Ghs simple repair 7.6 - 12.5 cm - 12004 at UnityPoint Health - Trinity Bettendorf
4500 Utica Ridge Road, Bettendorf, IA · UnityPoint Health · · NPI 1124110820
$355.17
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.
$443.96
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.
$64.60 with Aetna vs $229.50 with United Healthcare — 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 | $64.60 | ↓ -82% |
| Ambetter | HMO | $64.60 | ↓ -82% |
| Health Alliance | Medicare Advantage | $64.60 | ↓ -82% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $65.89 | ↓ -81% |
| Humana | Medicare Advantage | $67.83 | ↓ -81% |
| Meridian Health Plan | Medicare Advantage | $67.83 | ↓ -81% |
| United Healthcare | Medicare Advantage | $67.83 | ↓ -81% |
| Wellmark UPH Self-Funded | Commercial | $129.80 | ↓ -63% |
| Wellmark Blue Cross and Blue Shield | HMO | $129.80 | ↓ -63% |
| Health Partners Open Network | Commercial | $135.44 | ↓ -62% |
| Wellmark Blue Cross and Blue Shield | PPO | $152.80 | ↓ -57% |
| Medica Exchange Inspire | Commercial | $155.39 | ↓ -56% |
| Aetna | HMO | $162.17 | ↓ -54% |
| Iowa Total Care | Managed Medicaid | $170.99 | ↓ -52% |
| Amerigroup | Managed Medicaid | $170.99 | ↓ -52% |
| Cigna/Midlands | Commercial | $173.68 | ↓ -51% |
| Medica Exchange Insure | Commercial | $174.03 | ↓ -51% |
| Aetna | PPO | $197.02 | ↓ -45% |
| United Healthcare | HMO | $229.50 | ↓ -35% |
| United Healthcare | PPO | $229.50 | ↓ -35% |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $268.80 | $190.20 – $266.28 |
| MercyOne New Hampton Medical Center | New Hampton | $389.00 | $23.01 – $434.00 |
| MercyOne Dyersville Medical Center | Dyersville | $282.10 | $164.05 – $488.51 |
| MercyOne Oelwein Medical Center | Oelwein | $389.00 | $23.01 – $434.00 |
| MercyOne Elkader Medical Center | Elkader | $282.10 | $64.28 – $453.62 |
| MercyOne Des Moines Medical Center | Des Moines | $389.00 | $23.01 – $286.22 |
| MercyOne Centerville Medical Center | Centerville | $434.00 | $23.01 – $434.00 |
| MercyOne North Iowa Medical Center | Mason City | $389.00 | $23.33 – $282.81 |