Hopd mntl hlt, 30-60 min at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$173.12
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.
$216.39
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.
$86.99 with Wellmark Blue Cross and Blue Shield vs $242.75 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 |
|---|---|---|---|
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $86.99 | ↓ -50% |
| Aetna | Medicare Advantage | $86.99 | ↓ -50% |
| United Healthcare | Medicare Advantage | $89.55 | ↓ -48% |
| Humana | Medicare Advantage | $89.55 | ↓ -48% |
| Medica Exchange Insure | Commercial | $100.19 | ↓ -42% |
| Cigna/Midlands | Commercial | $138.49 | ↓ -20% |
| Health Partners Open Network | Commercial | $146.47 | ↓ -15% |
| Medica Exchange Inspire | Commercial | $183.93 | ↑ +6% |
| Aetna | HMO | $227.19 | ↑ +31% |
| Aetna | PPO | $239.64 | ↑ +38% |
| United Healthcare | PPO | $242.75 | ↑ +40% |
| United Healthcare | HMO | $242.75 | ↑ +40% |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Hopd mntl hlt, 30-60 min at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Centerville Medical Center | Centerville | $860.00 | $235.98 – $860.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $174.82 | $86.99 – $141.38 |
| UnityPoint Health - Finley Hospital | Dubuque | $173.93 | $71.09 – $173.93 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $171.51 | $67.74 – $133.77 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $177.29 | $58.06 – $119.57 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $178.52 | $81.00 – $197.93 |
| UnityPoint Health - Marshalltown | Marshalltown | $174.82 | $76.48 – $174.38 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $175.26 | $56.96 – $142.40 |