healthcosts.net
Upper Back (Thoracic Spine) MRI (without contrast) at MercyOne New Hampton Medical Center
308 North Maple Ave, New Hampton, IA · MercyOne · · NPI 1770651515
$2,551.90
Cash price 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.
?
What you pay up front if you don't use insurance.
$3,926.00
Gross charge 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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,554.30 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $3,926.00 with IOWA DEPT OF PUBLIC HEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 ?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 ?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 | $1,554.30 | ↓ -39% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $1,570.40 | ↓ -38% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $1,586.10 | ↓ -38% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1,601.81 | ↓ -37% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $1,654.42 | ↓ -35% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $1,664.62 | ↓ -35% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $1,753.74 | ↓ -31% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $1,982.63 | ↓ -22% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $1,982.63 | ↓ -22% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $2,088.63 | ↓ -18% |
| OSCAR | OSCAR | $2,308.49 | ↓ -10% |
| GEHA | UNITED HEALTHCARE | $2,355.60 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,355.60 | ↓ -8% |
| AMBETTER | AMBETTER MARKETPLACE | $2,638.27 | ↑ +3% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $2,683.03 | ↑ +5% |
| MOLINA MEDICAID | MOLINA MEDICAID | $2,722.48 | ↑ +7% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $2,735.64 | ↑ +7% |
| NOVA | CLAIMDOC | $3,156.50 | ↑ +24% |
| CLAIMDOC | CLAIMDOC | $3,156.50 | ↑ +24% |
| WEBTPA | AETNA | $3,710.07 | ↑ +45% |
| COVENTRY | AETNA | $3,710.07 | ↑ +45% |
| ALLIED BENEFIT SYSTEMS | AETNA | $3,710.07 | ↑ +45% |
| LUCENT HEALTH | AETNA | $3,710.07 | ↑ +45% |
| LUMINARE HEALTH | AETNA | $3,710.07 | ↑ +45% |
| ASR HEALTH BENEFITS | AETNA | $3,710.07 | ↑ +45% |
| FIRST HEALTH | AETNA | $3,710.07 | ↑ +45% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $3,710.07 | ↑ +45% |
| AETNA | AETNA | $3,710.07 | ↑ +45% |
| MERITAIN | AETNA | $3,710.07 | ↑ +45% |
| MEDICAL MUTUAL | AETNA | $3,710.07 | ↑ +45% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $3,710.07 | ↑ +45% |
| AETNA DOMESTIC | AETNA | $3,710.07 | ↑ +45% |
| AETNA EAP | AETNA | $3,710.07 | ↑ +45% |
| FIRST CHOICE HEALTH | FIRST CHOICE | $3,729.70 | ↑ +46% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $3,808.22 | ↑ +49% |
| MIDLANDS | MIDLANDS CHOICE PPO | $3,808.22 | ↑ +49% |
| AUXIANT | MIDLANDS CHOICE PPO | $3,808.22 | ↑ +49% |
| MEDICA | MIDLANDS CHOICE PPO | $3,808.22 | ↑ +49% |
| CIGNA | MIDLANDS CHOICE PPO | $3,808.22 | ↑ +49% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $3,808.22 | ↑ +49% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $3,926.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $3,926.00 | ↑ +54% |
Visitor-reported prices
Comments
Upper Back (Thoracic Spine) MRI (without contrast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $3,090.60 | $64.86 – $1,135.79 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,480.08 | $64.86 – $975.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,594.80 | $231.38 – $323.93 |
| MercyOne Dubuque Medical Center | Dubuque | $2,915.90 | $214.06 – $4,486.00 |
| MercyOne Clinton Medical Center | Clinton | $2,717.65 | $219.72 – $4,181.00 |
| MercyOne Oelwein Medical Center | Oelwein | $2,551.90 | $1,500.52 – $3,926.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $3,125.20 | $224.79 – $4,808.00 |
| MercyOne Elkader Medical Center | Elkader | $2,551.90 | $2,020.71 – $4,103.46 |