Benign lesion paring 4+ at UnityPoint Health - Jones Regional Medical Center
1795 Highway 64 Est, Anamosa, IA · UnityPoint Health · · NPI 1164514741
$361.44
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.
$451.79
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.
$26.05 with Humana vs $400.74 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 | $26.05 | ↓ -93% |
| Aetna | Medicare Advantage | $26.05 | ↓ -93% |
| Amerivantage | Medicare Advantage | $26.05 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $26.57 | ↓ -93% |
| United Healthcare | Medicare Advantage | $27.35 | ↓ -92% |
| Iowa Health | Medicare Advantage | $27.35 | ↓ -92% |
| Wellmark UPH Self-Funded | Commercial | $49.80 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | HMO | $49.80 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | PPO | $58.60 | ↓ -84% |
| Health Partners Open Network | Commercial | $61.19 | ↓ -83% |
| Aetna | HMO | $65.67 | ↓ -82% |
| Cigna/Midlands | Commercial | $70.28 | ↓ -81% |
| Aetna | PPO | $80.40 | ↓ -78% |
| United Healthcare | PPO | $94.83 | ↓ -74% |
| United Healthcare | HMO | $94.83 | ↓ -74% |
| Amerigroup | Managed Medicaid | $198.79 | ↓ -45% |
| Iowa Total Care | Managed Medicaid | $198.79 | ↓ -45% |
| Medica Exchange Inspire | Commercial | $357.82 | ↓ -1% |
| Medica Exchange Insure | Commercial | $400.74 | ↑ +11% |
Visitor-reported prices
Comments
Benign lesion paring 4+ at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $129.00 | not published |
| MercyOne Clinton Medical Center | Clinton | $150.80 | $6.86 – $429.35 |
| MercyOne Centerville Medical Center | Centerville | $299.00 | $6.86 – $148.46 |
| MercyOne North Iowa Medical Center | Mason City | $136.50 | $5.83 – $434.67 |
| MercyOne Genesis Davenport Medical Center | Davenport | $135.60 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $135.60 | $164.98 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $2,293.00 | $6.86 – $3,576.15 |
| UnityPoint Health - Allen Hospital | Waterloo | $245.89 | $26.05 – $164.70 |