CT upper extremity without contrast (both sides) at MercyOne New Hampton Medical Center

308 North Maple Ave, New Hampton, IA · MercyOne · · NPI 1770651515

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$1,701.70

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.

$2,618.00

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.

$690.85 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $1,745.00 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 →

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 $690.85 ↓ -59%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $698.00 ↓ -59%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $704.98 ↓ -59%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $711.96 ↓ -58%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $735.34 ↓ -57%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $739.88 ↓ -57%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $779.49 ↓ -54%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $881.23 ↓ -48%
HEALTH CHOICES MEDICAL ASSOCIATES $881.23 ↓ -48%
AMISH HOSPITAL AID AMISH HOSPITAL AID $928.34 ↓ -45%
OSCAR OSCAR $1,026.06 ↓ -40%
GEHA UNITED HEALTHCARE $1,047.00 ↓ -38%
UNITED HEALTHCARE UNITED HEALTHCARE $1,047.00 ↓ -38%
AMBETTER AMBETTER MARKETPLACE $1,172.64 ↓ -31%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $1,192.53 ↓ -30%
MOLINA MEDICAID MOLINA MEDICAID $1,210.07 ↓ -29%
WELLPOINT MEDICAID WELLPOINT MEDICAID $1,215.92 ↓ -29%
CLAIMDOC CLAIMDOC $1,402.98 ↓ -18%
NOVA CLAIMDOC $1,402.98 ↓ -18%
AETNA AETNA $1,649.03 ↓ -3%
ASR HEALTH BENEFITS AETNA $1,649.03 ↓ -3%
1199 NATIONAL BENEFIT FUND AETNA $1,649.03 ↓ -3%
FIRST HEALTH AETNA $1,649.03 ↓ -3%
AETNA DOMESTIC AETNA $1,649.03 ↓ -3%
LUCENT HEALTH AETNA $1,649.03 ↓ -3%
COVENTRY AETNA $1,649.03 ↓ -3%
ALLIED BENEFIT SYSTEMS AETNA $1,649.03 ↓ -3%
MERITAIN AETNA $1,649.03 ↓ -3%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $1,649.03 ↓ -3%
LUMINARE HEALTH AETNA $1,649.03 ↓ -3%
WEBTPA AETNA $1,649.03 ↓ -3%
MEDICAL MUTUAL AETNA $1,649.03 ↓ -3%
AETNA EAP AETNA $1,649.03 ↓ -3%
FIRST CHOICE HEALTH FIRST CHOICE $1,657.75 ↓ -3%
HEALTH PARTNERS HEALTH PARTNERS $1,676.95 ↓ -1%
CIGNA MIDLANDS CHOICE PPO $1,692.65 ↓ -1%
AUXIANT MIDLANDS CHOICE PPO $1,692.65 ↓ -1%
MIDLANDS MIDLANDS CHOICE PPO $1,692.65 ↓ -1%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $1,692.65 ↓ -1%
CIGNA EAP MIDLANDS CHOICE PPO $1,692.65 ↓ -1%
MEDICA MIDLANDS CHOICE PPO $1,692.65 ↓ -1%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $1,745.00 ↑ +3%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $1,745.00 ↑ +3%

Visitor-reported prices

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CT upper extremity without contrast (both sides) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $1,552.80 $101.79 – $142.51
MercyOne Dubuque Medical Center Dubuque $2,146.95 $93.79 – $2,202.00
MercyOne Dyersville Medical Center Dyersville $1,701.70 $659.61 – $1,964.17
MercyOne Clinton Medical Center Clinton $1,844.70 $96.27 – $1,892.00
MercyOne Oelwein Medical Center Oelwein $1,701.70 $666.94 – $1,745.00
MercyOne Cedar Falls Medical Center Cedar Falls $1,299.35 $98.49 – $1,332.00
MercyOne Elkader Medical Center Elkader $1,701.70 $898.15 – $1,823.87
MercyOne West Des Moines Medical Center West Des Moines $4,853.00 $98.68 – $3,235.00

All Iowa hospitals for this procedure →