Aspirate/inj ganglion cyst 20612 at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$696.78
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.
$870.97
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.
$37.12 with Ambetter vs $357.10 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 |
|---|---|---|---|
| Ambetter | HMO | $37.12 | ↓ -95% |
| Aetna | Medicare Advantage | $37.12 | ↓ -95% |
| Health Alliance | Medicare Advantage | $37.12 | ↓ -95% |
| Blue Cross and Blue Shield | Medicare Advantage | $37.12 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $37.86 | ↓ -95% |
| United Healthcare | Medicare Advantage | $38.98 | ↓ -94% |
| Humana | Medicare Advantage | $38.98 | ↓ -94% |
| Meridian Health Plan | Medicare Advantage | $38.98 | ↓ -94% |
| Health Partners Open Network | Commercial | $79.01 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | HMO | $79.60 | ↓ -89% |
| Wellmark UPH Self-Funded | Commercial | $79.60 | ↓ -89% |
| BC Illinois Community | PPO | $89.91 | ↓ -87% |
| Aetna | HMO | $92.48 | ↓ -87% |
| Wellmark Blue Cross and Blue Shield | PPO | $93.60 | ↓ -87% |
| Cigna/Midlands | Commercial | $98.77 | ↓ -86% |
| Aetna | PPO | $112.58 | ↓ -84% |
| BC Illinois Community | Blue Choice | $116.39 | ↓ -83% |
| United Healthcare | PPO | $129.33 | ↓ -81% |
| United Healthcare | HMO | $129.33 | ↓ -81% |
| Amerigroup | Managed Medicaid | $254.94 | ↓ -63% |
| Iowa Total Care | Managed Medicaid | $254.94 | ↓ -63% |
| Medica Exchange Inspire | Commercial | $318.78 | ↓ -54% |
| Medica Exchange Insure | Commercial | $357.10 | ↓ -49% |
Visitor-reported prices
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Aspirate/inj ganglion cyst 20612 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $301.20 | $282.56 – $326.30 |
| MercyOne Clinton Medical Center | Clinton | $167.70 | $11.72 – $656.86 |
| MercyOne Des Moines Medical Center | Des Moines | $398.45 | $123.21 – $613.00 |
| MercyOne Centerville Medical Center | Centerville | $223.00 | $11.72 – $48.00 |
| MercyOne North Iowa Medical Center | Mason City | $223.00 | $13.21 – $665.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $348.00 | $282.56 – $377.00 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $348.00 | $137.97 – $197.20 |
| MercyOne Waterloo Medical Center | Waterloo | $202.15 | $11.72 – $3,576.15 |