Tc-99m apcitide diag at MercyOne Waterloo Medical Center
3421 W. 9th St, Waterloo, IA · MercyOne · · NPI 1700827896
$1,765.30
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.
$1,765.30
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.
$414.85 with MEDICAL ASSOCIATES vs $1,765.30 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 | $414.85 | ↓ -76% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $414.85 | ↓ -76% |
| HEALTH PARTNERS | HEALTH PARTNERS | $1,158.04 | ↓ -34% |
| MEDICA | MIDLANDS CHOICE PPO | $1,253.36 | ↓ -29% |
| AUXIANT | MIDLANDS CHOICE PPO | $1,253.36 | ↓ -29% |
| CIGNA | MIDLANDS CHOICE PPO | $1,253.36 | ↓ -29% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $1,253.36 | ↓ -29% |
| MIDLANDS | MIDLANDS CHOICE PPO | $1,253.36 | ↓ -29% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1,253.36 | ↓ -29% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $1,641.73 | ↓ -7% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $1,765.30 | ↑ +0% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $1,765.30 | ↑ +0% |
Visitor-reported prices
Comments
Tc-99m apcitide diag at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $1,591.74 | $500.00 – $1,162.82 |
| MercyOne Dubuque Medical Center | Dubuque | $1,765.30 | $630.21 – $1,765.30 |
| MercyOne New Hampton Medical Center | New Hampton | $1,765.30 | $698.88 – $1,765.30 |
| MercyOne Dyersville Medical Center | Dyersville | $1,765.30 | $667.28 – $1,987.02 |
| MercyOne Clinton Medical Center | Clinton | $1,765.30 | $499.58 – $1,765.30 |
| MercyOne Oelwein Medical Center | Oelwein | $1,765.30 | $674.70 – $1,765.30 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,765.30 | $414.85 – $1,765.30 |
| MercyOne Elkader Medical Center | Elkader | $1,765.30 | $908.60 – $1,845.09 |