healthcosts.net
Tonsillectomy (age 12+) at MercyOne Newton Medical Center
204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179
$10,688.01
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.
not published by hospital
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.
$2.88 with IOWA DEPT OF PUBLIC HEALTH vs $6,436.67 with CLAIMDOC — 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 DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $2.88 | ↓ -100% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $3,138.28 | ↓ -71% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $3,138.28 | ↓ -71% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $3,138.28 | ↓ -71% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $3,169.66 | ↓ -70% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $3,201.04 | ↓ -70% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $3,234.35 | ↓ -70% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $3,266.37 | ↓ -69% |
| BLUE CROSS - WY | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - MI | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - OK | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - VT | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - TX | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - FEDERAL | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - AZ | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - RI | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - NC | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - SC | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CARE NETWORK | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $3,387.27 | ↓ -68% |
| BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - MT | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - KS | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - FL | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - LA | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE SHIELD - CA | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - IL | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - TN | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - AR | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - NE | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - MS | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - MA | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - AL | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - ND | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BCBS GENERIC | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - MN | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - HI | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - ID | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $3,387.27 | ↓ -68% |
| BLUE CROSS - NM | WELLMARK PPO | $3,387.27 | ↓ -68% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $3,823.71 | ↓ -64% |
| MOLINA MEDICAID | MOLINA MEDICAID | $3,861.19 | ↓ -64% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $3,876.19 | ↓ -64% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $4,259.09 | ↓ -60% |
| OSCAR | OSCAR | $4,550.50 | ↓ -57% |
| CENTIVO | CENTIVO | $4,620.96 | ↓ -57% |
| AMBETTER | AMBETTER MARKETPLACE | $5,379.91 | ↓ -50% |
| NOVA | CLAIMDOC | $6,436.67 | ↓ -40% |
| CLAIMDOC | CLAIMDOC | $6,436.67 | ↓ -40% |
Visitor-reported prices
Comments
Tonsillectomy (age 12+) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $622.40 | $233.28 – $3,124.54 |
| MercyOne New Hampton Medical Center | New Hampton | $8,241.49 | $0.96 – $4.55 |
| UnityPoint Health - Allen Hospital | Waterloo | $622.40 | $233.28 – $2,688.10 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $475.20 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $17,075.62 | $0.96 – $6,624.59 |
| MercyOne Clinton Medical Center | Clinton | $17,181.09 | $0.96 – $7,094.93 |
| MercyOne Des Moines Medical Center | Des Moines | $16,898.61 | $0.96 – $6,436.67 |
| MercyOne Centerville Medical Center | Centerville | $19,312.60 | $0.96 – $1,035.00 |