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Head CT scan (without contrast) at MercyOne Oelwein Medical Center
201 8th Ave SE, Oelwein, IA · MercyOne · · NPI 1528009511
$1,368.25
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.
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What you pay up front if you don't use insurance.
$2,105.00
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.
$804.53 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $2,105.00 with IOWA DEPT OF PUBLIC HEALTH — 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 |
|---|---|---|---|
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $804.53 | ↓ -41% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $815.90 | ↓ -40% |
| MOLINA MEDICAID | MOLINA MEDICAID | $827.90 | ↓ -39% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $831.90 | ↓ -39% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $854.21 | ↓ -38% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $871.68 | ↓ -36% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $880.31 | ↓ -36% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $896.52 | ↓ -34% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $914.83 | ↓ -33% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $992.51 | ↓ -27% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $1,147.86 | ↓ -16% |
| CENTIVO | CENTIVO | $1,294.58 | ↓ -5% |
| AMBETTER | AMBETTER MARKETPLACE | $1,449.92 | ↑ +6% |
| GEHA | UNITED HEALTHCARE | $1,494.55 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,494.55 | ↑ +9% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $1,549.28 | ↑ +13% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $1,549.28 | ↑ +13% |
| NOVA | CLAIMDOC | $1,734.73 | ↑ +27% |
| CLAIMDOC | CLAIMDOC | $1,734.73 | ↑ +27% |
| WEBTPA | AETNA | $1,934.50 | ↑ +41% |
| COVENTRY | AETNA | $1,934.50 | ↑ +41% |
| ALLIED BENEFIT SYSTEMS | AETNA | $1,934.50 | ↑ +41% |
| LUCENT HEALTH | AETNA | $1,934.50 | ↑ +41% |
| LUMINARE HEALTH | AETNA | $1,934.50 | ↑ +41% |
| ASR HEALTH BENEFITS | AETNA | $1,934.50 | ↑ +41% |
| CHRISTIAN BROTHER SERVICES | AETNA | $1,934.50 | ↑ +41% |
| FIRST HEALTH | AETNA | $1,934.50 | ↑ +41% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $1,934.50 | ↑ +41% |
| AETNA | AETNA | $1,934.50 | ↑ +41% |
| MERITAIN | AETNA | $1,934.50 | ↑ +41% |
| MEDICAL MUTUAL | AETNA | $1,934.50 | ↑ +41% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $1,934.50 | ↑ +41% |
| AETNA DOMESTIC | AETNA | $1,934.50 | ↑ +41% |
| AETNA EAP | AETNA | $1,934.50 | ↑ +41% |
| HEALTH PARTNERS | HEALTH PARTNERS | $2,025.01 | ↑ +48% |
| MULTIPLAN | MULTIPLAN | $2,041.85 | ↑ +49% |
| MIDLANDS CHOICE | MIDLANDS CHOICE | $2,062.90 | ↑ +51% |
| MEDICA | MIDLANDS CHOICE | $2,062.90 | ↑ +51% |
| CIGNA | MIDLANDS CHOICE | $2,062.90 | ↑ +51% |
| CIGNA EAP | MIDLANDS CHOICE | $2,062.90 | ↑ +51% |
| MIDLANDS | MIDLANDS CHOICE | $2,062.90 | ↑ +51% |
| AUXIANT | MIDLANDS CHOICE | $2,062.90 | ↑ +51% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $2,105.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $2,105.00 | ↑ +54% |
Visitor-reported prices
Comments
Head CT scan (without contrast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Clinton Medical Center | Clinton | $1,633.45 | $96.27 – $2,513.00 |
| MercyOne Des Moines Medical Center | Des Moines | $2,453.00 | $98.68 – $1,993.00 |
| MercyOne Dyersville Medical Center | Dyersville | $1,368.25 | $795.69 – $2,369.39 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $742.64 | $32.76 – $536.55 |
| MercyOne Waterloo Medical Center | Waterloo | $2,476.00 | $98.49 – $2,476.00 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $1,314.73 | $37.24 – $616.28 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $2,476.00 | $98.49 – $2,476.00 |
| MercyOne Elkader Medical Center | Elkader | $2,626.00 | $9.09 – $2,200.15 |