healthcosts.net
ER Visit (level 1, minor) at MercyOne Elkader Medical Center
901 Davidson St. NW, Elkader, IA · MercyOne · · NPI 1184645434
$341.25
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.
$525.00
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.
$10.28 with AETNA MEDICARE ADVANTAGE vs $56.44 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 |
|---|---|---|---|
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $10.28 | ↓ -97% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $27.79 | ↓ -92% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $28.36 | ↓ -92% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $28.64 | ↓ -92% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $29.16 | ↓ -91% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $29.17 | ↓ -91% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $29.76 | ↓ -91% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $33.60 | ↓ -90% |
| MOLINA MEDICAID | MOLINA MEDICAID | $34.09 | ↓ -90% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $34.26 | ↓ -90% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $37.35 | ↓ -89% |
| WEBTPA | AETNA | $39.74 | ↓ -88% |
| COVENTRY | AETNA | $39.74 | ↓ -88% |
| ALLIED BENEFIT SYSTEMS | AETNA | $39.74 | ↓ -88% |
| LUCENT HEALTH | AETNA | $39.74 | ↓ -88% |
| LUMINARE HEALTH | AETNA | $39.74 | ↓ -88% |
| ASR HEALTH BENEFITS | AETNA | $39.74 | ↓ -88% |
| CHRISTIAN BROTHER SERVICES | AETNA | $39.74 | ↓ -88% |
| FIRST HEALTH | AETNA | $39.74 | ↓ -88% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $39.74 | ↓ -88% |
| AETNA | AETNA | $39.74 | ↓ -88% |
| MERITAIN | AETNA | $39.74 | ↓ -88% |
| MEDICAL MUTUAL | AETNA | $39.74 | ↓ -88% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $39.74 | ↓ -88% |
| AETNA DOMESTIC | AETNA | $39.74 | ↓ -88% |
| CENTIVO | CENTIVO | $42.12 | ↓ -88% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $43.20 | ↓ -87% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $43.20 | ↓ -87% |
| AMBETTER | AMBETTER MARKETPLACE | $47.17 | ↓ -86% |
| GEHA | UNITED HEALTHCARE | $47.25 | ↓ -86% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $47.25 | ↓ -86% |
| HEALTH PARTNERS | HEALTH PARTNERS | $51.95 | ↓ -85% |
| MIDLANDS CHOICE | MIDLANDS CHOICE | $52.92 | ↓ -84% |
| MEDICA | MIDLANDS CHOICE | $52.92 | ↓ -84% |
| CIGNA | MIDLANDS CHOICE | $52.92 | ↓ -84% |
| CIGNA EAP | MIDLANDS CHOICE | $52.92 | ↓ -84% |
| MIDLANDS | MIDLANDS CHOICE | $52.92 | ↓ -84% |
| AUXIANT | MIDLANDS CHOICE | $52.92 | ↓ -84% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $54.00 | ↓ -84% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $54.00 | ↓ -84% |
| NOVA | CLAIMDOC | $56.44 | ↓ -83% |
| CLAIMDOC | CLAIMDOC | $56.44 | ↓ -83% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $351.86 | $10.30 – $35.89 |
| UnityPoint Health - Allen Hospital | Waterloo | $156.92 | $10.30 – $35.89 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $202.80 | $43.55 – $84.28 |
| MercyOne Dubuque Medical Center | Dubuque | $253.50 | $5.86 – $636.00 |
| MercyOne New Hampton Medical Center | New Hampton | $341.25 | $10.28 – $54.00 |
| MercyOne Dyersville Medical Center | Dyersville | $341.25 | $20.41 – $60.78 |
| MercyOne Clinton Medical Center | Clinton | $273.00 | $5.86 – $1,453.00 |
| MercyOne Oelwein Medical Center | Oelwein | $341.25 | $11.82 – $54.00 |