RHM - Price Estimator

MercyOne is committed to helping you receive a cost estimate on common procedures.

You can find detailed online cost estimate information on each of our home location’s web pages. Select your home location below…

Select your MercyOne home location:

• Cedar Falls
• Centerville
• Clinton
• Des Moines
• Dubuque
• Dyersville
• Elkader
• Newton
• New Hampton
• North Iowa
• Oelwein
• Primghar
• Sioux City
• Waterloo

Covid-19 Testing

During these unprecedented times, it is important for you to know what the costs for COVID diagnostic testing are. COVID-19 antigen test cash price is $135, $193, or $375 depending on the type of test.  The test conducted will be billed.  Patients are not required to pay for COVID-19 antigen tests.  The cash price is the price that will be charged third party payers if a contracted price has not been negotiated.   The amount charged also is subject to adjustment if state law mandates pricing or the test is performed by a government agency.

 Helpful Definitions

Understanding health care terminology around price poses challenges for patients and family. If you ask a group of people to define what “price” is, it is likely you will get a variety of answers. Below are definitions to help frame understanding on this issue:

Charge: The dollar amount assigned to specific medical services before negotiating any discounts from payers. The charge is different from the price. Very few patients pay the charge regardless of their insurance status; and, therefore, this data is not meaningful to people.

Price: The negotiated and contracted amount to be paid to providers by payers (also called the “allowed amount”). A patient’s out-of-pocket liability for health care services is based on this allowed amount. Note that the price for a given service varies by insurance plan as these are separately negotiated by plan/employer.

Out-of-Pocket: Portion of the price for medical services and treatment for which the patient is responsible. This includes copayments, coinsurance, and deductibles.

Cost: The definition depends on the cost being referenced: To the provider, cost is the expense incurred to provide health care to patients. To the employer, cost is the expense related to providing health benefits. To the insurance plan, cost is the price paid to the provider. To the patient, cost is the out-of-pocket fees.

We support price transparency and believe it is important for you to know what out-of-pocket costs you will incur for services provided at MercyOne. We have established two easy ways for you to obtain estimate of your costs with an online list of common procedures or by calling our locations.