I-123 sod iodide diag per 100 uci 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

$412.50

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.

$412.50

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.

$158.85 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $401.25 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 $158.85 ↓ -61%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $160.50 ↓ -61%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $162.11 ↓ -61%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $163.71 ↓ -60%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $169.09 ↓ -59%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $170.13 ↓ -59%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $179.24 ↓ -57%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $202.63 ↓ -51%
HEALTH CHOICES MEDICAL ASSOCIATES $202.63 ↓ -51%
AMISH HOSPITAL AID AMISH HOSPITAL AID $213.47 ↓ -48%
OSCAR OSCAR $235.94 ↓ -43%
AMBETTER AMBETTER MARKETPLACE $269.64 ↓ -35%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $274.21 ↓ -34%
GEHA UNITED HEALTHCARE $277.67 ↓ -33%
UNITED HEALTHCARE UNITED HEALTHCARE $277.67 ↓ -33%
MOLINA MEDICAID MOLINA MEDICAID $278.25 ↓ -33%
WELLPOINT MEDICAID WELLPOINT MEDICAID $279.59 ↓ -32%
CLAIMDOC CLAIMDOC $322.61 ↓ -22%
NOVA CLAIMDOC $322.61 ↓ -22%
AETNA AETNA $379.18 ↓ -8%
ASR HEALTH BENEFITS AETNA $379.18 ↓ -8%
1199 NATIONAL BENEFIT FUND AETNA $379.18 ↓ -8%
FIRST HEALTH AETNA $379.18 ↓ -8%
AETNA DOMESTIC AETNA $379.18 ↓ -8%
LUCENT HEALTH AETNA $379.18 ↓ -8%
COVENTRY AETNA $379.18 ↓ -8%
ALLIED BENEFIT SYSTEMS AETNA $379.18 ↓ -8%
MERITAIN AETNA $379.18 ↓ -8%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $379.18 ↓ -8%
LUMINARE HEALTH AETNA $379.18 ↓ -8%
WEBTPA AETNA $379.18 ↓ -8%
MEDICAL MUTUAL AETNA $379.18 ↓ -8%
AETNA EAP AETNA $379.18 ↓ -8%
FIRST CHOICE HEALTH FIRST CHOICE $381.19 ↓ -8%
HEALTH PARTNERS HEALTH PARTNERS $385.60 ↓ -7%
CIGNA MIDLANDS CHOICE PPO $389.21 ↓ -6%
AUXIANT MIDLANDS CHOICE PPO $389.21 ↓ -6%
MIDLANDS MIDLANDS CHOICE PPO $389.21 ↓ -6%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $389.21 ↓ -6%
CIGNA EAP MIDLANDS CHOICE PPO $389.21 ↓ -6%
MEDICA MIDLANDS CHOICE PPO $389.21 ↓ -6%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $401.25 ↓ -3%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $401.25 ↓ -3%

Visitor-reported prices

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I-123 sod iodide diag per 100 uci at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $212.40 not published
MercyOne Dubuque Medical Center Dubuque $412.50 $143.25 – $401.25
MercyOne Dyersville Medical Center Dyersville $412.50 $151.67 – $451.65
MercyOne Clinton Medical Center Clinton $412.50 $113.55 – $401.25
MercyOne Oelwein Medical Center Oelwein $412.50 $153.36 – $401.25
MercyOne Cedar Falls Medical Center Cedar Falls $412.50 $94.29 – $401.25
MercyOne Elkader Medical Center Elkader $412.50 $206.52 – $419.39
MercyOne West Des Moines Medical Center West Des Moines $412.50 $80.65 – $401.25

All Iowa hospitals for this procedure →