Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) 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

$238.85

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.

$298.56

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.

$51.85 with Health Partners Open Network vs $180.53 with Amerivantage — 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
Health Partners Open Network Commercial $51.85 ↓ -78%
Medica Exchange Inspire Commercial $59.07 ↓ -75%
Medica Exchange Insure Commercial $66.12 ↓ -72%
Cigna/Midlands Commercial $102.39 ↓ -57%
United Healthcare PPO $119.45 ↓ -50%
United Healthcare HMO $119.45 ↓ -50%
Aetna HMO $119.91 ↓ -50%
Aetna PPO $119.91 ↓ -50%
Wellmark Blue Cross and Blue Shield HMO $162.46 ↓ -32%
Wellmark UPH Self-Funded Commercial $162.46 ↓ -32%
Wellmark Blue Cross and Blue Shield PPO $162.46 ↓ -32%
Aetna Medicare Advantage $175.38 ↓ -27%
Wellmark Blue Cross and Blue Shield Medicare Advantage $175.38 ↓ -27%
Molina Medicare Advantage $175.38 ↓ -27%
United Healthcare Medicare Advantage $180.53 ↓ -24%
Humana Medicare Advantage $180.53 ↓ -24%
Amerivantage Medicare Advantage $180.53 ↓ -24%
Iowa Total Care Managed Medicaid not published by hospital —
Amerigroup Managed Medicaid not published by hospital —

Visitor-reported prices

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Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $13,080.79 $171.94 – $240.72
MercyOne Dubuque Medical Center Dubuque $23,582.35 $4,061.50 – $23,582.35
MercyOne New Hampton Medical Center New Hampton $23,582.35 $8,597.00 – $23,273.85
MercyOne Dyersville Medical Center Dyersville $23,582.35 $4,298.50 – $26,544.29
MercyOne Clinton Medical Center Clinton $23,582.35 $4,172.96 – $23,273.85
MercyOne Oelwein Medical Center Oelwein $23,582.35 $8,597.00 – $23,273.85
MercyOne Cedar Falls Medical Center Cedar Falls $23,582.35 $5,469.35 – $23,273.85
MercyOne Elkader Medical Center Elkader $23,582.35 $4,298.50 – $24,325.83

All Iowa hospitals for this procedure →