Nusinersen (pf) 12 mg/5 ml intrathecal 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

$455,355.55

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.

$455,355.55

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.

$146,299.20 with BLUE CROSS - IA (WELLMARK) vs $512,548.21 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
BLUE CROSS - IA (WELLMARK) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - MN WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - MO (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - MS WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - MT WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - NC WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - ND WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - NE WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - NH (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - NJ (HORIZON) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - NM WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - NV (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - NY (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - OH (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - OK WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - OR (REGENCE) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - PA (CAPITAL) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - RI WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - SC WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - SD (WELLMARK) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - TN WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - TX WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - UT (REGENCE) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - VA (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - VT WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - WA (PREMERA) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - WI (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - WY WELLMARK PPO $146,299.20 ↓ -68%
BLUE DISTINCTION TRANSPLANT WELLMARK PPO $146,299.20 ↓ -68%
BLUE SHIELD - CA WELLMARK PPO $146,299.20 ↓ -68%
BLUE SHIELD - ID (REGENCE) WELLMARK PPO $146,299.20 ↓ -68%
BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $146,299.20 ↓ -68%
BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $146,299.20 ↓ -68%
BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $146,299.20 ↓ -68%
BLUE SHIELD - WA (REGENCE) WELLMARK PPO $146,299.20 ↓ -68%
KAISER DOMESTIC WELLMARK PPO $146,299.20 ↓ -68%
PRE-EMPLOYMENT WELLMARK PPO $146,299.20 ↓ -68%
WC DOMESTIC WELLMARK PPO $146,299.20 ↓ -68%
BCBS GENERIC WELLMARK PPO $146,299.20 ↓ -68%
BCN DOMESTIC WELLMARK PPO $146,299.20 ↓ -68%
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $146,299.20 ↓ -68%
BLUE CARE NETWORK WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - AK (PREMERA) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - AL WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - AR WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - AZ WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - CA (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - CO (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - CT (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS DOMESTIC WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - FEDERAL WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - FL WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - GA (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - HI WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - IA (WELLMARK) WELLMARK HMO $146,299.20 ↓ -68%
BLUE CROSS - ID WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - IL WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - IL ALTERNATE WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - IN (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - KS WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - KY (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - LA WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - MA WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - ME (ANTHEM) WELLMARK PPO $146,299.20 ↓ -68%
BLUE CROSS - MI WELLMARK PPO $146,299.20 ↓ -68%
HEALTH CHOICES MEDICAL ASSOCIATES $172,124.40 ↓ -62%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $252,403.58 ↓ -45%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $257,549.10 ↓ -43%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $260,099.09 ↓ -43%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $264,880.32 ↓ -42%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $270,299.05 ↓ -41%
THE ALLIANCE THE ALLIANCE $276,947.25 ↓ -39%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $281,136.52 ↓ -38%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $315,834.61 ↓ -31%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $318,748.89 ↓ -30%
MOLINA MEDICAID MOLINA MEDICAID $320,479.24 ↓ -30%
WELLPOINT MEDICAID WELLPOINT MEDICAID $322,027.44 ↓ -29%
AMISH HOSPITAL AID AMISH HOSPITAL AID $339,148.81 ↓ -26%
AETNA AETNA $376,579.04 ↓ -17%
AETNA DOMESTIC AETNA $376,579.04 ↓ -17%
AETNA EAP AETNA $376,579.04 ↓ -17%
ALLIED BENEFIT SYSTEMS AETNA $376,579.04 ↓ -17%
ASR HEALTH BENEFITS AETNA $376,579.04 ↓ -17%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $376,579.04 ↓ -17%
CHRISTIAN BROTHER SERVICES AETNA $376,579.04 ↓ -17%
COVENTRY AETNA $376,579.04 ↓ -17%
FIRST HEALTH AETNA $376,579.04 ↓ -17%
WEBTPA AETNA $376,579.04 ↓ -17%
1199 NATIONAL BENEFIT FUND AETNA $376,579.04 ↓ -17%
LUMINARE HEALTH AETNA $376,579.04 ↓ -17%
MEDICAL MUTUAL AETNA $376,579.04 ↓ -17%
MERITAIN AETNA $376,579.04 ↓ -17%
AUXIANT MIDLANDS CHOICE PPO $409,820.00 ↓ -10%
CIGNA EAP MIDLANDS CHOICE PPO $409,820.00 ↓ -10%
MULTIPLAN MULTIPLAN $409,820.00 ↓ -10%
MEDICA MIDLANDS CHOICE PPO $409,820.00 ↓ -10%
CIGNA MIDLANDS CHOICE PPO $409,820.00 ↓ -10%
UNITED HEALTHCARE UNITED HEALTHCARE $409,820.00 ↓ -10%
MIDLANDS MIDLANDS CHOICE PPO $409,820.00 ↓ -10%
GEHA UNITED HEALTHCARE $409,820.00 ↓ -10%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $409,820.00 ↓ -10%
AMBETTER AMBETTER MARKETPLACE $428,398.50 ↓ -6%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $455,355.55 ↑ +0%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $455,355.55 ↑ +0%
NOVA CLAIMDOC $512,548.21 ↑ +13%
CLAIMDOC CLAIMDOC $512,548.21 ↑ +13%

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Nusinersen (pf) 12 mg/5 ml intrathecal solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $455,355.55 $1,187.16 – $455,355.55
MercyOne New Hampton Medical Center New Hampton $455,355.55 $146,299.20 – $455,355.55
MercyOne Clinton Medical Center Clinton $455,355.55 $1,187.16 – $455,355.55
MercyOne Oelwein Medical Center Oelwein $455,355.55 $146,299.20 – $455,355.55
MercyOne Cedar Falls Medical Center Cedar Falls $455,355.55 $1,187.16 – $455,355.55
MercyOne Elkader Medical Center Elkader $455,355.55 $146,299.20 – $475,937.62
MercyOne West Des Moines Medical Center West Des Moines $455,355.55 $1,187.16 – $455,355.55
MercyOne Des Moines Medical Center Des Moines $455,355.55 $1,187.16 – $455,355.55

All Iowa hospitals for this procedure →