Oth resp proc, group at MercyOne Dubuque Medical Center
250 Mercy Drive, Dubuque, IA · MercyOne · · NPI 1659348506
$146.25
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.
$225.00
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.
$33.51 with IOWA TOTAL CARE vs $225.00 with STEPHENSON CTY HEALTH — 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 |
|---|---|---|---|
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $33.51 | ↓ -77% |
| MOLINA MEDICAID | MOLINA MEDICAID | $33.83 | ↓ -77% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $33.97 | ↓ -77% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $36.39 | ↓ -75% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $36.39 | ↓ -75% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $36.39 | ↓ -75% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $36.75 | ↓ -75% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $37.11 | ↓ -75% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $37.50 | ↓ -74% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $37.87 | ↓ -74% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $49.38 | ↓ -66% |
| OSCAR | OSCAR | $50.65 | ↓ -65% |
| CENTIVO | CENTIVO | $58.15 | ↓ -60% |
| AMBETTER | AMBETTER MARKETPLACE | $62.38 | ↓ -57% |
| CLAIMDOC | CLAIMDOC | $74.63 | ↓ -49% |
| NOVA | CLAIMDOC | $74.63 | ↓ -49% |
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $80.33 | ↓ -45% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $82.35 | ↓ -44% |
| MIDLANDS CHOICE | MIDLANDS CHOICE EAGLE WINDOW AND DOOR | $130.50 | ↓ -11% |
| WPS | WISCONSIN PHYSICIAN SERVICES | $134.78 | ↓ -8% |
| THE ALLIANCE | THE ALLIANCE | $135.92 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $137.00 | ↓ -6% |
| GEHA | UNITED HEALTHCARE | $137.00 | ↓ -6% |
| MHNET | MENTAL HEALTH ASSOCIATES | $180.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $186.75 | ↑ +28% |
| AETNA DOMESTIC | AETNA | $187.88 | ↑ +28% |
| COVENTRY | AETNA | $187.88 | ↑ +28% |
| ALLIED BENEFIT SYSTEMS | AETNA | $187.88 | ↑ +28% |
| MERITAIN | AETNA | $187.88 | ↑ +28% |
| FIRST HEALTH | AETNA | $187.88 | ↑ +28% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $187.88 | ↑ +28% |
| ASR HEALTH BENEFITS | AETNA | $187.88 | ↑ +28% |
| AETNA | AETNA | $187.88 | ↑ +28% |
| LUCENT HEALTH | AETNA | $187.88 | ↑ +28% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $187.88 | ↑ +28% |
| CHRISTIAN BROTHER SERVICES | AETNA | $187.88 | ↑ +28% |
| LUMINARE HEALTH | AETNA | $187.88 | ↑ +28% |
| WEBTPA | AETNA | $187.88 | ↑ +28% |
| MEDICAL MUTUAL | AETNA | $187.88 | ↑ +28% |
| AETNA EAP | AETNA | $187.88 | ↑ +28% |
| MEDICA | MIDLANDS CHOICE PPO | $202.50 | ↑ +38% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $202.50 | ↑ +38% |
| UNITY | UNITY HMO | $202.50 | ↑ +38% |
| MULTIPLAN | MULTIPLAN | $202.50 | ↑ +38% |
| CIGNA | MIDLANDS CHOICE PPO | $202.50 | ↑ +38% |
| MIDLANDS | MIDLANDS CHOICE PPO | $202.50 | ↑ +38% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $202.50 | ↑ +38% |
| AUXIANT | MIDLANDS CHOICE PPO | $202.50 | ↑ +38% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $225.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $225.00 | ↑ +54% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $225.00 | ↑ +54% |
| STEPHENSON CTY HEALTH | STEPHENSON COUNTY HEALTH | $225.00 | ↑ +54% |
Visitor-reported prices
Comments
Oth resp proc, group at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Finley Hospital | Dubuque | $191.87 | $11.67 – $191.86 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $139.80 | $37.57 – $52.60 |
| MercyOne Des Moines Medical Center | Des Moines | $253.50 | $35.25 – $390.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $124.20 | $37.57 – $52.60 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $108.60 | $61.54 – $132.13 |
| UnityPoint Health - Allen Hospital | Waterloo | $228.75 | $11.67 – $150.69 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $158.07 | $11.67 – $79.62 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $318.32 | $11.67 – $116.98 |