Ureteral reflux study at UnityPoint Health - Finley Hospital
350 North Grandview Avenue, Dubuque, IA · UnityPoint Health · · NPI 1942392600
$503.20
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.
$629.00
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.
$24.93 with Aetna vs $388.21 with BC Illinois Community — 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 | $24.93 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $25.43 | ↓ -95% |
| Molina | Medicare Advantage | $25.43 | ↓ -95% |
| Meridian | MMAI (Medicare-Medicaid) | $26.18 | ↓ -95% |
| Amerivantage | Medicare Advantage | $26.18 | ↓ -95% |
| Humana | Medicare Advantage | $26.18 | ↓ -95% |
| United Healthcare | Medicare Advantage | $26.18 | ↓ -95% |
| United Healthcare | HMO | $34.86 | ↓ -93% |
| United Healthcare | PPO | $34.86 | ↓ -93% |
| Medical Associates Health Plan | HMO | $37.40 | ↓ -93% |
| Wellmark UPH Self-Funded | Commercial | $45.70 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | HMO | $45.70 | ↓ -91% |
| Cigna/Midlands | Commercial | $51.74 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | PPO | $53.70 | ↓ -89% |
| Health Partners Open Network | Commercial | $55.59 | ↓ -89% |
| BC Illinois Community | PPO | $61.08 | ↓ -88% |
| Aetna | HMO | $62.99 | ↓ -87% |
| Aetna | PPO | $72.38 | ↓ -86% |
| Dean Health Plan | HMO | $78.20 | ↓ -84% |
| Iowa Total Care | Managed Medicaid | $353.30 | ↓ -30% |
| Amerigroup | Managed Medicaid | $353.30 | ↓ -30% |
| BC Illinois Community | Blue Choice | $388.21 | ↓ -23% |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Quartz Health | HMO | not published by hospital | — |
| Medica Exchange Insure | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ureteral reflux study at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $735.00 | $384.64 – $538.50 |
| MercyOne North Iowa Medical Center | Mason City | $567.00 | $17.04 – $70.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $802.80 | $384.64 – $538.50 |
| MercyOne Waterloo Medical Center | Waterloo | $567.00 | $17.25 – $70.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $962.42 | $24.93 – $633.99 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $730.98 | $24.93 – $399.81 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $986.29 | $24.93 – $387.14 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $503.20 | $24.93 – $55.59 |