#a/b/c/c/h pnl-candida albicans ab at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$48.57
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.
$60.71
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.
$7.21 with United Healthcare vs $51.60 with Medica Exchange Inspire — 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 |
|---|---|---|---|
| United Healthcare | HMO | $7.21 | ↓ -85% |
| United Healthcare | PPO | $7.21 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | PPO | $12.01 | ↓ -75% |
| Wellmark UPH Self-Funded | Commercial | $12.01 | ↓ -75% |
| Wellmark Blue Cross and Blue Shield | HMO | $12.01 | ↓ -75% |
| Aetna | Medicare Advantage | $12.25 | ↓ -75% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $12.25 | ↓ -75% |
| United Healthcare | Medicare Advantage | $12.61 | ↓ -74% |
| Humana | Medicare Advantage | $12.61 | ↓ -74% |
| Cigna/Midlands | Commercial | $15.61 | ↓ -68% |
| Health Partners Open Network | Commercial | $18.68 | ↓ -62% |
| Aetna | PPO | $22.78 | ↓ -53% |
| Aetna | HMO | $22.78 | ↓ -53% |
| Medica Exchange Insure | Commercial | $28.11 | ↓ -42% |
| Medica Exchange Inspire | Commercial | $51.60 | ↑ +6% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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#a/b/c/c/h pnl-candida albicans ab at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $175.20 | $12.01 – $12.01 |
| MercyOne Dubuque Medical Center | Dubuque | $65.00 | $11.64 – $36.00 |
| MercyOne Des Moines Medical Center | Des Moines | $65.00 | $11.64 – $100.00 |
| MercyOne North Iowa Medical Center | Mason City | $65.00 | $11.64 – $100.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $195.60 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $43.80 | $19.04 – $40.88 |
| MercyOne Waterloo Medical Center | Waterloo | $65.00 | $11.64 – $100.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $48.57 | $7.21 – $31.99 |