Phlebotomy therapeutic at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$265.01
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.
$331.26
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.
$78.85 with Aetna vs $281.57 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $78.85 | ↓ -70% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $80.43 | ↓ -70% |
| United Healthcare | Medicare Advantage | $82.79 | ↓ -69% |
| Humana | Medicare Advantage | $82.79 | ↓ -69% |
| Iowa Total Care | Managed Medicaid | $109.87 | ↓ -59% |
| Amerigroup | Managed Medicaid | $109.87 | ↓ -59% |
| Medica Exchange Insure | Commercial | $153.37 | ↓ -42% |
| Wellmark UPH Self-Funded | Commercial | $165.80 | ↓ -37% |
| Wellmark Blue Cross and Blue Shield | HMO | $165.80 | ↓ -37% |
| Health Partners Open Network | Commercial | $166.95 | ↓ -37% |
| Wellmark Blue Cross and Blue Shield | PPO | $195.00 | ↓ -26% |
| Cigna/Midlands | Commercial | $212.01 | ↓ -20% |
| Aetna | HMO | $218.46 | ↓ -18% |
| United Healthcare | PPO | $244.12 | ↓ -8% |
| United Healthcare | HMO | $244.12 | ↓ -8% |
| Aetna | PPO | $266.73 | ↑ +1% |
| Medica Exchange Inspire | Commercial | $281.57 | ↑ +6% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $143.40 | $69.55 – $123.39 |
| MercyOne New Hampton Medical Center | New Hampton | $306.80 | $186.86 – $472.00 |
| MercyOne Clinton Medical Center | Clinton | $231.40 | $100.75 – $842.00 |
| MercyOne Oelwein Medical Center | Oelwein | $306.80 | $180.40 – $472.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $286.65 | $103.64 – $441.00 |
| MercyOne Des Moines Medical Center | Des Moines | $100.10 | $30.95 – $258.30 |
| MercyOne Centerville Medical Center | Centerville | $472.00 | $129.52 – $472.00 |
| MercyOne Newton Medical Center | Newton | $306.80 | $125.94 – $472.00 |