Avulsion nail plate partial/complete simple single nail plate at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$374.60
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.
$468.24
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.
$49.32 with Blue Cross and Blue Shield vs $191.98 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 |
|---|---|---|---|
| Blue Cross and Blue Shield | Medicare Advantage | $49.32 | ↓ -87% |
| Ambetter | HMO | $49.32 | ↓ -87% |
| Health Alliance | Medicare Advantage | $49.32 | ↓ -87% |
| Aetna | Medicare Advantage | $49.32 | ↓ -87% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $50.31 | ↓ -87% |
| Meridian Health Plan | Medicare Advantage | $51.79 | ↓ -86% |
| Humana | Medicare Advantage | $51.79 | ↓ -86% |
| United Healthcare | Medicare Advantage | $51.79 | ↓ -86% |
| BC Illinois Community | PPO | $91.88 | ↓ -75% |
| Wellmark UPH Self-Funded | Commercial | $95.50 | ↓ -75% |
| Wellmark Blue Cross and Blue Shield | HMO | $95.50 | ↓ -75% |
| Health Partners Open Network | Commercial | $98.25 | ↓ -74% |
| Wellmark Blue Cross and Blue Shield | PPO | $107.70 | ↓ -71% |
| Aetna | HMO | $111.25 | ↓ -70% |
| Cigna/Midlands | Commercial | $131.12 | ↓ -65% |
| Aetna | PPO | $135.38 | ↓ -64% |
| BC Illinois Community | Blue Choice | $159.33 | ↓ -57% |
| Medica Exchange Inspire | Commercial | $171.38 | ↓ -54% |
| Iowa Total Care | Managed Medicaid | $171.61 | ↓ -54% |
| Amerigroup | Managed Medicaid | $171.61 | ↓ -54% |
| United Healthcare | PPO | $173.67 | ↓ -54% |
| United Healthcare | HMO | $173.67 | ↓ -54% |
| Medica Exchange Insure | Commercial | $191.98 | ↓ -49% |
Visitor-reported prices
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Avulsion nail plate partial/complete simple single nail plate at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $200.40 | $190.20 – $217.10 |
| MercyOne New Hampton Medical Center | New Hampton | $225.00 | $15.55 – $306.00 |
| MercyOne Clinton Medical Center | Clinton | $312.00 | $15.55 – $429.35 |
| MercyOne Oelwein Medical Center | Oelwein | $225.00 | $15.55 – $130.85 |
| MercyOne Elkader Medical Center | Elkader | $480.00 | $15.55 – $501.70 |
| MercyOne North Iowa Medical Center | Mason City | $405.00 | $13.70 – $434.67 |
| MercyOne Genesis Davenport Medical Center | Davenport | $242.40 | $190.20 – $250.90 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $242.40 | $137.36 – $226.30 |