Clsd tx/metacarpal fx/sng/w manip 26605 at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$796.80
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.
$996.00
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.
$191.39 with Wellmark UPH Self-Funded 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 UPH Self-Funded | Commercial | $191.39 | ↓ -76% |
| Wellmark Blue Cross and Blue Shield | HMO | $191.39 | ↓ -76% |
| Wellmark Blue Cross and Blue Shield | PPO | $191.39 | ↓ -76% |
| Iowa Total Care | Managed Medicaid | $207.17 | ↓ -74% |
| Amerigroup | Managed Medicaid | $207.17 | ↓ -74% |
| Blue Cross and Blue Shield | Medicare Advantage | $221.17 | ↓ -72% |
| Aetna | Medicare Advantage | $225.59 | ↓ -72% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $225.59 | ↓ -72% |
| Health Alliance | Medicare Advantage | $225.59 | ↓ -72% |
| Health Partners Open Network | Commercial | $229.67 | ↓ -71% |
| Humana | Medicare Advantage | $232.23 | ↓ -71% |
| United Healthcare | Medicare Advantage | $232.23 | ↓ -71% |
| Meridian Health Plan | Medicare Advantage | $232.23 | ↓ -71% |
| Ambetter | HMO | $277.58 | ↓ -65% |
| Medica Exchange Inspire | Commercial | $304.57 | ↓ -62% |
| Medica Exchange Insure | Commercial | $341.18 | ↓ -57% |
| Cigna/Midlands | Commercial | $455.19 | ↓ -43% |
| Aetna | HMO | $589.15 | ↓ -26% |
| BC Illinois Community | Blue Choice | $612.24 | ↓ -23% |
| Aetna | PPO | $621.44 | ↓ -22% |
| BC Illinois Community | PPO | $660.21 | ↓ -17% |
| United Healthcare | PPO | $720.97 | ↓ -10% |
| United Healthcare | HMO | $720.97 | ↓ -10% |
Visitor-reported prices
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Clsd tx/metacarpal fx/sng/w manip 26605 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $574.20 | $229.62 – $240.50 |
| MercyOne Genesis Davenport Medical Center | Davenport | $603.00 | $229.62 – $278.20 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $603.00 | $145.52 – $312.44 |
| UnityPoint Health - Allen Hospital | Waterloo | $796.80 | $192.46 – $603.90 |
| UnityPoint Health - Finley Hospital | Dubuque | $796.80 | $198.09 – $612.24 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $796.80 | $174.66 – $603.90 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $796.80 | $228.37 – $603.90 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $811.11 | $193.18 – $472.04 |