Ihc/icc per specimen each multiplex antibody stain at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$328.79
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.
$410.98
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.
$35.10 with Aetna vs $350.04 with Iowa Total Care — 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 | $35.10 | ↓ -89% |
| Molina | Medicare Advantage | $35.80 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $35.80 | ↓ -89% |
| United Healthcare | Medicare Advantage | $36.86 | ↓ -89% |
| Humana | Medicare Advantage | $36.86 | ↓ -89% |
| Amerivantage | Medicare Advantage | $36.86 | ↓ -89% |
| United Healthcare | HMO | $38.74 | ↓ -88% |
| United Healthcare | PPO | $38.74 | ↓ -88% |
| Cigna/Midlands | Commercial | $45.80 | ↓ -86% |
| Wellmark UPH Self-Funded | Commercial | $63.50 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | HMO | $63.50 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | PPO | $74.80 | ↓ -77% |
| Health Partners Open Network | Commercial | $76.82 | ↓ -77% |
| Aetna | PPO | $91.14 | ↓ -72% |
| Aetna | HMO | $91.14 | ↓ -72% |
| Medica Exchange Inspire | Commercial | $176.31 | ↓ -46% |
| Medica Exchange Insure | Commercial | $197.27 | ↓ -40% |
| Amerigroup | Managed Medicaid | $350.04 | ↑ +6% |
| Iowa Total Care | Managed Medicaid | $350.04 | ↑ +6% |
Visitor-reported prices
Comments
Ihc/icc per specimen each multiplex antibody stain at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $236.60 | $23.00 – $716.21 |
| MercyOne Dyersville Medical Center | Dyersville | $378.95 | $220.37 – $656.22 |
| MercyOne Clinton Medical Center | Clinton | $236.60 | $103.01 – $767.06 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $236.60 | $85.54 – $692.62 |
| MercyOne Elkader Medical Center | Elkader | $378.95 | $300.07 – $609.35 |
| MercyOne West Des Moines Medical Center | West Des Moines | $444.00 | $89.24 – $695.89 |
| MercyOne Centerville Medical Center | Centerville | $583.00 | $159.98 – $583.00 |
| MercyOne Newton Medical Center | Newton | $378.95 | $332.31 – $695.89 |