App high cost ss t/a/l >100sq cm 1st 100sq cm at UnityPoint Health - Jones Regional Medical Center
1795 Highway 64 Est, Anamosa, IA · UnityPoint Health · · NPI 1164514741
$4,061.12
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.
$5,076.40
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.
$171.55 with Humana vs $4,502.77 with Medica Exchange Insure — 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $171.55 | ↓ -96% |
| Aetna | Medicare Advantage | $171.55 | ↓ -96% |
| Amerivantage | Medicare Advantage | $171.55 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $174.98 | ↓ -96% |
| United Healthcare | Medicare Advantage | $180.13 | ↓ -96% |
| Iowa Health | Medicare Advantage | $180.13 | ↓ -96% |
| Wellmark UPH Self-Funded | Commercial | $343.30 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | HMO | $343.30 | ↓ -92% |
| Health Partners Open Network | Commercial | $400.50 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | PPO | $403.90 | ↓ -90% |
| Aetna | HMO | $451.68 | ↓ -89% |
| Cigna/Midlands | Commercial | $460.60 | ↓ -89% |
| Aetna | PPO | $549.52 | ↓ -86% |
| United Healthcare | PPO | $622.64 | ↓ -85% |
| United Healthcare | HMO | $622.64 | ↓ -85% |
| Amerigroup | Managed Medicaid | $2,233.62 | ↓ -45% |
| Iowa Total Care | Managed Medicaid | $2,233.62 | ↓ -45% |
| Medica Exchange Inspire | Commercial | $4,020.51 | ↓ -1% |
| Medica Exchange Insure | Commercial | $4,502.77 | ↑ +11% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $734.40 | $795.60 – $3,504.35 |
| MercyOne Des Moines Medical Center | Des Moines | $2,135.25 | $54.74 – $4,005.68 |
| MercyOne North Iowa Medical Center | Mason City | $635.00 | $61.67 – $468.18 |
| MercyOne Genesis Davenport Medical Center | Davenport | $848.40 | $919.10 – $3,504.35 |
| MercyOne Waterloo Medical Center | Waterloo | $1,786.20 | $645.78 – $4,235.59 |
| UnityPoint Health - Allen Hospital | Waterloo | $5,877.39 | $171.55 – $3,871.73 |
| UnityPoint Health - Finley Hospital | Dubuque | $4,828.52 | $171.55 – $4,828.52 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $764.00 | $171.55 – $3,642.53 |