Elisa hiv-1/hiv-2 screen at UnityPoint Health - Marshalltown

55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057

Source: hospital's published price file ↗ · Published Jan 28, 2026 · Ingested Aug 12, 2026

$48.57

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$60.71

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$10.97 with United Healthcare vs $47.55 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 →

Payer
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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
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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
United Healthcare HMO $10.97 ↓ -77%
United Healthcare PPO $10.97 ↓ -77%
Aetna HMO $18.10 ↓ -63%
Aetna PPO $18.10 ↓ -63%
Wellmark Blue Cross and Blue Shield PPO $18.29 ↓ -62%
Wellmark Blue Cross and Blue Shield HMO $18.29 ↓ -62%
Wellmark UPH Self-Funded Commercial $18.29 ↓ -62%
Molina Medicare Advantage $18.66 ↓ -62%
Wellmark Blue Cross and Blue Shield Medicare Advantage $18.66 ↓ -62%
Aetna Medicare Advantage $18.66 ↓ -62%
Humana Medicare Advantage $19.20 ↓ -60%
United Healthcare Medicare Advantage $19.20 ↓ -60%
Amerivantage Medicare Advantage $19.20 ↓ -60%
Health Partners Open Network Commercial $21.25 ↓ -56%
Medica Exchange Inspire Commercial $26.04 ↓ -46%
Medica Exchange Insure Commercial $29.14 ↓ -40%
Cigna/Midlands Commercial $47.55 ↓ -2%
Amerigroup Managed Medicaid not published by hospital
Iowa Total Care Managed Medicaid not published by hospital

Visitor-reported prices

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Elisa hiv-1/hiv-2 screen at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Allen Hospital Waterloo $48.57 $10.97 – $39.28
UnityPoint Health - Finley Hospital Dubuque $48.57 $3.50 – $48.57
UnityPoint Health - Grinnell Regional Medical Center Grinnell $48.57 $10.97 – $37.88
UnityPoint Health - Iowa Lutheran Hospital Des Moines $48.57 $10.97 – $26.29
UnityPoint Health - Jones Regional Medical Center Anamosa $48.57 $10.97 – $53.85
UnityPoint Health - St. Lukes Downtown Sioux City $48.57 $10.97 – $39.46
UnityPoint Health - Trinity Bettendorf Bettendorf $48.57 $10.97 – $31.99
UnityPoint Health - Trinity Muscatine Muscatine $48.57 $3.50 – $33.21

All Iowa hospitals for this procedure →