Aspiration peritonsillar abscess at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$252.07
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.
?
What you pay up front if you don't use insurance.
$315.08
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.
?
The hospital's undiscounted list price — almost no one pays this.
$145.88 with Medica Exchange Insure vs $609.41 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Medica Exchange Insure | Commercial | $145.88 | ↓ -42% |
| Iowa Total Care | Managed Medicaid | $197.93 | ↓ -21% |
| Amerigroup | Managed Medicaid | $197.93 | ↓ -21% |
| Cigna/Midlands | Commercial | $201.65 | ↓ -20% |
| Aetna | Medicare Advantage | $218.39 | ↓ -13% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $218.39 | ↓ -13% |
| United Healthcare | Medicare Advantage | $224.81 | ↓ -11% |
| Humana | Medicare Advantage | $224.81 | ↓ -11% |
| Medica Exchange Inspire | Commercial | $267.82 | ↑ +6% |
| Health Partners Open Network | Commercial | $367.70 | ↑ +46% |
| Aetna | HMO | $570.34 | ↑ +126% |
| Aetna | PPO | $601.59 | ↑ +139% |
| United Healthcare | HMO | $609.41 | ↑ +142% |
| United Healthcare | PPO | $609.41 | ↑ +142% |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Aspiration peritonsillar abscess at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $174.52 | $57.15 – $300.17 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $102.63 | $33.35 – $346.71 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $388.17 | $169.82 – $342.57 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $388.17 | $111.60 – $7,680.75 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $440.96 | $184.10 – $368.25 |
| MercyOne Genesis Davenport West Medical Center | Davenport | not published | $222.29 – $311.20 |
| MercyOne Genesis Davenport Medical Center | Davenport | not published | $222.29 – $311.20 |
| UnityPoint Health - Allen Hospital | Waterloo | not published | $192.48 – $332.23 |