Splint extn xsm w sof-stretch rolyan 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

$59.80

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.

$92.00

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.

$12.51 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $31.60 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 $12.51 ↓ -79%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $12.64 ↓ -79%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $12.77 ↓ -79%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $12.89 ↓ -78%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $13.32 ↓ -78%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $13.40 ↓ -78%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $14.12 ↓ -76%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $15.96 ↓ -73%
HEALTH CHOICES MEDICAL ASSOCIATES $15.96 ↓ -73%
AMISH HOSPITAL AID AMISH HOSPITAL AID $16.81 ↓ -72%
OSCAR OSCAR $18.58 ↓ -69%
AMBETTER AMBETTER MARKETPLACE $21.24 ↓ -64%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $21.60 ↓ -64%
GEHA UNITED HEALTHCARE $21.87 ↓ -63%
UNITED HEALTHCARE UNITED HEALTHCARE $21.87 ↓ -63%
MOLINA MEDICAID MOLINA MEDICAID $21.91 ↓ -63%
WELLPOINT MEDICAID WELLPOINT MEDICAID $22.02 ↓ -63%
CLAIMDOC CLAIMDOC $25.41 ↓ -58%
NOVA CLAIMDOC $25.41 ↓ -58%
AETNA AETNA $29.86 ↓ -50%
ASR HEALTH BENEFITS AETNA $29.86 ↓ -50%
1199 NATIONAL BENEFIT FUND AETNA $29.86 ↓ -50%
FIRST HEALTH AETNA $29.86 ↓ -50%
AETNA DOMESTIC AETNA $29.86 ↓ -50%
LUCENT HEALTH AETNA $29.86 ↓ -50%
COVENTRY AETNA $29.86 ↓ -50%
ALLIED BENEFIT SYSTEMS AETNA $29.86 ↓ -50%
MERITAIN AETNA $29.86 ↓ -50%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $29.86 ↓ -50%
LUMINARE HEALTH AETNA $29.86 ↓ -50%
WEBTPA AETNA $29.86 ↓ -50%
MEDICAL MUTUAL AETNA $29.86 ↓ -50%
AETNA EAP AETNA $29.86 ↓ -50%
FIRST CHOICE HEALTH FIRST CHOICE $30.02 ↓ -50%
HEALTH PARTNERS HEALTH PARTNERS $30.37 ↓ -49%
CIGNA MIDLANDS CHOICE PPO $30.65 ↓ -49%
AUXIANT MIDLANDS CHOICE PPO $30.65 ↓ -49%
MIDLANDS MIDLANDS CHOICE PPO $30.65 ↓ -49%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $30.65 ↓ -49%
CIGNA EAP MIDLANDS CHOICE PPO $30.65 ↓ -49%
MEDICA MIDLANDS CHOICE PPO $30.65 ↓ -49%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $31.60 ↓ -47%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $31.60 ↓ -47%

Visitor-reported prices

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Splint extn xsm w sof-stretch rolyan at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $50.38 $7.66 – $39.50
MercyOne Dyersville Medical Center Dyersville $50.38 $14.93 – $44.46
MercyOne Clinton Medical Center Clinton $50.38 $7.66 – $39.50
MercyOne Oelwein Medical Center Oelwein $50.38 $15.10 – $39.50
MercyOne Cedar Falls Medical Center Cedar Falls $50.38 $6.85 – $39.50
MercyOne Elkader Medical Center Elkader $50.38 $20.33 – $41.29
MercyOne West Des Moines Medical Center West Des Moines $77.51 $6.45 – $39.50
MercyOne Des Moines Medical Center Des Moines $50.38 $6.45 – $39.50

All Iowa hospitals for this procedure →