Closed tx humerus fx with manip 23605 at UnityPoint Health - Jones Regional Medical Center
1795 Highway 64 Est, Anamosa, IA · UnityPoint Health · · NPI 1164514741
$3,832.76
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.
$4,790.95
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.
$393.30 with Humana vs $4,249.57 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 | $393.30 | ↓ -90% |
| Aetna | Medicare Advantage | $393.30 | ↓ -90% |
| Amerivantage | Medicare Advantage | $393.30 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $401.17 | ↓ -90% |
| United Healthcare | Medicare Advantage | $412.97 | ↓ -89% |
| Iowa Health | Medicare Advantage | $412.97 | ↓ -89% |
| Health Partners Open Network | Commercial | $785.83 | ↓ -79% |
| Wellmark UPH Self-Funded | Commercial | $856.70 | ↓ -78% |
| Wellmark Blue Cross and Blue Shield | HMO | $856.70 | ↓ -78% |
| Aetna | HMO | $938.20 | ↓ -76% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,007.90 | ↓ -74% |
| Cigna/Midlands | Commercial | $1,047.15 | ↓ -73% |
| Aetna | PPO | $1,141.91 | ↓ -70% |
| United Healthcare | PPO | $1,304.92 | ↓ -66% |
| United Healthcare | HMO | $1,304.92 | ↓ -66% |
| Amerigroup | Managed Medicaid | $2,108.02 | ↓ -45% |
| Iowa Total Care | Managed Medicaid | $2,108.02 | ↓ -45% |
| Medica Exchange Inspire | Commercial | $3,794.43 | ↓ -1% |
| Medica Exchange Insure | Commercial | $4,249.57 | ↑ +11% |
Visitor-reported prices
Comments
Closed tx humerus fx with manip 23605 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $830.40 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport | $871.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $871.80 | $928.00 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $2,291.20 | $393.30 – $1,329.54 |
| UnityPoint Health - Finley Hospital | Dubuque | $2,291.20 | $393.30 – $1,407.13 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $4,063.80 | $393.30 – $2,047.14 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,291.20 | $393.30 – $1,541.92 |
| UnityPoint Health - Marshalltown | Marshalltown | $2,291.20 | $393.30 – $1,557.36 |