healthcosts.net
Shoulder MRI (with contrast) at MercyOne Dubuque Medical Center
250 Mercy Drive, Dubuque, IA · MercyOne · · NPI 1659348506
$5,309.20
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.
$8,168.00
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.
$703.29 with IOWA TOTAL CARE vs $5,445.00 with IOWA DEPT OF PUBLIC 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 | $703.29 | ↓ -87% |
| MOLINA MEDICAID | MOLINA MEDICAID | $710.18 | ↓ -87% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $712.94 | ↓ -87% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $763.69 | ↓ -86% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $763.69 | ↓ -86% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $763.69 | ↓ -86% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $771.33 | ↓ -85% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $778.96 | ↓ -85% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $787.07 | ↓ -85% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $794.86 | ↓ -85% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $1,036.44 | ↓ -80% |
| OSCAR | OSCAR | $1,063.09 | ↓ -80% |
| CENTIVO | CENTIVO | $1,220.35 | ↓ -77% |
| AMBETTER | AMBETTER MARKETPLACE | $1,309.18 | ↓ -75% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $1,399.00 | ↓ -74% |
| NOVA | CLAIMDOC | $1,566.34 | ↓ -70% |
| CLAIMDOC | CLAIMDOC | $1,566.34 | ↓ -70% |
| GEHA | UNITED HEALTHCARE | $1,666.69 | ↓ -69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,666.69 | ↓ -69% |
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $1,943.87 | ↓ -63% |
| MIDLANDS CHOICE | MIDLANDS CHOICE EAGLE WINDOW AND DOOR | $3,158.10 | ↓ -41% |
| WPS | WISCONSIN PHYSICIAN SERVICES | $3,261.56 | ↓ -39% |
| THE ALLIANCE | THE ALLIANCE | $3,289.32 | ↓ -38% |
| MHNET | MENTAL HEALTH ASSOCIATES | $4,356.00 | ↓ -18% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $4,519.35 | ↓ -15% |
| WEBTPA | AETNA | $4,546.58 | ↓ -14% |
| COVENTRY | AETNA | $4,546.58 | ↓ -14% |
| ALLIED BENEFIT SYSTEMS | AETNA | $4,546.58 | ↓ -14% |
| LUCENT HEALTH | AETNA | $4,546.58 | ↓ -14% |
| LUMINARE HEALTH | AETNA | $4,546.58 | ↓ -14% |
| ASR HEALTH BENEFITS | AETNA | $4,546.58 | ↓ -14% |
| CHRISTIAN BROTHER SERVICES | AETNA | $4,546.58 | ↓ -14% |
| FIRST HEALTH | AETNA | $4,546.58 | ↓ -14% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $4,546.58 | ↓ -14% |
| AETNA | AETNA | $4,546.58 | ↓ -14% |
| MERITAIN | AETNA | $4,546.58 | ↓ -14% |
| MEDICAL MUTUAL | AETNA | $4,546.58 | ↓ -14% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $4,546.58 | ↓ -14% |
| AETNA DOMESTIC | AETNA | $4,546.58 | ↓ -14% |
| AETNA EAP | AETNA | $4,546.58 | ↓ -14% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $4,900.50 | ↓ -8% |
| MIDLANDS | MIDLANDS CHOICE PPO | $4,900.50 | ↓ -8% |
| AUXIANT | MIDLANDS CHOICE PPO | $4,900.50 | ↓ -8% |
| MEDICA | MIDLANDS CHOICE PPO | $4,900.50 | ↓ -8% |
| UNITY | UNITY HMO | $4,900.50 | ↓ -8% |
| CIGNA | MIDLANDS CHOICE PPO | $4,900.50 | ↓ -8% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $4,900.50 | ↓ -8% |
| MULTIPLAN | MULTIPLAN | $4,900.50 | ↓ -8% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $5,445.00 | ↑ +3% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $5,445.00 | ↑ +3% |
| STEPHENSON CTY HEALTH | STEPHENSON COUNTY HEALTH | $5,445.00 | ↑ +3% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $5,445.00 | ↑ +3% |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Finley Hospital | Dubuque | $2,238.76 | $71.16 – $2,238.75 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $3,564.64 | $71.16 – $1,310.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,635.18 | $71.16 – $1,077.17 |
| MercyOne Clinton Medical Center | Clinton | $3,125.85 | $721.88 – $3,206.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $7,315.10 | $738.54 – $7,502.00 |
| MercyOne Des Moines Medical Center | Des Moines | $6,268.60 | $739.93 – $6,429.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,205.00 | $756.26 – $1,058.77 |
| MercyOne West Des Moines Medical Center | West Des Moines | $9,717.00 | $739.93 – $6,477.00 |