Pt application of modality >=1 area ultrasound each 15 minutes at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$69.48
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.
$86.84
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.
$13.14 with Aetna vs $41.68 with Medica Exchange Insure — 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 | $13.14 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $13.40 | ↓ -81% |
| Molina | Medicare Advantage | $13.40 | ↓ -81% |
| United Healthcare | Medicare Advantage | $13.80 | ↓ -80% |
| Amerivantage | Medicare Advantage | $13.80 | ↓ -80% |
| Humana | Medicare Advantage | $13.80 | ↓ -80% |
| United Healthcare | PPO | $13.95 | ↓ -80% |
| United Healthcare | HMO | $13.95 | ↓ -80% |
| Health Partners Open Network | Commercial | $15.96 | ↓ -77% |
| Aetna | PPO | $18.77 | ↓ -73% |
| Aetna | HMO | $18.77 | ↓ -73% |
| Wellmark Blue Cross and Blue Shield | PPO | $21.10 | ↓ -70% |
| Wellmark Blue Cross and Blue Shield | HMO | $21.10 | ↓ -70% |
| Wellmark UPH Self-Funded | Commercial | $21.10 | ↓ -70% |
| Cigna/Midlands | Commercial | $21.47 | ↓ -69% |
| Medica Exchange Inspire | Commercial | $37.25 | ↓ -46% |
| Medica Exchange Insure | Commercial | $41.68 | ↓ -40% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area ultrasound each 15 minutes at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $67.80 | $17.72 – $17.72 |
| MercyOne Dubuque Medical Center | Dubuque | $61.75 | $10.53 – $212.00 |
| MercyOne New Hampton Medical Center | New Hampton | $87.75 | $53.45 – $135.00 |
| MercyOne Dyersville Medical Center | Dyersville | $87.75 | $51.03 – $151.96 |
| MercyOne Clinton Medical Center | Clinton | $81.90 | $10.53 – $195.00 |
| MercyOne Oelwein Medical Center | Oelwein | $87.75 | $51.60 – $135.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $63.05 | $10.53 – $301.50 |
| MercyOne Elkader Medical Center | Elkader | $87.75 | $69.48 – $141.10 |