Bx breast 1st lesion strtctc at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$3,259.03
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.
?
What you pay up front if you don't use insurance.
$4,073.78
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.
?
The hospital's undiscounted list price — almost no one pays this.
$146.74 with Aetna vs $3,259.02 with Quartz Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $146.74 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $149.67 | ↓ -95% |
| Molina | Medicare Advantage | $149.67 | ↓ -95% |
| Amerivantage | Medicare Advantage | $154.08 | ↓ -95% |
| United Healthcare | Medicare Advantage | $154.08 | ↓ -95% |
| Humana | Medicare Advantage | $154.08 | ↓ -95% |
| Meridian | MMAI (Medicare-Medicaid) | $154.08 | ↓ -95% |
| Medical Associates Health Plan | HMO | $271.47 | ↓ -92% |
| BC Illinois Community | PPO | $277.46 | ↓ -91% |
| Wellmark UPH Self-Funded | Commercial | $285.80 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | HMO | $285.80 | ↓ -91% |
| Health Partners Open Network | Commercial | $333.34 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | PPO | $336.20 | ↓ -90% |
| Aetna | HMO | $373.93 | ↓ -89% |
| Cigna/Midlands | Commercial | $391.25 | ↓ -88% |
| Aetna | PPO | $455.71 | ↓ -86% |
| United Healthcare | HMO | $531.40 | ↓ -84% |
| United Healthcare | PPO | $531.40 | ↓ -84% |
| BC Illinois Community | Blue Choice | $677.36 | ↓ -79% |
| Iowa Total Care | Managed Medicaid | $1,424.56 | ↓ -56% |
| Amerigroup | Managed Medicaid | $1,424.56 | ↓ -56% |
| Medica Exchange Inspire | Commercial | $1,499.15 | ↓ -54% |
| Medica Exchange Insure | Commercial | $1,678.40 | ↓ -49% |
| Dean Health Plan | HMO | $1,716.72 | ↓ -47% |
| Quartz Health | HMO | $3,259.02 | ↓ -0% |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $17,216.35 | $2.70 – $3,300.04 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $3,988.80 | $1,550.93 – $2,171.30 |
| MercyOne Clinton Medical Center | Clinton | $8,121.75 | $146.74 – $8,330.00 |
| MercyOne Des Moines Medical Center | Des Moines | $6,938.50 | $126.99 – $4,545.00 |
| MercyOne North Iowa Medical Center | Mason City | $6,832.80 | $146.74 – $7,008.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $4,607.40 | $1,550.93 – $2,171.30 |
| MercyOne Waterloo Medical Center | Waterloo | $4,660.50 | $146.74 – $4,445.40 |
| UnityPoint Health - Allen Hospital | Waterloo | $7,018.44 | $146.74 – $2,311.70 |