Ghs layer closure 2.5 cm or less - 12031 at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
$742.33
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.
$927.91
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.
$137.05 with Aetna vs $471.69 with United Healthcare — 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 | $137.05 | ↓ -82% |
| Molina | Medicare Advantage | $139.79 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $139.79 | ↓ -81% |
| United Healthcare | Medicare Advantage | $143.90 | ↓ -81% |
| Humana | Medicare Advantage | $143.90 | ↓ -81% |
| Amerivantage | Medicare Advantage | $143.90 | ↓ -81% |
| Wellmark UPH Self-Funded | Commercial | $270.90 | ↓ -64% |
| Wellmark Blue Cross and Blue Shield | HMO | $270.90 | ↓ -64% |
| Health Partners Open Network | Commercial | $280.89 | ↓ -62% |
| Wellmark Blue Cross and Blue Shield | PPO | $318.80 | ↓ -57% |
| Medica Exchange Inspire | Commercial | $334.05 | ↓ -55% |
| Aetna | HMO | $337.76 | ↓ -55% |
| Cigna/Midlands | Commercial | $364.88 | ↓ -51% |
| Medica Exchange Insure | Commercial | $373.95 | ↓ -50% |
| Iowa Total Care | Managed Medicaid | $397.52 | ↓ -46% |
| Amerigroup | Managed Medicaid | $397.52 | ↓ -46% |
| Aetna | PPO | $411.45 | ↓ -45% |
| United Healthcare | HMO | $471.69 | ↓ -36% |
| United Healthcare | PPO | $471.69 | ↓ -36% |
Visitor-reported prices
Comments
Ghs layer closure 2.5 cm or less - 12031 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $424.20 | $264.55 – $382.44 |
| MercyOne Clinton Medical Center | Clinton | $500.00 | $37.85 – $341.00 |
| MercyOne Elkader Medical Center | Elkader | $873.00 | $37.85 – $341.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,248.00 | $37.85 – $880.71 |
| MercyOne Genesis Davenport Medical Center | Davenport | $445.20 | $278.20 – $382.44 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $445.20 | $167.28 – $359.16 |
| MercyOne Waterloo Medical Center | Waterloo | $602.55 | $37.85 – $3,576.15 |
| UnityPoint Health - Allen Hospital | Waterloo | $617.60 | $137.05 – $331.16 |