Inj, abilify maintena, 1 mg at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$8.00
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.
$10.00
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.
$5.53 with Aetna vs $21.56 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 |
|---|---|---|---|
| Aetna | HMO | $5.53 | ↓ -31% |
| Aetna | PPO | $5.53 | ↓ -31% |
| Health Partners Open Network | Commercial | $6.83 | ↓ -15% |
| United Healthcare | PPO | $7.01 | ↓ -12% |
| United Healthcare | HMO | $7.01 | ↓ -12% |
| Wellmark UPH Self-Funded | Commercial | $7.03 | ↓ -12% |
| Wellmark Blue Cross and Blue Shield | HMO | $7.03 | ↓ -12% |
| Wellmark Blue Cross and Blue Shield | PPO | $7.03 | ↓ -12% |
| Blue Cross and Blue Shield | Medicare Advantage | $7.24 | ↓ -10% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $7.38 | ↓ -8% |
| Aetna | Medicare Advantage | $7.38 | ↓ -8% |
| Health Alliance | Medicare Advantage | $7.38 | ↓ -8% |
| Meridian Health Plan | Medicare Advantage | $7.60 | ↓ -5% |
| Humana | Medicare Advantage | $7.60 | ↓ -5% |
| United Healthcare | Medicare Advantage | $7.60 | ↓ -5% |
| Cigna/Midlands | Commercial | $8.85 | ↑ +11% |
| Ambetter | HMO | $11.58 | ↑ +45% |
| BC Illinois Community | Blue Choice | $21.56 | ↑ +170% |
| BC Illinois Community | PPO | $21.56 | ↑ +170% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Inj, abilify maintena, 1 mg at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Cedar Falls Medical Center | Cedar Falls | $13,357.55 | $7.03 – $13,357.55 |
| MercyOne Elkader Medical Center | Elkader | $10,183.70 | $2,172.00 – $10,644.00 |
| MercyOne Des Moines Medical Center | Des Moines | $13,758.25 | $7.03 – $10,183.70 |
| MercyOne North Iowa Medical Center | Mason City | $13,758.25 | $7.03 – $10,318.70 |
| MercyOne Genesis Davenport Medical Center | Davenport | $5,156.77 | $6.93 – $10.14 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $5,156.77 | $2,922.17 – $6,274.07 |
| MercyOne Waterloo Medical Center | Waterloo | $13,758.25 | $7.03 – $12,286.12 |
| CHI Health Mercy Corning | Corning | $6,120.34 | $6.81 – $9,371.79 |