healthcosts.net
Blood Clotting (PT/INR) Test at MercyOne Newton Medical Center
204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179
$353.00
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.
$66.00
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.
$4.16 with IOWA TOTAL CARE vs $66.00 with CRIME VICTIM ASSISTANCE — 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 |
|---|---|---|---|
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $4.16 | ↓ -99% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $4.20 | ↓ -99% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $4.20 | ↓ -99% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $4.20 | ↓ -99% |
| MOLINA MEDICAID | MOLINA MEDICAID | $4.20 | ↓ -99% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $4.22 | ↓ -99% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $4.25 | ↓ -99% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $4.29 | ↓ -99% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $4.33 | ↓ -99% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $4.38 | ↓ -99% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $5.71 | ↓ -98% |
| OSCAR | OSCAR | $6.10 | ↓ -98% |
| CENTIVO | CENTIVO | $6.19 | ↓ -98% |
| AMBETTER | AMBETTER MARKETPLACE | $7.21 | ↓ -98% |
| NOVA | CLAIMDOC | $8.62 | ↓ -98% |
| CLAIMDOC | CLAIMDOC | $8.62 | ↓ -98% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | ↓ -97% |
| GEHA | UNITED HEALTHCARE | $37.62 | ↓ -89% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $37.62 | ↓ -89% |
| NEWTON CORRECTIONAL FACILITY | NEWTON CORRECTIONAL FACILITY | $42.90 | ↓ -88% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $49.83 | ↓ -86% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $49.83 | ↓ -86% |
| HEALTH PARTNERS | HEALTH PARTNERS | $58.21 | ↓ -84% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $60.72 | ↓ -83% |
| MIDLANDS | MIDLANDS CHOICE PPO | $60.72 | ↓ -83% |
| AUXIANT | MIDLANDS CHOICE PPO | $60.72 | ↓ -83% |
| MEDICA | MIDLANDS CHOICE PPO | $60.72 | ↓ -83% |
| CIGNA | MIDLANDS CHOICE PPO | $60.72 | ↓ -83% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $60.72 | ↓ -83% |
| HEALTH ALLIANCE | HEALTHALLIANCE MIDWEST PPO | $60.72 | ↓ -83% |
| WEBTPA | AETNA | $61.84 | ↓ -82% |
| COVENTRY | AETNA | $61.84 | ↓ -82% |
| ALLIED BENEFIT SYSTEMS | AETNA | $61.84 | ↓ -82% |
| LUCENT HEALTH | AETNA | $61.84 | ↓ -82% |
| LUMINARE HEALTH | AETNA | $61.84 | ↓ -82% |
| ASR HEALTH BENEFITS | AETNA | $61.84 | ↓ -82% |
| CHRISTIAN BROTHER SERVICES | AETNA | $61.84 | ↓ -82% |
| FIRST HEALTH | AETNA | $61.84 | ↓ -82% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $61.84 | ↓ -82% |
| AETNA | AETNA | $61.84 | ↓ -82% |
| MERITAIN | AETNA | $61.84 | ↓ -82% |
| MEDICAL MUTUAL | AETNA | $61.84 | ↓ -82% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $61.84 | ↓ -82% |
| AETNA DOMESTIC | AETNA | $61.84 | ↓ -82% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $66.00 | ↓ -81% |
Visitor-reported prices
Comments
Blood Clotting (PT/INR) Test at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $32.85 | $4.29 – $12.07 |
| UnityPoint Health - Allen Hospital | Waterloo | $32.85 | $4.29 – $21.64 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $117.60 | $4.29 – $4.29 |
| MercyOne New Hampton Medical Center | New Hampton | $42.90 | $3.32 – $66.00 |
| MercyOne Dyersville Medical Center | Dyersville | $72.15 | $9.09 – $74.29 |
| MercyOne Clinton Medical Center | Clinton | $65.65 | $3.32 – $65.00 |
| MercyOne Oelwein Medical Center | Oelwein | $111.00 | $9.09 – $66.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $70.00 | $4.16 – $32.66 |