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Knee MRI (with and without contrast) at MercyOne Oelwein Medical Center
201 8th Ave SE, Oelwein, IA · MercyOne · · NPI 1528009511
$4,938.70
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.
$7,598.00
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.
$1,935.84 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $5,065.00 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 | $1,935.84 | ↓ -61% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $1,963.19 | ↓ -60% |
| MOLINA MEDICAID | MOLINA MEDICAID | $1,992.06 | ↓ -60% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $2,001.69 | ↓ -59% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $2,097.42 | ↓ -58% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $2,118.18 | ↓ -57% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $2,157.18 | ↓ -56% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $2,201.25 | ↓ -55% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $2,388.15 | ↓ -52% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $2,761.94 | ↓ -44% |
| CENTIVO | CENTIVO | $3,114.98 | ↓ -37% |
| AMBETTER | AMBETTER MARKETPLACE | $3,488.77 | ↓ -29% |
| GEHA | UNITED HEALTHCARE | $3,596.15 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,596.15 | ↓ -27% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $3,727.84 | ↓ -25% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $3,727.84 | ↓ -25% |
| NOVA | CLAIMDOC | $4,174.07 | ↓ -15% |
| CLAIMDOC | CLAIMDOC | $4,174.07 | ↓ -15% |
| WEBTPA | AETNA | $4,654.74 | ↓ -6% |
| COVENTRY | AETNA | $4,654.74 | ↓ -6% |
| ALLIED BENEFIT SYSTEMS | AETNA | $4,654.74 | ↓ -6% |
| LUCENT HEALTH | AETNA | $4,654.74 | ↓ -6% |
| LUMINARE HEALTH | AETNA | $4,654.74 | ↓ -6% |
| ASR HEALTH BENEFITS | AETNA | $4,654.74 | ↓ -6% |
| CHRISTIAN BROTHER SERVICES | AETNA | $4,654.74 | ↓ -6% |
| FIRST HEALTH | AETNA | $4,654.74 | ↓ -6% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $4,654.74 | ↓ -6% |
| AETNA | AETNA | $4,654.74 | ↓ -6% |
| MERITAIN | AETNA | $4,654.74 | ↓ -6% |
| MEDICAL MUTUAL | AETNA | $4,654.74 | ↓ -6% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $4,654.74 | ↓ -6% |
| AETNA DOMESTIC | AETNA | $4,654.74 | ↓ -6% |
| AETNA EAP | AETNA | $4,654.74 | ↓ -6% |
| HEALTH PARTNERS | HEALTH PARTNERS | $4,872.53 | ↓ -1% |
| MULTIPLAN | MULTIPLAN | $4,913.05 | ↓ -1% |
| MIDLANDS CHOICE | MIDLANDS CHOICE | $4,963.70 | ↑ +1% |
| MEDICA | MIDLANDS CHOICE | $4,963.70 | ↑ +1% |
| CIGNA | MIDLANDS CHOICE | $4,963.70 | ↑ +1% |
| CIGNA EAP | MIDLANDS CHOICE | $4,963.70 | ↑ +1% |
| MIDLANDS | MIDLANDS CHOICE | $4,963.70 | ↑ +1% |
| AUXIANT | MIDLANDS CHOICE | $4,963.70 | ↑ +1% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $5,065.00 | ↑ +3% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $5,065.00 | ↑ +3% |
Visitor-reported prices
Comments
Knee MRI (with and without contrast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $4,166.61 | $94.35 – $1,531.23 |
| UnityPoint Health - Allen Hospital | Waterloo | $3,784.96 | $94.35 – $2,493.34 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,514.00 | $341.85 – $478.59 |
| MercyOne Dubuque Medical Center | Dubuque | $5,265.65 | $312.99 – $5,400.00 |
| MercyOne New Hampton Medical Center | New Hampton | $4,938.70 | $2,026.00 – $5,065.00 |
| MercyOne Clinton Medical Center | Clinton | $2,603.90 | $255.10 – $2,670.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $9,209.20 | $255.10 – $9,445.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $6,996.00 | $255.10 – $4,664.00 |