Cllr miami j sm at MercyOne Waterloo Medical Center
3421 W. 9th St, Waterloo, IA · MercyOne · · NPI 1700827896
$607.31
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.
$934.33
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.
$11.20 with AETNA MEDICARE ADVANTAGE vs $55.98 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 | $11.20 | ↓ -98% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $11.42 | ↓ -98% |
| MOLINA MEDICAID | MOLINA MEDICAID | $11.53 | ↓ -98% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $11.58 | ↓ -98% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $13.16 | ↓ -98% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $13.16 | ↓ -98% |
| OSCAR | OSCAR | $17.35 | ↓ -97% |
| CENTIVO | CENTIVO | $19.15 | ↓ -97% |
| GEHA | UNITED HEALTHCARE | $31.07 | ↓ -95% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $31.07 | ↓ -95% |
| NOVA | CLAIMDOC | $33.59 | ↓ -94% |
| CLAIMDOC | CLAIMDOC | $33.59 | ↓ -94% |
| HEALTH PARTNERS | HEALTH PARTNERS | $36.72 | ↓ -94% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $39.75 | ↓ -93% |
| MEDICA | MIDLANDS CHOICE PPO | $39.75 | ↓ -93% |
| CIGNA | MIDLANDS CHOICE PPO | $39.75 | ↓ -93% |
| AUXIANT | MIDLANDS CHOICE PPO | $39.75 | ↓ -93% |
| MIDLANDS | MIDLANDS CHOICE PPO | $39.75 | ↓ -93% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $39.75 | ↓ -93% |
| AETNA EAP | AETNA | $49.99 | ↓ -92% |
| LUCENT HEALTH | AETNA | $49.99 | ↓ -92% |
| AETNA | AETNA | $49.99 | ↓ -92% |
| ASR HEALTH BENEFITS | AETNA | $49.99 | ↓ -92% |
| FIRST HEALTH | AETNA | $49.99 | ↓ -92% |
| AETNA DOMESTIC | AETNA | $49.99 | ↓ -92% |
| LUMINARE HEALTH | AETNA | $49.99 | ↓ -92% |
| COVENTRY | AETNA | $49.99 | ↓ -92% |
| ALLIED BENEFIT SYSTEMS | AETNA | $49.99 | ↓ -92% |
| MERITAIN | AETNA | $49.99 | ↓ -92% |
| WEBTPA | AETNA | $49.99 | ↓ -92% |
| MEDICAL MUTUAL | AETNA | $49.99 | ↓ -92% |
| CHRISTIAN BROTHER SERVICES | AETNA | $49.99 | ↓ -92% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $52.06 | ↓ -91% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $55.98 | ↓ -91% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $55.98 | ↓ -91% |
Visitor-reported prices
Comments
Cllr miami j sm at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | not published | $163.42 – $415.86 |
| MercyOne Dubuque Medical Center | Dubuque | $607.31 | $10.85 – $55.98 |
| MercyOne New Hampton Medical Center | New Hampton | $756.44 | $26.30 – $66.44 |
| MercyOne Dyersville Medical Center | Dyersville | $607.31 | $21.16 – $63.01 |
| MercyOne Clinton Medical Center | Clinton | $607.31 | $10.85 – $55.98 |
| MercyOne Oelwein Medical Center | Oelwein | $607.31 | $21.40 – $55.98 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $607.31 | $9.71 – $55.98 |
| MercyOne Elkader Medical Center | Elkader | $607.31 | $28.81 – $58.51 |