Provox xtraflange 17fr at MercyOne Waterloo Medical Center
3421 W. 9th St, Waterloo, IA · MercyOne · · NPI 1700827896
$84.23
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.
$129.58
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.
$23.76 with MEDICAL ASSOCIATES vs $101.10 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 |
|---|---|---|---|
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $23.76 | ↓ -72% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $23.76 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $56.11 | ↓ -33% |
| GEHA | UNITED HEALTHCARE | $56.11 | ↓ -33% |
| HEALTH PARTNERS | HEALTH PARTNERS | $66.32 | ↓ -21% |
| MIDLANDS | MIDLANDS CHOICE PPO | $71.78 | ↓ -15% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $71.78 | ↓ -15% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $71.78 | ↓ -15% |
| AUXIANT | MIDLANDS CHOICE PPO | $71.78 | ↓ -15% |
| MEDICA | MIDLANDS CHOICE PPO | $71.78 | ↓ -15% |
| CIGNA | MIDLANDS CHOICE PPO | $71.78 | ↓ -15% |
| MERITAIN | AETNA | $90.28 | ↑ +7% |
| WEBTPA | AETNA | $90.28 | ↑ +7% |
| AETNA DOMESTIC | AETNA | $90.28 | ↑ +7% |
| AETNA EAP | AETNA | $90.28 | ↑ +7% |
| ALLIED BENEFIT SYSTEMS | AETNA | $90.28 | ↑ +7% |
| ASR HEALTH BENEFITS | AETNA | $90.28 | ↑ +7% |
| CHRISTIAN BROTHER SERVICES | AETNA | $90.28 | ↑ +7% |
| COVENTRY | AETNA | $90.28 | ↑ +7% |
| FIRST HEALTH | AETNA | $90.28 | ↑ +7% |
| LUCENT HEALTH | AETNA | $90.28 | ↑ +7% |
| LUMINARE HEALTH | AETNA | $90.28 | ↑ +7% |
| MEDICAL MUTUAL | AETNA | $90.28 | ↑ +7% |
| AETNA | AETNA | $90.28 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $94.02 | ↑ +12% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $101.10 | ↑ +20% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $101.10 | ↑ +20% |
Visitor-reported prices
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Provox xtraflange 17fr at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $84.23 | $37.03 – $103.73 |
| MercyOne New Hampton Medical Center | New Hampton | $99.97 | $48.74 – $123.12 |
| MercyOne Dyersville Medical Center | Dyersville | $84.23 | $39.21 – $116.76 |
| MercyOne Clinton Medical Center | Clinton | $84.23 | $29.36 – $103.73 |
| MercyOne Oelwein Medical Center | Oelwein | $84.23 | $39.65 – $103.73 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $84.23 | $24.38 – $103.73 |
| MercyOne Elkader Medical Center | Elkader | $84.23 | $53.39 – $108.42 |
| MercyOne West Des Moines Medical Center | West Des Moines | $129.58 | $20.85 – $103.73 |