Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$1,135.35
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.
$1,419.18
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.
$40.47 with Health Alliance vs $290.93 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 |
|---|---|---|---|
| Health Alliance | Medicare Advantage | $40.47 | ↓ -96% |
| Blue Cross and Blue Shield | Medicare Advantage | $40.47 | ↓ -96% |
| Ambetter | HMO | $40.47 | ↓ -96% |
| Aetna | Medicare Advantage | $40.47 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $41.28 | ↓ -96% |
| Meridian Health Plan | Medicare Advantage | $42.49 | ↓ -96% |
| Humana | Medicare Advantage | $42.49 | ↓ -96% |
| United Healthcare | Medicare Advantage | $42.49 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | HMO | $87.30 | ↓ -92% |
| Wellmark UPH Self-Funded | Commercial | $87.30 | ↓ -92% |
| Health Partners Open Network | Commercial | $87.94 | ↓ -92% |
| Aetna | HMO | $101.86 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | PPO | $102.70 | ↓ -91% |
| BC Illinois Community | PPO | $106.55 | ↓ -91% |
| Cigna/Midlands | Commercial | $108.57 | ↓ -90% |
| Aetna | PPO | $124.65 | ↓ -89% |
| BC Illinois Community | Blue Choice | $125.24 | ↓ -89% |
| United Healthcare | PPO | $142.48 | ↓ -87% |
| United Healthcare | HMO | $142.48 | ↓ -87% |
| Amerigroup | Managed Medicaid | $254.94 | ↓ -78% |
| Iowa Total Care | Managed Medicaid | $254.94 | ↓ -78% |
| Medica Exchange Inspire | Commercial | $259.71 | ↓ -77% |
| Medica Exchange Insure | Commercial | $290.93 | ↓ -74% |
Visitor-reported prices
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Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $459.00 | $282.56 – $331.50 |
| MercyOne Dubuque Medical Center | Dubuque | $800.15 | $275.38 – $820.00 |
| MercyOne New Hampton Medical Center | New Hampton | $1,397.50 | $3.44 – $223.00 |
| MercyOne Clinton Medical Center | Clinton | $488.43 | $12.26 – $656.86 |
| MercyOne Elkader Medical Center | Elkader | $861.90 | $2.03 – $923.96 |
| MercyOne West Des Moines Medical Center | West Des Moines | $1,949.00 | $261.10 – $1,299.00 |
| MercyOne Des Moines Medical Center | Des Moines | $3,070.65 | $2.03 – $1,299.00 |
| MercyOne Centerville Medical Center | Centerville | $2,407.00 | $9.60 – $223.00 |