Hla class ii high defin qual at MercyOne Newton Medical Center
204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179
$635.70
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.
$978.00
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.
$315.70 with IOWA TOTAL CARE vs $978.00 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 |
|---|---|---|---|
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $315.70 | ↓ -50% |
| MOLINA MEDICAID | MOLINA MEDICAID | $318.80 | ↓ -50% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $319.28 | ↓ -50% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $319.28 | ↓ -50% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $319.28 | ↓ -50% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $320.03 | ↓ -50% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $322.48 | ↓ -49% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $325.67 | ↓ -49% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $329.06 | ↓ -48% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $332.32 | ↓ -48% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $433.31 | ↓ -32% |
| OSCAR | OSCAR | $462.96 | ↓ -27% |
| CENTIVO | CENTIVO | $470.13 | ↓ -26% |
| AMBETTER | AMBETTER MARKETPLACE | $547.34 | ↓ -14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $557.46 | ↓ -12% |
| GEHA | UNITED HEALTHCARE | $557.46 | ↓ -12% |
| NEWTON CORRECTIONAL FACILITY | NEWTON CORRECTIONAL FACILITY | $635.70 | ↑ +0% |
| CLAIMDOC | CLAIMDOC | $654.86 | ↑ +3% |
| NOVA | CLAIMDOC | $654.86 | ↑ +3% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $738.39 | ↑ +16% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $738.39 | ↑ +16% |
| HEALTH PARTNERS | HEALTH PARTNERS | $862.60 | ↑ +36% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $899.76 | ↑ +42% |
| AUXIANT | MIDLANDS CHOICE PPO | $899.76 | ↑ +42% |
| CIGNA | MIDLANDS CHOICE PPO | $899.76 | ↑ +42% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $899.76 | ↑ +42% |
| HEALTH ALLIANCE | HEALTHALLIANCE MIDWEST PPO | $899.76 | ↑ +42% |
| MEDICA | MIDLANDS CHOICE PPO | $899.76 | ↑ +42% |
| MIDLANDS | MIDLANDS CHOICE PPO | $899.76 | ↑ +42% |
| LUMINARE HEALTH | AETNA | $916.39 | ↑ +44% |
| LUCENT HEALTH | AETNA | $916.39 | ↑ +44% |
| AETNA DOMESTIC | AETNA | $916.39 | ↑ +44% |
| MEDICAL MUTUAL | AETNA | $916.39 | ↑ +44% |
| MERITAIN | AETNA | $916.39 | ↑ +44% |
| AETNA | AETNA | $916.39 | ↑ +44% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $916.39 | ↑ +44% |
| FIRST HEALTH | AETNA | $916.39 | ↑ +44% |
| COVENTRY | AETNA | $916.39 | ↑ +44% |
| CHRISTIAN BROTHER SERVICES | AETNA | $916.39 | ↑ +44% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $916.39 | ↑ +44% |
| ASR HEALTH BENEFITS | AETNA | $916.39 | ↑ +44% |
| ALLIED BENEFIT SYSTEMS | AETNA | $916.39 | ↑ +44% |
| WEBTPA | AETNA | $916.39 | ↑ +44% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $978.00 | ↑ +54% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $978.00 | ↑ +54% |
Visitor-reported prices
Comments
Hla class ii high defin qual at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne West Des Moines Medical Center | West Des Moines | $554.00 | $111.35 – $654.86 |
| MercyOne Des Moines Medical Center | Des Moines | $360.10 | $111.35 – $654.86 |
| MercyOne North Iowa Medical Center | Mason City | $447.85 | $176.38 – $689.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $652.00 | $184.14 – $456.14 |
| UnityPoint Health - Finley Hospital | Dubuque | $652.00 | $3.50 – $456.14 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $652.00 | $123.54 – $342.09 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $652.00 | $102.43 – $456.14 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $652.00 | $155.52 – $346.78 |