Ghs simple repair 20.1 - 30.0 cm - 12017 at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$381.60
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.
$477.00
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.
$134.92 with Aetna vs $476.38 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 | $134.92 | ↓ -65% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $137.62 | ↓ -64% |
| Molina | Medicare Advantage | $137.62 | ↓ -64% |
| Meridian | MMAI (Medicare-Medicaid) | $141.67 | ↓ -63% |
| United Healthcare | Medicare Advantage | $141.67 | ↓ -63% |
| Amerivantage | Medicare Advantage | $141.67 | ↓ -63% |
| Humana | Medicare Advantage | $141.67 | ↓ -63% |
| BC Illinois Community | Blue Choice | $232.38 | ↓ -39% |
| Medical Associates Health Plan | HMO | $249.60 | ↓ -35% |
| Wellmark Blue Cross and Blue Shield | HMO | $272.70 | ↓ -29% |
| Wellmark UPH Self-Funded | Commercial | $272.70 | ↓ -29% |
| BC Illinois Community | PPO | $276.64 | ↓ -28% |
| Health Partners Open Network | Commercial | $287.56 | ↓ -25% |
| Wellmark Blue Cross and Blue Shield | PPO | $320.80 | ↓ -16% |
| Aetna | HMO | $341.78 | ↓ -10% |
| Iowa Total Care | Managed Medicaid | $351.28 | ↓ -8% |
| Amerigroup | Managed Medicaid | $351.28 | ↓ -8% |
| Cigna/Midlands | Commercial | $361.14 | ↓ -5% |
| Aetna | PPO | $415.49 | ↑ +9% |
| Dean Health Plan | HMO | $438.84 | ↑ +15% |
| United Healthcare | HMO | $476.38 | ↑ +25% |
| United Healthcare | PPO | $476.38 | ↑ +25% |
| 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
Comments
Ghs simple repair 20.1 - 30.0 cm - 12017 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $550.80 | $323.05 – $382.44 |
| MercyOne New Hampton Medical Center | New Hampton | $786.00 | $49.21 – $497.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $578.40 | $382.44 – $390.65 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $578.40 | $204.34 – $438.73 |
| UnityPoint Health - Allen Hospital | Waterloo | $431.49 | $134.92 – $348.97 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $729.52 | $134.92 – $397.52 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,125.84 | $134.92 – $413.74 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $830.98 | $134.92 – $638.43 |