Paliperidone 117 mg/0.75 ml inj at MercyOne Elkader Medical Center
901 Davidson St. NW, Elkader, IA · MercyOne · · NPI 1184645434
$16,808.50
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.
$16,808.50
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.
$5,767.70 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $11,712.46 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 | $5,767.70 | ↓ -66% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $5,827.09 | ↓ -65% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $5,885.36 | ↓ -65% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $5,943.64 | ↓ -65% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $6,051.21 | ↓ -64% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $6,053.45 | ↓ -64% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $6,176.72 | ↓ -63% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $6,972.34 | ↓ -59% |
| MOLINA MEDICAID | MOLINA MEDICAID | $7,074.88 | ↓ -58% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $7,109.05 | ↓ -58% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $7,750.04 | ↓ -54% |
| MERITAIN | AETNA | $8,247.58 | ↓ -51% |
| MEDICAL MUTUAL | AETNA | $8,247.58 | ↓ -51% |
| LUMINARE HEALTH | AETNA | $8,247.58 | ↓ -51% |
| LUCENT HEALTH | AETNA | $8,247.58 | ↓ -51% |
| AETNA | AETNA | $8,247.58 | ↓ -51% |
| AETNA DOMESTIC | AETNA | $8,247.58 | ↓ -51% |
| ALLIED BENEFIT SYSTEMS | AETNA | $8,247.58 | ↓ -51% |
| ASR HEALTH BENEFITS | AETNA | $8,247.58 | ↓ -51% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $8,247.58 | ↓ -51% |
| CHRISTIAN BROTHER SERVICES | AETNA | $8,247.58 | ↓ -51% |
| WEBTPA | AETNA | $8,247.58 | ↓ -51% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $8,247.58 | ↓ -51% |
| COVENTRY | AETNA | $8,247.58 | ↓ -51% |
| FIRST HEALTH | AETNA | $8,247.58 | ↓ -51% |
| CENTIVO | CENTIVO | $8,740.64 | ↓ -48% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $8,964.76 | ↓ -47% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $8,964.76 | ↓ -47% |
| AMBETTER | AMBETTER MARKETPLACE | $9,789.52 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,805.21 | ↓ -42% |
| GEHA | UNITED HEALTHCARE | $9,805.21 | ↓ -42% |
| HEALTH PARTNERS | HEALTH PARTNERS | $10,780.12 | ↓ -36% |
| MEDICA | MIDLANDS CHOICE | $10,981.83 | ↓ -35% |
| MIDLANDS | MIDLANDS CHOICE | $10,981.83 | ↓ -35% |
| MIDLANDS CHOICE | MIDLANDS CHOICE | $10,981.83 | ↓ -35% |
| CIGNA EAP | MIDLANDS CHOICE | $10,981.83 | ↓ -35% |
| CIGNA | MIDLANDS CHOICE | $10,981.83 | ↓ -35% |
| AUXIANT | MIDLANDS CHOICE | $10,981.83 | ↓ -35% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $11,205.95 | ↓ -33% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $11,205.95 | ↓ -33% |
| NOVA | CLAIMDOC | $11,712.46 | ↓ -30% |
| CLAIMDOC | CLAIMDOC | $11,712.46 | ↓ -30% |
Visitor-reported prices
Comments
Paliperidone 117 mg/0.75 ml inj at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $5,942.61 | $15.08 – $21.11 |
| MercyOne Clinton Medical Center | Clinton | $16,808.50 | $14.78 – $11,205.95 |
| MercyOne Des Moines Medical Center | Des Moines | $16,808.50 | $14.78 – $5,602.65 |
| MercyOne North Iowa Medical Center | Mason City | $16,808.50 | $14.78 – $2,801.25 |
| MercyOne Genesis Davenport Medical Center | Davenport | $6,334.10 | $14.43 – $21.11 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $6,334.10 | $604.04 – $1,296.90 |
| MercyOne Waterloo Medical Center | Waterloo | $16,808.50 | $14.78 – $11,205.95 |
| Sanford Sheldon Medical Center | Sheldon | $2,650.85 | $944.36 – $2,982.20 |