Prq revasc byp graft 1 art and/or branches at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
$1,273.60
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.
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What you pay up front if you don't use insurance.
$1,592.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$502.63 with Aetna vs $11,283.46 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 →
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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 | $502.63 | ↓ -61% |
| Molina | Medicare Advantage | $512.68 | ↓ -60% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $512.68 | ↓ -60% |
| Amerivantage | Medicare Advantage | $527.76 | ↓ -59% |
| Humana | Medicare Advantage | $527.76 | ↓ -59% |
| United Healthcare | Medicare Advantage | $527.76 | ↓ -59% |
| Wellmark UPH Self-Funded | Commercial | $1,147.70 | ↓ -10% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,147.70 | ↓ -10% |
| Health Partners Open Network | Commercial | $1,215.02 | ↓ -5% |
| Cigna/Midlands | Commercial | $1,320.59 | ↑ +4% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,350.20 | ↑ +6% |
| Aetna | HMO | $1,356.37 | ↑ +6% |
| United Healthcare | PPO | $1,572.21 | ↑ +23% |
| United Healthcare | HMO | $1,572.21 | ↑ +23% |
| Aetna | PPO | $1,651.24 | ↑ +30% |
| Amerigroup | Managed Medicaid | $11,283.46 | ↑ +786% |
| Iowa Total Care | Managed Medicaid | $11,283.46 | ↑ +786% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
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Prq revasc byp graft 1 art and/or branches at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $11,728.80 | $10,855.42 – $12,706.20 |
| MercyOne Dubuque Medical Center | Dubuque | $9,158.50 | $5,030.13 – $23,066.33 |
| MercyOne Des Moines Medical Center | Des Moines | $5,877.95 | $166.99 – $22,412.03 |
| MercyOne North Iowa Medical Center | Mason City | $10,309.65 | $4,060.42 – $25,010.24 |
| MercyOne Genesis Davenport Medical Center | Davenport | $13,054.80 | $10,855.42 – $14,142.70 |
| MercyOne Waterloo Medical Center | Waterloo | $10,400.00 | $166.99 – $22,306.78 |
| UnityPoint Health - Allen Hospital | Waterloo | $14,510.58 | $502.63 – $9,558.84 |
| UnityPoint Health - Finley Hospital | Dubuque | $12,781.48 | $502.63 – $12,781.48 |