healthcosts.net
Drain finger abscess;simple 26010 at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$736.80
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.
$921.00
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.
$119.84 with Medica Exchange Insure vs $425.08 with United Healthcare — 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 |
|---|---|---|---|
| Medica Exchange Insure | Commercial | $119.84 | ↓ -84% |
| Aetna | Medicare Advantage | $127.63 | ↓ -83% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $130.18 | ↓ -82% |
| United Healthcare | Medicare Advantage | $134.01 | ↓ -82% |
| Humana | Medicare Advantage | $134.01 | ↓ -82% |
| Cigna/Midlands | Commercial | $165.66 | ↓ -78% |
| Amerigroup | Managed Medicaid | $169.36 | ↓ -77% |
| Iowa Total Care | Managed Medicaid | $169.36 | ↓ -77% |
| Medica Exchange Inspire | Commercial | $220.01 | ↓ -70% |
| Health Partners Open Network | Commercial | $253.09 | ↓ -66% |
| Wellmark UPH Self-Funded | Commercial | $276.60 | ↓ -62% |
| Wellmark Blue Cross and Blue Shield | HMO | $276.60 | ↓ -62% |
| Aetna | HMO | $304.25 | ↓ -59% |
| Wellmark Blue Cross and Blue Shield | PPO | $325.40 | ↓ -56% |
| Aetna | PPO | $369.94 | ↓ -50% |
| United Healthcare | PPO | $425.08 | ↓ -42% |
| United Healthcare | HMO | $425.08 | ↓ -42% |
Visitor-reported prices
Comments
Drain finger abscess;simple 26010 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $467.40 | $190.20 – $217.10 |
| MercyOne Clinton Medical Center | Clinton | $13,250.87 | $3.65 – $429.35 |
| MercyOne Des Moines Medical Center | Des Moines | $318.00 | $3.65 – $50.88 |
| MercyOne Centerville Medical Center | Centerville | $1,706.00 | $3.65 – $340.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,249.00 | $16.58 – $611.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $490.80 | $190.20 – $262.60 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $490.80 | $137.36 – $294.92 |
| MercyOne Waterloo Medical Center | Waterloo | $520.00 | $188.00 – $800.00 |