Camisole mastectomy wht/l post-surg gental touch at MercyOne Newton Medical Center
204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179
$78.94
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.
$121.45
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.
$21.74 with AETNA MEDICARE ADVANTAGE vs $108.68 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 | $21.74 | ↓ -72% |
| CENTIVO | CENTIVO | $28.69 | ↓ -64% |
| OSCAR | OSCAR | $29.34 | ↓ -63% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $32.15 | ↓ -59% |
| MOLINA MEDICAID | MOLINA MEDICAID | $32.46 | ↓ -59% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $32.59 | ↓ -59% |
| NOVA | CLAIMDOC | $65.21 | ↓ -17% |
| CLAIMDOC | CLAIMDOC | $65.21 | ↓ -17% |
| NEWTON CORRECTIONAL FACILITY | NEWTON CORRECTIONAL FACILITY | $70.64 | ↓ -11% |
| GEHA | UNITED HEALTHCARE | $78.47 | ↓ -1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $78.47 | ↓ -1% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $82.05 | ↑ +4% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $82.05 | ↑ +4% |
| HEALTH PARTNERS | HEALTH PARTNERS | $95.86 | ↑ +21% |
| AUXIANT | MIDLANDS CHOICE PPO | $99.99 | ↑ +27% |
| HEALTH ALLIANCE | HEALTHALLIANCE MIDWEST PPO | $99.99 | ↑ +27% |
| MEDICA | MIDLANDS CHOICE PPO | $99.99 | ↑ +27% |
| CIGNA | MIDLANDS CHOICE PPO | $99.99 | ↑ +27% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $99.99 | ↑ +27% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $99.99 | ↑ +27% |
| MIDLANDS | MIDLANDS CHOICE PPO | $99.99 | ↑ +27% |
| AETNA | AETNA | $101.83 | ↑ +29% |
| COVENTRY | AETNA | $101.83 | ↑ +29% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $101.83 | ↑ +29% |
| LUCENT HEALTH | AETNA | $101.83 | ↑ +29% |
| LUMINARE HEALTH | AETNA | $101.83 | ↑ +29% |
| MEDICAL MUTUAL | AETNA | $101.83 | ↑ +29% |
| MERITAIN | AETNA | $101.83 | ↑ +29% |
| WEBTPA | AETNA | $101.83 | ↑ +29% |
| FIRST HEALTH | AETNA | $101.83 | ↑ +29% |
| CHRISTIAN BROTHER SERVICES | AETNA | $101.83 | ↑ +29% |
| ASR HEALTH BENEFITS | AETNA | $101.83 | ↑ +29% |
| ALLIED BENEFIT SYSTEMS | AETNA | $101.83 | ↑ +29% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $101.83 | ↑ +29% |
| AETNA DOMESTIC | AETNA | $101.83 | ↑ +29% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $108.68 | ↑ +38% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $108.68 | ↑ +38% |
Visitor-reported prices
Comments
Camisole mastectomy wht/l post-surg gental touch at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $78.94 | $21.06 – $108.68 |
| MercyOne New Hampton Medical Center | New Hampton | $93.70 | $51.07 – $129.00 |
| MercyOne Dyersville Medical Center | Dyersville | $78.94 | $41.08 – $122.33 |
| MercyOne Clinton Medical Center | Clinton | $78.94 | $21.06 – $108.68 |
| MercyOne Oelwein Medical Center | Oelwein | $78.94 | $41.54 – $108.68 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $78.94 | $18.85 – $108.68 |
| MercyOne Elkader Medical Center | Elkader | $78.94 | $55.94 – $113.59 |
| MercyOne West Des Moines Medical Center | West Des Moines | $121.45 | $17.74 – $108.68 |