Graft puraplyam antimicrob 1.6-q4196-cost per sq cm 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

$495.11

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.

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

$761.71

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.

$98.15 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $247.91 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 $98.15 ↓ -80%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $99.16 ↓ -80%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $100.16 ↓ -80%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $101.15 ↓ -80%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $104.47 ↓ -79%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $105.11 ↓ -79%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $110.74 ↓ -78%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $125.19 ↓ -75%
HEALTH CHOICES MEDICAL ASSOCIATES $125.19 ↓ -75%
AMISH HOSPITAL AID AMISH HOSPITAL AID $131.89 ↓ -73%
OSCAR OSCAR $145.77 ↓ -71%
AMBETTER AMBETTER MARKETPLACE $166.60 ↓ -66%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $169.42 ↓ -66%
GEHA UNITED HEALTHCARE $171.55 ↓ -65%
UNITED HEALTHCARE UNITED HEALTHCARE $171.55 ↓ -65%
MOLINA MEDICAID MOLINA MEDICAID $171.91 ↓ -65%
WELLPOINT MEDICAID WELLPOINT MEDICAID $172.74 ↓ -65%
CLAIMDOC CLAIMDOC $199.32 ↓ -60%
NOVA CLAIMDOC $199.32 ↓ -60%
AETNA AETNA $234.27 ↓ -53%
ASR HEALTH BENEFITS AETNA $234.27 ↓ -53%
1199 NATIONAL BENEFIT FUND AETNA $234.27 ↓ -53%
FIRST HEALTH AETNA $234.27 ↓ -53%
AETNA DOMESTIC AETNA $234.27 ↓ -53%
LUCENT HEALTH AETNA $234.27 ↓ -53%
COVENTRY AETNA $234.27 ↓ -53%
ALLIED BENEFIT SYSTEMS AETNA $234.27 ↓ -53%
MERITAIN AETNA $234.27 ↓ -53%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $234.27 ↓ -53%
LUMINARE HEALTH AETNA $234.27 ↓ -53%
WEBTPA AETNA $234.27 ↓ -53%
MEDICAL MUTUAL AETNA $234.27 ↓ -53%
AETNA EAP AETNA $234.27 ↓ -53%
FIRST CHOICE HEALTH FIRST CHOICE $235.51 ↓ -52%
HEALTH PARTNERS HEALTH PARTNERS $238.24 ↓ -52%
CIGNA MIDLANDS CHOICE PPO $240.47 ↓ -51%
AUXIANT MIDLANDS CHOICE PPO $240.47 ↓ -51%
MIDLANDS MIDLANDS CHOICE PPO $240.47 ↓ -51%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $240.47 ↓ -51%
CIGNA EAP MIDLANDS CHOICE PPO $240.47 ↓ -51%
MEDICA MIDLANDS CHOICE PPO $240.47 ↓ -51%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $247.91 ↓ -50%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $247.91 ↓ -50%

Visitor-reported prices

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Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $11,542.80 not published
MercyOne Dubuque Medical Center Dubuque $397.50 $46.26 – $238.70
MercyOne Dyersville Medical Center Dyersville $397.50 $90.23 – $268.68
MercyOne Clinton Medical Center Clinton $397.50 $46.26 – $238.70
MercyOne Oelwein Medical Center Oelwein $397.96 $91.23 – $238.70
MercyOne Cedar Falls Medical Center Cedar Falls $397.50 $41.39 – $238.70
MercyOne Elkader Medical Center Elkader $397.50 $122.86 – $249.49
MercyOne West Des Moines Medical Center West Des Moines $612.24 $38.96 – $238.70

All Iowa hospitals for this procedure →