Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm 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

$414.05

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.

$637.00

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.

$157.44 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $319.72 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 $157.44 ↓ -62%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $159.06 ↓ -62%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $160.65 ↓ -61%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $162.24 ↓ -61%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $165.18 ↓ -60%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $165.24 ↓ -60%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $168.61 ↓ -59%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $190.32 ↓ -54%
MOLINA MEDICAID MOLINA MEDICAID $193.12 ↓ -53%
WELLPOINT MEDICAID WELLPOINT MEDICAID $194.06 ↓ -53%
AMISH HOSPITAL AID AMISH HOSPITAL AID $211.55 ↓ -49%
COVENTRY AETNA $225.14 ↓ -46%
LUMINARE HEALTH AETNA $225.14 ↓ -46%
CHRISTIAN BROTHER SERVICES AETNA $225.14 ↓ -46%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $225.14 ↓ -46%
LUCENT HEALTH AETNA $225.14 ↓ -46%
AETNA AETNA $225.14 ↓ -46%
ASR HEALTH BENEFITS AETNA $225.14 ↓ -46%
1199 NATIONAL BENEFIT FUND AETNA $225.14 ↓ -46%
FIRST HEALTH AETNA $225.14 ↓ -46%
AETNA DOMESTIC AETNA $225.14 ↓ -46%
ALLIED BENEFIT SYSTEMS AETNA $225.14 ↓ -46%
MERITAIN AETNA $225.14 ↓ -46%
WEBTPA AETNA $225.14 ↓ -46%
MEDICAL MUTUAL AETNA $225.14 ↓ -46%
CENTIVO CENTIVO $238.59 ↓ -42%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $244.71 ↓ -41%
HEALTH CHOICES MEDICAL ASSOCIATES $244.71 ↓ -41%
AMBETTER AMBETTER MARKETPLACE $267.23 ↓ -35%
GEHA UNITED HEALTHCARE $267.65 ↓ -35%
UNITED HEALTHCARE UNITED HEALTHCARE $267.65 ↓ -35%
HEALTH PARTNERS HEALTH PARTNERS $294.27 ↓ -29%
CIGNA EAP MIDLANDS CHOICE $299.77 ↓ -28%
MIDLANDS CHOICE MIDLANDS CHOICE $299.77 ↓ -28%
AUXIANT MIDLANDS CHOICE $299.77 ↓ -28%
MEDICA MIDLANDS CHOICE $299.77 ↓ -28%
CIGNA MIDLANDS CHOICE $299.77 ↓ -28%
MIDLANDS MIDLANDS CHOICE $299.77 ↓ -28%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $305.89 ↓ -26%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $305.89 ↓ -26%
NOVA CLAIMDOC $319.72 ↓ -23%
CLAIMDOC CLAIMDOC $319.72 ↓ -23%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $2,767.80 not published
MercyOne Dubuque Medical Center Dubuque $414.05 $59.28 – $305.89
MercyOne New Hampton Medical Center New Hampton $515.72 $125.78 – $317.70
MercyOne Dyersville Medical Center Dyersville $414.05 $115.63 – $344.31
MercyOne Clinton Medical Center Clinton $414.05 $59.28 – $305.89
MercyOne Oelwein Medical Center Oelwein $3,657.34 $116.91 – $305.89
MercyOne Cedar Falls Medical Center Cedar Falls $414.05 $53.04 – $305.89
MercyOne West Des Moines Medical Center West Des Moines $756.96 $49.92 – $305.89

All Iowa hospitals for this procedure →