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Lower Back (Lumbar Spine) CT scan (without contrast) 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

$1,517.10

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.

$2,334.00

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.

$882.25 with HEALTH CHOICES vs $2,627.15 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 $882.25 ↓ -42%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $1,293.74 ↓ -15%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $1,320.11 ↓ -13%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $1,333.18 ↓ -12%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $1,357.69 ↓ -11%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $1,385.46 ↓ -9%
THE ALLIANCE THE ALLIANCE $1,419.54 ↓ -6%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $1,441.01 ↓ -5%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $1,618.86 ↑ +7%
GEHA UNITED HEALTHCARE $1,633.80 ↑ +8%
UNITED HEALTHCARE UNITED HEALTHCARE $1,633.80 ↑ +8%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $1,633.80 ↑ +8%
MOLINA MEDICAID MOLINA MEDICAID $1,642.67 ↑ +8%
WELLPOINT MEDICAID WELLPOINT MEDICAID $1,650.60 ↑ +9%
AMISH HOSPITAL AID AMISH HOSPITAL AID $1,738.36 ↑ +15%
WEBTPA AETNA $1,930.22 ↑ +27%
COVENTRY AETNA $1,930.22 ↑ +27%
ALLIED BENEFIT SYSTEMS AETNA $1,930.22 ↑ +27%
LUMINARE HEALTH AETNA $1,930.22 ↑ +27%
ASR HEALTH BENEFITS AETNA $1,930.22 ↑ +27%
CHRISTIAN BROTHER SERVICES AETNA $1,930.22 ↑ +27%
FIRST HEALTH AETNA $1,930.22 ↑ +27%
1199 NATIONAL BENEFIT FUND AETNA $1,930.22 ↑ +27%
AETNA AETNA $1,930.22 ↑ +27%
MERITAIN AETNA $1,930.22 ↑ +27%
MEDICAL MUTUAL AETNA $1,930.22 ↑ +27%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $1,930.22 ↑ +27%
AETNA DOMESTIC AETNA $1,930.22 ↑ +27%
AETNA EAP AETNA $1,930.22 ↑ +27%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $2,100.60 ↑ +38%
MIDLANDS MIDLANDS CHOICE PPO $2,100.60 ↑ +38%
AUXIANT MIDLANDS CHOICE PPO $2,100.60 ↑ +38%
MEDICA MIDLANDS CHOICE PPO $2,100.60 ↑ +38%
CIGNA MIDLANDS CHOICE PPO $2,100.60 ↑ +38%
CIGNA EAP MIDLANDS CHOICE PPO $2,100.60 ↑ +38%
MULTIPLAN MULTIPLAN $2,100.60 ↑ +38%
AMBETTER AMBETTER MARKETPLACE $2,195.83 ↑ +45%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $2,334.00 ↑ +54%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $2,334.00 ↑ +54%
NOVA CLAIMDOC $2,627.15 ↑ +73%
CLAIMDOC CLAIMDOC $2,627.15 ↑ +73%

Visitor-reported prices

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Lower Back (Lumbar Spine) CT scan (without contrast) at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Iowa Lutheran Hospital Des Moines $2,427.55 $43.57 – $892.12
UnityPoint Health - Allen Hospital Waterloo $841.89 $43.57 – $554.59
MercyOne Genesis Davenport West Medical Center Davenport $1,258.80 $101.79 – $142.51
MercyOne Dubuque Medical Center Dubuque $1,507.35 $93.79 – $2,319.00
MercyOne New Hampton Medical Center New Hampton $1,517.10 $924.03 – $2,334.00
MercyOne Clinton Medical Center Clinton $2,057.25 $96.27 – $3,165.00
MercyOne Oelwein Medical Center Oelwein $1,517.10 $892.05 – $2,334.00
MercyOne Cedar Falls Medical Center Cedar Falls $1,609.40 $98.49 – $2,476.00

All Iowa hospitals for this procedure →