Shrinker prosth below knee 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

$178.39

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.

$274.45

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.

$103.74 with HEALTH CHOICES vs $308.92 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 $103.74 ↓ -42%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $152.13 ↓ -15%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $155.23 ↓ -13%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $156.77 ↓ -12%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $159.65 ↓ -11%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $162.91 ↓ -9%
THE ALLIANCE THE ALLIANCE $166.92 ↓ -6%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $169.45 ↓ -5%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $190.36 ↑ +7%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $192.12 ↑ +8%
MOLINA MEDICAID MOLINA MEDICAID $193.16 ↑ +8%
WELLPOINT MEDICAID WELLPOINT MEDICAID $194.09 ↑ +9%
AMISH HOSPITAL AID AMISH HOSPITAL AID $204.41 ↑ +15%
1199 NATIONAL BENEFIT FUND AETNA $226.97 ↑ +27%
AETNA AETNA $226.97 ↑ +27%
AETNA DOMESTIC AETNA $226.97 ↑ +27%
AETNA EAP AETNA $226.97 ↑ +27%
ALLIED BENEFIT SYSTEMS AETNA $226.97 ↑ +27%
ASR HEALTH BENEFITS AETNA $226.97 ↑ +27%
CHRISTIAN BROTHER SERVICES AETNA $226.97 ↑ +27%
COVENTRY AETNA $226.97 ↑ +27%
FIRST HEALTH AETNA $226.97 ↑ +27%
LUMINARE HEALTH AETNA $226.97 ↑ +27%
MEDICAL MUTUAL AETNA $226.97 ↑ +27%
MERITAIN AETNA $226.97 ↑ +27%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $226.97 ↑ +27%
WEBTPA AETNA $226.97 ↑ +27%
GEHA UNITED HEALTHCARE $247.01 ↑ +38%
MIDLANDS MIDLANDS CHOICE PPO $247.01 ↑ +38%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $247.01 ↑ +38%
AUXIANT MIDLANDS CHOICE PPO $247.01 ↑ +38%
UNITED HEALTHCARE UNITED HEALTHCARE $247.01 ↑ +38%
CIGNA EAP MIDLANDS CHOICE PPO $247.01 ↑ +38%
MEDICA MIDLANDS CHOICE PPO $247.01 ↑ +38%
CIGNA MIDLANDS CHOICE PPO $247.01 ↑ +38%
MULTIPLAN MULTIPLAN $247.01 ↑ +38%
AMBETTER AMBETTER MARKETPLACE $258.20 ↑ +45%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $274.45 ↑ +54%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $274.45 ↑ +54%
NOVA CLAIMDOC $308.92 ↑ +73%
CLAIMDOC CLAIMDOC $308.92 ↑ +73%

Visitor-reported prices

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Shrinker prosth below knee at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $178.39 $97.98 – $274.45
MercyOne New Hampton Medical Center New Hampton $185.28 $112.85 – $285.04
MercyOne Clinton Medical Center Clinton $178.39 $77.67 – $274.45
MercyOne Oelwein Medical Center Oelwein $178.63 $105.04 – $274.82
MercyOne Cedar Falls Medical Center Cedar Falls $178.39 $64.50 – $274.45
MercyOne Elkader Medical Center Elkader $178.39 $141.26 – $286.86
MercyOne West Des Moines Medical Center West Des Moines $274.82 $55.24 – $274.82
MercyOne Des Moines Medical Center Des Moines $178.63 $55.24 – $274.82

All Iowa hospitals for this procedure →