X-ray optic foramina at MercyOne Elkader Medical Center
901 Davidson St. NW, Elkader, IA · MercyOne · · NPI 1184645434
$241.15
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.
$371.00
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.
$127.13 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $258.16 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 | $127.13 | ↓ -47% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $128.44 | ↓ -47% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $129.72 | ↓ -46% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $131.01 | ↓ -46% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $133.38 | ↓ -45% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $133.43 | ↓ -45% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $136.15 | ↓ -44% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $153.68 | ↓ -36% |
| MOLINA MEDICAID | MOLINA MEDICAID | $155.94 | ↓ -35% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $156.70 | ↓ -35% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $170.83 | ↓ -29% |
| COVENTRY | AETNA | $181.79 | ↓ -25% |
| LUMINARE HEALTH | AETNA | $181.79 | ↓ -25% |
| CHRISTIAN BROTHER SERVICES | AETNA | $181.79 | ↓ -25% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $181.79 | ↓ -25% |
| LUCENT HEALTH | AETNA | $181.79 | ↓ -25% |
| AETNA | AETNA | $181.79 | ↓ -25% |
| ASR HEALTH BENEFITS | AETNA | $181.79 | ↓ -25% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $181.79 | ↓ -25% |
| FIRST HEALTH | AETNA | $181.79 | ↓ -25% |
| AETNA DOMESTIC | AETNA | $181.79 | ↓ -25% |
| ALLIED BENEFIT SYSTEMS | AETNA | $181.79 | ↓ -25% |
| MERITAIN | AETNA | $181.79 | ↓ -25% |
| WEBTPA | AETNA | $181.79 | ↓ -25% |
| MEDICAL MUTUAL | AETNA | $181.79 | ↓ -25% |
| GEHA | UNITED HEALTHCARE | $185.25 | ↓ -23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $185.25 | ↓ -23% |
| CENTIVO | CENTIVO | $192.66 | ↓ -20% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $197.60 | ↓ -18% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $197.60 | ↓ -18% |
| AMBETTER | AMBETTER MARKETPLACE | $215.78 | ↓ -11% |
| HEALTH PARTNERS | HEALTH PARTNERS | $237.61 | ↓ -1% |
| CIGNA EAP | MIDLANDS CHOICE | $242.06 | ↑ +0% |
| MIDLANDS CHOICE | MIDLANDS CHOICE | $242.06 | ↑ +0% |
| AUXIANT | MIDLANDS CHOICE | $242.06 | ↑ +0% |
| MEDICA | MIDLANDS CHOICE | $242.06 | ↑ +0% |
| CIGNA | MIDLANDS CHOICE | $242.06 | ↑ +0% |
| MIDLANDS | MIDLANDS CHOICE | $242.06 | ↑ +0% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $247.00 | ↑ +2% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $247.00 | ↑ +2% |
| NOVA | CLAIMDOC | $258.16 | ↑ +7% |
| CLAIMDOC | CLAIMDOC | $258.16 | ↑ +7% |
Visitor-reported prices
Comments
X-ray optic foramina at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $185.95 | $9.89 – $122.49 |
| UnityPoint Health - Finley Hospital | Dubuque | $76.00 | $9.89 – $77.41 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $76.00 | $9.89 – $87.60 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $371.13 | $9.89 – $136.39 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $274.22 | $9.89 – $304.04 |
| UnityPoint Health - Marshalltown | Marshalltown | $185.95 | $9.89 – $111.57 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $266.36 | $7.80 – $192.44 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $76.00 | $9.89 – $75.76 |