Brace back vista 464 tlso 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

$475.16

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.

$731.02

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.

$190.91 with HEALTH CHOICES vs $568.47 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 $190.91 ↓ -60%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $279.94 ↓ -41%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $285.65 ↓ -40%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $288.48 ↓ -39%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $293.78 ↓ -38%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $299.79 ↓ -37%
THE ALLIANCE THE ALLIANCE $307.17 ↓ -35%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $311.81 ↓ -34%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $350.30 ↓ -26%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $353.53 ↓ -26%
MOLINA MEDICAID MOLINA MEDICAID $355.45 ↓ -25%
WELLPOINT MEDICAID WELLPOINT MEDICAID $357.16 ↓ -25%
AMISH HOSPITAL AID AMISH HOSPITAL AID $376.15 ↓ -21%
1199 NATIONAL BENEFIT FUND AETNA $417.67 ↓ -12%
AETNA AETNA $417.67 ↓ -12%
AETNA DOMESTIC AETNA $417.67 ↓ -12%
AETNA EAP AETNA $417.67 ↓ -12%
ALLIED BENEFIT SYSTEMS AETNA $417.67 ↓ -12%
ASR HEALTH BENEFITS AETNA $417.67 ↓ -12%
CHRISTIAN BROTHER SERVICES AETNA $417.67 ↓ -12%
COVENTRY AETNA $417.67 ↓ -12%
FIRST HEALTH AETNA $417.67 ↓ -12%
LUMINARE HEALTH AETNA $417.67 ↓ -12%
MEDICAL MUTUAL AETNA $417.67 ↓ -12%
MERITAIN AETNA $417.67 ↓ -12%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $417.67 ↓ -12%
WEBTPA AETNA $417.67 ↓ -12%
GEHA UNITED HEALTHCARE $454.54 ↓ -4%
MIDLANDS MIDLANDS CHOICE PPO $454.54 ↓ -4%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $454.54 ↓ -4%
AUXIANT MIDLANDS CHOICE PPO $454.54 ↓ -4%
UNITED HEALTHCARE UNITED HEALTHCARE $454.54 ↓ -4%
CIGNA EAP MIDLANDS CHOICE PPO $454.54 ↓ -4%
MEDICA MIDLANDS CHOICE PPO $454.54 ↓ -4%
CIGNA MIDLANDS CHOICE PPO $454.54 ↓ -4%
MULTIPLAN MULTIPLAN $454.54 ↓ -4%
AMBETTER AMBETTER MARKETPLACE $475.14 ↓ -0%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $505.04 ↑ +6%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $505.04 ↑ +6%
NOVA CLAIMDOC $568.47 ↑ +20%
CLAIMDOC CLAIMDOC $568.47 ↑ +20%

Visitor-reported prices

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Brace back vista 464 tlso at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $475.16 $97.88 – $505.04
MercyOne New Hampton Medical Center New Hampton $591.84 $249.04 – $629.06
MercyOne Clinton Medical Center Clinton $475.16 $97.88 – $505.04
MercyOne Oelwein Medical Center Oelwein $475.16 $193.03 – $505.04
MercyOne Cedar Falls Medical Center Cedar Falls $475.16 $87.57 – $505.04
MercyOne Elkader Medical Center Elkader $475.16 $259.94 – $527.87
MercyOne West Des Moines Medical Center West Des Moines $731.02 $82.42 – $505.04
MercyOne Des Moines Medical Center Des Moines $475.16 $82.42 – $505.04

All Iowa hospitals for this procedure →