Ghs lac repair mouth.ant tong 2.5cm/less 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

$547.95

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.

$843.00

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.

$318.65 with HEALTH CHOICES vs $948.88 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 $318.65 ↓ -42%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $467.27 ↓ -15%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $476.80 ↓ -13%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $481.52 ↓ -12%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $490.37 ↓ -11%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $500.40 ↓ -9%
THE ALLIANCE THE ALLIANCE $512.71 ↓ -6%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $520.47 ↓ -5%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $584.70 ↑ +7%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $590.10 ↑ +8%
MOLINA MEDICAID MOLINA MEDICAID $593.30 ↑ +8%
WELLPOINT MEDICAID WELLPOINT MEDICAID $596.17 ↑ +9%
AMISH HOSPITAL AID AMISH HOSPITAL AID $627.87 ↑ +15%
AETNA DOMESTIC AETNA $697.16 ↑ +27%
LUMINARE HEALTH AETNA $697.16 ↑ +27%
CHRISTIAN BROTHER SERVICES AETNA $697.16 ↑ +27%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $697.16 ↑ +27%
AETNA AETNA $697.16 ↑ +27%
ASR HEALTH BENEFITS AETNA $697.16 ↑ +27%
1199 NATIONAL BENEFIT FUND AETNA $697.16 ↑ +27%
FIRST HEALTH AETNA $697.16 ↑ +27%
COVENTRY AETNA $697.16 ↑ +27%
ALLIED BENEFIT SYSTEMS AETNA $697.16 ↑ +27%
MERITAIN AETNA $697.16 ↑ +27%
WEBTPA AETNA $697.16 ↑ +27%
MEDICAL MUTUAL AETNA $697.16 ↑ +27%
AETNA EAP AETNA $697.16 ↑ +27%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $758.70 ↑ +38%
MULTIPLAN MULTIPLAN $758.70 ↑ +38%
AUXIANT MIDLANDS CHOICE PPO $758.70 ↑ +38%
MIDLANDS MIDLANDS CHOICE PPO $758.70 ↑ +38%
UNITED HEALTHCARE UNITED HEALTHCARE $758.70 ↑ +38%
CIGNA EAP MIDLANDS CHOICE PPO $758.70 ↑ +38%
GEHA UNITED HEALTHCARE $758.70 ↑ +38%
MEDICA MIDLANDS CHOICE PPO $758.70 ↑ +38%
CIGNA MIDLANDS CHOICE PPO $758.70 ↑ +38%
AMBETTER AMBETTER MARKETPLACE $793.09 ↑ +45%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $843.00 ↑ +54%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $843.00 ↑ +54%
NOVA CLAIMDOC $948.88 ↑ +73%
CLAIMDOC CLAIMDOC $948.88 ↑ +73%

Visitor-reported prices

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Ghs lac repair mouth.ant tong 2.5cm/less at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $468.60 $360.75 – $381.97
MercyOne Genesis Davenport Medical Center Davenport $492.00 $381.97 – $435.50
MercyOne Genesis DeWitt Medical Center DeWitt $492.00 $227.80 – $489.10
UnityPoint Health - Allen Hospital Waterloo $681.60 $137.97 – $354.54
UnityPoint Health - Finley Hospital Dubuque $681.60 $137.97 – $783.84
UnityPoint Health - Grinnell Regional Medical Center Grinnell $681.60 $86.89 – $397.03
UnityPoint Health - Iowa Lutheran Hospital Des Moines $681.60 $77.08 – $384.46
UnityPoint Health - Jones Regional Medical Center Anamosa $681.60 $123.27 – $301.23

All Iowa hospitals for this procedure →