Closed tx humerus fx without manip 23600 at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$1,612.80
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.
$2,016.00
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.
$125.27 with Wellmark Blue Cross and Blue Shield vs $720.97 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 |
|---|---|---|---|
| Wellmark Blue Cross and Blue Shield | HMO | $125.27 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | PPO | $125.27 | ↓ -92% |
| Wellmark UPH Self-Funded | Commercial | $125.27 | ↓ -92% |
| Health Partners Open Network | Commercial | $150.32 | ↓ -91% |
| Medica Exchange Inspire | Commercial | $199.34 | ↓ -88% |
| Iowa Total Care | Managed Medicaid | $207.17 | ↓ -87% |
| Amerigroup | Managed Medicaid | $207.17 | ↓ -87% |
| Blue Cross and Blue Shield | Medicare Advantage | $221.17 | ↓ -86% |
| Medica Exchange Insure | Commercial | $223.30 | ↓ -86% |
| Health Alliance | Medicare Advantage | $225.59 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $225.59 | ↓ -86% |
| Aetna | Medicare Advantage | $225.59 | ↓ -86% |
| Humana | Medicare Advantage | $232.23 | ↓ -86% |
| United Healthcare | Medicare Advantage | $232.23 | ↓ -86% |
| Meridian Health Plan | Medicare Advantage | $232.23 | ↓ -86% |
| Ambetter | HMO | $296.10 | ↓ -82% |
| Cigna/Midlands | Commercial | $297.92 | ↓ -82% |
| Aetna | HMO | $589.15 | ↓ -63% |
| BC Illinois Community | Blue Choice | $618.24 | ↓ -62% |
| Aetna | PPO | $621.44 | ↓ -61% |
| BC Illinois Community | PPO | $700.01 | ↓ -57% |
| United Healthcare | HMO | $720.97 | ↓ -55% |
| United Healthcare | PPO | $720.97 | ↓ -55% |
Visitor-reported prices
Comments
Closed tx humerus fx without manip 23600 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $577.20 | not published |
| MercyOne Centerville Medical Center | Centerville | $3,707.00 | $678.04 – $2,471.00 |
| MercyOne North Iowa Medical Center | Mason City | $305.50 | $80.13 – $534.40 |
| MercyOne Genesis Davenport Medical Center | Davenport | $606.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $606.00 | $737.30 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,612.80 | $198.83 – $644.30 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,612.80 | $111.68 – $644.30 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,612.80 | $228.37 – $784.40 |