Removal biliary drg cath at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$1,623.35
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.
$2,029.18
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.
$86.10 with Aetna vs $2,428.83 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 | $86.10 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $87.82 | ↓ -95% |
| Humana | Medicare Advantage | $90.41 | ↓ -94% |
| United Healthcare | Medicare Advantage | $90.41 | ↓ -94% |
| Health Partners Open Network | Commercial | $176.26 | ↓ -89% |
| Wellmark UPH Self-Funded | Commercial | $181.60 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | HMO | $181.60 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | PPO | $213.70 | ↓ -87% |
| Cigna/Midlands | Commercial | $228.99 | ↓ -86% |
| United Healthcare | PPO | $308.31 | ↓ -81% |
| United Healthcare | HMO | $308.31 | ↓ -81% |
| Iowa Total Care | Managed Medicaid | $799.09 | ↓ -51% |
| Amerigroup | Managed Medicaid | $799.09 | ↓ -51% |
| Medica Exchange Insure | Commercial | $939.51 | ↓ -42% |
| Medica Exchange Inspire | Commercial | $1,724.80 | ↑ +6% |
| Aetna | HMO | $2,302.65 | ↑ +42% |
| Aetna | PPO | $2,428.83 | ↑ +50% |
Visitor-reported prices
Comments
Removal biliary drg cath at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $2,577.90 | $797.17 – $3,966.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,101.60 | $86.10 – $777.12 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,324.89 | $86.10 – $1,324.89 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,101.60 | $86.10 – $932.84 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $3,928.57 | $86.10 – $1,443.75 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $2,571.36 | $86.10 – $2,851.00 |
| UnityPoint Health - Marshalltown | Marshalltown | $1,101.60 | $86.10 – $912.33 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $1,101.60 | $86.10 – $830.32 |