Lacosamide 200 mg/20 ml intravenous solution 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

$356.60

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.

$356.60

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.

$134.79 with HEALTH CHOICES vs $401.39 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 $134.79 ↓ -62%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $197.66 ↓ -45%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $201.69 ↓ -43%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $203.69 ↓ -43%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $207.43 ↓ -42%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $211.68 ↓ -41%
THE ALLIANCE THE ALLIANCE $216.88 ↓ -39%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $220.16 ↓ -38%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $247.34 ↓ -31%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $249.62 ↓ -30%
MOLINA MEDICAID MOLINA MEDICAID $250.98 ↓ -30%
WELLPOINT MEDICAID WELLPOINT MEDICAID $252.19 ↓ -29%
AMISH HOSPITAL AID AMISH HOSPITAL AID $265.60 ↓ -26%
AETNA DOMESTIC AETNA $294.91 ↓ -17%
LUMINARE HEALTH AETNA $294.91 ↓ -17%
CHRISTIAN BROTHER SERVICES AETNA $294.91 ↓ -17%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $294.91 ↓ -17%
AETNA AETNA $294.91 ↓ -17%
ASR HEALTH BENEFITS AETNA $294.91 ↓ -17%
1199 NATIONAL BENEFIT FUND AETNA $294.91 ↓ -17%
FIRST HEALTH AETNA $294.91 ↓ -17%
COVENTRY AETNA $294.91 ↓ -17%
ALLIED BENEFIT SYSTEMS AETNA $294.91 ↓ -17%
MERITAIN AETNA $294.91 ↓ -17%
WEBTPA AETNA $294.91 ↓ -17%
MEDICAL MUTUAL AETNA $294.91 ↓ -17%
AETNA EAP AETNA $294.91 ↓ -17%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $320.94 ↓ -10%
MULTIPLAN MULTIPLAN $320.94 ↓ -10%
AUXIANT MIDLANDS CHOICE PPO $320.94 ↓ -10%
MIDLANDS MIDLANDS CHOICE PPO $320.94 ↓ -10%
UNITED HEALTHCARE UNITED HEALTHCARE $320.94 ↓ -10%
CIGNA EAP MIDLANDS CHOICE PPO $320.94 ↓ -10%
GEHA UNITED HEALTHCARE $320.94 ↓ -10%
MEDICA MIDLANDS CHOICE PPO $320.94 ↓ -10%
CIGNA MIDLANDS CHOICE PPO $320.94 ↓ -10%
AMBETTER AMBETTER MARKETPLACE $335.49 ↓ -6%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $356.60 ↑ +0%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $356.60 ↑ +0%
NOVA CLAIMDOC $401.39 ↑ +13%
CLAIMDOC CLAIMDOC $401.39 ↑ +13%

Visitor-reported prices

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Lacosamide 200 mg/20 ml intravenous solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $356.60 $127.31 – $356.60
MercyOne Oelwein Medical Center Oelwein $53.80 $20.56 – $53.80
MercyOne Cedar Falls Medical Center Cedar Falls $53.80 $12.64 – $53.80
MercyOne West Des Moines Medical Center West Des Moines $53.80 $10.81 – $53.80
MercyOne Des Moines Medical Center Des Moines $55.60 $11.18 – $55.60
MercyOne North Iowa Medical Center Mason City $55.60 $14.23 – $55.60
MercyOne Waterloo Medical Center Waterloo $53.80 $12.64 – $53.80
Sanford Sheldon Medical Center Sheldon $70.14 $22.63 – $71.45

All Iowa hospitals for this procedure →