Allograft epieffect 2x3cm-q4186-cost per sq cm at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$705.60
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.
?
What you pay up front if you don't use insurance.
$882.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$154.67 with United Healthcare vs $418.07 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare | HMO | $154.67 | ↓ -78% |
| United Healthcare | PPO | $154.67 | ↓ -78% |
| Wellmark Blue Cross and Blue Shield | PPO | $158.33 | ↓ -78% |
| Wellmark Blue Cross and Blue Shield | HMO | $158.33 | ↓ -78% |
| Wellmark UPH Self-Funded | Commercial | $158.33 | ↓ -78% |
| Health Partners Open Network | Commercial | $185.22 | ↓ -74% |
| Cigna/Midlands | Commercial | $197.08 | ↓ -72% |
| Medica Exchange Inspire | Commercial | $227.03 | ↓ -68% |
| Medica Exchange Insure | Commercial | $254.02 | ↓ -64% |
| Aetna | HMO | $391.61 | ↓ -44% |
| Aetna | PPO | $418.07 | ↓ -41% |
| Molina | Medicare Advantage | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Amerivantage | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Allograft epieffect 2x3cm-q4186-cost per sq cm at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $2,097.63 | $12.20 – $62.95 |
| MercyOne New Hampton Medical Center | New Hampton | $1,492.97 | $29.58 – $74.72 |
| MercyOne Dyersville Medical Center | Dyersville | $2,097.63 | $23.80 – $70.86 |
| MercyOne Clinton Medical Center | Clinton | $2,097.63 | $12.20 – $62.95 |
| MercyOne Oelwein Medical Center | Oelwein | $2,097.63 | $24.06 – $62.95 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $2,097.63 | $10.92 – $62.95 |
| MercyOne Elkader Medical Center | Elkader | $2,097.63 | $32.40 – $65.80 |
| MercyOne West Des Moines Medical Center | West Des Moines | $3,227.12 | $10.27 – $62.95 |