Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im 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

$98.15

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.

$151.00

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.

$57.08 with HEALTH CHOICES vs $169.97 with NOVA — 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 $57.08 ↓ -42%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $83.70 ↓ -15%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $85.41 ↓ -13%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $86.25 ↓ -12%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $87.84 ↓ -11%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $89.63 ↓ -9%
THE ALLIANCE THE ALLIANCE $91.84 ↓ -6%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $93.23 ↓ -5%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $104.73 ↑ +7%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $105.70 ↑ +8%
MOLINA MEDICAID MOLINA MEDICAID $106.27 ↑ +8%
WELLPOINT MEDICAID WELLPOINT MEDICAID $106.79 ↑ +9%
AMISH HOSPITAL AID AMISH HOSPITAL AID $112.46 ↑ +15%
ALLIED BENEFIT SYSTEMS AETNA $124.88 ↑ +27%
LUMINARE HEALTH AETNA $124.88 ↑ +27%
CHRISTIAN BROTHER SERVICES AETNA $124.88 ↑ +27%
MERITAIN AETNA $124.88 ↑ +27%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $124.88 ↑ +27%
AETNA AETNA $124.88 ↑ +27%
ASR HEALTH BENEFITS AETNA $124.88 ↑ +27%
1199 NATIONAL BENEFIT FUND AETNA $124.88 ↑ +27%
FIRST HEALTH AETNA $124.88 ↑ +27%
AETNA DOMESTIC AETNA $124.88 ↑ +27%
WEBTPA AETNA $124.88 ↑ +27%
AETNA EAP AETNA $124.88 ↑ +27%
MEDICAL MUTUAL AETNA $124.88 ↑ +27%
COVENTRY AETNA $124.88 ↑ +27%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $135.90 ↑ +38%
AUXIANT MIDLANDS CHOICE PPO $135.90 ↑ +38%
UNITED HEALTHCARE UNITED HEALTHCARE $135.90 ↑ +38%
GEHA UNITED HEALTHCARE $135.90 ↑ +38%
MEDICA MIDLANDS CHOICE PPO $135.90 ↑ +38%
MULTIPLAN MULTIPLAN $135.90 ↑ +38%
CIGNA EAP MIDLANDS CHOICE PPO $135.90 ↑ +38%
CIGNA MIDLANDS CHOICE PPO $135.90 ↑ +38%
MIDLANDS MIDLANDS CHOICE PPO $135.90 ↑ +38%
AMBETTER AMBETTER MARKETPLACE $142.06 ↑ +45%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $151.00 ↑ +54%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $151.00 ↑ +54%
BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $168.37 ↑ +72%
BCN DOMESTIC WELLMARK PPO $168.37 ↑ +72%
BCBS GENERIC WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - NV (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - GA (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS DOMESTIC WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - NY (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - CT (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - MS WELLMARK PPO $168.37 ↑ +72%
PRE-EMPLOYMENT WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - LA WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - TX WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - SC WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - MI WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - MT WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - RI WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - TN WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - FEDERAL WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - NC WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - IL ALTERNATE WELLMARK PPO $168.37 ↑ +72%
BLUE CARE NETWORK WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - AZ WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - HI WELLMARK PPO $168.37 ↑ +72%
BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - MA WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - WI (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - NH (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - CO (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - OK WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - VA (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - UT (REGENCE) WELLMARK PPO $168.37 ↑ +72%
BLUE SHIELD - CA WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - IA (WELLMARK) WELLMARK HMO $168.37 ↑ +72%
BLUE CROSS - IA (WELLMARK) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - CA (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - AK (PREMERA) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $168.37 ↑ +72%
BLUE DISTINCTION TRANSPLANT WELLMARK PPO $168.37 ↑ +72%
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - AR WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - NM WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - ID WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - VT WELLMARK PPO $168.37 ↑ +72%
KAISER DOMESTIC WELLMARK PPO $168.37 ↑ +72%
BLUE SHIELD - WA (REGENCE) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - IL WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - ME (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
WC DOMESTIC WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - MN WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - NE WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - OH (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - FL WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - WY WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - KY (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $168.37 ↑ +72%
BLUE SHIELD - ID (REGENCE) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - ND WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - KS WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - MO (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - AL WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - WA (PREMERA) WELLMARK PPO $168.37 ↑ +72%
BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - IN (ANTHEM) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - NJ (HORIZON) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - PA (CAPITAL) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - SD (WELLMARK) WELLMARK PPO $168.37 ↑ +72%
BLUE CROSS - OR (REGENCE) WELLMARK PPO $168.37 ↑ +72%
CLAIMDOC CLAIMDOC $169.97 ↑ +73%
NOVA CLAIMDOC $169.97 ↑ +73%

Visitor-reported prices

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Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $240.91 not published
MercyOne Dubuque Medical Center Dubuque $103.35 $43.63 – $168.37
MercyOne New Hampton Medical Center New Hampton $341.00 $59.78 – $341.00
MercyOne Clinton Medical Center Clinton $103.35 $45.00 – $168.37
MercyOne Oelwein Medical Center Oelwein $98.15 $57.71 – $168.37
MercyOne Cedar Falls Medical Center Cedar Falls $103.35 $37.37 – $595.02
MercyOne Elkader Medical Center Elkader $98.15 $77.72 – $168.37
MercyOne West Des Moines Medical Center West Des Moines $159.00 $31.96 – $226.06

All Iowa hospitals for this procedure →