Allograft allowrap 4x4cm dry 16sqcm 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

$424.66

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.

$653.33

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.

$87.63 with HEALTH CHOICES vs $260.94 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 $87.63 ↓ -79%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $128.50 ↓ -70%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $131.12 ↓ -69%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $132.42 ↓ -69%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $134.85 ↓ -68%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $137.61 ↓ -68%
THE ALLIANCE THE ALLIANCE $140.99 ↓ -67%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $143.13 ↓ -66%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $160.79 ↓ -62%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $162.27 ↓ -62%
MOLINA MEDICAID MOLINA MEDICAID $163.15 ↓ -62%
WELLPOINT MEDICAID WELLPOINT MEDICAID $163.94 ↓ -61%
AMISH HOSPITAL AID AMISH HOSPITAL AID $172.66 ↓ -59%
AETNA DOMESTIC AETNA $191.72 ↓ -55%
LUMINARE HEALTH AETNA $191.72 ↓ -55%
CHRISTIAN BROTHER SERVICES AETNA $191.72 ↓ -55%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $191.72 ↓ -55%
AETNA AETNA $191.72 ↓ -55%
ASR HEALTH BENEFITS AETNA $191.72 ↓ -55%
1199 NATIONAL BENEFIT FUND AETNA $191.72 ↓ -55%
FIRST HEALTH AETNA $191.72 ↓ -55%
COVENTRY AETNA $191.72 ↓ -55%
ALLIED BENEFIT SYSTEMS AETNA $191.72 ↓ -55%
MERITAIN AETNA $191.72 ↓ -55%
WEBTPA AETNA $191.72 ↓ -55%
MEDICAL MUTUAL AETNA $191.72 ↓ -55%
AETNA EAP AETNA $191.72 ↓ -55%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $208.64 ↓ -51%
MULTIPLAN MULTIPLAN $208.64 ↓ -51%
AUXIANT MIDLANDS CHOICE PPO $208.64 ↓ -51%
MIDLANDS MIDLANDS CHOICE PPO $208.64 ↓ -51%
UNITED HEALTHCARE UNITED HEALTHCARE $208.64 ↓ -51%
CIGNA EAP MIDLANDS CHOICE PPO $208.64 ↓ -51%
GEHA UNITED HEALTHCARE $208.64 ↓ -51%
MEDICA MIDLANDS CHOICE PPO $208.64 ↓ -51%
CIGNA MIDLANDS CHOICE PPO $208.64 ↓ -51%
AMBETTER AMBETTER MARKETPLACE $218.10 ↓ -49%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $231.82 ↓ -45%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $231.82 ↓ -45%
NOVA CLAIMDOC $260.94 ↓ -39%
CLAIMDOC CLAIMDOC $260.94 ↓ -39%

Visitor-reported prices

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Allograft allowrap 4x4cm dry 16sqcm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $424.66 $44.93 – $231.82
MercyOne New Hampton Medical Center New Hampton $528.94 $95.32 – $240.77
MercyOne Clinton Medical Center Clinton $424.66 $44.93 – $231.82
MercyOne Oelwein Medical Center Oelwein $424.66 $88.60 – $231.82
MercyOne Cedar Falls Medical Center Cedar Falls $424.66 $40.20 – $231.82
MercyOne Elkader Medical Center Elkader $424.66 $119.32 – $242.30
MercyOne West Des Moines Medical Center West Des Moines $653.33 $37.83 – $231.82
MercyOne Des Moines Medical Center Des Moines $424.66 $37.83 – $231.82

All Iowa hospitals for this procedure →