Dup scan/ue art/graft/bilat/comp 93930 at MercyOne New Hampton Medical Center
308 North Maple Ave, New Hampton, IA · MercyOne · · NPI 1770651515
$1,101.10
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.
?
What you pay up front if you don't use insurance.
$1,694.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$670.65 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $1,694.00 with IOWA DEPT OF PUBLIC HEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $670.65 | ↓ -39% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $677.60 | ↓ -38% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $684.38 | ↓ -38% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $691.15 | ↓ -37% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $713.85 | ↓ -35% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $718.26 | ↓ -35% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $756.71 | ↓ -31% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $855.47 | ↓ -22% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $855.47 | ↓ -22% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $901.21 | ↓ -18% |
| OSCAR | OSCAR | $996.07 | ↓ -10% |
| AMBETTER | AMBETTER MARKETPLACE | $1,138.37 | ↑ +3% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $1,157.68 | ↑ +5% |
| GEHA | UNITED HEALTHCARE | $1,172.25 | ↑ +6% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,172.25 | ↑ +6% |
| MOLINA MEDICAID | MOLINA MEDICAID | $1,174.70 | ↑ +7% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $1,180.38 | ↑ +7% |
| CLAIMDOC | CLAIMDOC | $1,361.98 | ↑ +24% |
| NOVA | CLAIMDOC | $1,361.98 | ↑ +24% |
| AETNA | AETNA | $1,600.83 | ↑ +45% |
| ASR HEALTH BENEFITS | AETNA | $1,600.83 | ↑ +45% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $1,600.83 | ↑ +45% |
| FIRST HEALTH | AETNA | $1,600.83 | ↑ +45% |
| AETNA DOMESTIC | AETNA | $1,600.83 | ↑ +45% |
| LUCENT HEALTH | AETNA | $1,600.83 | ↑ +45% |
| COVENTRY | AETNA | $1,600.83 | ↑ +45% |
| ALLIED BENEFIT SYSTEMS | AETNA | $1,600.83 | ↑ +45% |
| MERITAIN | AETNA | $1,600.83 | ↑ +45% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $1,600.83 | ↑ +45% |
| LUMINARE HEALTH | AETNA | $1,600.83 | ↑ +45% |
| WEBTPA | AETNA | $1,600.83 | ↑ +45% |
| MEDICAL MUTUAL | AETNA | $1,600.83 | ↑ +45% |
| AETNA EAP | AETNA | $1,600.83 | ↑ +45% |
| FIRST CHOICE HEALTH | FIRST CHOICE | $1,609.30 | ↑ +46% |
| HEALTH PARTNERS | HEALTH PARTNERS | $1,627.93 | ↑ +48% |
| CIGNA | MIDLANDS CHOICE PPO | $1,643.18 | ↑ +49% |
| AUXIANT | MIDLANDS CHOICE PPO | $1,643.18 | ↑ +49% |
| MIDLANDS | MIDLANDS CHOICE PPO | $1,643.18 | ↑ +49% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1,643.18 | ↑ +49% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $1,643.18 | ↑ +49% |
| MEDICA | MIDLANDS CHOICE PPO | $1,643.18 | ↑ +49% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $1,694.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $1,694.00 | ↑ +54% |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $632.40 | $231.38 – $323.93 |
| MercyOne West Des Moines Medical Center | West Des Moines | $1,889.00 | $225.21 – $1,889.00 |
| MercyOne Des Moines Medical Center | Des Moines | $1,227.85 | $23.64 – $1,889.00 |
| MercyOne North Iowa Medical Center | Mason City | $688.35 | $230.87 – $1,059.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $703.80 | $231.38 – $323.93 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $703.80 | $398.82 – $468.66 |
| MercyOne Waterloo Medical Center | Waterloo | $1,101.10 | $224.79 – $1,694.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $962.61 | $34.30 – $634.12 |