X-ray thoracolumbar spine including skull cervical & sacral spine 1 view 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

$190.98

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.

$238.72

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.

$11.51 with Aetna vs $229.17 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 →

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 $11.51 ↓ -94%
Molina Medicare Advantage $11.74 ↓ -94%
Wellmark Blue Cross and Blue Shield Medicare Advantage $11.74 ↓ -94%
United Healthcare Medicare Advantage $12.09 ↓ -94%
Humana Medicare Advantage $12.09 ↓ -94%
Amerivantage Medicare Advantage $12.09 ↓ -94%
United Healthcare HMO $17.11 ↓ -91%
United Healthcare PPO $17.11 ↓ -91%
Wellmark UPH Self-Funded Commercial $21.10 ↓ -89%
Wellmark Blue Cross and Blue Shield HMO $21.10 ↓ -89%
Cigna/Midlands Commercial $24.47 ↓ -87%
Wellmark Blue Cross and Blue Shield PPO $24.90 ↓ -87%
Health Partners Open Network Commercial $27.56 ↓ -86%
Medica Exchange Inspire Commercial $85.94 ↓ -55%
Amerigroup Managed Medicaid $87.60 ↓ -54%
Iowa Total Care Managed Medicaid $87.60 ↓ -54%
Medica Exchange Insure Commercial $96.20 ↓ -50%
Aetna HMO $229.17 ↑ +20%
Aetna PPO $229.17 ↑ +20%

Visitor-reported prices

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X-ray thoracolumbar spine including skull cervical & sacral spine 1 view at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $144.60 $84.28 – $118.00
MercyOne Dubuque Medical Center Dubuque $159.90 $78.07 – $246.00
MercyOne Clinton Medical Center Clinton $178.10 $77.54 – $274.00
MercyOne Des Moines Medical Center Des Moines $219.05 $67.74 – $337.00
MercyOne Newton Medical Center Newton $149.50 $82.37 – $230.00
MercyOne North Iowa Medical Center Mason City $163.15 $64.26 – $251.00
MercyOne Genesis Davenport Medical Center Davenport $158.40 $84.28 – $118.00
MercyOne Genesis DeWitt Medical Center DeWitt $158.40 $89.76 – $192.72

All Iowa hospitals for this procedure →