Bone biopsy open superficial at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
$388.80
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.
$486.00
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.
$127.10 with Aetna vs $2,847.64 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 →
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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 | $127.10 | ↓ -67% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $129.64 | ↓ -67% |
| Molina | Medicare Advantage | $129.64 | ↓ -67% |
| United Healthcare | Medicare Advantage | $133.46 | ↓ -66% |
| Amerivantage | Medicare Advantage | $133.46 | ↓ -66% |
| Humana | Medicare Advantage | $133.46 | ↓ -66% |
| Wellmark UPH Self-Funded | Commercial | $269.50 | ↓ -31% |
| Wellmark Blue Cross and Blue Shield | HMO | $269.50 | ↓ -31% |
| Wellmark Blue Cross and Blue Shield | PPO | $317.10 | ↓ -18% |
| Cigna/Midlands | Commercial | $338.99 | ↓ -13% |
| Health Partners Open Network | Commercial | $411.91 | ↑ +6% |
| United Healthcare | PPO | $458.96 | ↑ +18% |
| United Healthcare | HMO | $458.96 | ↑ +18% |
| Aetna | HMO | $481.16 | ↑ +24% |
| Aetna | PPO | $585.70 | ↑ +51% |
| Amerigroup | Managed Medicaid | $2,847.64 | ↑ +632% |
| Iowa Total Care | Managed Medicaid | $2,847.64 | ↑ +632% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Bone biopsy open superficial at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,854.80 | $2,739.61 – $3,092.70 |
| MercyOne West Des Moines Medical Center | West Des Moines | $23,202.15 | $9.09 – $5,639.25 |
| MercyOne Des Moines Medical Center | Des Moines | $845.00 | $40.37 – $431.30 |
| MercyOne Genesis Davenport Medical Center | Davenport | $3,102.00 | $2,739.61 – $3,360.50 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $426.00 | $518.30 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $28,104.37 | $40.37 – $5,612.77 |
| UnityPoint Health - Allen Hospital | Waterloo | $6,120.67 | $127.10 – $4,031.99 |
| UnityPoint Health - Finley Hospital | Dubuque | $388.80 | $127.10 – $2,516.40 |