Hopd mntl hlt, 15-29 min at UnityPoint Health - Jones Regional Medical Center
1795 Highway 64 Est, Anamosa, IA · UnityPoint Health · · NPI 1164514741
$69.84
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.
$87.30
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.
$31.69 with Health Partners Open Network vs $77.87 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 | $31.69 | ↓ -55% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $34.73 | ↓ -50% |
| Aetna | Medicare Advantage | $34.92 | ↓ -50% |
| Iowa Health | Medicare Advantage | $35.75 | ↓ -49% |
| Amerivantage | Medicare Advantage | $35.75 | ↓ -49% |
| Humana | Medicare Advantage | $35.79 | ↓ -49% |
| United Healthcare | Medicare Advantage | $35.79 | ↓ -49% |
| Iowa Total Care | Managed Medicaid | $38.41 | ↓ -45% |
| Amerigroup | Managed Medicaid | $38.41 | ↓ -45% |
| Wellmark Blue Cross and Blue Shield | PPO | $44.52 | ↓ -36% |
| Wellmark Blue Cross and Blue Shield | HMO | $44.52 | ↓ -36% |
| Wellmark UPH Self-Funded | Commercial | $44.52 | ↓ -36% |
| United Healthcare | PPO | $66.35 | ↓ -5% |
| United Healthcare | HMO | $66.35 | ↓ -5% |
| Medica Exchange Inspire | Commercial | $69.14 | ↓ -1% |
| Cigna/Midlands | Commercial | $71.76 | ↑ +3% |
| Medica Exchange Insure | Commercial | $77.44 | ↑ +11% |
| Aetna | HMO | $77.87 | ↑ +11% |
| Aetna | PPO | $77.87 | ↑ +11% |
Visitor-reported prices
Comments
Hopd mntl hlt, 15-29 min at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne New Hampton Medical Center | New Hampton | $396.50 | $241.50 – $610.00 |
| MercyOne Dyersville Medical Center | Dyersville | $396.50 | $230.58 – $686.62 |
| MercyOne Oelwein Medical Center | Oelwein | $396.50 | $233.14 – $610.00 |
| MercyOne Elkader Medical Center | Elkader | $396.50 | $313.97 – $637.57 |
| MercyOne Centerville Medical Center | Centerville | $610.00 | $167.38 – $610.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $68.42 | $28.02 – $55.33 |
| UnityPoint Health - Finley Hospital | Dubuque | $68.07 | $27.82 – $68.06 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $67.12 | $26.51 – $52.35 |