healthcosts.net
Knee X-ray at UnityPoint Health - Jones Regional Medical Center
1795 Highway 64 Est, Anamosa, IA · UnityPoint Health · · NPI 1164514741
$336.96
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.
$421.20
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.
$10.22 with Aetna vs $373.60 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $10.22 | ↓ -97% |
| Amerivantage | Medicare Advantage | $10.22 | ↓ -97% |
| Humana | Medicare Advantage | $10.22 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $10.42 | ↓ -97% |
| Iowa Health | Medicare Advantage | $10.73 | ↓ -97% |
| United Healthcare | Medicare Advantage | $10.73 | ↓ -97% |
| United Healthcare | HMO | $14.38 | ↓ -96% |
| United Healthcare | PPO | $14.38 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | HMO | $18.80 | ↓ -94% |
| Wellmark UPH Self-Funded | Commercial | $18.80 | ↓ -94% |
| Cigna/Midlands | Commercial | $21.71 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | PPO | $22.20 | ↓ -93% |
| Health Partners Open Network | Commercial | $22.40 | ↓ -93% |
| Aetna | HMO | $26.81 | ↓ -92% |
| Aetna | PPO | $30.83 | ↓ -91% |
| Amerigroup | Managed Medicaid | $185.33 | ↓ -45% |
| Iowa Total Care | Managed Medicaid | $185.33 | ↓ -45% |
| Medica Exchange Inspire | Commercial | $333.59 | ↓ -1% |
| Medica Exchange Insure | Commercial | $373.60 | ↑ +11% |
Visitor-reported prices
Comments
Knee X-ray at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $491.32 | $10.22 – $180.56 |
| UnityPoint Health - Allen Hospital | Waterloo | $344.80 | $10.22 – $227.14 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $268.20 | $101.79 – $142.51 |
| MercyOne Dubuque Medical Center | Dubuque | $516.10 | $93.79 – $529.00 |
| MercyOne New Hampton Medical Center | New Hampton | $483.60 | $196.37 – $496.00 |
| MercyOne Clinton Medical Center | Clinton | $583.05 | $96.27 – $597.00 |
| MercyOne Dyersville Medical Center | Dyersville | $483.60 | $187.49 – $558.30 |
| MercyOne Oelwein Medical Center | Oelwein | $483.60 | $189.57 – $496.00 |