Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at MercyOne Waterloo Medical Center

3421 W. 9th St, Waterloo, IA · MercyOne · · NPI 1700827896

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$414.05

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$637.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$61.18 with AETNA MEDICARE ADVANTAGE vs $305.89 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 →

Payer
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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
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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 $61.18 ↓ -85%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $62.40 ↓ -85%
MOLINA MEDICAID MOLINA MEDICAID $63.01 ↓ -85%
WELLPOINT MEDICAID WELLPOINT MEDICAID $63.26 ↓ -85%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $71.88 ↓ -83%
HEALTH CHOICES MEDICAL ASSOCIATES $71.88 ↓ -83%
OSCAR OSCAR $94.83 ↓ -77%
CENTIVO CENTIVO $104.61 ↓ -75%
GEHA UNITED HEALTHCARE $152.95 ↓ -63%
UNITED HEALTHCARE UNITED HEALTHCARE $152.95 ↓ -63%
NOVA CLAIMDOC $183.53 ↓ -56%
CLAIMDOC CLAIMDOC $183.53 ↓ -56%
HEALTH PARTNERS HEALTH PARTNERS $200.66 ↓ -52%
CIGNA EAP MIDLANDS CHOICE PPO $217.18 ↓ -48%
MEDICA MIDLANDS CHOICE PPO $217.18 ↓ -48%
CIGNA MIDLANDS CHOICE PPO $217.18 ↓ -48%
AUXIANT MIDLANDS CHOICE PPO $217.18 ↓ -48%
MIDLANDS MIDLANDS CHOICE PPO $217.18 ↓ -48%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $217.18 ↓ -48%
AETNA EAP AETNA $273.16 ↓ -34%
LUCENT HEALTH AETNA $273.16 ↓ -34%
AETNA AETNA $273.16 ↓ -34%
ASR HEALTH BENEFITS AETNA $273.16 ↓ -34%
FIRST HEALTH AETNA $273.16 ↓ -34%
AETNA DOMESTIC AETNA $273.16 ↓ -34%
LUMINARE HEALTH AETNA $273.16 ↓ -34%
COVENTRY AETNA $273.16 ↓ -34%
ALLIED BENEFIT SYSTEMS AETNA $273.16 ↓ -34%
MERITAIN AETNA $273.16 ↓ -34%
WEBTPA AETNA $273.16 ↓ -34%
MEDICAL MUTUAL AETNA $273.16 ↓ -34%
CHRISTIAN BROTHER SERVICES AETNA $273.16 ↓ -34%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $284.48 ↓ -31%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $305.89 ↓ -26%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $305.89 ↓ -26%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Allen Hospital Waterloo $277.60 $136.37 – $331.72
MercyOne Genesis Davenport West Medical Center Davenport $2,767.80 not published
MercyOne Dubuque Medical Center Dubuque $414.05 $59.28 – $305.89
MercyOne New Hampton Medical Center New Hampton $515.72 $125.78 – $317.70
MercyOne Dyersville Medical Center Dyersville $414.05 $115.63 – $344.31
MercyOne Clinton Medical Center Clinton $414.05 $59.28 – $305.89
MercyOne Oelwein Medical Center Oelwein $3,657.34 $116.91 – $305.89
MercyOne Cedar Falls Medical Center Cedar Falls $414.05 $53.04 – $305.89

All Iowa hospitals for this procedure →