Pr incision & drainage abscess complicated/multiple at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$516.00
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.
$645.00
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.
$166.67 with Aetna vs $563.79 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 | $166.67 | ↓ -68% |
| Medica Exchange Inspire | Commercial | $167.69 | ↓ -68% |
| Molina | Medicare Advantage | $170.00 | ↓ -67% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $170.00 | ↓ -67% |
| United Healthcare | Medicare Advantage | $175.00 | ↓ -66% |
| Humana | Medicare Advantage | $175.00 | ↓ -66% |
| Amerivantage | Medicare Advantage | $175.00 | ↓ -66% |
| Meridian | MMAI (Medicare-Medicaid) | $175.00 | ↓ -66% |
| Medica Exchange Insure | Commercial | $187.74 | ↓ -64% |
| Cigna/Midlands | Commercial | $240.59 | ↓ -53% |
| Medical Associates Health Plan | HMO | $264.29 | ↓ -49% |
| BC Illinois Community | Blue Choice | $303.45 | ↓ -41% |
| BC Illinois Community | PPO | $313.41 | ↓ -39% |
| Health Partners Open Network | Commercial | $326.55 | ↓ -37% |
| Wellmark Blue Cross and Blue Shield | HMO | $329.60 | ↓ -36% |
| Wellmark UPH Self-Funded | Commercial | $329.60 | ↓ -36% |
| Amerigroup | Managed Medicaid | $351.28 | ↓ -32% |
| Iowa Total Care | Managed Medicaid | $351.28 | ↓ -32% |
| Dean Health Plan | HMO | $364.54 | ↓ -29% |
| Quartz Health | HMO | $364.54 | ↓ -29% |
| Wellmark Blue Cross and Blue Shield | PPO | $387.80 | ↓ -25% |
| Aetna | HMO | $396.74 | ↓ -23% |
| Aetna | PPO | $482.51 | ↓ -6% |
| United Healthcare | HMO | $563.79 | ↑ +9% |
| United Healthcare | PPO | $563.79 | ↑ +9% |
Visitor-reported prices
Comments
Pr incision & drainage abscess complicated/multiple at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $405.00 | $382.44 – $438.75 |
| MercyOne Clinton Medical Center | Clinton | $607.00 | $55.28 – $869.92 |
| MercyOne Oelwein Medical Center | Oelwein | $607.00 | $5.92 – $470.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $407.00 | $5.92 – $65.12 |
| MercyOne Elkader Medical Center | Elkader | $705.00 | $5.92 – $65.12 |
| MercyOne West Des Moines Medical Center | West Des Moines | $607.00 | $5.92 – $65.12 |
| MercyOne Des Moines Medical Center | Des Moines | $4,918.00 | $9.47 – $3,635.00 |
| MercyOne Centerville Medical Center | Centerville | $705.00 | $34.43 – $607.00 |