F-18 fluciclovine per mci 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

$27,455.00

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.

Full explanation →

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

$27,455.00

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.

$10,869.43 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $27,455.00 with CRIME VICTIM ASSISTANCE — 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 $10,869.43 ↓ -60%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $10,982.00 ↓ -60%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $11,091.82 ↓ -60%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $11,201.64 ↓ -59%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $11,569.54 ↓ -58%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $11,640.92 ↓ -58%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $12,264.15 ↓ -55%
HEALTH CHOICES MEDICAL ASSOCIATES $13,864.78 ↓ -49%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $13,864.78 ↓ -49%
AMISH HOSPITAL AID AMISH HOSPITAL AID $14,606.06 ↓ -47%
OSCAR OSCAR $16,143.54 ↓ -41%
AMBETTER AMBETTER MARKETPLACE $18,449.76 ↓ -33%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $18,762.75 ↓ -32%
UNITED HEALTHCARE UNITED HEALTHCARE $18,998.86 ↓ -31%
GEHA UNITED HEALTHCARE $18,998.86 ↓ -31%
MOLINA MEDICAID MOLINA MEDICAID $19,038.67 ↓ -31%
WELLPOINT MEDICAID WELLPOINT MEDICAID $19,130.64 ↓ -30%
CLAIMDOC CLAIMDOC $22,073.82 ↓ -20%
NOVA CLAIMDOC $22,073.82 ↓ -20%
ALLIED BENEFIT SYSTEMS AETNA $25,944.98 ↓ -5%
AETNA AETNA $25,944.98 ↓ -5%
AETNA DOMESTIC AETNA $25,944.98 ↓ -5%
AETNA EAP AETNA $25,944.98 ↓ -5%
1199 NATIONAL BENEFIT FUND AETNA $25,944.98 ↓ -5%
ASR HEALTH BENEFITS AETNA $25,944.98 ↓ -5%
COVENTRY AETNA $25,944.98 ↓ -5%
FIRST HEALTH AETNA $25,944.98 ↓ -5%
LUCENT HEALTH AETNA $25,944.98 ↓ -5%
LUMINARE HEALTH AETNA $25,944.98 ↓ -5%
MEDICAL MUTUAL AETNA $25,944.98 ↓ -5%
MERITAIN AETNA $25,944.98 ↓ -5%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $25,944.98 ↓ -5%
WEBTPA AETNA $25,944.98 ↓ -5%
FIRST CHOICE HEALTH FIRST CHOICE $26,082.25 ↓ -5%
HEALTH PARTNERS HEALTH PARTNERS $26,384.26 ↓ -4%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $26,631.35 ↓ -3%
AUXIANT MIDLANDS CHOICE PPO $26,631.35 ↓ -3%
MIDLANDS MIDLANDS CHOICE PPO $26,631.35 ↓ -3%
CIGNA MIDLANDS CHOICE PPO $26,631.35 ↓ -3%
CIGNA EAP MIDLANDS CHOICE PPO $26,631.35 ↓ -3%
MEDICA MIDLANDS CHOICE PPO $26,631.35 ↓ -3%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $27,455.00 ↑ +0%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $27,455.00 ↑ +0%

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F-18 fluciclovine per mci at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Iowa Lutheran Hospital Des Moines $950.45 $242.36 – $516.65
CHI Health Mercy Council Bluffs Council Bluffs $882.84 $315.30 – $1,786.70
MercyOne Genesis Davenport West Medical Center Davenport not published $268.42 – $375.79
MercyOne Genesis Davenport Medical Center Davenport not published $256.94 – $375.79
UnityPoint Health - Allen Hospital Waterloo not published $268.42 – $516.65
UnityPoint Health - Finley Hospital Dubuque not published $268.42 – $516.65
UnityPoint Health - Grinnell Regional Medical Center Grinnell not published $268.42 – $516.65
UnityPoint Health - Jones Regional Medical Center Anamosa not published $426.75 – $563.62

All Iowa hospitals for this procedure →