Leucovorin calcium 100 mg solution for injection (1 mg rounding) at MercyOne Newton Medical Center

204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$396.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$396.40

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.95 with BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS vs $13.75 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 →

Payer
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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
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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
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - AR WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - NM WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - ID WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - VT WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - MT WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - RI WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - TN WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - FEDERAL WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - NC WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - IL ALTERNATE WELLMARK PPO $3.95 ↓ -99%
BLUE CARE NETWORK WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - AZ WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - HI WELLMARK PPO $3.95 ↓ -99%
BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - GA (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - VA (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - UT (REGENCE) WELLMARK PPO $3.95 ↓ -99%
BLUE SHIELD - CA WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - IA (WELLMARK) WELLMARK HMO $3.95 ↓ -99%
BLUE CROSS - IA (WELLMARK) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - CA (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - AK (PREMERA) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $3.95 ↓ -99%
BLUE DISTINCTION TRANSPLANT WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - MA WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - WI (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - NH (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - CO (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - SD (WELLMARK) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - OR (REGENCE) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - NJ (HORIZON) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - PA (CAPITAL) WELLMARK PPO $3.95 ↓ -99%
BLUE SHIELD - WA (REGENCE) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - IL WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - ME (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - MN WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - NE WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - OH (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - FL WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - WY WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - KY (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $3.95 ↓ -99%
BLUE SHIELD - ID (REGENCE) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - ND WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - KS WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - MO (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - AL WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - WA (PREMERA) WELLMARK PPO $3.95 ↓ -99%
BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - IN (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $3.95 ↓ -99%
BCBS GENERIC WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - NV (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - OK WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - NY (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - CT (ANTHEM) WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - MS WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - LA WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - TX WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - SC WELLMARK PPO $3.95 ↓ -99%
BLUE CROSS - MI WELLMARK PPO $3.95 ↓ -99%
NEWTON CORRECTIONAL FACILITY NEWTON CORRECTIONAL FACILITY $8.94 ↓ -98%
GEHA UNITED HEALTHCARE $9.93 ↓ -97%
UNITED HEALTHCARE UNITED HEALTHCARE $9.93 ↓ -97%
HEALTH CHOICES MEDICAL ASSOCIATES $10.38 ↓ -97%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $10.38 ↓ -97%
HEALTH PARTNERS HEALTH PARTNERS $12.13 ↓ -97%
MIDLANDS MIDLANDS CHOICE PPO $12.65 ↓ -97%
CIGNA EAP MIDLANDS CHOICE PPO $12.65 ↓ -97%
MEDICA MIDLANDS CHOICE PPO $12.65 ↓ -97%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $12.65 ↓ -97%
HEALTH ALLIANCE HEALTHALLIANCE MIDWEST PPO $12.65 ↓ -97%
CIGNA MIDLANDS CHOICE PPO $12.65 ↓ -97%
AUXIANT MIDLANDS CHOICE PPO $12.65 ↓ -97%
AETNA AETNA $12.88 ↓ -97%
ASR HEALTH BENEFITS AETNA $12.88 ↓ -97%
1199 NATIONAL BENEFIT FUND AETNA $12.88 ↓ -97%
FIRST HEALTH AETNA $12.88 ↓ -97%
MEDICAL MUTUAL AETNA $12.88 ↓ -97%
AETNA DOMESTIC AETNA $12.88 ↓ -97%
COVENTRY AETNA $12.88 ↓ -97%
ALLIED BENEFIT SYSTEMS AETNA $12.88 ↓ -97%
WEBTPA AETNA $12.88 ↓ -97%
LUMINARE HEALTH AETNA $12.88 ↓ -97%
CHRISTIAN BROTHER SERVICES AETNA $12.88 ↓ -97%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $12.88 ↓ -97%
MERITAIN AETNA $12.88 ↓ -97%
LUCENT HEALTH AETNA $12.88 ↓ -97%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $13.75 ↓ -97%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $13.75 ↓ -97%

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $182.27 not published
MercyOne Dubuque Medical Center Dubuque $396.40 $3.95 – $13.75
MercyOne New Hampton Medical Center New Hampton $396.40 $3.95 – $13.75
MercyOne Dyersville Medical Center Dyersville $396.40 $3.95 – $15.48
MercyOne Clinton Medical Center Clinton $396.40 $3.89 – $13.75
MercyOne Oelwein Medical Center Oelwein $396.40 $3.95 – $13.75
MercyOne Cedar Falls Medical Center Cedar Falls $396.40 $3.23 – $13.75
MercyOne Elkader Medical Center Elkader $396.40 $3.95 – $14.37

All Iowa hospitals for this procedure →