Clsd tx/clavicular fx without manip 23500 at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$1,078.40
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.
$1,348.00
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.
$125.55 with Wellmark Blue Cross and Blue Shield vs $687.03 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 | $125.55 | ↓ -88% |
| Wellmark Blue Cross and Blue Shield | PPO | $125.55 | ↓ -88% |
| Wellmark UPH Self-Funded | Commercial | $125.55 | ↓ -88% |
| Health Partners Open Network | Commercial | $150.66 | ↓ -86% |
| Medica Exchange Inspire | Commercial | $199.79 | ↓ -81% |
| Iowa Total Care | Managed Medicaid | $207.17 | ↓ -81% |
| Amerigroup | Managed Medicaid | $207.17 | ↓ -81% |
| Health Alliance | Medicare Advantage | $214.87 | ↓ -80% |
| Ambetter | HMO | $214.87 | ↓ -80% |
| Aetna | Medicare Advantage | $214.87 | ↓ -80% |
| Blue Cross and Blue Shield | Medicare Advantage | $214.87 | ↓ -80% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $219.17 | ↓ -80% |
| Medica Exchange Insure | Commercial | $223.81 | ↓ -79% |
| Humana | Medicare Advantage | $225.61 | ↓ -79% |
| United Healthcare | Medicare Advantage | $225.61 | ↓ -79% |
| Meridian Health Plan | Medicare Advantage | $225.61 | ↓ -79% |
| Cigna/Midlands | Commercial | $298.59 | ↓ -72% |
| BC Illinois Community | Blue Choice | $426.58 | ↓ -60% |
| Aetna | HMO | $486.51 | ↓ -55% |
| BC Illinois Community | PPO | $497.17 | ↓ -54% |
| Aetna | PPO | $592.40 | ↓ -45% |
| United Healthcare | HMO | $687.03 | ↓ -36% |
| United Healthcare | PPO | $687.03 | ↓ -36% |
Visitor-reported prices
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Clsd tx/clavicular fx without manip 23500 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $389.40 | $229.62 – $274.95 |
| MercyOne Dyersville Medical Center | Dyersville | $807.00 | $54.22 – $661.18 |
| MercyOne Centerville Medical Center | Centerville | $3,707.00 | $678.04 – $2,471.00 |
| MercyOne North Iowa Medical Center | Mason City | $807.00 | $62.72 – $807.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $408.60 | $229.62 – $321.47 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $408.60 | $173.74 – $373.03 |
| MercyOne Waterloo Medical Center | Waterloo | $3,463.20 | $63.26 – $3,576.15 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,078.40 | $157.68 – $468.50 |