Consultation pathology during surgery cytological exam initial site at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$193.60
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.
$242.00
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.
$24.04 with United Healthcare vs $705.51 with Iowa Total Care — 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 |
|---|---|---|---|
| United Healthcare | HMO | $24.04 | ↓ -88% |
| United Healthcare | PPO | $24.04 | ↓ -88% |
| Ambetter | HMO | $27.61 | ↓ -86% |
| Health Alliance | Medicare Advantage | $27.61 | ↓ -86% |
| Blue Cross and Blue Shield | Medicare Advantage | $27.61 | ↓ -86% |
| Aetna | Medicare Advantage | $27.61 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | PPO | $27.93 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | HMO | $27.93 | ↓ -86% |
| Wellmark UPH Self-Funded | Commercial | $27.93 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $28.16 | ↓ -85% |
| Meridian Health Plan | Medicare Advantage | $28.99 | ↓ -85% |
| United Healthcare | Medicare Advantage | $28.99 | ↓ -85% |
| Humana | Medicare Advantage | $28.99 | ↓ -85% |
| Health Partners Open Network | Commercial | $33.51 | ↓ -83% |
| Cigna/Midlands | Commercial | $37.12 | ↓ -81% |
| Medica Exchange Inspire | Commercial | $44.44 | ↓ -77% |
| BC Illinois Community | PPO | $49.19 | ↓ -75% |
| Medica Exchange Insure | Commercial | $49.78 | ↓ -74% |
| Aetna | HMO | $100.51 | ↓ -48% |
| Aetna | PPO | $109.90 | ↓ -43% |
| BC Illinois Community | Blue Choice | $122.91 | ↓ -37% |
| Amerigroup | Managed Medicaid | $705.51 | ↑ +264% |
| Iowa Total Care | Managed Medicaid | $705.51 | ↑ +264% |
Visitor-reported prices
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Consultation pathology during surgery cytological exam initial site at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $666.60 | $577.85 – $781.95 |
| MercyOne Dubuque Medical Center | Dubuque | $252.20 | $30.01 – $1,609.82 |
| MercyOne Dyersville Medical Center | Dyersville | $279.50 | $162.54 – $484.01 |
| MercyOne Clinton Medical Center | Clinton | $252.20 | $109.80 – $1,724.12 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,145.30 | $240.28 – $1,762.00 |
| MercyOne Elkader Medical Center | Elkader | $279.50 | $221.32 – $449.44 |
| MercyOne West Des Moines Medical Center | West Des Moines | $240.00 | $48.24 – $1,564.16 |
| MercyOne Centerville Medical Center | Centerville | $430.00 | $117.99 – $430.00 |