Brace afo spiral prefab at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$184.81
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.
$231.01
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.
$53.13 with Wellmark UPH Self-Funded vs $1,928.40 with Ambetter — 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 |
|---|---|---|---|
| Wellmark UPH Self-Funded | Commercial | $53.13 | ↓ -71% |
| Wellmark Blue Cross and Blue Shield | PPO | $53.13 | ↓ -71% |
| Wellmark Blue Cross and Blue Shield | HMO | $53.13 | ↓ -71% |
| Health Partners Open Network | Commercial | $63.76 | ↓ -65% |
| Medica Exchange Inspire | Commercial | $84.55 | ↓ -54% |
| Medica Exchange Insure | Commercial | $94.71 | ↓ -49% |
| Cigna/Midlands | Commercial | $126.36 | ↓ -32% |
| United Healthcare | PPO | $502.33 | ↑ +172% |
| United Healthcare | HMO | $502.33 | ↑ +172% |
| BC Illinois Community | Blue Choice | $630.82 | ↑ +241% |
| BC Illinois Community | PPO | $750.98 | ↑ +306% |
| Aetna | HMO | $1,125.71 | ↑ +509% |
| Aetna | PPO | $1,125.71 | ↑ +509% |
| Blue Cross and Blue Shield | Medicare Advantage | $1,205.25 | ↑ +552% |
| Aetna | Medicare Advantage | $1,229.36 | ↑ +565% |
| Health Alliance | Medicare Advantage | $1,229.36 | ↑ +565% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $1,229.36 | ↑ +565% |
| United Healthcare | Medicare Advantage | $1,265.51 | ↑ +585% |
| Humana | Medicare Advantage | $1,265.51 | ↑ +585% |
| Meridian Health Plan | Medicare Advantage | $1,265.51 | ↑ +585% |
| Ambetter | HMO | $1,928.40 | ↑ +943% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Brace afo spiral prefab at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $1,741.42 | $956.44 – $2,679.11 |
| MercyOne New Hampton Medical Center | New Hampton | $1,549.31 | $943.65 – $2,383.55 |
| MercyOne Dyersville Medical Center | Dyersville | $1,741.42 | $1,012.70 – $3,015.61 |
| MercyOne Clinton Medical Center | Clinton | $1,741.42 | $758.19 – $2,679.11 |
| MercyOne Oelwein Medical Center | Oelwein | $1,746.13 | $1,026.73 – $2,686.36 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,741.42 | $629.59 – $2,679.11 |
| MercyOne Elkader Medical Center | Elkader | $1,741.42 | $1,378.94 – $2,800.21 |
| MercyOne West Des Moines Medical Center | West Des Moines | $2,686.36 | $539.96 – $2,686.36 |