healthcosts.net
Diagnostic Mammogram (one breast) at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$226.40
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.
$283.00
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.
$35.36 with Aetna vs $208.86 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 | $35.36 | ↓ -84% |
| Molina | Medicare Advantage | $36.07 | ↓ -84% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $36.07 | ↓ -84% |
| Amerivantage | Medicare Advantage | $37.13 | ↓ -84% |
| Humana | Medicare Advantage | $37.13 | ↓ -84% |
| United Healthcare | Medicare Advantage | $37.13 | ↓ -84% |
| United Healthcare | HMO | $51.86 | ↓ -77% |
| United Healthcare | PPO | $51.86 | ↓ -77% |
| Wellmark Blue Cross and Blue Shield | HMO | $70.30 | ↓ -69% |
| Wellmark UPH Self-Funded | Commercial | $70.30 | ↓ -69% |
| Cigna/Midlands | Commercial | $75.16 | ↓ -67% |
| Health Partners Open Network | Commercial | $82.57 | ↓ -64% |
| Wellmark Blue Cross and Blue Shield | PPO | $82.60 | ↓ -64% |
| Medica Exchange Inspire | Commercial | $113.42 | ↓ -50% |
| Medica Exchange Insure | Commercial | $126.90 | ↓ -44% |
| Aetna | HMO | $195.64 | ↓ -14% |
| Aetna | PPO | $208.86 | ↓ -8% |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Diagnostic Mammogram (one breast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $334.03 | $35.36 – $122.75 |
| UnityPoint Health - Allen Hospital | Waterloo | $226.40 | $35.36 – $139.33 |
| MercyOne Clinton Medical Center | Clinton | $364.00 | $77.11 – $560.00 |
| MercyOne Elkader Medical Center | Elkader | $297.05 | $112.74 – $477.66 |
| MercyOne Des Moines Medical Center | Des Moines | $354.90 | $77.11 – $546.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $211.80 | $164.52 – $164.52 |
| MercyOne Dubuque Medical Center | Dubuque | $312.65 | $77.11 – $481.00 |
| MercyOne New Hampton Medical Center | New Hampton | $297.05 | $112.74 – $457.00 |