healthcosts.net
ER Visit (level 5, high severity) at MercyOne Newton Medical Center
204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179
$5,847.25
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.
$1,908.00
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.
$10.92 with IOWA DEPT OF PUBLIC HEALTH vs $1,475.00 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 DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $10.92 | ↓ -100% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $343.41 | ↓ -94% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $563.71 | ↓ -90% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $563.71 | ↓ -90% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $563.71 | ↓ -90% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $569.34 | ↓ -90% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $574.98 | ↓ -90% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $580.96 | ↓ -90% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $586.71 | ↓ -90% |
| BLUE CROSS - WY | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - MI | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - OK | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - VT | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - TX | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - FEDERAL | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - AZ | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - RI | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - NC | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - SC | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CARE NETWORK | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $608.43 | ↓ -90% |
| BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - MT | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - KS | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - FL | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - LA | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE SHIELD - CA | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - IL | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - TN | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - AR | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - NE | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - MS | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - MA | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - AL | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - ND | WELLMARK PPO | $608.43 | ↓ -90% |
| BCBS GENERIC | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - MN | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - HI | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - ID | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $608.43 | ↓ -90% |
| BLUE CROSS - NM | WELLMARK PPO | $608.43 | ↓ -90% |
| MOLINA MEDICAID | MOLINA MEDICAID | $693.56 | ↓ -88% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $696.25 | ↓ -88% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $765.03 | ↓ -87% |
| OSCAR | OSCAR | $817.37 | ↓ -86% |
| CENTIVO | CENTIVO | $830.03 | ↓ -86% |
| NEWTON CORRECTIONAL FACILITY | NEWTON CORRECTIONAL FACILITY | $958.75 | ↓ -84% |
| AMBETTER | AMBETTER MARKETPLACE | $966.35 | ↓ -83% |
| GEHA | UNITED HEALTHCARE | $1,064.95 | ↓ -82% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,064.95 | ↓ -82% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $1,113.63 | ↓ -81% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $1,113.63 | ↓ -81% |
| NOVA | CLAIMDOC | $1,156.17 | ↓ -80% |
| CLAIMDOC | CLAIMDOC | $1,156.17 | ↓ -80% |
| HEALTH PARTNERS | HEALTH PARTNERS | $1,300.95 | ↓ -78% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1,357.00 | ↓ -77% |
| MIDLANDS | MIDLANDS CHOICE PPO | $1,357.00 | ↓ -77% |
| AUXIANT | MIDLANDS CHOICE PPO | $1,357.00 | ↓ -77% |
| MEDICA | MIDLANDS CHOICE PPO | $1,357.00 | ↓ -77% |
| CIGNA | MIDLANDS CHOICE PPO | $1,357.00 | ↓ -77% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $1,357.00 | ↓ -77% |
| HEALTH ALLIANCE | HEALTHALLIANCE MIDWEST PPO | $1,357.00 | ↓ -77% |
| WEBTPA | AETNA | $1,382.08 | ↓ -76% |
| COVENTRY | AETNA | $1,382.08 | ↓ -76% |
| ALLIED BENEFIT SYSTEMS | AETNA | $1,382.08 | ↓ -76% |
| LUCENT HEALTH | AETNA | $1,382.08 | ↓ -76% |
| LUMINARE HEALTH | AETNA | $1,382.08 | ↓ -76% |
| ASR HEALTH BENEFITS | AETNA | $1,382.08 | ↓ -76% |
| CHRISTIAN BROTHER SERVICES | AETNA | $1,382.08 | ↓ -76% |
| FIRST HEALTH | AETNA | $1,382.08 | ↓ -76% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $1,382.08 | ↓ -76% |
| AETNA | AETNA | $1,382.08 | ↓ -76% |
| MERITAIN | AETNA | $1,382.08 | ↓ -76% |
| MEDICAL MUTUAL | AETNA | $1,382.08 | ↓ -76% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $1,382.08 | ↓ -76% |
| AETNA DOMESTIC | AETNA | $1,382.08 | ↓ -76% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $1,475.00 | ↓ -75% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,811.57 | $14.41 – $590.69 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,407.20 | $25.91 – $508.18 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $744.60 | $586.87 – $660.40 |
| MercyOne Dubuque Medical Center | Dubuque | $5,830.99 | $9.09 – $3,385.00 |
| MercyOne New Hampton Medical Center | New Hampton | $5,452.20 | $9.09 – $862.00 |
| MercyOne Dyersville Medical Center | Dyersville | $5,155.41 | $2.80 – $970.27 |
| MercyOne Clinton Medical Center | Clinton | $4,744.80 | $9.09 – $2,133.00 |
| MercyOne Oelwein Medical Center | Oelwein | $5,874.00 | $6.50 – $862.00 |