Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at MercyOne Newton Medical Center
204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179
$232.74
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.
$358.06
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.
$69.08 with AETNA MEDICARE ADVANTAGE vs $345.41 with CRIME VICTIM ASSISTANCE — 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 |
|---|---|---|---|
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $69.08 | ↓ -70% |
| CENTIVO | CENTIVO | $91.19 | ↓ -61% |
| OSCAR | OSCAR | $93.26 | ↓ -60% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $102.17 | ↓ -56% |
| MOLINA MEDICAID | MOLINA MEDICAID | $103.17 | ↓ -56% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $103.57 | ↓ -55% |
| NOVA | CLAIMDOC | $207.25 | ↓ -11% |
| CLAIMDOC | CLAIMDOC | $207.25 | ↓ -11% |
| NEWTON CORRECTIONAL FACILITY | NEWTON CORRECTIONAL FACILITY | $224.52 | ↓ -4% |
| GEHA | UNITED HEALTHCARE | $249.39 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $249.39 | ↑ +7% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $260.78 | ↑ +12% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $260.78 | ↑ +12% |
| HEALTH PARTNERS | HEALTH PARTNERS | $304.65 | ↑ +31% |
| AUXIANT | MIDLANDS CHOICE PPO | $317.78 | ↑ +37% |
| HEALTH ALLIANCE | HEALTHALLIANCE MIDWEST PPO | $317.78 | ↑ +37% |
| MEDICA | MIDLANDS CHOICE PPO | $317.78 | ↑ +37% |
| CIGNA | MIDLANDS CHOICE PPO | $317.78 | ↑ +37% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $317.78 | ↑ +37% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $317.78 | ↑ +37% |
| MIDLANDS | MIDLANDS CHOICE PPO | $317.78 | ↑ +37% |
| AETNA | AETNA | $323.65 | ↑ +39% |
| COVENTRY | AETNA | $323.65 | ↑ +39% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $323.65 | ↑ +39% |
| LUCENT HEALTH | AETNA | $323.65 | ↑ +39% |
| LUMINARE HEALTH | AETNA | $323.65 | ↑ +39% |
| MEDICAL MUTUAL | AETNA | $323.65 | ↑ +39% |
| MERITAIN | AETNA | $323.65 | ↑ +39% |
| WEBTPA | AETNA | $323.65 | ↑ +39% |
| FIRST HEALTH | AETNA | $323.65 | ↑ +39% |
| CHRISTIAN BROTHER SERVICES | AETNA | $323.65 | ↑ +39% |
| ASR HEALTH BENEFITS | AETNA | $323.65 | ↑ +39% |
| ALLIED BENEFIT SYSTEMS | AETNA | $323.65 | ↑ +39% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $323.65 | ↑ +39% |
| AETNA DOMESTIC | AETNA | $323.65 | ↑ +39% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $345.41 | ↑ +48% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $345.41 | ↑ +48% |
Visitor-reported prices
Comments
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $232.74 | $66.94 – $345.41 |
| MercyOne New Hampton Medical Center | New Hampton | $279.64 | $147.23 – $371.88 |
| MercyOne Dyersville Medical Center | Dyersville | $232.74 | $130.56 – $388.79 |
| MercyOne Clinton Medical Center | Clinton | $232.74 | $66.94 – $345.41 |
| MercyOne Oelwein Medical Center | Oelwein | $3,283.80 | $132.02 – $345.41 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $232.74 | $59.89 – $345.41 |
| MercyOne Elkader Medical Center | Elkader | $232.74 | $177.78 – $361.02 |
| MercyOne West Des Moines Medical Center | West Des Moines | $358.06 | $56.37 – $345.41 |