Ghs peritonsillar abscess i andd at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$468.80
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.
$586.00
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.
$123.28 with Aetna vs $415.38 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $123.28 | ↓ -74% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $125.75 | ↓ -73% |
| United Healthcare | Medicare Advantage | $129.44 | ↓ -72% |
| Humana | Medicare Advantage | $129.44 | ↓ -72% |
| Iowa Total Care | Managed Medicaid | $197.93 | ↓ -58% |
| Amerigroup | Managed Medicaid | $197.93 | ↓ -58% |
| Medica Exchange Insure | Commercial | $199.53 | ↓ -57% |
| Health Partners Open Network | Commercial | $255.85 | ↓ -45% |
| Wellmark UPH Self-Funded | Commercial | $266.30 | ↓ -43% |
| Wellmark Blue Cross and Blue Shield | HMO | $266.30 | ↓ -43% |
| Cigna/Midlands | Commercial | $275.81 | ↓ -41% |
| Aetna | HMO | $305.59 | ↓ -35% |
| Wellmark Blue Cross and Blue Shield | PPO | $313.30 | ↓ -33% |
| Medica Exchange Inspire | Commercial | $366.32 | ↓ -22% |
| Aetna | PPO | $372.60 | ↓ -21% |
| United Healthcare | HMO | $415.38 | ↓ -11% |
| United Healthcare | PPO | $415.38 | ↓ -11% |
Visitor-reported prices
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Ghs peritonsillar abscess i andd at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $373.80 | $222.29 – $311.20 |
| MercyOne Des Moines Medical Center | Des Moines | $544.14 | $38.84 – $501.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $451.20 | $222.29 – $311.20 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $451.20 | $255.68 – $454.06 |
| UnityPoint Health - Allen Hospital | Waterloo | $468.80 | $123.28 – $266.30 |
| UnityPoint Health - Finley Hospital | Dubuque | $468.80 | $115.03 – $266.30 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $532.15 | $123.28 – $329.10 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $894.22 | $123.28 – $329.10 |