Ghs clsd red med malleolus fx w manip 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

$3,279.54

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.

Full explanation →

What you pay up front if you don't use insurance.

$4,099.42

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$402.58 with Aetna vs $1,652.07 with Medica Exchange Insure — 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
Aetna Medicare Advantage $402.58 ↓ -88%
Molina Medicare Advantage $410.63 ↓ -87%
Wellmark Blue Cross and Blue Shield Medicare Advantage $410.63 ↓ -87%
United Healthcare Medicare Advantage $422.71 ↓ -87%
Humana Medicare Advantage $422.71 ↓ -87%
Amerivantage Medicare Advantage $422.71 ↓ -87%
Health Partners Open Network Commercial $804.98 ↓ -75%
Wellmark Blue Cross and Blue Shield HMO $876.60 ↓ -73%
Wellmark UPH Self-Funded Commercial $876.60 ↓ -73%
Aetna HMO $954.29 ↓ -71%
Wellmark Blue Cross and Blue Shield PPO $1,031.30 ↓ -69%
Cigna/Midlands Commercial $1,078.76 ↓ -67%
Aetna PPO $1,160.67 ↓ -65%
United Healthcare PPO $1,331.65 ↓ -59%
United Healthcare HMO $1,331.65 ↓ -59%
Medica Exchange Inspire Commercial $1,475.79 ↓ -55%
Amerigroup Managed Medicaid $1,592.36 ↓ -51%
Iowa Total Care Managed Medicaid $1,592.36 ↓ -51%
Medica Exchange Insure Commercial $1,652.07 ↓ -50%

Visitor-reported prices

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Ghs clsd red med malleolus fx w manip at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $865.80 $274.95 – $1,531.94
MercyOne Genesis Davenport Medical Center Davenport $909.00 $332.15 – $1,531.94
MercyOne Genesis DeWitt Medical Center DeWitt $909.00 $173.74 – $373.03
UnityPoint Health - Allen Hospital Waterloo $3,069.86 $402.58 – $2,022.27
UnityPoint Health - Finley Hospital Dubuque $2,842.37 $402.58 – $2,842.37
UnityPoint Health - Iowa Lutheran Hospital Des Moines $3,962.72 $402.58 – $1,541.92
UnityPoint Health - Jones Regional Medical Center Anamosa $2,347.20 $386.08 – $943.40
UnityPoint Health - Marshalltown Marshalltown $3,069.86 $402.58 – $1,841.91

All Iowa hospitals for this procedure →