healthcosts.net
Established Patient Office Visit (level 4) at UnityPoint Health - Trinity Bettendorf
4500 Utica Ridge Road, Bettendorf, IA · UnityPoint Health · · NPI 1124110820
$192.00
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.
$240.00
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.
$88.83 with Aetna vs $184.05 with Cigna/Midlands — 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 | $88.83 | ↓ -54% |
| Ambetter | HMO | $88.83 | ↓ -54% |
| Health Alliance | Medicare Advantage | $88.83 | ↓ -54% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $90.61 | ↓ -53% |
| Humana | Medicare Advantage | $93.27 | ↓ -51% |
| Meridian Health Plan | Medicare Advantage | $93.27 | ↓ -51% |
| United Healthcare | Medicare Advantage | $93.27 | ↓ -51% |
| Health Partners Open Network | Commercial | $129.20 | ↓ -33% |
| Wellmark Blue Cross and Blue Shield | HMO | $137.30 | ↓ -28% |
| Wellmark Blue Cross and Blue Shield | PPO | $137.30 | ↓ -28% |
| Wellmark UPH Self-Funded | Commercial | $137.30 | ↓ -28% |
| Aetna | HMO | $152.79 | ↓ -20% |
| Aetna | PPO | $152.79 | ↓ -20% |
| United Healthcare | HMO | $176.73 | ↓ -8% |
| United Healthcare | PPO | $176.73 | ↓ -8% |
| Cigna/Midlands | Commercial | $184.05 | ↓ -4% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Established Patient Office Visit (level 4) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $192.00 | $88.83 – $184.05 |
| MercyOne New Hampton Medical Center | New Hampton | $659.10 | $42.60 – $258.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $192.00 | $88.83 – $184.05 |
| MercyOne Elkader Medical Center | Elkader | $272.00 | $56.78 – $272.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $134.40 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $209.00 | $5.10 – $33.12 |
| MercyOne Dyersville Medical Center | Dyersville | $167.70 | $88.83 – $290.40 |
| MercyOne Clinton Medical Center | Clinton | $209.00 | $49.07 – $209.00 |