healthcosts.net
Bx perianal mass at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$1,478.94
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.
$1,848.67
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.
$425.19 with Wellmark Blue Cross and Blue Shield vs $3,527.66 with BC Illinois Community — 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 Blue Cross and Blue Shield | HMO | $425.19 | ↓ -71% |
| Wellmark UPH Self-Funded | Commercial | $425.19 | ↓ -71% |
| Wellmark Blue Cross and Blue Shield | PPO | $425.19 | ↓ -71% |
| Health Partners Open Network | Commercial | $510.23 | ↓ -66% |
| Medica Exchange Inspire | Commercial | $676.61 | ↓ -54% |
| Medica Exchange Insure | Commercial | $757.95 | ↓ -49% |
| Amerigroup | Managed Medicaid | $787.39 | ↓ -47% |
| Iowa Total Care | Managed Medicaid | $787.39 | ↓ -47% |
| Blue Cross and Blue Shield | Medicare Advantage | $840.60 | ↓ -43% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $857.41 | ↓ -42% |
| Health Alliance | Medicare Advantage | $857.41 | ↓ -42% |
| Aetna | Medicare Advantage | $857.41 | ↓ -42% |
| Humana | Medicare Advantage | $882.63 | ↓ -40% |
| Meridian Health Plan | Medicare Advantage | $882.63 | ↓ -40% |
| United Healthcare | Medicare Advantage | $882.63 | ↓ -40% |
| Cigna/Midlands | Commercial | $1,011.22 | ↓ -32% |
| Ambetter | HMO | $1,344.95 | ↓ -9% |
| Aetna | HMO | $2,239.17 | ↑ +51% |
| Aetna | PPO | $2,361.86 | ↑ +60% |
| United Healthcare | PPO | $2,740.17 | ↑ +85% |
| United Healthcare | HMO | $2,740.17 | ↑ +85% |
| BC Illinois Community | Blue Choice | $3,072.30 | ↑ +108% |
| BC Illinois Community | PPO | $3,527.66 | ↑ +139% |
Visitor-reported prices
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Bx perianal mass at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $1,415.32 | $755.69 – $1,304.34 |
| UnityPoint Health - Finley Hospital | Dubuque | $572.00 | $387.32 – $1,664.86 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $572.00 | $867.95 – $907.12 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $962.96 | $315.37 – $1,178.48 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $572.00 | not published |
| UnityPoint Health - Marshalltown | Marshalltown | $1,415.32 | $619.20 – $1,411.78 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $572.00 | $109.46 – $1,361.19 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $1,478.94 | $647.03 – $1,344.95 |