healthcosts.net
Nr lnr acclrtr tx max 5 sessions at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$2,586.40
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.
$3,233.00
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.
$862.79 with Aetna vs $2,916.46 with Aetna — 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 | $862.79 | ↓ -67% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $880.05 | ↓ -66% |
| Molina | Medicare Advantage | $880.05 | ↓ -66% |
| Humana | Medicare Advantage | $905.93 | ↓ -65% |
| United Healthcare | Medicare Advantage | $905.93 | ↓ -65% |
| Amerivantage | Medicare Advantage | $905.93 | ↓ -65% |
| United Healthcare | PPO | $1,449.21 | ↓ -44% |
| United Healthcare | HMO | $1,449.21 | ↓ -44% |
| Amerigroup | Managed Medicaid | $1,708.67 | ↓ -34% |
| Iowa Total Care | Managed Medicaid | $1,708.67 | ↓ -34% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,808.70 | ↓ -30% |
| Wellmark UPH Self-Funded | Commercial | $1,808.70 | ↓ -30% |
| Cigna/Midlands | Commercial | $1,866.17 | ↓ -28% |
| Wellmark Blue Cross and Blue Shield | PPO | $2,127.90 | ↓ -18% |
| Health Partners Open Network | Commercial | $2,570.54 | ↓ -1% |
| Aetna | HMO | $2,916.46 | ↑ +13% |
| Aetna | PPO | $2,916.46 | ↑ +13% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Nr lnr acclrtr tx max 5 sessions at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $3,981.60 | $1,680.79 – $2,353.11 |
| MercyOne Dubuque Medical Center | Dubuque | $5,836.35 | $1,604.15 – $8,979.00 |
| MercyOne Clinton Medical Center | Clinton | $3,873.35 | $1,646.54 – $5,959.00 |
| MercyOne Des Moines Medical Center | Des Moines | $10,934.95 | $1,542.00 – $16,823.00 |
| MercyOne North Iowa Medical Center | Mason City | $2,842.45 | $1,119.49 – $4,373.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $4,348.20 | $1,680.79 – $2,353.11 |
| MercyOne Waterloo Medical Center | Waterloo | $10,256.35 | $1,684.55 – $15,779.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $2,586.40 | $862.79 – $2,512.10 |