Amputation toe interphalangeal joint at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$2,154.68
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.
$2,693.35
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.
$157.41 with Aetna vs $2,765.43 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 | $157.41 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $160.56 | ↓ -93% |
| United Healthcare | Medicare Advantage | $165.28 | ↓ -92% |
| Humana | Medicare Advantage | $165.28 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | HMO | $333.70 | ↓ -85% |
| Wellmark UPH Self-Funded | Commercial | $333.70 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | PPO | $392.60 | ↓ -82% |
| Cigna/Midlands | Commercial | $419.50 | ↓ -81% |
| Health Partners Open Network | Commercial | $664.01 | ↓ -69% |
| Aetna | HMO | $828.30 | ↓ -62% |
| Aetna | PPO | $1,007.90 | ↓ -53% |
| United Healthcare | HMO | $1,151.86 | ↓ -47% |
| United Healthcare | PPO | $1,151.86 | ↓ -47% |
| Medica Exchange Insure | Commercial | $1,247.02 | ↓ -42% |
| Medica Exchange Inspire | Commercial | $2,289.35 | ↑ +6% |
| Amerigroup | Managed Medicaid | $2,765.43 | ↑ +28% |
| Iowa Total Care | Managed Medicaid | $2,765.43 | ↑ +28% |
Visitor-reported prices
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Amputation toe interphalangeal joint at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $3,195.60 | $3,105.81 – $3,461.90 |
| MercyOne New Hampton Medical Center | New Hampton | $4,693.79 | $0.50 – $31.45 |
| MercyOne Clinton Medical Center | Clinton | $14,223.27 | $2.28 – $7,001.93 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $20,674.20 | $62.90 – $6,322.47 |
| MercyOne Des Moines Medical Center | Des Moines | $25,001.35 | $31.45 – $6,352.30 |
| MercyOne Centerville Medical Center | Centerville | $9,011.63 | $5.01 – $1,381.00 |
| MercyOne North Iowa Medical Center | Mason City | $28,954.15 | $31.45 – $7,088.72 |
| MercyOne Genesis Davenport Medical Center | Davenport | $3,691.20 | $3,105.81 – $3,998.80 |