Clsd tx/prox/mid phalnx fx/no manp 26720 at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$484.00
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.
$605.00
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.
$92.98 with Health Partners Open Network vs $233.43 with Iowa Total Care — 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 |
|---|---|---|---|
| Health Partners Open Network | Commercial | $92.98 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | HMO | $95.64 | ↓ -80% |
| Wellmark Blue Cross and Blue Shield | PPO | $95.64 | ↓ -80% |
| Wellmark UPH Self-Funded | Commercial | $95.64 | ↓ -80% |
| Medica Exchange Inspire | Commercial | $113.97 | ↓ -76% |
| Medica Exchange Insure | Commercial | $127.52 | ↓ -74% |
| Aetna | Medicare Advantage | $178.46 | ↓ -63% |
| Molina | Medicare Advantage | $182.03 | ↓ -62% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $182.03 | ↓ -62% |
| United Healthcare | Medicare Advantage | $187.38 | ↓ -61% |
| Humana | Medicare Advantage | $187.38 | ↓ -61% |
| Amerivantage | Medicare Advantage | $187.38 | ↓ -61% |
| United Healthcare | PPO | $193.40 | ↓ -60% |
| United Healthcare | HMO | $193.40 | ↓ -60% |
| Aetna | HMO | $196.59 | ↓ -59% |
| Aetna | PPO | $209.87 | ↓ -57% |
| Cigna/Midlands | Commercial | $212.00 | ↓ -56% |
| Amerigroup | Managed Medicaid | $233.43 | ↓ -52% |
| Iowa Total Care | Managed Medicaid | $233.43 | ↓ -52% |
Visitor-reported prices
Comments
Clsd tx/prox/mid phalnx fx/no manp 26720 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $352.20 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $1,606.15 | $978.27 – $2,471.00 |
| MercyOne Dyersville Medical Center | Dyersville | $302.25 | $175.77 – $523.40 |
| MercyOne Centerville Medical Center | Centerville | $2,471.00 | $127.60 – $465.00 |
| MercyOne North Iowa Medical Center | Mason City | $668.00 | $47.77 – $668.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $369.60 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $369.60 | $449.68 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $668.00 | $48.29 – $3,576.15 |