Incision of anal sphincter at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$659.20
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.
$824.00
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.
$141.47 with Aetna vs $2,411.19 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 →
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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 | $141.47 | ↓ -79% |
| Molina | Medicare Advantage | $144.30 | ↓ -78% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $144.30 | ↓ -78% |
| United Healthcare | Medicare Advantage | $148.54 | ↓ -77% |
| Humana | Medicare Advantage | $148.54 | ↓ -77% |
| Meridian | MMAI (Medicare-Medicaid) | $148.54 | ↓ -77% |
| Amerivantage | Medicare Advantage | $148.54 | ↓ -77% |
| Medical Associates Health Plan | HMO | $261.72 | ↓ -60% |
| BC Illinois Community | PPO | $284.81 | ↓ -57% |
| Health Partners Open Network | Commercial | $295.40 | ↓ -55% |
| Wellmark Blue Cross and Blue Shield | HMO | $308.00 | ↓ -53% |
| Wellmark UPH Self-Funded | Commercial | $308.00 | ↓ -53% |
| Aetna | HMO | $355.18 | ↓ -46% |
| Wellmark Blue Cross and Blue Shield | PPO | $362.40 | ↓ -45% |
| Cigna/Midlands | Commercial | $375.96 | ↓ -43% |
| BC Illinois Community | Blue Choice | $417.14 | ↓ -37% |
| Aetna | PPO | $431.56 | ↓ -35% |
| United Healthcare | HMO | $488.75 | ↓ -26% |
| United Healthcare | PPO | $488.75 | ↓ -26% |
| Dean Health Plan | HMO | $758.08 | ↑ +15% |
| Amerigroup | Managed Medicaid | $2,411.19 | ↑ +266% |
| Iowa Total Care | Managed Medicaid | $2,411.19 | ↑ +266% |
| 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
Incision of anal sphincter at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $11,394.60 | $0.96 – $5,546.02 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $441.60 | not published |
| MercyOne Des Moines Medical Center | Des Moines | $13,854.62 | $4.80 – $5,388.70 |
| MercyOne Genesis Davenport Medical Center | Davenport | $463.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $463.80 | $564.29 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $659.20 | $141.47 – $2,273.10 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $659.20 | $141.47 – $2,728.58 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $659.20 | $141.47 – $2,642.16 |