healthcosts.net
Ghs layer closure 2.5cm or less - 12051 at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$667.20
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.
$834.00
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.
$152.89 with Aetna vs $408.99 with United Healthcare — 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 | $152.89 | ↓ -77% |
| Molina | Medicare Advantage | $155.95 | ↓ -77% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $155.95 | ↓ -77% |
| Humana | Medicare Advantage | $160.53 | ↓ -76% |
| Amerivantage | Medicare Advantage | $160.53 | ↓ -76% |
| United Healthcare | Medicare Advantage | $160.53 | ↓ -76% |
| Health Partners Open Network | Commercial | $196.63 | ↓ -71% |
| Wellmark Blue Cross and Blue Shield | PPO | $202.25 | ↓ -70% |
| Wellmark Blue Cross and Blue Shield | HMO | $202.25 | ↓ -70% |
| Wellmark UPH Self-Funded | Commercial | $202.25 | ↓ -70% |
| Medica Exchange Inspire | Commercial | $241.01 | ↓ -64% |
| Medica Exchange Insure | Commercial | $269.66 | ↓ -60% |
| Aetna | HMO | $379.32 | ↓ -43% |
| Aetna | PPO | $379.32 | ↓ -43% |
| Iowa Total Care | Managed Medicaid | $388.78 | ↓ -42% |
| Amerigroup | Managed Medicaid | $388.78 | ↓ -42% |
| Cigna/Midlands | Commercial | $407.78 | ↓ -39% |
| United Healthcare | PPO | $408.99 | ↓ -39% |
| United Healthcare | HMO | $408.99 | ↓ -39% |
Visitor-reported prices
Comments
Ghs layer closure 2.5cm or less - 12051 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $469.20 | $351.00 – $382.44 |
| MercyOne Dubuque Medical Center | Dubuque | $14,485.61 | $4.14 – $812.25 |
| MercyOne Clinton Medical Center | Clinton | $1,172.60 | $31.45 – $887.00 |
| MercyOne Elkader Medical Center | Elkader | $559.00 | $47.61 – $559.00 |
| MercyOne Des Moines Medical Center | Des Moines | $16,380.55 | $0.96 – $789.21 |
| MercyOne North Iowa Medical Center | Mason City | $1,003.00 | $43.00 – $880.71 |
| MercyOne Genesis Davenport Medical Center | Davenport | $492.60 | $368.55 – $382.44 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $492.60 | $222.02 – $476.69 |