Incision tendon sheath at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
$1,333.60
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.
?
What you pay up front if you don't use insurance.
$1,667.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$268.65 with Aetna vs $1,592.36 with Iowa Total Care — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $268.65 | ↓ -80% |
| Molina | Medicare Advantage | $274.02 | ↓ -79% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $274.02 | ↓ -79% |
| United Healthcare | Medicare Advantage | $282.08 | ↓ -79% |
| Humana | Medicare Advantage | $282.08 | ↓ -79% |
| Amerivantage | Medicare Advantage | $282.08 | ↓ -79% |
| Health Partners Open Network | Commercial | $566.37 | ↓ -58% |
| Wellmark Blue Cross and Blue Shield | HMO | $584.00 | ↓ -56% |
| Wellmark UPH Self-Funded | Commercial | $584.00 | ↓ -56% |
| Aetna | HMO | $683.53 | ↓ -49% |
| Wellmark Blue Cross and Blue Shield | PPO | $687.00 | ↓ -48% |
| Cigna/Midlands | Commercial | $711.55 | ↓ -47% |
| Aetna | PPO | $832.34 | ↓ -38% |
| United Healthcare | PPO | $887.69 | ↓ -33% |
| United Healthcare | HMO | $887.69 | ↓ -33% |
| Amerigroup | Managed Medicaid | $1,592.36 | ↑ +19% |
| Iowa Total Care | Managed Medicaid | $1,592.36 | ↑ +19% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Incision tendon sheath at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,009.80 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $10,178.42 | $5.04 – $3,212.91 |
| MercyOne New Hampton Medical Center | New Hampton | $5,352.85 | $0.50 – $0.50 |
| MercyOne Oelwein Medical Center | Oelwein | $666.90 | $392.14 – $1,026.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $17,096.85 | $0.32 – $4,235.59 |
| MercyOne West Des Moines Medical Center | West Des Moines | $12,020.25 | $9.09 – $3,121.78 |
| MercyOne Centerville Medical Center | Centerville | $9,892.31 | $4.92 – $1,026.00 |
| MercyOne Newton Medical Center | Newton | $6,600.90 | $71.06 – $3,121.78 |