Complx repair enel addl 5cm/< 13153 at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$470.40
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.
$588.00
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.
$81.31 with Health Partners Open Network vs $185.38 with Cigna/Midlands — 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 |
|---|---|---|---|
| Health Partners Open Network | Commercial | $81.31 | ↓ -83% |
| Wellmark Blue Cross and Blue Shield | HMO | $83.63 | ↓ -82% |
| Wellmark Blue Cross and Blue Shield | PPO | $83.63 | ↓ -82% |
| Wellmark UPH Self-Funded | Commercial | $83.63 | ↓ -82% |
| Medica Exchange Inspire | Commercial | $99.66 | ↓ -79% |
| Medica Exchange Insure | Commercial | $111.51 | ↓ -76% |
| Aetna | Medicare Advantage | $122.18 | ↓ -74% |
| Molina | Medicare Advantage | $124.62 | ↓ -74% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $124.62 | ↓ -74% |
| United Healthcare | Medicare Advantage | $128.29 | ↓ -73% |
| Humana | Medicare Advantage | $128.29 | ↓ -73% |
| Amerivantage | Medicare Advantage | $128.29 | ↓ -73% |
| United Healthcare | PPO | $169.12 | ↓ -64% |
| United Healthcare | HMO | $169.12 | ↓ -64% |
| Aetna | HMO | $171.91 | ↓ -63% |
| Aetna | PPO | $183.52 | ↓ -61% |
| Cigna/Midlands | Commercial | $185.38 | ↓ -61% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair enel addl 5cm/< 13153 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $337.80 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport | $354.60 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $354.60 | $63.58 – $136.51 |
| UnityPoint Health - Allen Hospital | Waterloo | $470.40 | $86.19 – $243.10 |
| UnityPoint Health - Finley Hospital | Dubuque | $523.78 | $122.18 – $523.78 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $470.40 | $122.18 – $324.17 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $470.40 | $87.43 – $243.10 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $470.40 | $122.18 – $324.17 |