Membrane amniotic barrier 4x4cm-q4163-cost per sq cm at MercyOne Dyersville Medical Center
1111 Third St. SW, Dyersville, IA · MercyOne · · NPI 1205816725
$607.31
Cash price 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.
$934.33
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$92.75 with HEALTH CHOICES vs $276.19 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 →
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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 ?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 ?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 | $92.75 | ↓ -85% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $136.01 | ↓ -78% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $138.78 | ↓ -77% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $140.16 | ↓ -77% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $142.73 | ↓ -76% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $145.65 | ↓ -76% |
| THE ALLIANCE | THE ALLIANCE | $149.23 | ↓ -75% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $151.49 | ↓ -75% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $170.19 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $171.76 | ↓ -72% |
| MOLINA MEDICAID | MOLINA MEDICAID | $172.69 | ↓ -72% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $173.53 | ↓ -71% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $182.75 | ↓ -70% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $202.92 | ↓ -67% |
| AETNA | AETNA | $202.92 | ↓ -67% |
| AETNA DOMESTIC | AETNA | $202.92 | ↓ -67% |
| AETNA EAP | AETNA | $202.92 | ↓ -67% |
| ALLIED BENEFIT SYSTEMS | AETNA | $202.92 | ↓ -67% |
| ASR HEALTH BENEFITS | AETNA | $202.92 | ↓ -67% |
| CHRISTIAN BROTHER SERVICES | AETNA | $202.92 | ↓ -67% |
| COVENTRY | AETNA | $202.92 | ↓ -67% |
| FIRST HEALTH | AETNA | $202.92 | ↓ -67% |
| LUMINARE HEALTH | AETNA | $202.92 | ↓ -67% |
| MEDICAL MUTUAL | AETNA | $202.92 | ↓ -67% |
| MERITAIN | AETNA | $202.92 | ↓ -67% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $202.92 | ↓ -67% |
| WEBTPA | AETNA | $202.92 | ↓ -67% |
| GEHA | UNITED HEALTHCARE | $220.83 | ↓ -64% |
| MIDLANDS | MIDLANDS CHOICE PPO | $220.83 | ↓ -64% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $220.83 | ↓ -64% |
| AUXIANT | MIDLANDS CHOICE PPO | $220.83 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $220.83 | ↓ -64% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $220.83 | ↓ -64% |
| MEDICA | MIDLANDS CHOICE PPO | $220.83 | ↓ -64% |
| CIGNA | MIDLANDS CHOICE PPO | $220.83 | ↓ -64% |
| MULTIPLAN | MULTIPLAN | $220.83 | ↓ -64% |
| AMBETTER | AMBETTER MARKETPLACE | $230.84 | ↓ -62% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $245.37 | ↓ -60% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $245.37 | ↓ -60% |
| NOVA | CLAIMDOC | $276.19 | ↓ -55% |
| CLAIMDOC | CLAIMDOC | $276.19 | ↓ -55% |
Visitor-reported prices
Comments
Membrane amniotic barrier 4x4cm-q4163-cost per sq cm at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $607.31 | $87.60 – $245.37 |
| MercyOne New Hampton Medical Center | New Hampton | $756.44 | $100.89 – $254.84 |
| MercyOne Clinton Medical Center | Clinton | $607.31 | $69.44 – $245.37 |
| MercyOne Oelwein Medical Center | Oelwein | $607.31 | $93.78 – $245.37 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $607.31 | $57.66 – $245.37 |
| MercyOne Elkader Medical Center | Elkader | $607.31 | $126.29 – $256.46 |
| MercyOne West Des Moines Medical Center | West Des Moines | $934.33 | $49.32 – $245.37 |
| MercyOne Des Moines Medical Center | Des Moines | $607.31 | $49.32 – $245.37 |