Tc-99m arcitumomab at MercyOne North Iowa Medical Center
1000 4th St. SW, Mason City, IA · MercyOne · · NPI 1467537886
$4,224.15
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.
$4,224.15
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.
$844.83 with AETNA MEDICARE ADVANTAGE vs $4,224.15 with IOWA DEPT OF PUBLIC HEALTH — 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 | $844.83 | ↓ -80% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $1,034.07 | ↓ -76% |
| MOLINA MEDICAID | MOLINA MEDICAID | $1,044.21 | ↓ -75% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $1,048.27 | ↓ -75% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $1,081.38 | ↓ -74% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $1,081.38 | ↓ -74% |
| CENTIVO | CENTIVO | $1,339.06 | ↓ -68% |
| OSCAR | OSCAR | $1,393.97 | ↓ -67% |
| GEHA | UNITED HEALTHCARE | $2,112.08 | ↓ -50% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,112.08 | ↓ -50% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $2,217.68 | ↓ -47% |
| ALLIED BENEFIT SYSTEMS | AETNA | $2,217.68 | ↓ -47% |
| ASR HEALTH BENEFITS | AETNA | $2,217.68 | ↓ -47% |
| CHRISTIAN BROTHER SERVICES | AETNA | $2,217.68 | ↓ -47% |
| COVENTRY | AETNA | $2,217.68 | ↓ -47% |
| FIRST HEALTH | AETNA | $2,217.68 | ↓ -47% |
| AETNA DOMESTIC | AETNA | $2,217.68 | ↓ -47% |
| LUCENT HEALTH | AETNA | $2,217.68 | ↓ -47% |
| LUMINARE HEALTH | AETNA | $2,217.68 | ↓ -47% |
| MEDICAL MUTUAL | AETNA | $2,217.68 | ↓ -47% |
| MERITAIN | AETNA | $2,217.68 | ↓ -47% |
| AETNA | AETNA | $2,217.68 | ↓ -47% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $2,217.68 | ↓ -47% |
| WEBTPA | AETNA | $2,217.68 | ↓ -47% |
| AETNA EAP | AETNA | $2,217.68 | ↓ -47% |
| CLAIMDOC | CLAIMDOC | $2,534.49 | ↓ -40% |
| NOVA | CLAIMDOC | $2,534.49 | ↓ -40% |
| PREFERRED ONE | PREFERRED ONE | $2,745.70 | ↓ -35% |
| HEALTH PARTNERS | HEALTH PARTNERS | $2,825.96 | ↓ -33% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $2,956.91 | ↓ -30% |
| MIDLANDS | MIDLANDS CHOICE PPO | $2,956.91 | ↓ -30% |
| AUXIANT | MIDLANDS CHOICE PPO | $2,956.91 | ↓ -30% |
| CIGNA | MIDLANDS CHOICE PPO | $2,956.91 | ↓ -30% |
| MEDICA | MIDLANDS CHOICE PPO | $2,956.91 | ↓ -30% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $2,956.91 | ↓ -30% |
| MHNET | MENTAL HEALTH ASSOCIATES | $3,379.32 | ↓ -20% |
| MULTIPLAN | MULTIPLAN | $3,801.74 | ↓ -10% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $4,224.15 | ↑ +0% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $4,224.15 | ↑ +0% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $4,224.15 | ↑ +0% |
Visitor-reported prices
Comments
Tc-99m arcitumomab at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $4,224.15 | $809.51 – $4,224.15 |
| MercyOne New Hampton Medical Center | New Hampton | $4,224.15 | $1,672.34 – $4,224.15 |
| MercyOne Dyersville Medical Center | Dyersville | $4,224.15 | $1,596.73 – $4,754.70 |
| MercyOne Clinton Medical Center | Clinton | $4,224.15 | $818.64 – $4,224.15 |
| MercyOne Oelwein Medical Center | Oelwein | $4,224.15 | $1,614.47 – $4,224.15 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $4,224.15 | $732.47 – $4,224.15 |
| MercyOne Elkader Medical Center | Elkader | $4,224.15 | $2,174.17 – $4,415.08 |
| MercyOne West Des Moines Medical Center | West Des Moines | $4,224.15 | $689.38 – $4,224.15 |