Biopsy of prostate at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$2,598.82
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.
$3,248.52
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.
$116.75 with Ambetter vs $1,769.17 with Iowa Total Care — 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 | $116.75 | ↓ -96% |
| Aetna | Medicare Advantage | $116.75 | ↓ -96% |
| Health Alliance | Medicare Advantage | $116.75 | ↓ -96% |
| Blue Cross and Blue Shield | Medicare Advantage | $116.75 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $119.09 | ↓ -95% |
| United Healthcare | Medicare Advantage | $122.59 | ↓ -95% |
| Humana | Medicare Advantage | $122.59 | ↓ -95% |
| Meridian Health Plan | Medicare Advantage | $122.59 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | HMO | $243.40 | ↓ -91% |
| Wellmark UPH Self-Funded | Commercial | $243.40 | ↓ -91% |
| Health Partners Open Network | Commercial | $261.61 | ↓ -90% |
| BC Illinois Community | PPO | $267.30 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | PPO | $286.30 | ↓ -89% |
| Aetna | HMO | $309.61 | ↓ -88% |
| Cigna/Midlands | Commercial | $312.41 | ↓ -88% |
| Aetna | PPO | $376.62 | ↓ -86% |
| BC Illinois Community | Blue Choice | $402.12 | ↓ -85% |
| United Healthcare | PPO | $413.13 | ↓ -84% |
| United Healthcare | HMO | $413.13 | ↓ -84% |
| Medica Exchange Inspire | Commercial | $1,188.96 | ↓ -54% |
| Medica Exchange Insure | Commercial | $1,331.89 | ↓ -49% |
| Amerigroup | Managed Medicaid | $1,769.17 | ↓ -32% |
| Iowa Total Care | Managed Medicaid | $1,769.17 | ↓ -32% |
Visitor-reported prices
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Biopsy of prostate at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $865.80 | $937.95 – $1,960.87 |
| MercyOne Dubuque Medical Center | Dubuque | $9,417.49 | $0.96 – $3.96 |
| MercyOne Clinton Medical Center | Clinton | $14,818.54 | $0.96 – $1,721.00 |
| MercyOne Centerville Medical Center | Centerville | $15,599.17 | $3.92 – $4,280.00 |
| MercyOne North Iowa Medical Center | Mason City | $22,560.46 | $0.96 – $2,050.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,000.20 | $1,083.55 – $1,960.87 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,000.20 | $566.78 – $1,216.91 |
| MercyOne Waterloo Medical Center | Waterloo | $14,602.00 | $26.67 – $4,235.59 |