Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$66,238.36
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.
$82,797.94
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.
$787.44 with Aetna vs $31,199.00 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 | $787.44 | ↓ -99% |
| Molina | Medicare Advantage | $803.19 | ↓ -99% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $803.19 | ↓ -99% |
| Humana | Medicare Advantage | $826.81 | ↓ -99% |
| United Healthcare | Medicare Advantage | $826.81 | ↓ -99% |
| Amerivantage | Medicare Advantage | $826.81 | ↓ -99% |
| Health Partners Open Network | Commercial | $1,783.27 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,796.20 | ↓ -97% |
| Wellmark UPH Self-Funded | Commercial | $1,796.20 | ↓ -97% |
| Aetna | PPO | $2,073.40 | ↓ -97% |
| Aetna | HMO | $2,073.40 | ↓ -97% |
| Cigna/Midlands | Commercial | $2,105.24 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | PPO | $2,113.20 | ↓ -97% |
| United Healthcare | PPO | $2,812.87 | ↓ -96% |
| United Healthcare | HMO | $2,812.87 | ↓ -96% |
| Medica Exchange Inspire | Commercial | $18,017.53 | ↓ -73% |
| Medica Exchange Insure | Commercial | $20,159.48 | ↓ -70% |
| Amerigroup | Managed Medicaid | $31,199.00 | ↓ -53% |
| Iowa Total Care | Managed Medicaid | $31,199.00 | ↓ -53% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $17,187.00 | $18,619.25 – $30,689.99 |
| MercyOne Dubuque Medical Center | Dubuque | $14,580.15 | $8,007.87 – $62,717.78 |
| MercyOne West Des Moines Medical Center | West Des Moines | $24,681.00 | $4,960.88 – $60,938.73 |
| MercyOne Des Moines Medical Center | Des Moines | $78,651.03 | $2.28 – $60,938.73 |
| MercyOne North Iowa Medical Center | Mason City | $88,295.28 | $2.88 – $68,003.30 |
| MercyOne Genesis Davenport Medical Center | Davenport | $19,851.60 | $21,505.90 – $30,689.99 |
| MercyOne Waterloo Medical Center | Waterloo | $65,538.85 | $254.43 – $71,588.59 |
| UnityPoint Health - Allen Hospital | Waterloo | $66,238.36 | $787.44 – $26,575.06 |