Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$87.80
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.
?
What you pay up front if you don't use insurance.
$109.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.13 with Aetna vs $52.68 with Medica Exchange Insure — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $13.13 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $13.39 | ↓ -85% |
| Molina | Medicare Advantage | $13.39 | ↓ -85% |
| United Healthcare | Medicare Advantage | $13.79 | ↓ -84% |
| Amerivantage | Medicare Advantage | $13.79 | ↓ -84% |
| Humana | Medicare Advantage | $13.79 | ↓ -84% |
| Wellmark UPH Self-Funded | Commercial | $27.70 | ↓ -68% |
| Wellmark Blue Cross and Blue Shield | HMO | $27.70 | ↓ -68% |
| Wellmark Blue Cross and Blue Shield | PPO | $32.60 | ↓ -63% |
| Cigna/Midlands | Commercial | $36.11 | ↓ -59% |
| Health Partners Open Network | Commercial | $38.41 | ↓ -56% |
| United Healthcare | PPO | $40.28 | ↓ -54% |
| United Healthcare | HMO | $40.28 | ↓ -54% |
| Amerigroup | Managed Medicaid | $44.89 | ↓ -49% |
| Iowa Total Care | Managed Medicaid | $44.89 | ↓ -49% |
| Medica Exchange Inspire | Commercial | $47.08 | ↓ -46% |
| Aetna | PPO | $48.24 | ↓ -45% |
| Aetna | HMO | $48.24 | ↓ -45% |
| Medica Exchange Insure | Commercial | $52.68 | ↓ -40% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $61.20 | $44.17 – $61.83 |
| MercyOne Newton Medical Center | Newton | $909.15 | $21.67 – $192.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $68.40 | $44.17 – $61.83 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $68.40 | $38.76 – $49.64 |
| UnityPoint Health - Allen Hospital | Waterloo | $87.80 | $13.13 – $57.84 |
| UnityPoint Health - Finley Hospital | Dubuque | $82.47 | $13.13 – $82.46 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $76.88 | $13.13 – $45.90 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $139.99 | $13.13 – $51.44 |