Repair pm/icd lead sgl at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$1,760.32
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.
$2,200.40
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.
$338.30 with Aetna vs $3,541.39 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 | $338.30 | ↓ -81% |
| Molina | Medicare Advantage | $345.07 | ↓ -80% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $345.07 | ↓ -80% |
| United Healthcare | Medicare Advantage | $355.22 | ↓ -80% |
| Humana | Medicare Advantage | $355.22 | ↓ -80% |
| Amerivantage | Medicare Advantage | $355.22 | ↓ -80% |
| Health Partners Open Network | Commercial | $770.14 | ↓ -56% |
| Wellmark UPH Self-Funded | Commercial | $770.70 | ↓ -56% |
| Wellmark Blue Cross and Blue Shield | HMO | $770.70 | ↓ -56% |
| Wellmark Blue Cross and Blue Shield | PPO | $792.14 | ↓ -55% |
| Aetna | HMO | $895.30 | ↓ -49% |
| Aetna | PPO | $895.30 | ↓ -49% |
| Cigna/Midlands | Commercial | $904.37 | ↓ -49% |
| Medica Exchange Inspire | Commercial | $943.97 | ↓ -46% |
| Medica Exchange Insure | Commercial | $1,056.19 | ↓ -40% |
| United Healthcare | PPO | $1,184.96 | ↓ -33% |
| United Healthcare | HMO | $1,184.96 | ↓ -33% |
| Amerigroup | Managed Medicaid | $3,541.39 | ↑ +101% |
| Iowa Total Care | Managed Medicaid | $3,541.39 | ↑ +101% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $3,702.60 | $3,483.61 – $4,011.15 |
| MercyOne West Des Moines Medical Center | West Des Moines | $5,153.00 | $1,035.75 – $7,254.98 |
| MercyOne North Iowa Medical Center | Mason City | $6,846.45 | $2,696.45 – $10,533.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $4,276.80 | $3,483.61 – $4,633.20 |
| MercyOne Waterloo Medical Center | Waterloo | $7,005.05 | $2,532.60 – $10,777.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,760.32 | $338.30 – $3,016.53 |
| UnityPoint Health - Finley Hospital | Dubuque | $948.00 | $338.30 – $3,199.78 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $948.00 | $338.30 – $3,620.97 |