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Sinus CT scan (with contrast) at MercyOne Oelwein Medical Center
201 8th Ave SE, Oelwein, IA · MercyOne · · NPI 1528009511
$2,102.10
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.
$3,234.00
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.
$1,236.03 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $3,234.00 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 | $1,236.03 | ↓ -41% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $1,253.50 | ↓ -40% |
| MOLINA MEDICAID | MOLINA MEDICAID | $1,271.93 | ↓ -39% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $1,278.08 | ↓ -39% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $1,312.36 | ↓ -38% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $1,339.20 | ↓ -36% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1,352.46 | ↓ -36% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $1,377.36 | ↓ -34% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $1,405.50 | ↓ -33% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $1,524.83 | ↓ -27% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $1,763.50 | ↓ -16% |
| CENTIVO | CENTIVO | $1,988.91 | ↓ -5% |
| AMBETTER | AMBETTER MARKETPLACE | $2,227.58 | ↑ +6% |
| GEHA | UNITED HEALTHCARE | $2,296.14 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,296.14 | ↑ +9% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $2,380.22 | ↑ +13% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $2,380.22 | ↑ +13% |
| NOVA | CLAIMDOC | $2,665.14 | ↑ +27% |
| CLAIMDOC | CLAIMDOC | $2,665.14 | ↑ +27% |
| WEBTPA | AETNA | $2,972.05 | ↑ +41% |
| COVENTRY | AETNA | $2,972.05 | ↑ +41% |
| ALLIED BENEFIT SYSTEMS | AETNA | $2,972.05 | ↑ +41% |
| LUCENT HEALTH | AETNA | $2,972.05 | ↑ +41% |
| LUMINARE HEALTH | AETNA | $2,972.05 | ↑ +41% |
| ASR HEALTH BENEFITS | AETNA | $2,972.05 | ↑ +41% |
| CHRISTIAN BROTHER SERVICES | AETNA | $2,972.05 | ↑ +41% |
| FIRST HEALTH | AETNA | $2,972.05 | ↑ +41% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $2,972.05 | ↑ +41% |
| AETNA | AETNA | $2,972.05 | ↑ +41% |
| MERITAIN | AETNA | $2,972.05 | ↑ +41% |
| MEDICAL MUTUAL | AETNA | $2,972.05 | ↑ +41% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $2,972.05 | ↑ +41% |
| AETNA DOMESTIC | AETNA | $2,972.05 | ↑ +41% |
| AETNA EAP | AETNA | $2,972.05 | ↑ +41% |
| HEALTH PARTNERS | HEALTH PARTNERS | $3,111.11 | ↑ +48% |
| MULTIPLAN | MULTIPLAN | $3,136.98 | ↑ +49% |
| MIDLANDS CHOICE | MIDLANDS CHOICE | $3,169.32 | ↑ +51% |
| MEDICA | MIDLANDS CHOICE | $3,169.32 | ↑ +51% |
| CIGNA | MIDLANDS CHOICE | $3,169.32 | ↑ +51% |
| CIGNA EAP | MIDLANDS CHOICE | $3,169.32 | ↑ +51% |
| MIDLANDS | MIDLANDS CHOICE | $3,169.32 | ↑ +51% |
| AUXIANT | MIDLANDS CHOICE | $3,169.32 | ↑ +51% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $3,234.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $3,234.00 | ↑ +54% |
Visitor-reported prices
Comments
Sinus CT scan (with contrast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,332.52 | $49.40 – $857.20 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,111.00 | $49.40 – $731.87 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,195.20 | $170.40 – $238.57 |
| MercyOne Dubuque Medical Center | Dubuque | $1,660.10 | $157.36 – $2,554.00 |
| MercyOne New Hampton Medical Center | New Hampton | $2,102.10 | $1,280.34 – $3,234.00 |
| MercyOne Clinton Medical Center | Clinton | $1,847.30 | $161.52 – $2,842.00 |
| MercyOne Dyersville Medical Center | Dyersville | $2,102.10 | $1,222.45 – $3,640.19 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,788.15 | $165.25 – $2,751.00 |