Instillation anticarcinogenic agent bladder 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

$647.48

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.

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What you pay up front if you don't use insurance.

$809.34

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.

$39.37 with Aetna vs $664.10 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 $39.37 ↓ -94%
Wellmark Blue Cross and Blue Shield Medicare Advantage $40.16 ↓ -94%
Molina Medicare Advantage $40.16 ↓ -94%
Amerivantage Medicare Advantage $41.34 ↓ -94%
United Healthcare Medicare Advantage $41.34 ↓ -94%
Humana Medicare Advantage $41.34 ↓ -94%
Wellmark Blue Cross and Blue Shield HMO $84.10 ↓ -87%
Wellmark UPH Self-Funded Commercial $84.10 ↓ -87%
Wellmark Blue Cross and Blue Shield PPO $98.90 ↓ -85%
Cigna/Midlands Commercial $104.41 ↓ -84%
United Healthcare PPO $138.68 ↓ -79%
United Healthcare HMO $138.68 ↓ -79%
Health Partners Open Network Commercial $153.08 ↓ -76%
Aetna HMO $178.26 ↓ -72%
Aetna PPO $215.79 ↓ -67%
Medica Exchange Inspire Commercial $291.36 ↓ -55%
Medica Exchange Insure Commercial $326.16 ↓ -50%
Amerigroup Managed Medicaid $664.10 ↑ +3%
Iowa Total Care Managed Medicaid $664.10 ↑ +3%

Visitor-reported prices

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Instillation anticarcinogenic agent bladder at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Clinton Medical Center Clinton $447.20 $12.14 – $1,492.18
MercyOne Centerville Medical Center Centerville $1,011.00 $277.42 – $1,011.00
MercyOne Waterloo Medical Center Waterloo $1,803.85 $12.14 – $3,576.15
UnityPoint Health - Allen Hospital Waterloo $469.87 $39.37 – $553.25
UnityPoint Health - Finley Hospital Dubuque $208.80 $39.37 – $586.86
UnityPoint Health - Iowa Lutheran Hospital Des Moines $427.74 $39.37 – $643.07
UnityPoint Health - Jones Regional Medical Center Anamosa $444.89 $39.37 – $493.27
UnityPoint Health - Marshalltown Marshalltown $469.87 $39.37 – $649.51

All Iowa hospitals for this procedure →