Ghs moderate sedation, > 5 yr, 30 min, other at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$362.82
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.
$453.52
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.
$67.25 with Aetna vs $362.82 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 | $67.25 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $68.60 | ↓ -81% |
| Molina | Medicare Advantage | $68.60 | ↓ -81% |
| Humana | Medicare Advantage | $70.61 | ↓ -81% |
| Amerivantage | Medicare Advantage | $70.61 | ↓ -81% |
| Meridian | MMAI (Medicare-Medicaid) | $70.61 | ↓ -81% |
| United Healthcare | Medicare Advantage | $70.61 | ↓ -81% |
| BC Illinois Community | Blue Choice | $89.85 | ↓ -75% |
| BC Illinois Community | PPO | $106.97 | ↓ -71% |
| Wellmark UPH Self-Funded | Commercial | $110.20 | ↓ -70% |
| Wellmark Blue Cross and Blue Shield | HMO | $110.20 | ↓ -70% |
| Medical Associates Health Plan | HMO | $117.69 | ↓ -68% |
| Health Partners Open Network | Commercial | $127.74 | ↓ -65% |
| Wellmark Blue Cross and Blue Shield | PPO | $129.60 | ↓ -64% |
| Medica Exchange Inspire | Commercial | $166.90 | ↓ -54% |
| Cigna/Midlands | Commercial | $178.18 | ↓ -51% |
| Medica Exchange Insure | Commercial | $186.85 | ↓ -49% |
| Dean Health Plan | HMO | $199.64 | ↓ -45% |
| United Healthcare | HMO | $200.06 | ↓ -45% |
| United Healthcare | PPO | $200.06 | ↓ -45% |
| Aetna | HMO | $226.76 | ↓ -38% |
| Aetna | PPO | $226.76 | ↓ -38% |
| Quartz Health | HMO | $362.82 | ↑ +0% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $120.00 | not published |
| MercyOne Elkader Medical Center | Elkader | $149.50 | $37.25 – $240.40 |
| MercyOne Des Moines Medical Center | Des Moines | $230.00 | $45.37 – $230.00 |
| MercyOne North Iowa Medical Center | Mason City | $230.00 | $46.86 – $230.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $130.20 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $130.20 | $73.78 – $153.30 |
| UnityPoint Health - Allen Hospital | Waterloo | $297.37 | $28.63 – $110.20 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $173.60 | $52.60 – $110.20 |