Hydroxyzine hcl 50 mg/ml intramuscular solution 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

$105.00

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.

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

$105.00

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.

$41.57 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $105.00 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 $41.57 ↓ -60%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $42.00 ↓ -60%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $42.42 ↓ -60%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $42.84 ↓ -59%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $44.25 ↓ -58%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $44.52 ↓ -58%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $46.90 ↓ -55%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $53.03 ↓ -49%
HEALTH CHOICES MEDICAL ASSOCIATES $53.03 ↓ -49%
AMISH HOSPITAL AID AMISH HOSPITAL AID $55.86 ↓ -47%
OSCAR OSCAR $61.74 ↓ -41%
AMBETTER AMBETTER MARKETPLACE $70.56 ↓ -33%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $71.76 ↓ -32%
GEHA UNITED HEALTHCARE $72.66 ↓ -31%
UNITED HEALTHCARE UNITED HEALTHCARE $72.66 ↓ -31%
MOLINA MEDICAID MOLINA MEDICAID $72.81 ↓ -31%
WELLPOINT MEDICAID WELLPOINT MEDICAID $73.16 ↓ -30%
CLAIMDOC CLAIMDOC $84.42 ↓ -20%
NOVA CLAIMDOC $84.42 ↓ -20%
AETNA AETNA $99.23 ↓ -5%
ASR HEALTH BENEFITS AETNA $99.23 ↓ -5%
1199 NATIONAL BENEFIT FUND AETNA $99.23 ↓ -5%
FIRST HEALTH AETNA $99.23 ↓ -5%
AETNA DOMESTIC AETNA $99.23 ↓ -5%
LUCENT HEALTH AETNA $99.23 ↓ -5%
COVENTRY AETNA $99.23 ↓ -5%
ALLIED BENEFIT SYSTEMS AETNA $99.23 ↓ -5%
MERITAIN AETNA $99.23 ↓ -5%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $99.23 ↓ -5%
LUMINARE HEALTH AETNA $99.23 ↓ -5%
WEBTPA AETNA $99.23 ↓ -5%
MEDICAL MUTUAL AETNA $99.23 ↓ -5%
AETNA EAP AETNA $99.23 ↓ -5%
FIRST CHOICE HEALTH FIRST CHOICE $99.75 ↓ -5%
HEALTH PARTNERS HEALTH PARTNERS $100.91 ↓ -4%
CIGNA MIDLANDS CHOICE PPO $101.85 ↓ -3%
AUXIANT MIDLANDS CHOICE PPO $101.85 ↓ -3%
MIDLANDS MIDLANDS CHOICE PPO $101.85 ↓ -3%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $101.85 ↓ -3%
CIGNA EAP MIDLANDS CHOICE PPO $101.85 ↓ -3%
MEDICA MIDLANDS CHOICE PPO $101.85 ↓ -3%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $105.00 ↑ +0%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $105.00 ↑ +0%

Visitor-reported prices

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Hydroxyzine hcl 50 mg/ml intramuscular solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $81.05 not published
MercyOne Dubuque Medical Center Dubuque $105.00 $37.49 – $105.00
MercyOne Dyersville Medical Center Dyersville $105.00 $39.69 – $118.19
MercyOne Clinton Medical Center Clinton $105.00 $29.72 – $105.00
MercyOne Oelwein Medical Center Oelwein $86.10 $16.93 – $86.10
MercyOne Cedar Falls Medical Center Cedar Falls $86.10 $16.93 – $86.10
MercyOne Elkader Medical Center Elkader $117.55 $54.04 – $109.75
MercyOne West Des Moines Medical Center West Des Moines $105.00 $21.11 – $105.00

All Iowa hospitals for this procedure →