Colonoscopy flex with decompression 45393 at UnityPoint Health - Finley Hospital

350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600

Source: hospital's published price file ↗ · Published Jan 28, 2026 · Ingested Aug 12, 2026

$690.40

Cash price

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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.

$863.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$223.45 with Aetna vs $1,036.68 with Iowa Total Care — 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 →

Payer
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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
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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 $223.45 ↓ -68%
Wellmark Blue Cross and Blue Shield Medicare Advantage $227.92 ↓ -67%
Molina Medicare Advantage $227.92 ↓ -67%
Humana Medicare Advantage $234.62 ↓ -66%
Amerivantage Medicare Advantage $234.62 ↓ -66%
United Healthcare Medicare Advantage $234.62 ↓ -66%
Meridian MMAI (Medicare-Medicaid) $234.62 ↓ -66%
BC Illinois Community Blue Choice $372.89 ↓ -46%
Health Partners Open Network Commercial $403.38 ↓ -42%
Medical Associates Health Plan HMO $413.38 ↓ -40%
BC Illinois Community PPO $443.92 ↓ -36%
Wellmark UPH Self-Funded Commercial $476.20 ↓ -31%
Wellmark Blue Cross and Blue Shield HMO $476.20 ↓ -31%
Aetna HMO $478.47 ↓ -31%
Wellmark Blue Cross and Blue Shield PPO $560.20 ↓ -19%
Aetna PPO $581.68 ↓ -16%
Cigna/Midlands Commercial $598.24 ↓ -13%
Dean Health Plan HMO $793.96 ↑ +15%
United Healthcare HMO $797.16 ↑ +15%
United Healthcare PPO $797.16 ↑ +15%
Amerigroup Managed Medicaid $1,036.68 ↑ +50%
Iowa Total Care Managed Medicaid $1,036.68 ↑ +50%
Medica Exchange Insure Commercial not published by hospital
Medica Exchange Inspire Commercial not published by hospital
Quartz Health HMO not published by hospital

Visitor-reported prices

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Colonoscopy flex with decompression 45393 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $517.20 not published
MercyOne Genesis Davenport Medical Center Davenport $543.00 not published
MercyOne Genesis DeWitt Medical Center DeWitt $543.00 $660.65 – $2,679.00
MercyOne Waterloo Medical Center Waterloo $915.00 $69.65 – $760.33
UnityPoint Health - Allen Hospital Waterloo $690.40 $223.45 – $977.31
UnityPoint Health - Grinnell Regional Medical Center Grinnell $690.40 $223.45 – $1,173.14
UnityPoint Health - Iowa Lutheran Hospital Des Moines $1,679.48 $223.45 – $1,135.99
UnityPoint Health - Jones Regional Medical Center Anamosa $690.40 $223.45 – $598.24

All Iowa hospitals for this procedure →