Trauma partial team response w/critical care services level 4 at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$2,169.60
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.
$2,712.00
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.
$1,127.76 with Iowa Total Care vs $3,472.30 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 |
|---|---|---|---|
| Iowa Total Care | Managed Medicaid | $1,127.76 | ↓ -48% |
| Amerigroup | Managed Medicaid | $1,127.76 | ↓ -48% |
| Aetna | Medicare Advantage | $1,244.36 | ↓ -43% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $1,244.36 | ↓ -43% |
| Medica Exchange Insure | Commercial | $1,255.66 | ↓ -42% |
| United Healthcare | Medicare Advantage | $1,280.96 | ↓ -41% |
| Humana | Medicare Advantage | $1,280.96 | ↓ -41% |
| Cigna/Midlands | Commercial | $1,735.68 | ↓ -20% |
| Health Partners Open Network | Commercial | $2,095.10 | ↓ -3% |
| Medica Exchange Inspire | Commercial | $2,305.20 | ↑ +6% |
| Aetna | HMO | $3,249.72 | ↑ +50% |
| Aetna | PPO | $3,427.79 | ↑ +58% |
| United Healthcare | PPO | $3,472.30 | ↑ +60% |
| United Healthcare | HMO | $3,472.30 | ↑ +60% |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,652.00 | $1,266.56 – $1,773.19 |
| MercyOne Dubuque Medical Center | Dubuque | $2,591.55 | $1,138.83 – $3,190.00 |
| MercyOne New Hampton Medical Center | New Hampton | $2,798.25 | $1,363.48 – $3,444.00 |
| MercyOne Dyersville Medical Center | Dyersville | $2,798.25 | $1,301.83 – $3,876.57 |
| MercyOne Clinton Medical Center | Clinton | $2,718.30 | $986.26 – $3,485.00 |
| MercyOne Oelwein Medical Center | Oelwein | $2,798.25 | $1,316.30 – $3,444.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $2,238.60 | $317.72 – $1,352.00 |
| MercyOne Elkader Medical Center | Elkader | $2,798.25 | $1,772.63 – $3,599.67 |