X-ray lumbosacral spine >= 4 views at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$352.70
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.
$440.87
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.
$11.81 with Aetna vs $374.74 with Medica Exchange Inspire — 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 | $11.81 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $12.05 | ↓ -97% |
| Humana | Medicare Advantage | $12.40 | ↓ -96% |
| United Healthcare | Medicare Advantage | $12.40 | ↓ -96% |
| United Healthcare | HMO | $16.68 | ↓ -95% |
| United Healthcare | PPO | $16.68 | ↓ -95% |
| Wellmark UPH Self-Funded | Commercial | $21.70 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | HMO | $21.70 | ↓ -94% |
| Cigna/Midlands | Commercial | $24.47 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | PPO | $25.50 | ↓ -93% |
| Health Partners Open Network | Commercial | $30.58 | ↓ -91% |
| Aetna | HMO | $36.18 | ↓ -90% |
| Aetna | PPO | $41.55 | ↓ -88% |
| Iowa Total Care | Managed Medicaid | $90.64 | ↓ -74% |
| Amerigroup | Managed Medicaid | $90.64 | ↓ -74% |
| Medica Exchange Insure | Commercial | $204.12 | ↓ -42% |
| Medica Exchange Inspire | Commercial | $374.74 | ↑ +6% |
Visitor-reported prices
Comments
X-ray lumbosacral spine >= 4 views at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $324.60 | $101.79 – $142.51 |
| MercyOne Dubuque Medical Center | Dubuque | $540.15 | $93.79 – $831.00 |
| MercyOne New Hampton Medical Center | New Hampton | $369.20 | $224.87 – $568.00 |
| MercyOne Dyersville Medical Center | Dyersville | $369.20 | $214.70 – $639.34 |
| MercyOne Clinton Medical Center | Clinton | $585.00 | $96.27 – $900.00 |
| MercyOne Oelwein Medical Center | Oelwein | $369.20 | $217.09 – $568.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $559.65 | $98.49 – $861.00 |
| MercyOne Elkader Medical Center | Elkader | $369.20 | $292.35 – $593.67 |