Njx cath slct p-art angrp bi at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$984.18
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.
$1,230.22
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.
$56.52 with Aetna vs $971.87 with Aetna — 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 | $56.52 | ↓ -94% |
| Molina | Medicare Advantage | $57.65 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $57.65 | ↓ -94% |
| United Healthcare | Medicare Advantage | $59.35 | ↓ -94% |
| Amerivantage | Medicare Advantage | $59.35 | ↓ -94% |
| Humana | Medicare Advantage | $59.35 | ↓ -94% |
| Health Partners Open Network | Commercial | $117.67 | ↓ -88% |
| Wellmark Blue Cross and Blue Shield | HMO | $122.10 | ↓ -88% |
| Wellmark UPH Self-Funded | Commercial | $122.10 | ↓ -88% |
| Wellmark Blue Cross and Blue Shield | PPO | $143.70 | ↓ -85% |
| Cigna/Midlands | Commercial | $149.16 | ↓ -85% |
| United Healthcare | PPO | $178.93 | ↓ -82% |
| United Healthcare | HMO | $178.93 | ↓ -82% |
| Medica Exchange Inspire | Commercial | $527.76 | ↓ -46% |
| Medica Exchange Insure | Commercial | $590.51 | ↓ -40% |
| Aetna | HMO | $910.36 | ↓ -8% |
| Aetna | PPO | $971.87 | ↓ -1% |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Njx cath slct p-art angrp bi at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $984.18 | $56.52 – $648.33 |
| UnityPoint Health - Finley Hospital | Dubuque | $984.18 | $56.52 – $984.18 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $984.18 | $56.52 – $361.68 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $984.18 | $56.52 – $711.07 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $1,031.88 | $56.52 – $505.62 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $1,031.88 | $56.52 – $528.83 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $984.18 | $56.52 – $1,045.69 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | not published | $56.52 – $149.16 |