Clamp isol transpolr 5mmx6.5cm transpolar 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

$15,050.75

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.

$23,155.00

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.

$13.10 with HEALTH CHOICES vs $39.00 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 $13.10 ↓ -100%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $19.21 ↓ -100%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $19.60 ↓ -100%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $19.79 ↓ -100%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $20.16 ↓ -100%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $20.57 ↓ -100%
THE ALLIANCE THE ALLIANCE $21.07 ↓ -100%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $21.39 ↓ -100%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $24.03 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $24.26 ↓ -100%
MOLINA MEDICAID MOLINA MEDICAID $24.39 ↓ -100%
WELLPOINT MEDICAID WELLPOINT MEDICAID $24.50 ↓ -100%
AMISH HOSPITAL AID AMISH HOSPITAL AID $25.81 ↓ -100%
AETNA DOMESTIC AETNA $28.66 ↓ -100%
LUMINARE HEALTH AETNA $28.66 ↓ -100%
CHRISTIAN BROTHER SERVICES AETNA $28.66 ↓ -100%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $28.66 ↓ -100%
AETNA AETNA $28.66 ↓ -100%
ASR HEALTH BENEFITS AETNA $28.66 ↓ -100%
1199 NATIONAL BENEFIT FUND AETNA $28.66 ↓ -100%
FIRST HEALTH AETNA $28.66 ↓ -100%
COVENTRY AETNA $28.66 ↓ -100%
ALLIED BENEFIT SYSTEMS AETNA $28.66 ↓ -100%
MERITAIN AETNA $28.66 ↓ -100%
WEBTPA AETNA $28.66 ↓ -100%
MEDICAL MUTUAL AETNA $28.66 ↓ -100%
AETNA EAP AETNA $28.66 ↓ -100%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $31.19 ↓ -100%
MULTIPLAN MULTIPLAN $31.19 ↓ -100%
AUXIANT MIDLANDS CHOICE PPO $31.19 ↓ -100%
MIDLANDS MIDLANDS CHOICE PPO $31.19 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE $31.19 ↓ -100%
CIGNA EAP MIDLANDS CHOICE PPO $31.19 ↓ -100%
GEHA UNITED HEALTHCARE $31.19 ↓ -100%
MEDICA MIDLANDS CHOICE PPO $31.19 ↓ -100%
CIGNA MIDLANDS CHOICE PPO $31.19 ↓ -100%
AMBETTER AMBETTER MARKETPLACE $32.60 ↓ -100%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $34.65 ↓ -100%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $34.65 ↓ -100%
NOVA CLAIMDOC $39.00 ↓ -100%
CLAIMDOC CLAIMDOC $39.00 ↓ -100%

Visitor-reported prices

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Clamp isol transpolr 5mmx6.5cm transpolar at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $9,450.00 not published
MercyOne Dubuque Medical Center Dubuque $15,050.75 $12.37 – $34.65
MercyOne New Hampton Medical Center New Hampton $14,300.00 $10.97 – $27.72
MercyOne Clinton Medical Center Clinton $15,050.75 $9.81 – $34.65
MercyOne Oelwein Medical Center Oelwein $15,050.75 $13.24 – $34.65
MercyOne Cedar Falls Medical Center Cedar Falls $15,050.75 $8.14 – $34.65
MercyOne Elkader Medical Center Elkader $15,050.75 $17.83 – $36.22
MercyOne West Des Moines Medical Center West Des Moines $23,155.00 $6.96 – $34.65

All Iowa hospitals for this procedure →