Diag laparo separate proc 49320 at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$807.20
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.
$1,009.00
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.
$292.53 with Aetna vs $4,972.71 with Amerigroup — 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 | $292.53 | ↓ -64% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $298.38 | ↓ -63% |
| Humana | Medicare Advantage | $307.16 | ↓ -62% |
| United Healthcare | Medicare Advantage | $307.16 | ↓ -62% |
| Health Partners Open Network | Commercial | $607.09 | ↓ -25% |
| Wellmark Blue Cross and Blue Shield | HMO | $643.70 | ↓ -20% |
| Wellmark UPH Self-Funded | Commercial | $643.70 | ↓ -20% |
| Aetna | HMO | $725.07 | ↓ -10% |
| Wellmark Blue Cross and Blue Shield | PPO | $757.30 | ↓ -6% |
| Cigna/Midlands | Commercial | $778.01 | ↓ -4% |
| Aetna | PPO | $881.90 | ↑ +9% |
| United Healthcare | HMO | $1,008.04 | ↑ +25% |
| United Healthcare | PPO | $1,008.04 | ↑ +25% |
| Iowa Total Care | Managed Medicaid | $4,972.71 | ↑ +516% |
| Amerigroup | Managed Medicaid | $4,972.71 | ↑ +516% |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Medica Exchange Insure | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Diag laparo separate proc 49320 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $590.40 | not published |
| MercyOne West Des Moines Medical Center | West Des Moines | $24,453.90 | $15.28 – $11,736.86 |
| MercyOne Des Moines Medical Center | Des Moines | $35,313.39 | $100.86 – $11,736.86 |
| MercyOne North Iowa Medical Center | Mason City | $58,543.15 | $1.92 – $13,097.50 |
| MercyOne Genesis Davenport Medical Center | Davenport | $619.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $619.80 | $754.09 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $1,182.00 | $15.28 – $116.32 |
| UnityPoint Health - Allen Hospital | Waterloo | $807.20 | $292.53 – $4,835.96 |