Brachy source palladium-103 nonstranded at MercyOne Elkader Medical Center

901 Davidson St. NW, Elkader, IA · MercyOne · · NPI 1184645434

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$275.00

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.

$275.00

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.

$58.97 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $119.76 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) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $58.97 ↓ -79%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $59.58 ↓ -78%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $60.18 ↓ -78%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $60.77 ↓ -78%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $61.87 ↓ -78%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $61.90 ↓ -77%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $63.16 ↓ -77%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $71.29 ↓ -74%
MOLINA MEDICAID MOLINA MEDICAID $72.34 ↓ -74%
WELLPOINT MEDICAID WELLPOINT MEDICAID $72.69 ↓ -74%
AMISH HOSPITAL AID AMISH HOSPITAL AID $79.24 ↓ -71%
MERITAIN AETNA $84.33 ↓ -69%
MEDICAL MUTUAL AETNA $84.33 ↓ -69%
LUMINARE HEALTH AETNA $84.33 ↓ -69%
LUCENT HEALTH AETNA $84.33 ↓ -69%
AETNA AETNA $84.33 ↓ -69%
AETNA DOMESTIC AETNA $84.33 ↓ -69%
ALLIED BENEFIT SYSTEMS AETNA $84.33 ↓ -69%
ASR HEALTH BENEFITS AETNA $84.33 ↓ -69%
1199 NATIONAL BENEFIT FUND AETNA $84.33 ↓ -69%
CHRISTIAN BROTHER SERVICES AETNA $84.33 ↓ -69%
WEBTPA AETNA $84.33 ↓ -69%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $84.33 ↓ -69%
COVENTRY AETNA $84.33 ↓ -69%
FIRST HEALTH AETNA $84.33 ↓ -69%
CENTIVO CENTIVO $89.37 ↓ -68%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $91.66 ↓ -67%
HEALTH CHOICES MEDICAL ASSOCIATES $91.66 ↓ -67%
AMBETTER AMBETTER MARKETPLACE $100.10 ↓ -64%
UNITED HEALTHCARE UNITED HEALTHCARE $100.26 ↓ -64%
GEHA UNITED HEALTHCARE $100.26 ↓ -64%
HEALTH PARTNERS HEALTH PARTNERS $110.23 ↓ -60%
MEDICA MIDLANDS CHOICE $112.29 ↓ -59%
MIDLANDS MIDLANDS CHOICE $112.29 ↓ -59%
MIDLANDS CHOICE MIDLANDS CHOICE $112.29 ↓ -59%
CIGNA EAP MIDLANDS CHOICE $112.29 ↓ -59%
CIGNA MIDLANDS CHOICE $112.29 ↓ -59%
AUXIANT MIDLANDS CHOICE $112.29 ↓ -59%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $114.58 ↓ -58%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $114.58 ↓ -58%
NOVA CLAIMDOC $119.76 ↓ -56%
CLAIMDOC CLAIMDOC $119.76 ↓ -56%

Visitor-reported prices

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Brachy source palladium-103 nonstranded at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $275.00 $40.91 – $129.60
MercyOne New Hampton Medical Center New Hampton $275.00 $53.84 – $136.00
MercyOne Dyersville Medical Center Dyersville $275.00 $43.31 – $128.97
MercyOne Clinton Medical Center Clinton $275.00 $32.43 – $138.81
MercyOne Oelwein Medical Center Oelwein $275.00 $43.79 – $114.58
MercyOne Cedar Falls Medical Center Cedar Falls $275.00 $26.93 – $129.60
MercyOne West Des Moines Medical Center West Des Moines $275.00 $23.03 – $129.60
MercyOne Des Moines Medical Center Des Moines $275.00 $23.03 – $129.60

All Iowa hospitals for this procedure →