Adenosine 3 mg/250 ml bag for osm at MercyOne Dyersville Medical Center

1111 Third St. SW, Dyersville, IA · MercyOne · · NPI 1205816725

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$695.70

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.

$695.70

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.

$2.84 with HEALTH CHOICES vs $8.44 with CLAIMDOC — 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
HEALTH CHOICES MEDICAL ASSOCIATES $2.84 ↓ -100%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $4.16 ↓ -99%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $4.24 ↓ -99%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $4.28 ↓ -99%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $4.36 ↓ -99%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $4.45 ↓ -99%
THE ALLIANCE THE ALLIANCE $4.56 ↓ -99%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $4.63 ↓ -99%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $5.20 ↓ -99%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $5.25 ↓ -99%
MOLINA MEDICAID MOLINA MEDICAID $5.28 ↓ -99%
WELLPOINT MEDICAID WELLPOINT MEDICAID $5.30 ↓ -99%
AMISH HOSPITAL AID AMISH HOSPITAL AID $5.59 ↓ -99%
AETNA DOMESTIC AETNA $6.20 ↓ -99%
LUMINARE HEALTH AETNA $6.20 ↓ -99%
CHRISTIAN BROTHER SERVICES AETNA $6.20 ↓ -99%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $6.20 ↓ -99%
AETNA AETNA $6.20 ↓ -99%
ASR HEALTH BENEFITS AETNA $6.20 ↓ -99%
1199 NATIONAL BENEFIT FUND AETNA $6.20 ↓ -99%
FIRST HEALTH AETNA $6.20 ↓ -99%
COVENTRY AETNA $6.20 ↓ -99%
ALLIED BENEFIT SYSTEMS AETNA $6.20 ↓ -99%
MERITAIN AETNA $6.20 ↓ -99%
WEBTPA AETNA $6.20 ↓ -99%
MEDICAL MUTUAL AETNA $6.20 ↓ -99%
AETNA EAP AETNA $6.20 ↓ -99%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $6.75 ↓ -99%
MULTIPLAN MULTIPLAN $6.75 ↓ -99%
AUXIANT MIDLANDS CHOICE PPO $6.75 ↓ -99%
MIDLANDS MIDLANDS CHOICE PPO $6.75 ↓ -99%
UNITED HEALTHCARE UNITED HEALTHCARE $6.75 ↓ -99%
CIGNA EAP MIDLANDS CHOICE PPO $6.75 ↓ -99%
GEHA UNITED HEALTHCARE $6.75 ↓ -99%
MEDICA MIDLANDS CHOICE PPO $6.75 ↓ -99%
CIGNA MIDLANDS CHOICE PPO $6.75 ↓ -99%
AMBETTER AMBETTER MARKETPLACE $7.06 ↓ -99%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $7.50 ↓ -99%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $7.50 ↓ -99%
NOVA CLAIMDOC $8.44 ↓ -99%
CLAIMDOC CLAIMDOC $8.44 ↓ -99%

Visitor-reported prices

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Adenosine 3 mg/250 ml bag for osm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $590.89 not published
MercyOne Dubuque Medical Center Dubuque $695.70 $2.68 – $7.50
MercyOne New Hampton Medical Center New Hampton $695.70 $2.97 – $7.50
MercyOne Clinton Medical Center Clinton $695.70 $2.12 – $7.50
MercyOne Oelwein Medical Center Oelwein $695.70 $2.87 – $7.50
MercyOne Cedar Falls Medical Center Cedar Falls $695.70 $1.76 – $7.50
MercyOne Elkader Medical Center Elkader $695.70 $3.86 – $7.84
MercyOne West Des Moines Medical Center West Des Moines $695.70 $1.51 – $7.50

All Iowa hospitals for this procedure →