Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$1,060.80
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.
$1,326.00
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.
$151.83 with Health Alliance vs $538.56 with United Healthcare — 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 |
|---|---|---|---|
| Health Alliance | Medicare Advantage | $151.83 | ↓ -86% |
| Blue Cross and Blue Shield | Medicare Advantage | $151.83 | ↓ -86% |
| Ambetter | HMO | $151.83 | ↓ -86% |
| Aetna | Medicare Advantage | $151.83 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $154.87 | ↓ -85% |
| United Healthcare | Medicare Advantage | $159.42 | ↓ -85% |
| Humana | Medicare Advantage | $159.42 | ↓ -85% |
| Meridian Health Plan | Medicare Advantage | $159.42 | ↓ -85% |
| BC Illinois Community | Blue Choice | $318.43 | ↓ -70% |
| Health Partners Open Network | Commercial | $329.08 | ↓ -69% |
| Wellmark UPH Self-Funded | Commercial | $330.50 | ↓ -69% |
| Wellmark Blue Cross and Blue Shield | HMO | $330.50 | ↓ -69% |
| BC Illinois Community | PPO | $379.08 | ↓ -64% |
| Wellmark Blue Cross and Blue Shield | PPO | $388.80 | ↓ -63% |
| Aetna | HMO | $394.06 | ↓ -63% |
| Cigna/Midlands | Commercial | $403.73 | ↓ -62% |
| Aetna | PPO | $479.84 | ↓ -55% |
| United Healthcare | HMO | $538.56 | ↓ -49% |
| United Healthcare | PPO | $538.56 | ↓ -49% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $26,925.68 | $0.96 – $6,537.75 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $38,325.25 | $0.96 – $14,021.15 |
| MercyOne West Des Moines Medical Center | West Des Moines | $26,195.43 | $1.92 – $14,087.30 |
| MercyOne Centerville Medical Center | Centerville | $2,280.00 | $15.06 – $380.00 |
| MercyOne Newton Medical Center | Newton | $27,866.36 | $0.96 – $14,087.30 |
| MercyOne Waterloo Medical Center | Waterloo | $39,950.70 | $2.28 – $6,322.47 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,060.80 | $151.83 – $403.73 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,060.80 | $151.83 – $609.96 |