Exc snhfg mal+mrg 3.1-4 11624 at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$832.00
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.
$1,040.00
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.
$213.82 with Ambetter vs $1,399.30 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 | $213.82 | ↓ -74% |
| Aetna | Medicare Advantage | $213.82 | ↓ -74% |
| Health Alliance | Medicare Advantage | $213.82 | ↓ -74% |
| Blue Cross and Blue Shield | Medicare Advantage | $213.82 | ↓ -74% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $218.10 | ↓ -74% |
| United Healthcare | Medicare Advantage | $224.51 | ↓ -73% |
| Humana | Medicare Advantage | $224.51 | ↓ -73% |
| Meridian Health Plan | Medicare Advantage | $224.51 | ↓ -73% |
| BC Illinois Community | PPO | $406.25 | ↓ -51% |
| Wellmark UPH Self-Funded | Commercial | $423.90 | ↓ -49% |
| Wellmark Blue Cross and Blue Shield | HMO | $423.90 | ↓ -49% |
| Health Partners Open Network | Commercial | $441.25 | ↓ -47% |
| BC Illinois Community | Blue Choice | $475.51 | ↓ -43% |
| Wellmark Blue Cross and Blue Shield | PPO | $498.70 | ↓ -40% |
| Aetna | HMO | $532.09 | ↓ -36% |
| Cigna/Midlands | Commercial | $570.02 | ↓ -31% |
| Aetna | PPO | $647.37 | ↓ -22% |
| United Healthcare | PPO | $741.65 | ↓ -11% |
| United Healthcare | HMO | $741.65 | ↓ -11% |
| Amerigroup | Managed Medicaid | $1,399.30 | ↑ +68% |
| Iowa Total Care | Managed Medicaid | $1,399.30 | ↑ +68% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
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Exc snhfg mal+mrg 3.1-4 11624 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $610.80 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $12,364.23 | $3.51 – $3,300.04 |
| MercyOne North Iowa Medical Center | Mason City | $2,623.00 | $31.45 – $3,578.15 |
| MercyOne Genesis Davenport Medical Center | Davenport | $641.40 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $641.40 | $780.37 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $9,783.00 | $71.76 – $7,440.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $832.00 | $213.82 – $1,342.97 |
| UnityPoint Health - Finley Hospital | Dubuque | $832.00 | $213.82 – $1,424.56 |