Aqua therapy w/exercise/ea 15 min 97113 at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$98.17
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.
$122.71
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.
$34.57 with Aetna vs $62.99 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 →
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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 | $34.57 | ↓ -65% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $35.26 | ↓ -64% |
| Molina | Medicare Advantage | $35.26 | ↓ -64% |
| Amerivantage | Medicare Advantage | $36.30 | ↓ -63% |
| United Healthcare | Medicare Advantage | $36.30 | ↓ -63% |
| Humana | Medicare Advantage | $36.30 | ↓ -63% |
| United Healthcare | HMO | $37.27 | ↓ -62% |
| United Healthcare | PPO | $37.27 | ↓ -62% |
| Health Partners Open Network | Commercial | $42.95 | ↓ -56% |
| Wellmark Blue Cross and Blue Shield | PPO | $44.18 | ↓ -55% |
| Wellmark Blue Cross and Blue Shield | HMO | $44.18 | ↓ -55% |
| Wellmark UPH Self-Funded | Commercial | $44.18 | ↓ -55% |
| Medica Exchange Inspire | Commercial | $52.64 | ↓ -46% |
| Cigna/Midlands | Commercial | $56.27 | ↓ -43% |
| Medica Exchange Insure | Commercial | $58.90 | ↓ -40% |
| Aetna | HMO | $62.99 | ↓ -36% |
| Aetna | PPO | $62.99 | ↓ -36% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $66.60 | $46.97 – $46.97 |
| MercyOne Dubuque Medical Center | Dubuque | $77.35 | $27.67 – $231.00 |
| MercyOne Des Moines Medical Center | Des Moines | $111.15 | $27.67 – $189.00 |
| MercyOne Centerville Medical Center | Centerville | $199.00 | $54.61 – $199.00 |
| MercyOne Newton Medical Center | Newton | $129.35 | $27.67 – $199.00 |
| MercyOne North Iowa Medical Center | Mason City | $94.25 | $27.67 – $350.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $77.40 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $77.40 | $42.16 – $55.48 |