Prcrd drg 6+yr without anomly at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$4,174.72
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.
$5,218.40
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.
$212.07 with Aetna vs $4,174.72 with Quartz Health — 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 | $212.07 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $216.31 | ↓ -95% |
| Molina | Medicare Advantage | $216.31 | ↓ -95% |
| Meridian | MMAI (Medicare-Medicaid) | $222.67 | ↓ -95% |
| Amerivantage | Medicare Advantage | $222.67 | ↓ -95% |
| Humana | Medicare Advantage | $222.67 | ↓ -95% |
| United Healthcare | Medicare Advantage | $222.67 | ↓ -95% |
| BC Illinois Community | Blue Choice | $364.01 | ↓ -91% |
| Medical Associates Health Plan | HMO | $392.33 | ↓ -91% |
| BC Illinois Community | PPO | $433.34 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | HMO | $483.80 | ↓ -88% |
| Wellmark UPH Self-Funded | Commercial | $483.80 | ↓ -88% |
| Health Partners Open Network | Commercial | $484.76 | ↓ -88% |
| Cigna/Midlands | Commercial | $568.08 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | PPO | $569.10 | ↓ -86% |
| Dean Health Plan | HMO | $695.52 | ↓ -83% |
| United Healthcare | HMO | $755.95 | ↓ -82% |
| United Healthcare | PPO | $755.95 | ↓ -82% |
| Medica Exchange Inspire | Commercial | $1,920.37 | ↓ -54% |
| Medica Exchange Insure | Commercial | $2,149.98 | ↓ -49% |
| Aetna | PPO | $2,609.20 | ↓ -38% |
| Aetna | HMO | $2,609.20 | ↓ -38% |
| Quartz Health | HMO | $4,174.72 | ↑ +0% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $790.40 | $434.11 – $1,216.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $585.00 | not published |
| MercyOne North Iowa Medical Center | Mason City | $1,576.25 | $620.80 – $2,425.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $614.40 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $614.40 | $747.52 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $1,576.25 | $68.27 – $1,721.75 |
| UnityPoint Health - Allen Hospital | Waterloo | $4,310.65 | $212.07 – $2,839.64 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $604.80 | $212.07 – $568.08 |