Dilator fascial 10fx20cm 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

$274.98

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.

$423.05

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.

$23.80 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $48.34 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 $23.80 ↓ -91%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $24.05 ↓ -91%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $24.29 ↓ -91%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $24.53 ↓ -91%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $24.98 ↓ -91%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $24.98 ↓ -91%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $25.49 ↓ -91%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $28.78 ↓ -90%
MOLINA MEDICAID MOLINA MEDICAID $29.20 ↓ -89%
WELLPOINT MEDICAID WELLPOINT MEDICAID $29.34 ↓ -89%
AMISH HOSPITAL AID AMISH HOSPITAL AID $31.99 ↓ -88%
COVENTRY AETNA $34.04 ↓ -88%
LUMINARE HEALTH AETNA $34.04 ↓ -88%
CHRISTIAN BROTHER SERVICES AETNA $34.04 ↓ -88%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $34.04 ↓ -88%
LUCENT HEALTH AETNA $34.04 ↓ -88%
AETNA AETNA $34.04 ↓ -88%
ASR HEALTH BENEFITS AETNA $34.04 ↓ -88%
1199 NATIONAL BENEFIT FUND AETNA $34.04 ↓ -88%
FIRST HEALTH AETNA $34.04 ↓ -88%
AETNA DOMESTIC AETNA $34.04 ↓ -88%
ALLIED BENEFIT SYSTEMS AETNA $34.04 ↓ -88%
MERITAIN AETNA $34.04 ↓ -88%
WEBTPA AETNA $34.04 ↓ -88%
MEDICAL MUTUAL AETNA $34.04 ↓ -88%
CENTIVO CENTIVO $36.08 ↓ -87%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $37.00 ↓ -87%
HEALTH CHOICES MEDICAL ASSOCIATES $37.00 ↓ -87%
AMBETTER AMBETTER MARKETPLACE $40.40 ↓ -85%
GEHA UNITED HEALTHCARE $40.47 ↓ -85%
UNITED HEALTHCARE UNITED HEALTHCARE $40.47 ↓ -85%
HEALTH PARTNERS HEALTH PARTNERS $44.49 ↓ -84%
CIGNA EAP MIDLANDS CHOICE $45.33 ↓ -84%
MIDLANDS CHOICE MIDLANDS CHOICE $45.33 ↓ -84%
AUXIANT MIDLANDS CHOICE $45.33 ↓ -84%
MEDICA MIDLANDS CHOICE $45.33 ↓ -84%
CIGNA MIDLANDS CHOICE $45.33 ↓ -84%
MIDLANDS MIDLANDS CHOICE $45.33 ↓ -84%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $46.25 ↓ -83%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $46.25 ↓ -83%
NOVA CLAIMDOC $48.34 ↓ -82%
CLAIMDOC CLAIMDOC $48.34 ↓ -82%

Visitor-reported prices

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Dilator fascial 10fx20cm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $160.20 not published
MercyOne Dubuque Medical Center Dubuque $274.98 $16.51 – $46.25
MercyOne New Hampton Medical Center New Hampton $342.50 $14.65 – $37.00
MercyOne Dyersville Medical Center Dyersville $274.98 $17.48 – $52.06
MercyOne Clinton Medical Center Clinton $274.98 $13.09 – $46.25
MercyOne Oelwein Medical Center Oelwein $274.98 $17.68 – $46.25
MercyOne Cedar Falls Medical Center Cedar Falls $274.98 $10.87 – $46.25
MercyOne West Des Moines Medical Center West Des Moines $423.05 $9.30 – $46.25

All Iowa hospitals for this procedure →