healthcosts.net
Appendix Removal (Laparoscopic) at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$1,472.80
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.
$1,841.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$532.67 with Aetna vs $5,677.40 with Iowa Total Care — 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 | $532.67 | ↓ -64% |
| Molina | Medicare Advantage | $543.32 | ↓ -63% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $543.32 | ↓ -63% |
| Amerivantage | Medicare Advantage | $559.30 | ↓ -62% |
| Humana | Medicare Advantage | $559.30 | ↓ -62% |
| United Healthcare | Medicare Advantage | $559.30 | ↓ -62% |
| Health Partners Open Network | Commercial | $1,111.40 | ↓ -25% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,173.80 | ↓ -20% |
| Wellmark UPH Self-Funded | Commercial | $1,173.80 | ↓ -20% |
| Aetna | HMO | $1,340.28 | ↓ -9% |
| Aetna | PPO | $1,340.28 | ↓ -9% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,380.90 | ↓ -6% |
| Cigna/Midlands | Commercial | $1,419.02 | ↓ -4% |
| United Healthcare | HMO | $1,840.94 | ↑ +25% |
| United Healthcare | PPO | $1,840.94 | ↑ +25% |
| Amerigroup | Managed Medicaid | $5,677.40 | ↑ +285% |
| Iowa Total Care | Managed Medicaid | $5,677.40 | ↑ +285% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Appendix Removal (Laparoscopic) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,472.80 | $532.67 – $5,621.13 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,472.80 | $532.67 – $4,835.96 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,073.40 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $22,555.72 | $5.46 – $12,079.51 |
| MercyOne Clinton Medical Center | Clinton | $20,892.91 | $24.90 – $12,937.15 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $2,161.00 | $24.90 – $211.84 |
| MercyOne West Des Moines Medical Center | West Des Moines | $21,990.65 | $9.09 – $11,736.86 |
| MercyOne Des Moines Medical Center | Des Moines | $35,271.38 | $1.92 – $11,736.86 |