Closed tx orbit without manipulj at UnityPoint Health - Jones Regional Medical Center
1795 Highway 64 Est, Anamosa, IA · UnityPoint Health · · NPI 1164514741
$1,199.50
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.
?
What you pay up front if you don't use insurance.
$1,499.37
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.
?
The hospital's undiscounted list price — almost no one pays this.
$155.43 with Humana vs $1,329.94 with Medica Exchange Insure — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $155.43 | ↓ -87% |
| Aetna | Medicare Advantage | $155.43 | ↓ -87% |
| Amerivantage | Medicare Advantage | $155.43 | ↓ -87% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $158.54 | ↓ -87% |
| United Healthcare | Medicare Advantage | $163.20 | ↓ -86% |
| Iowa Health | Medicare Advantage | $163.20 | ↓ -86% |
| Health Partners Open Network | Commercial | $286.49 | ↓ -76% |
| Wellmark UPH Self-Funded | Commercial | $337.60 | ↓ -72% |
| Wellmark Blue Cross and Blue Shield | HMO | $337.60 | ↓ -72% |
| Aetna | HMO | $349.82 | ↓ -71% |
| Wellmark Blue Cross and Blue Shield | PPO | $397.10 | ↓ -67% |
| Cigna/Midlands | Commercial | $411.02 | ↓ -66% |
| Aetna | PPO | $424.88 | ↓ -65% |
| United Healthcare | PPO | $490.15 | ↓ -59% |
| United Healthcare | HMO | $490.15 | ↓ -59% |
| Amerigroup | Managed Medicaid | $659.72 | ↓ -45% |
| Iowa Total Care | Managed Medicaid | $659.72 | ↓ -45% |
| Medica Exchange Inspire | Commercial | $1,187.50 | ↓ -1% |
| Medica Exchange Insure | Commercial | $1,329.94 | ↑ +11% |
Visitor-reported prices
Comments
Closed tx orbit without manipulj at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $1,197.07 | $155.43 – $788.57 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,045.72 | $155.43 – $1,045.72 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $985.60 | $155.43 – $506.69 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $985.60 | $155.43 – $490.64 |
| UnityPoint Health - Marshalltown | Marshalltown | $1,197.07 | $155.43 – $718.24 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $2,462.39 | $155.43 – $1,779.07 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $1,199.46 | $155.43 – $587.73 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $1,199.46 | $155.43 – $614.72 |