Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-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

$515.72

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.

$793.42

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.

$125.78 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $317.70 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 $125.78 ↓ -76%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $127.08 ↓ -75%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $128.35 ↓ -75%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $129.62 ↓ -75%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $133.88 ↓ -74%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $134.70 ↓ -74%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $141.92 ↓ -72%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $160.44 ↓ -69%
HEALTH CHOICES MEDICAL ASSOCIATES $160.44 ↓ -69%
AMISH HOSPITAL AID AMISH HOSPITAL AID $169.02 ↓ -67%
OSCAR OSCAR $186.81 ↓ -64%
AMBETTER AMBETTER MARKETPLACE $213.49 ↓ -59%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $217.12 ↓ -58%
GEHA UNITED HEALTHCARE $219.85 ↓ -57%
UNITED HEALTHCARE UNITED HEALTHCARE $219.85 ↓ -57%
MOLINA MEDICAID MOLINA MEDICAID $220.31 ↓ -57%
WELLPOINT MEDICAID WELLPOINT MEDICAID $221.37 ↓ -57%
CLAIMDOC CLAIMDOC $255.43 ↓ -50%
NOVA CLAIMDOC $255.43 ↓ -50%
AETNA AETNA $300.23 ↓ -42%
ASR HEALTH BENEFITS AETNA $300.23 ↓ -42%
1199 NATIONAL BENEFIT FUND AETNA $300.23 ↓ -42%
FIRST HEALTH AETNA $300.23 ↓ -42%
AETNA DOMESTIC AETNA $300.23 ↓ -42%
LUCENT HEALTH AETNA $300.23 ↓ -42%
COVENTRY AETNA $300.23 ↓ -42%
ALLIED BENEFIT SYSTEMS AETNA $300.23 ↓ -42%
MERITAIN AETNA $300.23 ↓ -42%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $300.23 ↓ -42%
LUMINARE HEALTH AETNA $300.23 ↓ -42%
WEBTPA AETNA $300.23 ↓ -42%
MEDICAL MUTUAL AETNA $300.23 ↓ -42%
AETNA EAP AETNA $300.23 ↓ -42%
FIRST CHOICE HEALTH FIRST CHOICE $301.82 ↓ -41%
HEALTH PARTNERS HEALTH PARTNERS $305.31 ↓ -41%
CIGNA MIDLANDS CHOICE PPO $308.17 ↓ -40%
AUXIANT MIDLANDS CHOICE PPO $308.17 ↓ -40%
MIDLANDS MIDLANDS CHOICE PPO $308.17 ↓ -40%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $308.17 ↓ -40%
CIGNA EAP MIDLANDS CHOICE PPO $308.17 ↓ -40%
MEDICA MIDLANDS CHOICE PPO $308.17 ↓ -40%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $317.70 ↓ -38%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $317.70 ↓ -38%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $2,767.80 not published
MercyOne Dubuque Medical Center Dubuque $414.05 $59.28 – $305.89
MercyOne Dyersville Medical Center Dyersville $414.05 $115.63 – $344.31
MercyOne Clinton Medical Center Clinton $414.05 $59.28 – $305.89
MercyOne Oelwein Medical Center Oelwein $3,657.34 $116.91 – $305.89
MercyOne Cedar Falls Medical Center Cedar Falls $414.05 $53.04 – $305.89
MercyOne Elkader Medical Center Elkader $414.05 $157.44 – $319.72
MercyOne West Des Moines Medical Center West Des Moines $756.96 $49.92 – $305.89

All Iowa hospitals for this procedure →