Zoledronic acid 4 mg/5 ml intravenous solution 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

$1,080.00

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.

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What you pay up front if you don't use insurance.

$1,080.00

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.

$80.55 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $163.57 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 $80.55 ↓ -93%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $81.38 ↓ -92%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $82.19 ↓ -92%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $83.01 ↓ -92%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $84.51 ↓ -92%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $84.54 ↓ -92%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $86.26 ↓ -92%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $97.37 ↓ -91%
MOLINA MEDICAID MOLINA MEDICAID $98.81 ↓ -91%
WELLPOINT MEDICAID WELLPOINT MEDICAID $99.28 ↓ -91%
AMISH HOSPITAL AID AMISH HOSPITAL AID $108.24 ↓ -90%
COVENTRY AETNA $115.18 ↓ -89%
LUMINARE HEALTH AETNA $115.18 ↓ -89%
CHRISTIAN BROTHER SERVICES AETNA $115.18 ↓ -89%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $115.18 ↓ -89%
LUCENT HEALTH AETNA $115.18 ↓ -89%
AETNA AETNA $115.18 ↓ -89%
ASR HEALTH BENEFITS AETNA $115.18 ↓ -89%
1199 NATIONAL BENEFIT FUND AETNA $115.18 ↓ -89%
FIRST HEALTH AETNA $115.18 ↓ -89%
AETNA DOMESTIC AETNA $115.18 ↓ -89%
ALLIED BENEFIT SYSTEMS AETNA $115.18 ↓ -89%
MERITAIN AETNA $115.18 ↓ -89%
WEBTPA AETNA $115.18 ↓ -89%
MEDICAL MUTUAL AETNA $115.18 ↓ -89%
CENTIVO CENTIVO $122.07 ↓ -89%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $125.20 ↓ -88%
HEALTH CHOICES MEDICAL ASSOCIATES $125.20 ↓ -88%
AMBETTER AMBETTER MARKETPLACE $136.72 ↓ -87%
GEHA UNITED HEALTHCARE $136.94 ↓ -87%
UNITED HEALTHCARE UNITED HEALTHCARE $136.94 ↓ -87%
HEALTH PARTNERS HEALTH PARTNERS $150.55 ↓ -86%
CIGNA EAP MIDLANDS CHOICE $153.37 ↓ -86%
MIDLANDS CHOICE MIDLANDS CHOICE $153.37 ↓ -86%
AUXIANT MIDLANDS CHOICE $153.37 ↓ -86%
MEDICA MIDLANDS CHOICE $153.37 ↓ -86%
CIGNA MIDLANDS CHOICE $153.37 ↓ -86%
MIDLANDS MIDLANDS CHOICE $153.37 ↓ -86%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $156.50 ↓ -86%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $156.50 ↓ -86%
NOVA CLAIMDOC $163.57 ↓ -85%
CLAIMDOC CLAIMDOC $163.57 ↓ -85%

Visitor-reported prices

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Zoledronic acid 4 mg/5 ml intravenous solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $1,949.30 not published
MercyOne Dubuque Medical Center Dubuque $43.00 $15.35 – $43.00
MercyOne New Hampton Medical Center New Hampton $1,080.00 $61.96 – $156.50
MercyOne Dyersville Medical Center Dyersville $43.00 $16.25 – $48.40
MercyOne Clinton Medical Center Clinton $1,081.00 $12.17 – $43.00
MercyOne Oelwein Medical Center Oelwein $1,080.00 $59.81 – $156.50
MercyOne Cedar Falls Medical Center Cedar Falls $1,080.00 $36.78 – $156.50
MercyOne West Des Moines Medical Center West Des Moines $285.00 $8.64 – $43.00

All Iowa hospitals for this procedure →