Tc-99m exametazime diag at UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
$1,627.25
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.
$2,034.06
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.
$642.76 with Health Partners Open Network vs $1,952.70 with Aetna — 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 |
|---|---|---|---|
| Health Partners Open Network | Commercial | $642.76 | ↓ -61% |
| Medica Exchange Inspire | Commercial | $732.26 | ↓ -55% |
| United Healthcare | PPO | $802.34 | ↓ -51% |
| United Healthcare | HMO | $802.34 | ↓ -51% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $818.39 | ↓ -50% |
| Aetna | Medicare Advantage | $818.39 | ↓ -50% |
| Molina | Medicare Advantage | $818.39 | ↓ -50% |
| Medica Exchange Insure | Commercial | $819.73 | ↓ -50% |
| Amerivantage | Medicare Advantage | $842.46 | ↓ -48% |
| Humana | Medicare Advantage | $842.46 | ↓ -48% |
| United Healthcare | Medicare Advantage | $842.46 | ↓ -48% |
| Cigna/Midlands | Commercial | $1,269.25 | ↓ -22% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,713.97 | ↑ +5% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,713.97 | ↑ +5% |
| Wellmark UPH Self-Funded | Commercial | $1,713.97 | ↑ +5% |
| Aetna | HMO | $1,952.70 | ↑ +20% |
| Aetna | PPO | $1,952.70 | ↑ +20% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,605.60 | $802.34 – $1,123.28 |
| MercyOne Dubuque Medical Center | Dubuque | $7,382.05 | $802.34 – $7,382.05 |
| MercyOne New Hampton Medical Center | New Hampton | $7,382.05 | $2,922.55 – $7,382.05 |
| MercyOne Dyersville Medical Center | Dyersville | $7,382.05 | $2,790.41 – $8,309.24 |
| MercyOne Clinton Medical Center | Clinton | $7,382.05 | $909.16 – $7,382.05 |
| MercyOne Oelwein Medical Center | Oelwein | $7,382.05 | $2,821.42 – $7,382.05 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $7,382.05 | $909.16 – $7,382.05 |
| MercyOne Elkader Medical Center | Elkader | $7,382.05 | $3,799.54 – $7,715.72 |