Rmvl icd gen w/rplc icd gen sgl lead sys at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$3,508.84
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.
?
What you pay up front if you don't use insurance.
$4,386.04
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.
?
The hospital's undiscounted list price — almost no one pays this.
$322.62 with Aetna vs $19,131.21 with Iowa Total Care — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $322.62 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $329.07 | ↓ -91% |
| United Healthcare | Medicare Advantage | $338.75 | ↓ -90% |
| Humana | Medicare Advantage | $338.75 | ↓ -90% |
| Wellmark UPH Self-Funded | Commercial | $735.30 | ↓ -79% |
| Wellmark Blue Cross and Blue Shield | HMO | $735.30 | ↓ -79% |
| Health Partners Open Network | Commercial | $754.88 | ↓ -78% |
| Aetna | HMO | $859.12 | ↓ -76% |
| Cigna/Midlands | Commercial | $862.28 | ↓ -75% |
| Wellmark Blue Cross and Blue Shield | PPO | $865.10 | ↓ -75% |
| Aetna | PPO | $1,045.42 | ↓ -70% |
| United Healthcare | PPO | $1,144.86 | ↓ -67% |
| United Healthcare | HMO | $1,144.86 | ↓ -67% |
| Medica Exchange Insure | Commercial | $2,030.74 | ↓ -42% |
| Medica Exchange Inspire | Commercial | $3,728.13 | ↑ +6% |
| Amerigroup | Managed Medicaid | $19,131.21 | ↑ +445% |
| Iowa Total Care | Managed Medicaid | $19,131.21 | ↑ +445% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen sgl lead sys at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $29,829.00 | $21,485.94 – $30,080.32 |
| MercyOne West Des Moines Medical Center | West Des Moines | $30,610.00 | $6,152.61 – $43,183.96 |
| MercyOne Des Moines Medical Center | Des Moines | $55,028.36 | $2.28 – $43,183.96 |
| MercyOne North Iowa Medical Center | Mason City | $10,832.25 | $4,266.24 – $48,190.23 |
| MercyOne Genesis Davenport Medical Center | Davenport | $33,199.80 | $21,485.94 – $30,080.32 |
| UnityPoint Health - Allen Hospital | Waterloo | $47,558.88 | $322.62 – $31,329.41 |
| UnityPoint Health - Finley Hospital | Dubuque | $44,096.84 | $322.62 – $44,096.83 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $23,384.36 | $322.62 – $21,625.82 |