Incisn of toe tndn 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

$584.00

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.

$730.00

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.

$193.38 with Aetna vs $1,592.36 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 →

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 $193.38 ↓ -67%
Molina Medicare Advantage $197.25 ↓ -66%
Wellmark Blue Cross and Blue Shield Medicare Advantage $197.25 ↓ -66%
United Healthcare Medicare Advantage $203.05 ↓ -65%
Humana Medicare Advantage $203.05 ↓ -65%
Amerivantage Medicare Advantage $203.05 ↓ -65%
Health Partners Open Network Commercial $395.65 ↓ -32%
Wellmark Blue Cross and Blue Shield HMO $410.10 ↓ -30%
Wellmark UPH Self-Funded Commercial $410.10 ↓ -30%
Aetna HMO $465.08 ↓ -20%
Wellmark Blue Cross and Blue Shield PPO $482.40 ↓ -17%
Cigna/Midlands Commercial $513.23 ↓ -12%
Aetna PPO $565.60 ↓ -3%
United Healthcare PPO $655.39 ↑ +12%
United Healthcare HMO $655.39 ↑ +12%
Amerigroup Managed Medicaid $1,592.36 ↑ +173%
Iowa Total Care Managed Medicaid $1,592.36 ↑ +173%
Medica Exchange Insure Commercial not published by hospital
Medica Exchange Inspire Commercial not published by hospital

Visitor-reported prices

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Incisn of toe tndn at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $388.80 not published
MercyOne Clinton Medical Center Clinton $934.00 $34.46 – $512.45
MercyOne Genesis Davenport Medical Center Davenport $408.00 not published
MercyOne Genesis DeWitt Medical Center DeWitt $408.00 $496.40 – $2,679.00
MercyOne Waterloo Medical Center Waterloo $2,886.00 $34.46 – $4,235.59
UnityPoint Health - Allen Hospital Waterloo $584.00 $193.38 – $1,326.54
UnityPoint Health - Finley Hospital Dubuque $584.00 $193.38 – $1,407.13
UnityPoint Health - Iowa Lutheran Hospital Des Moines $2,330.99 $193.38 – $1,541.92

All Iowa hospitals for this procedure →