Dornhoffer fixed part w/window at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
not published by hospital
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.
not published by hospital
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.
$11,360.81 with United Healthcare vs $29,203.27 with Amerivantage — 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 |
|---|---|---|---|
| United Healthcare | HMO | $11,360.81 | — |
| United Healthcare | PPO | $11,360.81 | — |
| Wellmark Blue Cross and Blue Shield | PPO | $22,772.21 | — |
| Wellmark Blue Cross and Blue Shield | HMO | $22,772.21 | — |
| Wellmark UPH Self-Funded | Commercial | $22,772.21 | — |
| Health Partners Open Network | Commercial | $23,522.74 | — |
| Aetna | HMO | $25,458.64 | — |
| Aetna | PPO | $25,458.64 | — |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $28,368.89 | — |
| Aetna | Medicare Advantage | $28,368.89 | — |
| Molina | Medicare Advantage | $28,368.89 | — |
| Cigna/Midlands | Commercial | $28,910.04 | — |
| Humana | Medicare Advantage | $29,203.27 | — |
| United Healthcare | Medicare Advantage | $29,203.27 | — |
| Amerivantage | Medicare Advantage | $29,203.27 | — |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $20,628.52 | $489.77 – $1,371.90 |
| MercyOne New Hampton Medical Center | New Hampton | $24,000.60 | $676.50 – $1,708.77 |
| MercyOne Dyersville Medical Center | Dyersville | $20,628.52 | $518.58 – $1,544.21 |
| MercyOne Clinton Medical Center | Clinton | $20,628.52 | $388.25 – $1,371.90 |
| MercyOne Oelwein Medical Center | Oelwein | $20,628.52 | $524.34 – $1,371.90 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $20,628.52 | $322.40 – $1,371.90 |
| MercyOne Elkader Medical Center | Elkader | $20,628.52 | $706.12 – $1,433.91 |
| MercyOne West Des Moines Medical Center | West Des Moines | $74,450.39 | $0.96 – $64,012.49 |