Blood, l/r, irradiated at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
not published by hospital
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.
not published by hospital
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.
$72.69 with Amerigroup vs $252.97 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $72.69 | — |
| Iowa Total Care | Managed Medicaid | $72.69 | — |
| Wellmark UPH Self-Funded | Commercial | $84.17 | — |
| Wellmark Blue Cross and Blue Shield | PPO | $84.17 | — |
| Wellmark Blue Cross and Blue Shield | HMO | $84.17 | — |
| Blue Cross and Blue Shield | Medicare Advantage | $84.17 | — |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $85.85 | — |
| Health Alliance | Medicare Advantage | $85.85 | — |
| Aetna | Medicare Advantage | $85.85 | — |
| United Healthcare | Medicare Advantage | $88.38 | — |
| Meridian Health Plan | Medicare Advantage | $88.38 | — |
| Humana | Medicare Advantage | $88.38 | — |
| Ambetter | HMO | $134.67 | — |
| Aetna | HMO | $206.71 | — |
| Aetna | PPO | $218.04 | — |
| United Healthcare | PPO | $252.97 | — |
| United Healthcare | HMO | $252.97 | — |
Visitor-reported prices
Comments
Blood, l/r, irradiated at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne West Des Moines Medical Center | West Des Moines | $995.00 | $200.00 – $995.00 |
| MercyOne Des Moines Medical Center | Des Moines | $646.75 | $200.00 – $995.00 |
| CHI Health Mercy Corning | Corning | $443.04 | $396.89 – $904.54 |
| CHI Health Missouri Valley | Missouri Valley | $452.27 | $323.05 – $904.54 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $452.34 | $161.55 – $915.45 |
| MercyOne Genesis Davenport West Medical Center | Davenport | not published | $80.57 – $112.80 |
| MercyOne Genesis Davenport Medical Center | Davenport | not published | $80.57 – $112.80 |
| UnityPoint Health - Allen Hospital | Waterloo | not published | $69.76 – $120.41 |