X-ray humerus >= 2 views left at MercyOne New Hampton Medical Center
308 North Maple Ave, New Hampton, IA · MercyOne · · NPI 1770651515
$201.50
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.
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What you pay up front if you don't use insurance.
$310.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$122.73 with BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE vs $310.00 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 →
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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 ?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 | $122.73 | ↓ -39% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $124.00 | ↓ -38% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $125.24 | ↓ -38% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $126.48 | ↓ -37% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $130.63 | ↓ -35% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $131.44 | ↓ -35% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $138.48 | ↓ -31% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $156.55 | ↓ -22% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $156.55 | ↓ -22% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $164.92 | ↓ -18% |
| OSCAR | OSCAR | $182.28 | ↓ -10% |
| GEHA | UNITED HEALTHCARE | $186.00 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $186.00 | ↓ -8% |
| AMBETTER | AMBETTER MARKETPLACE | $208.32 | ↑ +3% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $211.85 | ↑ +5% |
| MOLINA MEDICAID | MOLINA MEDICAID | $214.97 | ↑ +7% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $216.01 | ↑ +7% |
| CLAIMDOC | CLAIMDOC | $249.24 | ↑ +24% |
| NOVA | CLAIMDOC | $249.24 | ↑ +24% |
| AETNA | AETNA | $292.95 | ↑ +45% |
| ASR HEALTH BENEFITS | AETNA | $292.95 | ↑ +45% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $292.95 | ↑ +45% |
| FIRST HEALTH | AETNA | $292.95 | ↑ +45% |
| AETNA DOMESTIC | AETNA | $292.95 | ↑ +45% |
| LUCENT HEALTH | AETNA | $292.95 | ↑ +45% |
| COVENTRY | AETNA | $292.95 | ↑ +45% |
| ALLIED BENEFIT SYSTEMS | AETNA | $292.95 | ↑ +45% |
| MERITAIN | AETNA | $292.95 | ↑ +45% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $292.95 | ↑ +45% |
| LUMINARE HEALTH | AETNA | $292.95 | ↑ +45% |
| WEBTPA | AETNA | $292.95 | ↑ +45% |
| MEDICAL MUTUAL | AETNA | $292.95 | ↑ +45% |
| AETNA EAP | AETNA | $292.95 | ↑ +45% |
| FIRST CHOICE HEALTH | FIRST CHOICE | $294.50 | ↑ +46% |
| HEALTH PARTNERS | HEALTH PARTNERS | $297.91 | ↑ +48% |
| CIGNA | MIDLANDS CHOICE PPO | $300.70 | ↑ +49% |
| AUXIANT | MIDLANDS CHOICE PPO | $300.70 | ↑ +49% |
| MIDLANDS | MIDLANDS CHOICE PPO | $300.70 | ↑ +49% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $300.70 | ↑ +49% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $300.70 | ↑ +49% |
| MEDICA | MIDLANDS CHOICE PPO | $300.70 | ↑ +49% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $310.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $310.00 | ↑ +54% |
Visitor-reported prices
Comments
X-ray humerus >= 2 views left at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $257.40 | $84.28 – $118.00 |
| MercyOne Dubuque Medical Center | Dubuque | $249.60 | $78.07 – $384.00 |
| MercyOne Dyersville Medical Center | Dyersville | $201.50 | $117.18 – $348.94 |
| MercyOne Clinton Medical Center | Clinton | $269.10 | $80.14 – $414.00 |
| MercyOne Oelwein Medical Center | Oelwein | $201.50 | $118.48 – $310.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $719.00 | $59.22 – $252.00 |
| MercyOne Elkader Medical Center | Elkader | $201.50 | $159.56 – $324.01 |
| MercyOne West Des Moines Medical Center | West Des Moines | $582.00 | $82.14 – $582.00 |