTAL HEALTH ASSOCIATES $244.71 ↓ -41%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $253.89 ↓ -39%
AETNA EAP AETNA $255.42 ↓ -38%
LUMINARE HEALTH AETNA $255.42 ↓ -38%
CHRISTIAN BROTHER SERVICES AETNA $255.42 ↓ -38%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $255.42 ↓ -38%
LUCENT HEALTH AETNA $255.42 ↓ -38%
AETNA AETNA $255.42 ↓ -38%
ASR HEALTH BENEFITS AETNA $255.42 ↓ -38%
1199 NATIONAL BENEFIT FUND AETNA $255.42 ↓ -38%
FIRST HEALTH AETNA $255.42 ↓ -38%
AETNA DOMESTIC AETNA $255.42 ↓ -38%
COVENTRY AETNA $255.42 ↓ -38%
ALLIED BENEFIT SYSTEMS AETNA $255.42 ↓ -38%
MERITAIN AETNA $255.42 ↓ -38%
WEBTPA AETNA $255.42 ↓ -38%
MEDICAL MUTUAL AETNA $255.42 ↓ -38%
CIGNA EAP MIDLANDS CHOICE PPO $275.30 ↓ -34%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $275.30 ↓ -34%
AUXIANT MIDLANDS CHOICE PPO $275.30 ↓ -34%
MEDICA MIDLANDS CHOICE PPO $275.30 ↓ -34%
CIGNA MIDLANDS CHOICE PPO $275.30 ↓ -34%
MIDLANDS MIDLANDS CHOICE PPO $275.30 ↓ -34%
MULTIPLAN MULTIPLAN $275.30 ↓ -34%
UNITY UNITY HMO $275.30 ↓ -34%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $305.89 ↓ -26%
STEPHENSON CTY HEALTH STEPHENSON COUNTY HEALTH $305.89 ↓ -26%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $305.89 ↓ -26%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $305.89 ↓ -26%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Finley Hospital Dubuque $277.60 $136.20 – $331.72
MercyOne Genesis Davenport West Medical Center Davenport $2,767.80 not published
MercyOne New Hampton Medical Center New Hampton $515.72 $125.78 – $317.70
MercyOne Dyersville Medical Center Dyersville $414.05 $115.63 – $344.31
MercyOne Clinton Medical Center Clinton $414.05 $59.28 – $305.89
MercyOne Oelwein Medical Center Oelwein $3,657.34 $116.91 – $305.89
MercyOne Cedar Falls Medical Center Cedar Falls $414.05 $53.04 – $305.89
MercyOne Elkader Medical Center Elkader $414.05 $157.44 – $319.72

All Iowa hospitals for this procedure →