Inj pantoprazole(hikma) 40mg 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

$16.80

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.

$16.80

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.

$6.35 with HEALTH CHOICES vs $18.91 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 $6.35 ↓ -62%
BLUE CROSS - AR WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - NM WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - ID WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - VT WELLMARK PPO $6.50 ↓ -61%
KAISER DOMESTIC WELLMARK PPO $6.50 ↓ -61%
BLUE SHIELD - WA (REGENCE) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - IL WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $6.50 ↓ -61%
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - NV (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - OK WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS DOMESTIC WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - NY (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - CT (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - MS WELLMARK PPO $6.50 ↓ -61%
PRE-EMPLOYMENT WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - LA WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - TX WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - SC WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - MI WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - MT WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - RI WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - TN WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - FEDERAL WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - NC WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - IL ALTERNATE WELLMARK PPO $6.50 ↓ -61%
BLUE CARE NETWORK WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - AZ WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - HI WELLMARK PPO $6.50 ↓ -61%
BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - GA (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - VA (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - UT (REGENCE) WELLMARK PPO $6.50 ↓ -61%
BLUE SHIELD - CA WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - IA (WELLMARK) WELLMARK HMO $6.50 ↓ -61%
BLUE CROSS - IA (WELLMARK) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - CA (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - AK (PREMERA) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $6.50 ↓ -61%
BLUE DISTINCTION TRANSPLANT WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - MA WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - WI (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - NH (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - CO (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - SD (WELLMARK) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - OR (REGENCE) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - NJ (HORIZON) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - PA (CAPITAL) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - ME (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
WC DOMESTIC WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - MN WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - NE WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - OH (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - FL WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - WY WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - KY (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $6.50 ↓ -61%
BLUE SHIELD - ID (REGENCE) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - ND WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - KS WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - MO (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - AL WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - WA (PREMERA) WELLMARK PPO $6.50 ↓ -61%
BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - IN (ANTHEM) WELLMARK PPO $6.50 ↓ -61%
BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $6.50 ↓ -61%
BCN DOMESTIC WELLMARK PPO $6.50 ↓ -61%
BCBS GENERIC WELLMARK PPO $6.50 ↓ -61%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $9.31 ↓ -45%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $9.50 ↓ -43%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $9.60 ↓ -43%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $9.77 ↓ -42%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $9.97 ↓ -41%
THE ALLIANCE THE ALLIANCE $10.22 ↓ -39%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $10.37 ↓ -38%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $11.65 ↓ -31%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $11.76 ↓ -30%
MOLINA MEDICAID MOLINA MEDICAID $11.82 ↓ -30%
WELLPOINT MEDICAID WELLPOINT MEDICAID $11.88 ↓ -29%
AMISH HOSPITAL AID AMISH HOSPITAL AID $12.51 ↓ -26%
CHRISTIAN BROTHER SERVICES AETNA $13.89 ↓ -17%
1199 NATIONAL BENEFIT FUND AETNA $13.89 ↓ -17%
FIRST HEALTH AETNA $13.89 ↓ -17%
ALLIED BENEFIT SYSTEMS AETNA $13.89 ↓ -17%
MEDICAL MUTUAL AETNA $13.89 ↓ -17%
AETNA EAP AETNA $13.89 ↓ -17%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $13.89 ↓ -17%
AETNA DOMESTIC AETNA $13.89 ↓ -17%
MERITAIN AETNA $13.89 ↓ -17%
WEBTPA AETNA $13.89 ↓ -17%
AETNA AETNA $13.89 ↓ -17%
LUMINARE HEALTH AETNA $13.89 ↓ -17%
ASR HEALTH BENEFITS AETNA $13.89 ↓ -17%
COVENTRY AETNA $13.89 ↓ -17%
AUXIANT MIDLANDS CHOICE PPO $15.12 ↓ -10%
MEDICA MIDLANDS CHOICE PPO $15.12 ↓ -10%
CIGNA EAP MIDLANDS CHOICE PPO $15.12 ↓ -10%
MIDLANDS MIDLANDS CHOICE PPO $15.12 ↓ -10%
UNITED HEALTHCARE UNITED HEALTHCARE $15.12 ↓ -10%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $15.12 ↓ -10%
MULTIPLAN MULTIPLAN $15.12 ↓ -10%
GEHA UNITED HEALTHCARE $15.12 ↓ -10%
CIGNA MIDLANDS CHOICE PPO $15.12 ↓ -10%
AMBETTER AMBETTER MARKETPLACE $15.81 ↓ -6%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $16.80 ↑ +0%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $16.80 ↑ +0%
NOVA CLAIMDOC $18.91 ↑ +13%
CLAIMDOC CLAIMDOC $18.91 ↑ +13%

Visitor-reported prices

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Inj pantoprazole(hikma) 40mg at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $16.80 $6.00 – $16.80
MercyOne Clinton Medical Center Clinton $16.80 $4.75 – $16.80
MercyOne Centerville Medical Center Centerville $16.80 $4.61 – $16.80
MercyOne North Iowa Medical Center Mason City $16.80 $4.30 – $16.80
UnityPoint Health - Allen Hospital Waterloo $80.40 $6.50 – $65.02
UnityPoint Health - Iowa Lutheran Hospital Des Moines $76.82 $6.50 – $42.10
UnityPoint Health - St. Luke's Hospital Cedar Rapids $80.40 $6.50 – $28.05
Sanford Sheldon Medical Center Sheldon $62.44 $22.11 – $69.82

All Iowa hospitals for this procedure →