Brace back t-lso custom at MercyOne Elkader Medical Center
901 Davidson St. NW, Elkader, IA · MercyOne · · NPI 1184645434
$2,912.40
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.
$4,480.62
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.
$2,306.18 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $4,683.14 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 |
|---|---|---|---|
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $2,306.18 | ↓ -21% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $2,329.92 | ↓ -20% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $2,353.22 | ↓ -19% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $2,376.52 | ↓ -18% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $2,419.53 | ↓ -17% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $2,420.43 | ↓ -17% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $2,469.72 | ↓ -15% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $2,787.84 | ↓ -4% |
| MOLINA MEDICAID | MOLINA MEDICAID | $2,828.84 | ↓ -3% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $2,842.51 | ↓ -2% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $3,098.80 | ↑ +6% |
| COVENTRY | AETNA | $3,297.74 | ↑ +13% |
| LUMINARE HEALTH | AETNA | $3,297.74 | ↑ +13% |
| CHRISTIAN BROTHER SERVICES | AETNA | $3,297.74 | ↑ +13% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $3,297.74 | ↑ +13% |
| LUCENT HEALTH | AETNA | $3,297.74 | ↑ +13% |
| AETNA | AETNA | $3,297.74 | ↑ +13% |
| ASR HEALTH BENEFITS | AETNA | $3,297.74 | ↑ +13% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $3,297.74 | ↑ +13% |
| FIRST HEALTH | AETNA | $3,297.74 | ↑ +13% |
| AETNA DOMESTIC | AETNA | $3,297.74 | ↑ +13% |
| ALLIED BENEFIT SYSTEMS | AETNA | $3,297.74 | ↑ +13% |
| MERITAIN | AETNA | $3,297.74 | ↑ +13% |
| WEBTPA | AETNA | $3,297.74 | ↑ +13% |
| MEDICAL MUTUAL | AETNA | $3,297.74 | ↑ +13% |
| CENTIVO | CENTIVO | $3,494.88 | ↑ +20% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $3,584.50 | ↑ +23% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $3,584.50 | ↑ +23% |
| AMBETTER | AMBETTER MARKETPLACE | $3,914.27 | ↑ +34% |
| GEHA | UNITED HEALTHCARE | $3,920.54 | ↑ +35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,920.54 | ↑ +35% |
| HEALTH PARTNERS | HEALTH PARTNERS | $4,310.36 | ↑ +48% |
| CIGNA EAP | MIDLANDS CHOICE | $4,391.01 | ↑ +51% |
| MIDLANDS CHOICE | MIDLANDS CHOICE | $4,391.01 | ↑ +51% |
| AUXIANT | MIDLANDS CHOICE | $4,391.01 | ↑ +51% |
| MEDICA | MIDLANDS CHOICE | $4,391.01 | ↑ +51% |
| CIGNA | MIDLANDS CHOICE | $4,391.01 | ↑ +51% |
| MIDLANDS | MIDLANDS CHOICE | $4,391.01 | ↑ +51% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $4,480.62 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $4,480.62 | ↑ +54% |
| NOVA | CLAIMDOC | $4,683.14 | ↑ +61% |
| CLAIMDOC | CLAIMDOC | $4,683.14 | ↑ +61% |
Visitor-reported prices
Comments
Brace back t-lso custom at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $2,912.40 | $1,599.58 – $4,480.62 |
| MercyOne New Hampton Medical Center | New Hampton | $2,767.13 | $1,685.39 – $4,257.12 |
| MercyOne Dyersville Medical Center | Dyersville | $2,912.40 | $1,693.67 – $5,043.39 |
| MercyOne Clinton Medical Center | Clinton | $2,912.40 | $1,268.02 – $4,480.62 |
| MercyOne Oelwein Medical Center | Oelwein | $2,913.85 | $1,713.35 – $4,482.85 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $2,912.40 | $1,052.95 – $4,480.62 |
| MercyOne West Des Moines Medical Center | West Des Moines | $4,482.85 | $901.05 – $4,482.85 |
| MercyOne Des Moines Medical Center | Des Moines | $2,913.85 | $901.05 – $4,482.85 |