Diazepam 5 mg/ml injection solution (wrapper) 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

$250.05

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.

$250.05

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.

$68.31 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $172.55 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 $68.31 ↓ -73%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $69.02 ↓ -72%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $69.71 ↓ -72%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $70.40 ↓ -72%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $72.71 ↓ -71%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $73.16 ↓ -71%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $77.08 ↓ -69%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $87.14 ↓ -65%
HEALTH CHOICES MEDICAL ASSOCIATES $87.14 ↓ -65%
AMISH HOSPITAL AID AMISH HOSPITAL AID $91.80 ↓ -63%
OSCAR OSCAR $101.46 ↓ -59%
AMBETTER AMBETTER MARKETPLACE $115.95 ↓ -54%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $117.92 ↓ -53%
GEHA UNITED HEALTHCARE $119.40 ↓ -52%
UNITED HEALTHCARE UNITED HEALTHCARE $119.40 ↓ -52%
MOLINA MEDICAID MOLINA MEDICAID $119.65 ↓ -52%
WELLPOINT MEDICAID WELLPOINT MEDICAID $120.23 ↓ -52%
CLAIMDOC CLAIMDOC $138.73 ↓ -45%
NOVA CLAIMDOC $138.73 ↓ -45%
AETNA AETNA $163.06 ↓ -35%
ASR HEALTH BENEFITS AETNA $163.06 ↓ -35%
1199 NATIONAL BENEFIT FUND AETNA $163.06 ↓ -35%
FIRST HEALTH AETNA $163.06 ↓ -35%
AETNA DOMESTIC AETNA $163.06 ↓ -35%
LUCENT HEALTH AETNA $163.06 ↓ -35%
COVENTRY AETNA $163.06 ↓ -35%
ALLIED BENEFIT SYSTEMS AETNA $163.06 ↓ -35%
MERITAIN AETNA $163.06 ↓ -35%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $163.06 ↓ -35%
LUMINARE HEALTH AETNA $163.06 ↓ -35%
WEBTPA AETNA $163.06 ↓ -35%
MEDICAL MUTUAL AETNA $163.06 ↓ -35%
AETNA EAP AETNA $163.06 ↓ -35%
FIRST CHOICE HEALTH FIRST CHOICE $163.92 ↓ -34%
HEALTH PARTNERS HEALTH PARTNERS $165.82 ↓ -34%
CIGNA MIDLANDS CHOICE PPO $167.37 ↓ -33%
AUXIANT MIDLANDS CHOICE PPO $167.37 ↓ -33%
MIDLANDS MIDLANDS CHOICE PPO $167.37 ↓ -33%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $167.37 ↓ -33%
CIGNA EAP MIDLANDS CHOICE PPO $167.37 ↓ -33%
MEDICA MIDLANDS CHOICE PPO $167.37 ↓ -33%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $172.55 ↓ -31%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $172.55 ↓ -31%

Visitor-reported prices

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Diazepam 5 mg/ml injection solution (wrapper) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $68.15 $24.33 – $68.15
MercyOne Dyersville Medical Center Dyersville $68.15 $25.76 – $76.71
MercyOne Clinton Medical Center Clinton $111.85 $31.65 – $111.85
MercyOne Oelwein Medical Center Oelwein $97.75 $37.36 – $97.75
MercyOne Cedar Falls Medical Center Cedar Falls $108.95 $25.60 – $108.95
MercyOne Elkader Medical Center Elkader $250.05 $56.08 – $113.87
MercyOne West Des Moines Medical Center West Des Moines $250.05 $34.68 – $172.55
MercyOne Des Moines Medical Center Des Moines $111.85 $22.48 – $111.85

All Iowa hospitals for this procedure →