Fem/popl revasc w/stent at MercyOne Waterloo Medical Center
3421 W. 9th St, Waterloo, IA · MercyOne · · NPI 1700827896
$17,579.90
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.
?
What you pay up front if you don't use insurance.
$27,046.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,606.20 with AETNA MEDICARE ADVANTAGE vs $18,031.00 with IOWA DEPT OF PUBLIC HEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $3,606.20 | ↓ -79% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $3,678.32 | ↓ -79% |
| MOLINA MEDICAID | MOLINA MEDICAID | $3,714.39 | ↓ -79% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $3,728.81 | ↓ -79% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $4,237.29 | ↓ -76% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $4,237.29 | ↓ -76% |
| FIRST HEALTH | AETNA | $4,889.40 | ↓ -72% |
| AETNA DOMESTIC | AETNA | $4,889.40 | ↓ -72% |
| AETNA EAP | AETNA | $4,889.40 | ↓ -72% |
| LUMINARE HEALTH | AETNA | $4,889.40 | ↓ -72% |
| CHRISTIAN BROTHER SERVICES | AETNA | $4,889.40 | ↓ -72% |
| LUCENT HEALTH | AETNA | $4,889.40 | ↓ -72% |
| AETNA | AETNA | $4,889.40 | ↓ -72% |
| ASR HEALTH BENEFITS | AETNA | $4,889.40 | ↓ -72% |
| COVENTRY | AETNA | $4,889.40 | ↓ -72% |
| ALLIED BENEFIT SYSTEMS | AETNA | $4,889.40 | ↓ -72% |
| MERITAIN | AETNA | $4,889.40 | ↓ -72% |
| WEBTPA | AETNA | $4,889.40 | ↓ -72% |
| MEDICAL MUTUAL | AETNA | $4,889.40 | ↓ -72% |
| OSCAR | OSCAR | $5,589.61 | ↓ -68% |
| CENTIVO | CENTIVO | $6,166.60 | ↓ -65% |
| NOVA | CLAIMDOC | $10,818.60 | ↓ -38% |
| CLAIMDOC | CLAIMDOC | $10,818.60 | ↓ -38% |
| HEALTH PARTNERS | HEALTH PARTNERS | $11,828.34 | ↓ -33% |
| CIGNA | MIDLANDS CHOICE PPO | $12,802.01 | ↓ -27% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $12,802.01 | ↓ -27% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $12,802.01 | ↓ -27% |
| MEDICA | MIDLANDS CHOICE PPO | $12,802.01 | ↓ -27% |
| AUXIANT | MIDLANDS CHOICE PPO | $12,802.01 | ↓ -27% |
| MIDLANDS | MIDLANDS CHOICE PPO | $12,802.01 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $16,768.83 | ↓ -5% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $18,031.00 | ↑ +3% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $18,031.00 | ↑ +3% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $48,569.60 | $441.27 – $18,121.76 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $12,478.20 | $10,855.42 – $13,518.05 |
| MercyOne Dubuque Medical Center | Dubuque | $31,217.55 | $6,205.09 – $32,018.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $97,392.00 | $10,596.25 – $64,928.00 |
| MercyOne Des Moines Medical Center | Des Moines | $63,304.80 | $9.09 – $64,928.00 |
| MercyOne North Iowa Medical Center | Mason City | $55,547.42 | $9.09 – $32,375.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $13,888.80 | $10,855.42 – $15,046.20 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $874.80 | $928.00 – $2,679.00 |