Clsd tx/metatarsal fx without manip 28470 at UnityPoint Health - Jones Regional Medical Center
1795 Highway 64 Est, Anamosa, IA · UnityPoint Health · · NPI 1164514741
$538.40
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.
$673.00
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.
$169.14 with Health Partners Open Network vs $415.64 with Aetna — 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 |
|---|---|---|---|
| Health Partners Open Network | Commercial | $169.14 | ↓ -69% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $185.36 | ↓ -66% |
| Aetna | Medicare Advantage | $186.38 | ↓ -65% |
| Iowa Health | Medicare Advantage | $190.81 | ↓ -65% |
| Amerivantage | Medicare Advantage | $190.81 | ↓ -65% |
| Humana | Medicare Advantage | $191.04 | ↓ -65% |
| United Healthcare | Medicare Advantage | $191.04 | ↓ -65% |
| Iowa Total Care | Managed Medicaid | $205.02 | ↓ -62% |
| Amerigroup | Managed Medicaid | $205.02 | ↓ -62% |
| Wellmark Blue Cross and Blue Shield | PPO | $237.64 | ↓ -56% |
| Wellmark Blue Cross and Blue Shield | HMO | $237.64 | ↓ -56% |
| Wellmark UPH Self-Funded | Commercial | $237.64 | ↓ -56% |
| United Healthcare | PPO | $354.13 | ↓ -34% |
| United Healthcare | HMO | $354.13 | ↓ -34% |
| Medica Exchange Inspire | Commercial | $369.04 | ↓ -31% |
| Cigna/Midlands | Commercial | $383.02 | ↓ -29% |
| Medica Exchange Insure | Commercial | $413.31 | ↓ -23% |
| Aetna | HMO | $415.64 | ↓ -23% |
| Aetna | PPO | $415.64 | ↓ -23% |
Visitor-reported prices
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Clsd tx/metatarsal fx without manip 28470 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $382.20 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $1,316.00 | $52.36 – $694.67 |
| MercyOne Clinton Medical Center | Clinton | $721.00 | $61.09 – $694.67 |
| MercyOne Centerville Medical Center | Centerville | $2,471.00 | $128.97 – $470.00 |
| MercyOne North Iowa Medical Center | Mason City | $721.00 | $52.36 – $721.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $401.40 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $401.40 | $488.37 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $792.35 | $61.09 – $3,576.15 |