Asp core fat pad at UnityPoint Health - Grinnell Regional Medical Center

210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501

Source: hospital's published price file ↗ · Published Jan 28, 2026 · Ingested Aug 12, 2026

not published by hospital

Cash price

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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.

not published by hospital

Gross charge

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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.

$189.16 with Wellmark Blue Cross and Blue Shield vs $197.70 with Iowa Total Care — 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 →

Payer
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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
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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
Wellmark Blue Cross and Blue Shield Medicare Advantage $189.16
Aetna Medicare Advantage $189.16
Molina Medicare Advantage $189.16
Amerivantage Medicare Advantage $194.73
Humana Medicare Advantage $194.73
United Healthcare Medicare Advantage $194.73
Amerigroup Managed Medicaid $197.70
Iowa Total Care Managed Medicaid $197.70

Visitor-reported prices

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Asp core fat pad at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Des Moines Medical Center Des Moines $3,565.90 $189.38 – $5,486.00
UnityPoint Health - Allen Hospital Waterloo $373.76 $164.70 – $302.28
UnityPoint Health - Iowa Lutheran Hospital Des Moines $606.85 $189.16 – $328.46
UnityPoint Health - Marshalltown Marshalltown $373.76 $163.52 – $372.83
UnityPoint Health - St. Lukes Downtown Sioux City $2,121.44 $175.98 – $1,723.67
UnityPoint Health - Trinity Bettendorf Bettendorf $388.07 $169.78 – $293.12
UnityPoint Health - Trinity Muscatine Muscatine $388.07 $111.57 – $7,680.75
UnityPoint Health - Trinity Regional Medical Center Fort Dodge $439.09 $169.36 – $466.53

All Iowa hospitals for this procedure →