healthcosts.net
Established Patient Office Visit (level 5) at MercyOne Dyersville Medical Center
1111 Third St. SW, Dyersville, IA · MercyOne · · NPI 1205816725
$235.30
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.
$362.00
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.
$88.83 with IOWA DEPT OF PUBLIC HEALTH vs $407.47 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 →
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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 DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $88.83 | ↓ -62% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $136.84 | ↓ -42% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $200.66 | ↓ -15% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $204.75 | ↓ -13% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $206.77 | ↓ -12% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $210.58 | ↓ -11% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $214.88 | ↓ -9% |
| THE ALLIANCE | THE ALLIANCE | $220.17 | ↓ -6% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $223.50 | ↓ -5% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $251.08 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $253.40 | ↑ +8% |
| MOLINA MEDICAID | MOLINA MEDICAID | $254.78 | ↑ +8% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $256.01 | ↑ +9% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $269.62 | ↑ +15% |
| WEBTPA | AETNA | $299.37 | ↑ +27% |
| COVENTRY | AETNA | $299.37 | ↑ +27% |
| ALLIED BENEFIT SYSTEMS | AETNA | $299.37 | ↑ +27% |
| LUMINARE HEALTH | AETNA | $299.37 | ↑ +27% |
| ASR HEALTH BENEFITS | AETNA | $299.37 | ↑ +27% |
| CHRISTIAN BROTHER SERVICES | AETNA | $299.37 | ↑ +27% |
| FIRST HEALTH | AETNA | $299.37 | ↑ +27% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $299.37 | ↑ +27% |
| AETNA | AETNA | $299.37 | ↑ +27% |
| MERITAIN | AETNA | $299.37 | ↑ +27% |
| MEDICAL MUTUAL | AETNA | $299.37 | ↑ +27% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $299.37 | ↑ +27% |
| AETNA DOMESTIC | AETNA | $299.37 | ↑ +27% |
| AETNA EAP | AETNA | $299.37 | ↑ +27% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $325.80 | ↑ +38% |
| GEHA | UNITED HEALTHCARE | $325.80 | ↑ +38% |
| MIDLANDS | MIDLANDS CHOICE PPO | $325.80 | ↑ +38% |
| AUXIANT | MIDLANDS CHOICE PPO | $325.80 | ↑ +38% |
| MEDICA | MIDLANDS CHOICE PPO | $325.80 | ↑ +38% |
| CIGNA | MIDLANDS CHOICE PPO | $325.80 | ↑ +38% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $325.80 | ↑ +38% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $325.80 | ↑ +38% |
| MULTIPLAN | MULTIPLAN | $325.80 | ↑ +38% |
| AMBETTER | AMBETTER MARKETPLACE | $340.57 | ↑ +45% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $362.00 | ↑ +54% |
| NOVA | CLAIMDOC | $407.47 | ↑ +73% |
| CLAIMDOC | CLAIMDOC | $407.47 | ↑ +73% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $265.60 | $131.48 – $272.53 |
| UnityPoint Health - Allen Hospital | Waterloo | $265.60 | $131.48 – $272.53 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $181.20 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $307.00 | $66.77 – $306.00 |
| MercyOne New Hampton Medical Center | New Hampton | $1,023.75 | $65.37 – $362.00 |
| MercyOne Clinton Medical Center | Clinton | $307.00 | $65.37 – $307.00 |
| MercyOne Oelwein Medical Center | Oelwein | $235.30 | $88.83 – $362.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $307.00 | $76.90 – $306.00 |