Fna bx w/ct gdn 1st les at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$1,145.60
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.
$1,432.00
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.
$97.91 with Aetna vs $1,822.71 with Aetna — 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 | $97.91 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $99.87 | ↓ -91% |
| United Healthcare | Medicare Advantage | $102.81 | ↓ -91% |
| Humana | Medicare Advantage | $102.81 | ↓ -91% |
| Health Partners Open Network | Commercial | $138.66 | ↓ -88% |
| Wellmark Blue Cross and Blue Shield | HMO | $190.30 | ↓ -83% |
| Wellmark UPH Self-Funded | Commercial | $190.30 | ↓ -83% |
| Wellmark Blue Cross and Blue Shield | PPO | $223.90 | ↓ -80% |
| Cigna/Midlands | Commercial | $261.87 | ↓ -77% |
| United Healthcare | HMO | $361.73 | ↓ -68% |
| United Healthcare | PPO | $361.73 | ↓ -68% |
| Medica Exchange Insure | Commercial | $478.48 | ↓ -58% |
| Amerigroup | Managed Medicaid | $599.68 | ↓ -48% |
| Iowa Total Care | Managed Medicaid | $599.68 | ↓ -48% |
| Medica Exchange Inspire | Commercial | $878.42 | ↓ -23% |
| Aetna | HMO | $1,728.02 | ↑ +51% |
| Aetna | PPO | $1,822.71 | ↑ +59% |
Visitor-reported prices
Comments
Fna bx w/ct gdn 1st les at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,420.80 | $673.49 – $942.89 |
| MercyOne Dubuque Medical Center | Dubuque | $5,132.86 | $2.46 – $4,499.00 |
| MercyOne Des Moines Medical Center | Des Moines | $1,810.25 | $97.01 – $2,785.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,641.60 | $673.49 – $942.89 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,226.87 | $97.91 – $808.20 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,145.60 | $97.91 – $1,070.28 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,145.60 | $97.91 – $700.05 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,871.80 | $97.91 – $687.88 |