Exchange biliary drg cath at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$4,907.39
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.
$6,134.23
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.
$117.80 with Aetna vs $4,846.04 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 | $117.80 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $120.16 | ↓ -98% |
| Molina | Medicare Advantage | $120.16 | ↓ -98% |
| United Healthcare | Medicare Advantage | $123.69 | ↓ -97% |
| Amerivantage | Medicare Advantage | $123.69 | ↓ -97% |
| Humana | Medicare Advantage | $123.69 | ↓ -97% |
| Health Partners Open Network | Commercial | $242.80 | ↓ -95% |
| Wellmark UPH Self-Funded | Commercial | $249.00 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | HMO | $249.00 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | PPO | $292.90 | ↓ -94% |
| Cigna/Midlands | Commercial | $312.44 | ↓ -94% |
| United Healthcare | PPO | $424.07 | ↓ -91% |
| United Healthcare | HMO | $424.07 | ↓ -91% |
| Medica Exchange Inspire | Commercial | $2,631.58 | ↓ -46% |
| Medica Exchange Insure | Commercial | $2,944.43 | ↓ -40% |
| Amerigroup | Managed Medicaid | $3,434.11 | ↓ -30% |
| Iowa Total Care | Managed Medicaid | $3,434.11 | ↓ -30% |
| Aetna | HMO | $4,539.33 | ↓ -8% |
| Aetna | PPO | $4,846.04 | ↓ -1% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $4,289.35 | $2,355.84 – $7,153.96 |
| MercyOne Des Moines Medical Center | Des Moines | $9,207.90 | $2,847.37 – $14,166.00 |
| MercyOne North Iowa Medical Center | Mason City | $6,217.90 | $2,448.90 – $9,566.00 |
| MercyOne Waterloo Medical Center | Waterloo | $8,958.95 | $3,239.01 – $13,783.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $4,907.39 | $117.80 – $3,232.74 |
| UnityPoint Health - Finley Hospital | Dubuque | $5,186.80 | $117.80 – $5,186.79 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,704.80 | $117.80 – $3,511.29 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $6,764.81 | $117.80 – $3,400.08 |