Graft puraplyam antimicrob 1.6-q4196-cost per sq cm 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

$397.50

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.

$611.54

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.

$90.23 with HEALTH CHOICES vs $268.68 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 $90.23 ↓ -77%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $132.31 ↓ -67%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $135.01 ↓ -66%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $136.35 ↓ -66%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $138.85 ↓ -65%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $141.69 ↓ -64%
THE ALLIANCE THE ALLIANCE $145.18 ↓ -63%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $147.37 ↓ -63%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $165.56 ↓ -58%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $167.09 ↓ -58%
MOLINA MEDICAID MOLINA MEDICAID $168.00 ↓ -58%
WELLPOINT MEDICAID WELLPOINT MEDICAID $168.81 ↓ -58%
AMISH HOSPITAL AID AMISH HOSPITAL AID $177.78 ↓ -55%
AETNA DOMESTIC AETNA $197.40 ↓ -50%
LUMINARE HEALTH AETNA $197.40 ↓ -50%
CHRISTIAN BROTHER SERVICES AETNA $197.40 ↓ -50%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $197.40 ↓ -50%
AETNA AETNA $197.40 ↓ -50%
ASR HEALTH BENEFITS AETNA $197.40 ↓ -50%
1199 NATIONAL BENEFIT FUND AETNA $197.40 ↓ -50%
FIRST HEALTH AETNA $197.40 ↓ -50%
COVENTRY AETNA $197.40 ↓ -50%
ALLIED BENEFIT SYSTEMS AETNA $197.40 ↓ -50%
MERITAIN AETNA $197.40 ↓ -50%
WEBTPA AETNA $197.40 ↓ -50%
MEDICAL MUTUAL AETNA $197.40 ↓ -50%
AETNA EAP AETNA $197.40 ↓ -50%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $214.83 ↓ -46%
MULTIPLAN MULTIPLAN $214.83 ↓ -46%
AUXIANT MIDLANDS CHOICE PPO $214.83 ↓ -46%
MIDLANDS MIDLANDS CHOICE PPO $214.83 ↓ -46%
UNITED HEALTHCARE UNITED HEALTHCARE $214.83 ↓ -46%
CIGNA EAP MIDLANDS CHOICE PPO $214.83 ↓ -46%
GEHA UNITED HEALTHCARE $214.83 ↓ -46%
MEDICA MIDLANDS CHOICE PPO $214.83 ↓ -46%
CIGNA MIDLANDS CHOICE PPO $214.83 ↓ -46%
AMBETTER AMBETTER MARKETPLACE $224.57 ↓ -44%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $238.70 ↓ -40%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $238.70 ↓ -40%
NOVA CLAIMDOC $268.68 ↓ -32%
CLAIMDOC CLAIMDOC $268.68 ↓ -32%

Visitor-reported prices

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Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $11,542.80 not published
MercyOne Dubuque Medical Center Dubuque $397.50 $46.26 – $238.70
MercyOne New Hampton Medical Center New Hampton $495.11 $98.15 – $247.91
MercyOne Clinton Medical Center Clinton $397.50 $46.26 – $238.70
MercyOne Oelwein Medical Center Oelwein $397.96 $91.23 – $238.70
MercyOne Cedar Falls Medical Center Cedar Falls $397.50 $41.39 – $238.70
MercyOne Elkader Medical Center Elkader $397.50 $122.86 – $249.49
MercyOne West Des Moines Medical Center West Des Moines $612.24 $38.96 – $238.70

All Iowa hospitals for this procedure →