Athrectomy tib/pero/unilat/ini ves 37229 at MercyOne Waterloo Medical Center
3421 W. 9th St, Waterloo, IA · MercyOne · · NPI 1700827896
$11,961.30
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.
$18,402.00
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.
$2,453.60 with AETNA MEDICARE ADVANTAGE vs $12,268.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $2,453.60 | ↓ -79% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $2,502.67 | ↓ -79% |
| MOLINA MEDICAID | MOLINA MEDICAID | $2,527.21 | ↓ -79% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $2,537.02 | ↓ -79% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $2,882.98 | ↓ -76% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $2,882.98 | ↓ -76% |
| OSCAR | OSCAR | $3,803.08 | ↓ -68% |
| CENTIVO | CENTIVO | $4,195.66 | ↓ -65% |
| AETNA EAP | AETNA | $4,889.40 | ↓ -59% |
| AETNA | AETNA | $4,889.40 | ↓ -59% |
| ASR HEALTH BENEFITS | AETNA | $4,889.40 | ↓ -59% |
| FIRST HEALTH | AETNA | $4,889.40 | ↓ -59% |
| AETNA DOMESTIC | AETNA | $4,889.40 | ↓ -59% |
| CHRISTIAN BROTHER SERVICES | AETNA | $4,889.40 | ↓ -59% |
| LUMINARE HEALTH | AETNA | $4,889.40 | ↓ -59% |
| COVENTRY | AETNA | $4,889.40 | ↓ -59% |
| ALLIED BENEFIT SYSTEMS | AETNA | $4,889.40 | ↓ -59% |
| MERITAIN | AETNA | $4,889.40 | ↓ -59% |
| WEBTPA | AETNA | $4,889.40 | ↓ -59% |
| MEDICAL MUTUAL | AETNA | $4,889.40 | ↓ -59% |
| LUCENT HEALTH | AETNA | $4,889.40 | ↓ -59% |
| NOVA | CLAIMDOC | $7,360.80 | ↓ -38% |
| CLAIMDOC | CLAIMDOC | $7,360.80 | ↓ -38% |
| HEALTH PARTNERS | HEALTH PARTNERS | $8,047.81 | ↓ -33% |
| MIDLANDS | MIDLANDS CHOICE PPO | $8,710.28 | ↓ -27% |
| MEDICA | MIDLANDS CHOICE PPO | $8,710.28 | ↓ -27% |
| CIGNA | MIDLANDS CHOICE PPO | $8,710.28 | ↓ -27% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $8,710.28 | ↓ -27% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $8,710.28 | ↓ -27% |
| AUXIANT | MIDLANDS CHOICE PPO | $8,710.28 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $11,409.24 | ↓ -5% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $12,268.00 | ↑ +3% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $12,268.00 | ↑ +3% |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $54,907.20 | $594.53 – $16,002.50 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $23,583.00 | $17,188.53 – $20,560.15 |
| MercyOne Dubuque Medical Center | Dubuque | $31,665.40 | $6,294.04 – $32,477.00 |
| MercyOne North Iowa Medical Center | Mason City | $44,077.15 | $9,041.40 – $45,207.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $21,123.60 | $17,188.53 – $22,883.90 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,183.80 | $928.00 – $2,679.00 |
| UnityPoint Health - Finley Hospital | Dubuque | $54,907.20 | $594.53 – $28,538.61 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $54,907.20 | $594.53 – $17,866.30 |