Drainage of nose lesion sept 30020 at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$621.60
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.
$777.00
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.
$110.93 with Ambetter vs $439.81 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 |
|---|---|---|---|
| Ambetter | HMO | $110.93 | ↓ -82% |
| Health Alliance | Medicare Advantage | $110.93 | ↓ -82% |
| Blue Cross and Blue Shield | Medicare Advantage | $110.93 | ↓ -82% |
| Aetna | Medicare Advantage | $110.93 | ↓ -82% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $113.15 | ↓ -82% |
| United Healthcare | Medicare Advantage | $116.48 | ↓ -81% |
| Humana | Medicare Advantage | $116.48 | ↓ -81% |
| Meridian Health Plan | Medicare Advantage | $116.48 | ↓ -81% |
| Health Partners Open Network | Commercial | $221.60 | ↓ -64% |
| BC Illinois Community | PPO | $225.21 | ↓ -64% |
| Wellmark UPH Self-Funded | Commercial | $229.20 | ↓ -63% |
| Wellmark Blue Cross and Blue Shield | HMO | $229.20 | ↓ -63% |
| Aetna | HMO | $264.04 | ↓ -58% |
| Wellmark Blue Cross and Blue Shield | PPO | $269.70 | ↓ -57% |
| Cigna/Midlands | Commercial | $297.17 | ↓ -52% |
| Aetna | PPO | $321.69 | ↓ -48% |
| United Healthcare | PPO | $365.99 | ↓ -41% |
| United Healthcare | HMO | $365.99 | ↓ -41% |
| BC Illinois Community | Blue Choice | $399.49 | ↓ -36% |
| Amerigroup | Managed Medicaid | $439.81 | ↓ -29% |
| Iowa Total Care | Managed Medicaid | $439.81 | ↓ -29% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
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Drainage of nose lesion sept 30020 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $427.20 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport | $448.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $448.80 | $546.04 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $621.60 | $110.93 – $422.11 |
| UnityPoint Health - Finley Hospital | Dubuque | $621.60 | $110.93 – $714.84 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $621.60 | $110.93 – $506.69 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $742.00 | $110.93 – $490.64 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $621.60 | $110.93 – $297.17 |