Small bowel endoscopy 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

$698.40

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.

$873.00

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.

$66.35 with Aetna vs $932.84 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 $66.35 ↓ -90%
Wellmark Blue Cross and Blue Shield Medicare Advantage $67.68 ↓ -90%
Molina Medicare Advantage $67.68 ↓ -90%
United Healthcare Medicare Advantage $69.67 ↓ -90%
Amerivantage Medicare Advantage $69.67 ↓ -90%
Humana Medicare Advantage $69.67 ↓ -90%
Wellmark Blue Cross and Blue Shield HMO $141.80 ↓ -80%
Wellmark UPH Self-Funded Commercial $141.80 ↓ -80%
Health Partners Open Network Commercial $151.83 ↓ -78%
Wellmark Blue Cross and Blue Shield PPO $166.90 ↓ -76%
Cigna/Midlands Commercial $177.18 ↓ -75%
Aetna HMO $179.60 ↓ -74%
Aetna PPO $218.46 ↓ -69%
United Healthcare PPO $229.17 ↓ -67%
United Healthcare HMO $229.17 ↓ -67%
Amerigroup Managed Medicaid $932.84 ↑ +34%
Iowa Total Care Managed Medicaid $932.84 ↑ +34%
Medica Exchange Insure Commercial not published by hospital
Medica Exchange Inspire Commercial not published by hospital

Visitor-reported prices

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Small bowel endoscopy at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $292.80 not published
MercyOne Cedar Falls Medical Center Cedar Falls $270.00 $15.85 – $218.40
MercyOne Genesis Davenport Medical Center Davenport $307.20 not published
MercyOne Genesis DeWitt Medical Center DeWitt $307.20 $373.76 – $2,679.00
MercyOne Waterloo Medical Center Waterloo $270.00 $15.85 – $218.40
UnityPoint Health - Allen Hospital Waterloo $698.40 $66.35 – $777.12
UnityPoint Health - Finley Hospital Dubuque $698.40 $66.35 – $824.33
UnityPoint Health - Iowa Lutheran Hospital Des Moines $698.40 $66.35 – $903.29

All Iowa hospitals for this procedure →