Exc arm/elbo les sc >=3cm 24071 at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
$1,987.20
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.
$2,484.00
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.
$364.10 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 | $364.10 | ↓ -82% |
| Molina | Medicare Advantage | $371.38 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $371.38 | ↓ -81% |
| United Healthcare | Medicare Advantage | $382.31 | ↓ -81% |
| Humana | Medicare Advantage | $382.31 | ↓ -81% |
| Amerivantage | Medicare Advantage | $382.31 | ↓ -81% |
| Health Partners Open Network | Commercial | $780.55 | ↓ -61% |
| Wellmark Blue Cross and Blue Shield | HMO | $797.70 | ↓ -60% |
| Wellmark UPH Self-Funded | Commercial | $797.70 | ↓ -60% |
| Aetna | HMO | $900.67 | ↓ -55% |
| Wellmark Blue Cross and Blue Shield | PPO | $938.50 | ↓ -53% |
| Cigna/Midlands | Commercial | $968.02 | ↓ -51% |
| Aetna | PPO | $1,095.00 | ↓ -45% |
| United Healthcare | PPO | $1,241.25 | ↓ -38% |
| United Healthcare | HMO | $1,241.25 | ↓ -38% |
| Amerigroup | Managed Medicaid | $2,847.64 | ↑ +43% |
| Iowa Total Care | Managed Medicaid | $2,847.64 | ↑ +43% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc arm/elbo les sc >=3cm 24071 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $738.00 | not published |
| MercyOne West Des Moines Medical Center | West Des Moines | $13,115.95 | $17.49 – $5,639.25 |
| MercyOne Des Moines Medical Center | Des Moines | $1,814.00 | $17.49 – $145.12 |
| MercyOne Centerville Medical Center | Centerville | $11,350.53 | $0.96 – $2,582.00 |
| MercyOne Newton Medical Center | Newton | $7,063.35 | $2,749.49 – $5,639.25 |
| MercyOne Genesis Davenport Medical Center | Davenport | $775.20 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $775.20 | $928.00 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,987.20 | $364.10 – $2,372.28 |