Hopd mntl hlt, grp at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$139.78
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.
$174.72
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.
$28.02 with Wellmark Blue Cross and Blue Shield vs $148.51 with Medica Exchange Inspire — 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 | $28.02 | ↓ -80% |
| Aetna | Medicare Advantage | $28.02 | ↓ -80% |
| Humana | Medicare Advantage | $28.84 | ↓ -79% |
| United Healthcare | Medicare Advantage | $28.84 | ↓ -79% |
| Health Partners Open Network | Commercial | $47.17 | ↓ -66% |
| Aetna | HMO | $73.17 | ↓ -48% |
| Aetna | PPO | $77.18 | ↓ -45% |
| United Healthcare | PPO | $78.18 | ↓ -44% |
| United Healthcare | HMO | $78.18 | ↓ -44% |
| Medica Exchange Insure | Commercial | $80.90 | ↓ -42% |
| Cigna/Midlands | Commercial | $111.82 | ↓ -20% |
| Medica Exchange Inspire | Commercial | $148.51 | ↑ +6% |
| 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
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Hopd mntl hlt, grp at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne New Hampton Medical Center | New Hampton | $477.75 | $290.99 – $735.00 |
| MercyOne Dyersville Medical Center | Dyersville | $477.75 | $277.83 – $827.32 |
| MercyOne Oelwein Medical Center | Oelwein | $477.75 | $280.92 – $735.00 |
| MercyOne Elkader Medical Center | Elkader | $477.75 | $378.30 – $768.22 |
| UnityPoint Health - Allen Hospital | Waterloo | $139.78 | $28.02 – $113.04 |
| UnityPoint Health - Finley Hospital | Dubuque | $116.48 | $29.09 – $116.48 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $139.78 | $28.36 – $109.03 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $116.48 | $28.36 – $63.04 |