Treatment fx radial distal open w/internal fixation left (restricted method ii cah) at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$3,619.20
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.
$4,524.00
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.
$674.43 with Aetna vs $6,280.98 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 | $674.43 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $687.92 | ↓ -81% |
| Molina | Medicare Advantage | $687.92 | ↓ -81% |
| Meridian | MMAI (Medicare-Medicaid) | $708.15 | ↓ -80% |
| Humana | Medicare Advantage | $708.15 | ↓ -80% |
| Amerivantage | Medicare Advantage | $708.15 | ↓ -80% |
| United Healthcare | Medicare Advantage | $708.15 | ↓ -80% |
| Medical Associates Health Plan | HMO | $1,247.70 | ↓ -66% |
| Health Partners Open Network | Commercial | $1,355.71 | ↓ -63% |
| BC Illinois Community | Blue Choice | $1,370.75 | ↓ -62% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,467.70 | ↓ -59% |
| Wellmark UPH Self-Funded | Commercial | $1,467.70 | ↓ -59% |
| Aetna | HMO | $1,628.45 | ↓ -55% |
| BC Illinois Community | PPO | $1,631.84 | ↓ -55% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,726.70 | ↓ -52% |
| Cigna/Midlands | Commercial | $1,788.62 | ↓ -51% |
| Aetna | PPO | $1,982.26 | ↓ -45% |
| Dean Health Plan | HMO | $2,081.04 | ↓ -43% |
| United Healthcare | HMO | $2,261.33 | ↓ -38% |
| United Healthcare | PPO | $2,261.33 | ↓ -38% |
| Amerigroup | Managed Medicaid | $6,280.98 | ↑ +74% |
| Iowa Total Care | Managed Medicaid | $6,280.98 | ↑ +74% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Quartz Health | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Treatment fx radial distal open w/internal fixation left (restricted method ii cah) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $29,691.72 | $0.96 – $14,498.57 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $41,222.98 | $2.28 – $14,021.15 |
| MercyOne West Des Moines Medical Center | West Des Moines | $29,136.69 | $0.96 – $14,087.30 |
| MercyOne Des Moines Medical Center | Des Moines | $35,479.16 | $0.96 – $14,087.30 |
| MercyOne Centerville Medical Center | Centerville | $16,196.00 | $29.61 – $10,797.00 |
| MercyOne Newton Medical Center | Newton | $2,562.00 | $29.61 – $268.32 |
| MercyOne North Iowa Medical Center | Mason City | $61,920.12 | $1.92 – $15,720.43 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,034.40 | not published |