healthcosts.net
Upper Endoscopy (EGD, with biopsy) at UnityPoint Health - Marshalltown
55 UnityPoint Way, Marshalltown, IA · UnityPoint Health · · NPI 1629503057
$914.40
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.
?
What you pay up front if you don't use insurance.
$1,143.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$123.53 with Aetna vs $912.33 with Iowa Total Care — 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 | $123.53 | ↓ -86% |
| Molina | Medicare Advantage | $126.00 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $126.00 | ↓ -86% |
| Amerivantage | Medicare Advantage | $129.71 | ↓ -86% |
| Humana | Medicare Advantage | $129.71 | ↓ -86% |
| United Healthcare | Medicare Advantage | $129.71 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | HMO | $263.10 | ↓ -71% |
| Wellmark UPH Self-Funded | Commercial | $263.10 | ↓ -71% |
| Health Partners Open Network | Commercial | $289.14 | ↓ -68% |
| Wellmark Blue Cross and Blue Shield | PPO | $309.50 | ↓ -66% |
| Cigna/Midlands | Commercial | $330.99 | ↓ -64% |
| Aetna | HMO | $331.06 | ↓ -64% |
| Aetna | PPO | $331.06 | ↓ -64% |
| United Healthcare | HMO | $435.40 | ↓ -52% |
| United Healthcare | PPO | $435.40 | ↓ -52% |
| Amerigroup | Managed Medicaid | $912.33 | ↓ -0% |
| Iowa Total Care | Managed Medicaid | $912.33 | ↓ -0% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, with biopsy) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $3,996.55 | $123.53 – $1,468.73 |
| UnityPoint Health - Allen Hospital | Waterloo | $914.40 | $123.53 – $777.12 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $195.00 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $6,644.53 | $4.05 – $3,834.15 |
| MercyOne New Hampton Medical Center | New Hampton | $5,767.09 | $3.33 – $1,386.00 |
| MercyOne Clinton Medical Center | Clinton | $11,677.09 | $39.41 – $1,940.91 |
| MercyOne Elkader Medical Center | Elkader | $14,658.80 | $3.87 – $1,448.65 |
| MercyOne West Des Moines Medical Center | West Des Moines | $10,537.60 | $0.96 – $1,760.83 |