Pr incision & drainage abscess simple/single at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
$327.91
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.
$409.88
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.
$97.20 with Aetna vs $298.39 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 | $97.20 | ↓ -70% |
| Molina | Medicare Advantage | $99.14 | ↓ -70% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $99.14 | ↓ -70% |
| United Healthcare | Medicare Advantage | $102.06 | ↓ -69% |
| Humana | Medicare Advantage | $102.06 | ↓ -69% |
| Amerivantage | Medicare Advantage | $102.06 | ↓ -69% |
| Health Partners Open Network | Commercial | $129.52 | ↓ -61% |
| Medica Exchange Inspire | Commercial | $147.56 | ↓ -55% |
| Medica Exchange Insure | Commercial | $165.18 | ↓ -50% |
| Wellmark UPH Self-Funded | Commercial | $192.10 | ↓ -41% |
| Wellmark Blue Cross and Blue Shield | HMO | $192.10 | ↓ -41% |
| Amerigroup | Managed Medicaid | $197.70 | ↓ -40% |
| Iowa Total Care | Managed Medicaid | $197.70 | ↓ -40% |
| Aetna | HMO | $213.10 | ↓ -35% |
| Wellmark Blue Cross and Blue Shield | PPO | $226.00 | ↓ -31% |
| Cigna/Midlands | Commercial | $255.77 | ↓ -22% |
| Aetna | PPO | $260.01 | ↓ -21% |
| United Healthcare | HMO | $298.39 | ↓ -9% |
| United Healthcare | PPO | $298.39 | ↓ -9% |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $207.00 | $190.20 – $217.10 |
| MercyOne Dubuque Medical Center | Dubuque | $267.15 | $146.73 – $411.00 |
| MercyOne New Hampton Medical Center | New Hampton | $604.80 | $0.82 – $349.00 |
| MercyOne Clinton Medical Center | Clinton | $419.90 | $26.46 – $429.35 |
| MercyOne Oelwein Medical Center | Oelwein | $350.00 | $26.46 – $417.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $350.00 | $26.46 – $239.00 |
| MercyOne Elkader Medical Center | Elkader | $630.00 | $0.82 – $435.85 |
| MercyOne Des Moines Medical Center | Des Moines | $2,054.00 | $26.46 – $1,880.00 |