Ghs simple repair 12.6 - 20.0 cm - 12016 at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
$729.52
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.
$911.89
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.
$111.95 with Aetna vs $401.51 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 | $111.95 | ↓ -85% |
| Molina | Medicare Advantage | $114.19 | ↓ -84% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $114.19 | ↓ -84% |
| Amerivantage | Medicare Advantage | $117.55 | ↓ -84% |
| Humana | Medicare Advantage | $117.55 | ↓ -84% |
| United Healthcare | Medicare Advantage | $117.55 | ↓ -84% |
| Wellmark UPH Self-Funded | Commercial | $225.90 | ↓ -69% |
| Wellmark Blue Cross and Blue Shield | HMO | $225.90 | ↓ -69% |
| Health Partners Open Network | Commercial | $246.86 | ↓ -66% |
| Wellmark Blue Cross and Blue Shield | PPO | $265.70 | ↓ -64% |
| Aetna | HMO | $294.87 | ↓ -60% |
| Cigna/Midlands | Commercial | $300.70 | ↓ -59% |
| Medica Exchange Inspire | Commercial | $328.28 | ↓ -55% |
| Aetna | PPO | $359.20 | ↓ -51% |
| Medica Exchange Insure | Commercial | $367.49 | ↓ -50% |
| Iowa Total Care | Managed Medicaid | $397.52 | ↓ -46% |
| Amerigroup | Managed Medicaid | $397.52 | ↓ -46% |
| United Healthcare | PPO | $401.51 | ↓ -45% |
| United Healthcare | HMO | $401.51 | ↓ -45% |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12016 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $399.00 | $323.05 – $382.44 |
| MercyOne Genesis Davenport Medical Center | Davenport | $418.80 | $382.44 – $390.65 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $418.80 | $204.34 – $438.73 |
| UnityPoint Health - Allen Hospital | Waterloo | $525.60 | $111.95 – $331.16 |
| UnityPoint Health - Finley Hospital | Dubuque | $553.78 | $111.95 – $553.78 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,125.84 | $111.95 – $413.74 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $525.60 | $111.95 – $410.78 |
| UnityPoint Health - Marshalltown | Marshalltown | $525.60 | $111.95 – $388.78 |