Membrane amniotic barrier 4x4cm-q4163-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

$607.31

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.

Full explanation →

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

$934.33

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.

$87.60 with PREFERRED HEALTH CHOICE vs $245.37 with UNITED HEALTHCARE — 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
PREFERRED HEALTH CHOICE PREFERRED HEALTH CHOICES $87.60 ↓ -86%
HEALTH CHOICES MEDICAL ASSOCIATES $89.81 ↓ -85%
UNITED HEALTHCARE UNITED HEALTHCARE $122.69 ↓ -80%
GEHA UNITED HEALTHCARE $122.69 ↓ -80%
MIDLANDS CHOICE MIDLANDS CHOICE EAGLE WINDOW AND DOOR $142.31 ↓ -77%
WPS WISCONSIN PHYSICIAN SERVICES $146.98 ↓ -76%
THE ALLIANCE THE ALLIANCE $148.23 ↓ -76%
MHNET MENTAL HEALTH ASSOCIATES $196.30 ↓ -68%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $203.66 ↓ -66%
LUCENT HEALTH AETNA $204.88 ↓ -66%
LUMINARE HEALTH AETNA $204.88 ↓ -66%
MEDICAL MUTUAL AETNA $204.88 ↓ -66%
MERITAIN AETNA $204.88 ↓ -66%
1199 NATIONAL BENEFIT FUND AETNA $204.88 ↓ -66%
AETNA AETNA $204.88 ↓ -66%
AETNA DOMESTIC AETNA $204.88 ↓ -66%
AETNA EAP AETNA $204.88 ↓ -66%
ALLIED BENEFIT SYSTEMS AETNA $204.88 ↓ -66%
ASR HEALTH BENEFITS AETNA $204.88 ↓ -66%
CHRISTIAN BROTHER SERVICES AETNA $204.88 ↓ -66%
COVENTRY AETNA $204.88 ↓ -66%
FIRST HEALTH AETNA $204.88 ↓ -66%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $204.88 ↓ -66%
WEBTPA AETNA $204.88 ↓ -66%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $220.83 ↓ -64%
MULTIPLAN MULTIPLAN $220.83 ↓ -64%
CIGNA MIDLANDS CHOICE PPO $220.83 ↓ -64%
UNITY UNITY HMO $220.83 ↓ -64%
MIDLANDS MIDLANDS CHOICE PPO $220.83 ↓ -64%
MEDICA MIDLANDS CHOICE PPO $220.83 ↓ -64%
AUXIANT MIDLANDS CHOICE PPO $220.83 ↓ -64%
CIGNA EAP MIDLANDS CHOICE PPO $220.83 ↓ -64%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $245.37 ↓ -60%
STEPHENSON CTY HEALTH STEPHENSON COUNTY HEALTH $245.37 ↓ -60%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $245.37 ↓ -60%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $245.37 ↓ -60%

Visitor-reported prices

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Membrane amniotic barrier 4x4cm-q4163-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Finley Hospital Dubuque not published $163.04 – $276.46
MercyOne New Hampton Medical Center New Hampton $756.44 $100.89 – $254.84
MercyOne Dyersville Medical Center Dyersville $607.31 $92.75 – $276.19
MercyOne Clinton Medical Center Clinton $607.31 $69.44 – $245.37
MercyOne Oelwein Medical Center Oelwein $607.31 $93.78 – $245.37
MercyOne Cedar Falls Medical Center Cedar Falls $607.31 $57.66 – $245.37
MercyOne Elkader Medical Center Elkader $607.31 $126.29 – $256.46
MercyOne West Des Moines Medical Center West Des Moines $934.33 $49.32 – $245.37

All Iowa hospitals for this procedure →