Consultation/report referred material w/preparation of slides at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$280.00
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.
$350.00
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.
$24.05 with United Healthcare vs $155.91 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 |
|---|---|---|---|
| United Healthcare | PPO | $24.05 | ↓ -91% |
| United Healthcare | HMO | $24.05 | ↓ -91% |
| Blue Cross and Blue Shield | Medicare Advantage | $26.43 | ↓ -91% |
| Ambetter | HMO | $26.43 | ↓ -91% |
| Aetna | Medicare Advantage | $26.43 | ↓ -91% |
| Health Alliance | Medicare Advantage | $26.43 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $26.96 | ↓ -90% |
| Humana | Medicare Advantage | $27.75 | ↓ -90% |
| Meridian Health Plan | Medicare Advantage | $27.75 | ↓ -90% |
| United Healthcare | Medicare Advantage | $27.75 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | PPO | $27.93 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | HMO | $27.93 | ↓ -90% |
| Wellmark UPH Self-Funded | Commercial | $27.93 | ↓ -90% |
| Health Partners Open Network | Commercial | $33.51 | ↓ -88% |
| Cigna/Midlands | Commercial | $34.40 | ↓ -88% |
| Medica Exchange Inspire | Commercial | $44.44 | ↓ -84% |
| BC Illinois Community | PPO | $45.62 | ↓ -84% |
| Iowa Total Care | Managed Medicaid | $46.14 | ↓ -84% |
| Amerigroup | Managed Medicaid | $46.14 | ↓ -84% |
| Medica Exchange Insure | Commercial | $49.78 | ↓ -82% |
| Aetna | HMO | $131.22 | ↓ -53% |
| Aetna | PPO | $138.42 | ↓ -51% |
| BC Illinois Community | Blue Choice | $155.91 | ↓ -44% |
Visitor-reported prices
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Consultation/report referred material w/preparation of slides at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $334.80 | $51.14 – $71.60 |
| MercyOne Dubuque Medical Center | Dubuque | $293.80 | $46.75 – $452.00 |
| MercyOne Dyersville Medical Center | Dyersville | $370.50 | $215.46 – $570.00 |
| MercyOne Clinton Medical Center | Clinton | $293.80 | $47.99 – $452.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $301.60 | $49.09 – $464.00 |
| MercyOne Elkader Medical Center | Elkader | $370.50 | $293.38 – $570.00 |
| MercyOne Des Moines Medical Center | Des Moines | $253.50 | $49.19 – $390.00 |
| MercyOne North Iowa Medical Center | Mason City | $293.80 | $50.14 – $452.00 |