Ercp biliary & pancreas at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$634.72
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.
$793.39
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.
$24.91 with Aetna vs $634.71 with Quartz Health — 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 | $24.91 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $25.41 | ↓ -96% |
| Molina | Medicare Advantage | $25.41 | ↓ -96% |
| Amerivantage | Medicare Advantage | $26.16 | ↓ -96% |
| Meridian | MMAI (Medicare-Medicaid) | $26.16 | ↓ -96% |
| United Healthcare | Medicare Advantage | $26.16 | ↓ -96% |
| Humana | Medicare Advantage | $26.16 | ↓ -96% |
| Medical Associates Health Plan | HMO | $37.37 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | HMO | $45.70 | ↓ -93% |
| Wellmark UPH Self-Funded | Commercial | $45.70 | ↓ -93% |
| Cigna/Midlands | Commercial | $52.63 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | PPO | $53.70 | ↓ -92% |
| United Healthcare | HMO | $58.21 | ↓ -91% |
| United Healthcare | PPO | $58.21 | ↓ -91% |
| BC Illinois Community | PPO | $62.83 | ↓ -90% |
| Health Partners Open Network | Commercial | $88.60 | ↓ -86% |
| Dean Health Plan | HMO | $94.76 | ↓ -85% |
| Aetna | HMO | $104.54 | ↓ -84% |
| Aetna | PPO | $120.63 | ↓ -81% |
| Medica Exchange Inspire | Commercial | $291.97 | ↓ -54% |
| BC Illinois Community | Blue Choice | $304.40 | ↓ -52% |
| Medica Exchange Insure | Commercial | $326.88 | ↓ -49% |
| Quartz Health | HMO | $634.71 | ↓ -0% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $764.40 | $419.83 – $1,176.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $550.80 | not published |
| MercyOne Clinton Medical Center | Clinton | $1,259.05 | $548.17 – $1,937.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $1,504.00 | $302.30 – $1,504.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $601.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $601.80 | $341.02 – $732.19 |
| UnityPoint Health - Allen Hospital | Waterloo | $885.80 | $24.91 – $583.52 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $336.00 | $24.91 – $88.60 |