Pr biopsy skin punch single lesion at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$326.45
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.
$408.06
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.
$42.21 with Aetna vs $923.00 with Aetna — 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 | $42.21 | ↓ -87% |
| Molina | Medicare Advantage | $43.05 | ↓ -87% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $43.05 | ↓ -87% |
| Amerivantage | Medicare Advantage | $44.32 | ↓ -86% |
| Humana | Medicare Advantage | $44.32 | ↓ -86% |
| Meridian | MMAI (Medicare-Medicaid) | $44.32 | ↓ -86% |
| United Healthcare | Medicare Advantage | $44.32 | ↓ -86% |
| Medical Associates Health Plan | HMO | $78.09 | ↓ -76% |
| BC Illinois Community | PPO | $80.00 | ↓ -75% |
| Wellmark Blue Cross and Blue Shield | HMO | $83.00 | ↓ -75% |
| Wellmark UPH Self-Funded | Commercial | $83.00 | ↓ -75% |
| Health Partners Open Network | Commercial | $88.73 | ↓ -73% |
| Wellmark Blue Cross and Blue Shield | PPO | $97.60 | ↓ -70% |
| Cigna/Midlands | Commercial | $112.44 | ↓ -66% |
| Medica Exchange Inspire | Commercial | $150.17 | ↓ -54% |
| United Healthcare | HMO | $153.13 | ↓ -53% |
| United Healthcare | PPO | $153.13 | ↓ -53% |
| Medica Exchange Insure | Commercial | $168.12 | ↓ -49% |
| BC Illinois Community | Blue Choice | $171.86 | ↓ -47% |
| Dean Health Plan | HMO | $326.45 | ↑ +0% |
| Quartz Health | HMO | $326.45 | ↑ +0% |
| Iowa Total Care | Managed Medicaid | $351.28 | ↑ +8% |
| Amerigroup | Managed Medicaid | $351.28 | ↑ +8% |
| Aetna | HMO | $873.72 | ↑ +168% |
| Aetna | PPO | $923.00 | ↑ +183% |
Visitor-reported prices
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Pr biopsy skin punch single lesion at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $321.00 | $347.75 – $382.44 |
| MercyOne New Hampton Medical Center | New Hampton | $329.00 | $12.14 – $329.00 |
| MercyOne Clinton Medical Center | Clinton | $329.00 | $12.14 – $869.92 |
| MercyOne Elkader Medical Center | Elkader | $416.00 | $12.14 – $343.87 |
| MercyOne West Des Moines Medical Center | West Des Moines | $329.00 | $12.14 – $103.00 |
| MercyOne Centerville Medical Center | Centerville | $416.00 | $12.14 – $103.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,502.00 | $12.80 – $880.71 |
| MercyOne Genesis Davenport Medical Center | Davenport | $371.40 | $347.75 – $382.44 |