Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$1,199.46
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.
$1,499.32
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.
$46.23 with Ambetter vs $307.36 with Medica Exchange Insure — 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 | $46.23 | ↓ -96% |
| Aetna | Medicare Advantage | $46.23 | ↓ -96% |
| Health Alliance | Medicare Advantage | $46.23 | ↓ -96% |
| Blue Cross and Blue Shield | Medicare Advantage | $46.23 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $47.15 | ↓ -96% |
| United Healthcare | Medicare Advantage | $48.54 | ↓ -96% |
| Humana | Medicare Advantage | $48.54 | ↓ -96% |
| Meridian Health Plan | Medicare Advantage | $48.54 | ↓ -96% |
| Health Partners Open Network | Commercial | $96.60 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | HMO | $97.50 | ↓ -92% |
| Wellmark UPH Self-Funded | Commercial | $97.50 | ↓ -92% |
| BC Illinois Community | PPO | $98.37 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | PPO | $114.80 | ↓ -90% |
| Aetna | HMO | $115.26 | ↓ -90% |
| Cigna/Midlands | Commercial | $123.23 | ↓ -90% |
| Aetna | PPO | $140.73 | ↓ -88% |
| BC Illinois Community | Blue Choice | $143.44 | ↓ -88% |
| United Healthcare | PPO | $164.59 | ↓ -86% |
| United Healthcare | HMO | $164.59 | ↓ -86% |
| Medica Exchange Inspire | Commercial | $274.38 | ↓ -77% |
| Medica Exchange Insure | Commercial | $307.36 | ↓ -74% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,076.40 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $6,848.28 | $0.50 – $225.00 |
| MercyOne Clinton Medical Center | Clinton | $4,972.21 | $361.67 – $1,892.73 |
| MercyOne Centerville Medical Center | Centerville | $7,747.78 | $0.25 – $225.00 |
| MercyOne Newton Medical Center | Newton | $9,481.93 | $837.21 – $2,586.00 |
| MercyOne North Iowa Medical Center | Mason City | $8,451.50 | $568.83 – $2,222.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,048.20 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $117.60 | $143.08 – $2,679.00 |