App high cost ss t/a/l <100sq cm addl <25sq cm at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$1,360.40
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.
$1,700.49
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.
$15.10 with Aetna vs $816.24 with Medica Exchange Insure — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $15.10 | ↓ -99% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $15.40 | ↓ -99% |
| Molina | Medicare Advantage | $15.40 | ↓ -99% |
| Amerivantage | Medicare Advantage | $15.86 | ↓ -99% |
| United Healthcare | Medicare Advantage | $15.86 | ↓ -99% |
| Humana | Medicare Advantage | $15.86 | ↓ -99% |
| Wellmark Blue Cross and Blue Shield | HMO | $29.60 | ↓ -98% |
| Wellmark UPH Self-Funded | Commercial | $29.60 | ↓ -98% |
| Health Partners Open Network | Commercial | $34.31 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | PPO | $34.90 | ↓ -97% |
| Aetna | PPO | $38.87 | ↓ -97% |
| Aetna | HMO | $38.87 | ↓ -97% |
| Cigna/Midlands | Commercial | $40.12 | ↓ -97% |
| United Healthcare | PPO | $54.56 | ↓ -96% |
| United Healthcare | HMO | $54.56 | ↓ -96% |
| Medica Exchange Inspire | Commercial | $729.51 | ↓ -46% |
| Medica Exchange Insure | Commercial | $816.24 | ↓ -40% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
App high cost ss t/a/l <100sq cm addl <25sq cm at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $179.40 | not published |
| MercyOne Clinton Medical Center | Clinton | $641.55 | $279.32 – $987.00 |
| MercyOne Des Moines Medical Center | Des Moines | $1,351.35 | $9.37 – $2,079.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $207.60 | not published |
| MercyOne Waterloo Medical Center | Waterloo | $163.80 | $59.22 – $3,576.15 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,360.40 | $15.10 – $896.16 |
| UnityPoint Health - Finley Hospital | Dubuque | $350.11 | $15.10 – $350.10 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $64.80 | $15.10 – $40.12 |