Splint finger 4 prong foam sm 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

$0.55

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.

$0.85

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.

$0.25 with HEALTH CHOICES vs $0.75 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 $0.25 ↓ -55%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $0.37 ↓ -33%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $0.38 ↓ -31%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $0.38 ↓ -31%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $0.39 ↓ -29%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $0.40 ↓ -27%
THE ALLIANCE THE ALLIANCE $0.41 ↓ -25%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $0.41 ↓ -25%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $0.46 ↓ -16%
WELLPOINT MEDICAID WELLPOINT MEDICAID $0.47 ↓ -15%
MOLINA MEDICAID MOLINA MEDICAID $0.47 ↓ -15%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $0.47 ↓ -15%
AMISH HOSPITAL AID AMISH HOSPITAL AID $0.50 ↓ -9%
1199 NATIONAL BENEFIT FUND AETNA $0.55 ↑ +0%
AETNA AETNA $0.55 ↑ +0%
AETNA DOMESTIC AETNA $0.55 ↑ +0%
AETNA EAP AETNA $0.55 ↑ +0%
ALLIED BENEFIT SYSTEMS AETNA $0.55 ↑ +0%
ASR HEALTH BENEFITS AETNA $0.55 ↑ +0%
CHRISTIAN BROTHER SERVICES AETNA $0.55 ↑ +0%
COVENTRY AETNA $0.55 ↑ +0%
FIRST HEALTH AETNA $0.55 ↑ +0%
LUMINARE HEALTH AETNA $0.55 ↑ +0%
MEDICAL MUTUAL AETNA $0.55 ↑ +0%
MERITAIN AETNA $0.55 ↑ +0%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $0.55 ↑ +0%
WEBTPA AETNA $0.55 ↑ +0%
GEHA UNITED HEALTHCARE $0.60 ↑ +9%
MIDLANDS MIDLANDS CHOICE PPO $0.60 ↑ +9%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $0.60 ↑ +9%
AUXIANT MIDLANDS CHOICE PPO $0.60 ↑ +9%
UNITED HEALTHCARE UNITED HEALTHCARE $0.60 ↑ +9%
CIGNA EAP MIDLANDS CHOICE PPO $0.60 ↑ +9%
MEDICA MIDLANDS CHOICE PPO $0.60 ↑ +9%
CIGNA MIDLANDS CHOICE PPO $0.60 ↑ +9%
MULTIPLAN MULTIPLAN $0.60 ↑ +9%
AMBETTER AMBETTER MARKETPLACE $0.63 ↑ +15%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $0.67 ↑ +22%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $0.67 ↑ +22%
NOVA CLAIMDOC $0.75 ↑ +36%
CLAIMDOC CLAIMDOC $0.75 ↑ +36%

Visitor-reported prices

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Splint finger 4 prong foam sm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $16.20 not published
MercyOne New Hampton Medical Center New Hampton $2.21 $1.06 – $2.68
MercyOne Genesis Davenport Medical Center Davenport $16.80 not published
MercyOne Genesis DeWitt Medical Center DeWitt $16.80 $20.44 – $2,679.00
UnityPoint Health - Allen Hospital Waterloo $20.80 $2.90 – $27.20
UnityPoint Health - Finley Hospital Dubuque $20.80 $2.90 – $40.32
UnityPoint Health - Grinnell Regional Medical Center Grinnell $20.80 $2.90 – $27.20
UnityPoint Health - Iowa Lutheran Hospital Des Moines $20.80 $2.90 – $27.20

All Iowa hospitals for this procedure →