Ghs insertion of needle - bone at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
$260.85
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.
$326.06
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.
$52.85 with Aetna vs $397.03 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 | $52.85 | ↓ -80% |
| Molina | Medicare Advantage | $53.91 | ↓ -79% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $53.91 | ↓ -79% |
| Humana | Medicare Advantage | $55.49 | ↓ -79% |
| United Healthcare | Medicare Advantage | $55.49 | ↓ -79% |
| Amerivantage | Medicare Advantage | $55.49 | ↓ -79% |
| Health Partners Open Network | Commercial | $103.03 | ↓ -61% |
| Medica Exchange Inspire | Commercial | $117.38 | ↓ -55% |
| Wellmark UPH Self-Funded | Commercial | $118.80 | ↓ -54% |
| Wellmark Blue Cross and Blue Shield | HMO | $118.80 | ↓ -54% |
| Aetna | HMO | $131.33 | ↓ -50% |
| Medica Exchange Insure | Commercial | $131.40 | ↓ -50% |
| Wellmark Blue Cross and Blue Shield | PPO | $139.70 | ↓ -46% |
| Cigna/Midlands | Commercial | $140.58 | ↓ -46% |
| Aetna | PPO | $159.49 | ↓ -39% |
| United Healthcare | PPO | $185.45 | ↓ -29% |
| United Healthcare | HMO | $185.45 | ↓ -29% |
| Amerigroup | Managed Medicaid | $397.03 | ↑ +52% |
| Iowa Total Care | Managed Medicaid | $397.03 | ↑ +52% |
Visitor-reported prices
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Ghs insertion of needle - bone at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $168.00 | $181.35 – $381.97 |
| MercyOne Oelwein Medical Center | Oelwein | $128.70 | $60.04 – $198.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $551.00 | $110.75 – $551.00 |
| MercyOne Des Moines Medical Center | Des Moines | $198.00 | $18.43 – $198.00 |
| MercyOne Centerville Medical Center | Centerville | $799.00 | $219.25 – $799.00 |
| MercyOne North Iowa Medical Center | Mason City | $198.00 | $18.96 – $162.20 |
| MercyOne Genesis Davenport Medical Center | Davenport | $202.80 | $219.70 – $381.97 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $202.80 | $114.92 – $214.62 |