Bx breast pq tomo guide 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.
$3,307.13 with Iowa Total Care vs $11,509.02 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 |
|---|---|---|---|
| Iowa Total Care | Managed Medicaid | $3,307.13 | — |
| Amerigroup | Managed Medicaid | $3,307.13 | — |
| Blue Cross and Blue Shield | Medicare Advantage | $3,530.60 | — |
| Health Alliance | Medicare Advantage | $3,601.21 | — |
| Aetna | Medicare Advantage | $3,601.21 | — |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $3,601.21 | — |
| Humana | Medicare Advantage | $3,707.13 | — |
| Meridian Health Plan | Medicare Advantage | $3,707.13 | — |
| United Healthcare | Medicare Advantage | $3,707.13 | — |
| Ambetter | HMO | $5,648.95 | — |
| Aetna | HMO | $9,404.76 | — |
| Aetna | PPO | $9,920.09 | — |
| United Healthcare | PPO | $11,509.02 | — |
| United Healthcare | HMO | $11,509.02 | — |
Visitor-reported prices
Comments
Bx breast pq tomo guide at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $5,870.54 | $3,174.00 – $5,478.38 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,751.78 | $901.21 – $4,949.74 |
| UnityPoint Health - Marshalltown | Marshalltown | $5,870.54 | $2,568.36 – $5,855.86 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $5,741.36 | $1,865.94 – $5,717.15 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $2,102.01 | $877.59 – $6,072.30 |
| MercyOne Genesis Davenport West Medical Center | Davenport | not published | $3,665.46 – $5,131.65 |
| MercyOne Genesis Davenport Medical Center | Davenport | not published | $3,665.46 – $5,131.65 |
| UnityPoint Health - Finley Hospital | Dubuque | not published | $3,366.82 – $6,992.59 |