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Tonsillectomy (child under 12) at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$650.40
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.
$813.00
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.
$245.41 with Aetna vs $5,201.22 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 | $245.41 | ↓ -62% |
| Molina | Medicare Advantage | $250.32 | ↓ -62% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $250.32 | ↓ -62% |
| Amerivantage | Medicare Advantage | $257.68 | ↓ -60% |
| Humana | Medicare Advantage | $257.68 | ↓ -60% |
| Meridian | MMAI (Medicare-Medicaid) | $257.68 | ↓ -60% |
| United Healthcare | Medicare Advantage | $257.68 | ↓ -60% |
| BC Illinois Community | Blue Choice | $390.77 | ↓ -40% |
| Medical Associates Health Plan | HMO | $454.01 | ↓ -30% |
| BC Illinois Community | PPO | $465.20 | ↓ -28% |
| Health Partners Open Network | Commercial | $493.07 | ↓ -24% |
| Wellmark Blue Cross and Blue Shield | HMO | $528.20 | ↓ -19% |
| Wellmark UPH Self-Funded | Commercial | $528.20 | ↓ -19% |
| Aetna | HMO | $585.70 | ↓ -10% |
| Wellmark Blue Cross and Blue Shield | PPO | $621.40 | ↓ -4% |
| Cigna/Midlands | Commercial | $653.97 | ↑ +1% |
| Aetna | PPO | $713.02 | ↑ +10% |
| Dean Health Plan | HMO | $747.96 | ↑ +15% |
| United Healthcare | HMO | $812.43 | ↑ +25% |
| United Healthcare | PPO | $812.43 | ↑ +25% |
| Amerigroup | Managed Medicaid | $5,201.22 | ↑ +700% |
| Iowa Total Care | Managed Medicaid | $5,201.22 | ↑ +700% |
| Quartz Health | HMO | not published by hospital | — |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
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Tonsillectomy (child under 12) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $650.40 | $245.41 – $5,699.45 |
| MercyOne Des Moines Medical Center | Des Moines | $15,300.42 | $0.96 – $11,492.83 |
| UnityPoint Health - Allen Hospital | Waterloo | $650.40 | $245.41 – $4,903.34 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $459.00 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport | $481.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $481.80 | $586.19 – $2,679.00 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $650.40 | $245.41 – $5,885.87 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $650.40 | $245.41 – $653.97 |