CT uppr extremity w/o&w/dye at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$1,096.67
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.
$1,370.83
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.
$52.90 with Aetna vs $658.00 with Medica Exchange Insure — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $52.90 | ↓ -95% |
| Molina | Medicare Advantage | $53.96 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $53.96 | ↓ -95% |
| Amerivantage | Medicare Advantage | $55.55 | ↓ -95% |
| Humana | Medicare Advantage | $55.55 | ↓ -95% |
| United Healthcare | Medicare Advantage | $55.55 | ↓ -95% |
| United Healthcare | PPO | $77.72 | ↓ -93% |
| United Healthcare | HMO | $77.72 | ↓ -93% |
| Wellmark UPH Self-Funded | Commercial | $109.10 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | HMO | $109.10 | ↓ -90% |
| Cigna/Midlands | Commercial | $112.14 | ↓ -90% |
| Health Partners Open Network | Commercial | $117.40 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | PPO | $128.30 | ↓ -88% |
| Aetna | PPO | $136.70 | ↓ -88% |
| Aetna | HMO | $136.70 | ↓ -88% |
| Amerigroup | Managed Medicaid | $173.23 | ↓ -84% |
| Iowa Total Care | Managed Medicaid | $173.23 | ↓ -84% |
| Medica Exchange Inspire | Commercial | $588.09 | ↓ -46% |
| Medica Exchange Insure | Commercial | $658.00 | ↓ -40% |
Visitor-reported prices
Comments
CT uppr extremity w/o&w/dye at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,592.40 | $170.40 – $238.57 |
| MercyOne Dubuque Medical Center | Dubuque | $1,140.75 | $405.77 – $1,170.00 |
| MercyOne Des Moines Medical Center | Des Moines | $4,316.00 | $405.77 – $4,427.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,672.20 | $170.40 – $238.57 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,672.20 | $631.72 – $1,356.34 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,096.67 | $52.90 – $722.43 |
| UnityPoint Health - Finley Hospital | Dubuque | $553.60 | $52.90 – $165.60 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $3,611.39 | $52.90 – $1,819.23 |