Observation/inpatient hospital care mod severity 99235 at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$303.20
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.
$379.00
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.
$144.97 with Aetna vs $378.49 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 | $144.97 | ↓ -52% |
| BC Illinois Community | Blue Choice | $146.75 | ↓ -52% |
| Molina | Medicare Advantage | $147.87 | ↓ -51% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $147.87 | ↓ -51% |
| Meridian | MMAI (Medicare-Medicaid) | $152.22 | ↓ -50% |
| Humana | Medicare Advantage | $152.22 | ↓ -50% |
| Amerivantage | Medicare Advantage | $152.22 | ↓ -50% |
| United Healthcare | Medicare Advantage | $152.22 | ↓ -50% |
| BC Illinois Community | PPO | $174.70 | ↓ -42% |
| Medical Associates Health Plan | HMO | $253.70 | ↓ -16% |
| Wellmark UPH Self-Funded | Commercial | $260.10 | ↓ -14% |
| Wellmark Blue Cross and Blue Shield | HMO | $260.10 | ↓ -14% |
| Wellmark Blue Cross and Blue Shield | PPO | $260.10 | ↓ -14% |
| Health Partners Open Network | Commercial | $288.09 | ↓ -5% |
| Cigna/Midlands | Commercial | $308.81 | ↑ +2% |
| Aetna | PPO | $331.06 | ↑ +9% |
| Aetna | HMO | $331.06 | ↑ +9% |
| Dean Health Plan | HMO | $348.68 | ↑ +15% |
| United Healthcare | HMO | $378.49 | ↑ +25% |
| United Healthcare | PPO | $378.49 | ↑ +25% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Quartz Health | HMO | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Observation/inpatient hospital care mod severity 99235 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $324.60 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $302.90 | $135.68 – $466.00 |
| MercyOne Dyersville Medical Center | Dyersville | $302.90 | $176.15 – $524.53 |
| MercyOne Oelwein Medical Center | Oelwein | $302.90 | $156.03 – $466.00 |
| MercyOne Elkader Medical Center | Elkader | $404.00 | $91.16 – $487.06 |
| MercyOne West Des Moines Medical Center | West Des Moines | $404.00 | $91.16 – $335.00 |
| MercyOne Des Moines Medical Center | Des Moines | $404.00 | $91.16 – $335.00 |
| MercyOne North Iowa Medical Center | Mason City | $404.00 | $100.54 – $335.00 |