Duplex scan bilateral study 93985 at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$620.00
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.
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What you pay up front if you don't use insurance.
$775.00
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.
$33.71 with Aetna vs $478.18 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 | $33.71 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $34.38 | ↓ -94% |
| Molina | Medicare Advantage | $34.38 | ↓ -94% |
| United Healthcare | Medicare Advantage | $35.40 | ↓ -94% |
| Amerivantage | Medicare Advantage | $35.40 | ↓ -94% |
| Humana | Medicare Advantage | $35.40 | ↓ -94% |
| Wellmark UPH Self-Funded | Commercial | $69.60 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | HMO | $69.60 | ↓ -89% |
| Health Partners Open Network | Commercial | $71.93 | ↓ -88% |
| Wellmark Blue Cross and Blue Shield | PPO | $81.90 | ↓ -87% |
| Cigna/Midlands | Commercial | $87.54 | ↓ -86% |
| United Healthcare | PPO | $98.25 | ↓ -84% |
| United Healthcare | HMO | $98.25 | ↓ -84% |
| Amerigroup | Managed Medicaid | $235.22 | ↓ -62% |
| Iowa Total Care | Managed Medicaid | $235.22 | ↓ -62% |
| Medica Exchange Inspire | Commercial | $259.67 | ↓ -58% |
| Medica Exchange Insure | Commercial | $290.54 | ↓ -53% |
| Aetna | HMO | $447.91 | ↓ -28% |
| Aetna | PPO | $478.18 | ↓ -23% |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $467.40 | $231.38 – $316.55 |
| MercyOne West Des Moines Medical Center | West Des Moines | $337.00 | $67.74 – $463.22 |
| MercyOne Des Moines Medical Center | Des Moines | $219.05 | $23.64 – $463.22 |
| MercyOne North Iowa Medical Center | Mason City | $573.30 | $225.79 – $882.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $490.80 | $231.38 – $323.93 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $490.80 | $597.14 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $538.20 | $194.58 – $902.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $620.00 | $33.71 – $318.99 |