Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$23,075.92
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.
$28,844.89
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.
$447.65 with Aetna vs $11,826.40 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $447.65 | ↓ -98% |
| Blue Cross and Blue Shield | Medicare Advantage | $447.65 | ↓ -98% |
| Ambetter | HMO | $447.65 | ↓ -98% |
| Health Alliance | Medicare Advantage | $447.65 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $456.60 | ↓ -98% |
| Humana | Medicare Advantage | $470.03 | ↓ -98% |
| United Healthcare | Medicare Advantage | $470.03 | ↓ -98% |
| Meridian Health Plan | Medicare Advantage | $470.03 | ↓ -98% |
| BC Illinois Community | Blue Choice | $754.70 | ↓ -97% |
| BC Illinois Community | PPO | $898.45 | ↓ -96% |
| Wellmark UPH Self-Funded | Commercial | $1,020.90 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,020.90 | ↓ -96% |
| Health Partners Open Network | Commercial | $1,025.56 | ↓ -96% |
| Aetna | HMO | $1,191.52 | ↓ -95% |
| Cigna/Midlands | Commercial | $1,196.10 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,201.00 | ↓ -95% |
| Aetna | PPO | $1,450.19 | ↓ -94% |
| United Healthcare | PPO | $1,598.06 | ↓ -93% |
| United Healthcare | HMO | $1,598.06 | ↓ -93% |
| Amerigroup | Managed Medicaid | $9,038.29 | ↓ -61% |
| Iowa Total Care | Managed Medicaid | $9,038.29 | ↓ -61% |
| Medica Exchange Inspire | Commercial | $10,557.23 | ↓ -54% |
| Medica Exchange Insure | Commercial | $11,826.40 | ↓ -49% |
Visitor-reported prices
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Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $12,890.40 | $10,017.62 – $13,964.60 |
| MercyOne Dubuque Medical Center | Dubuque | $18,507.49 | $3.36 – $20,884.03 |
| MercyOne Clinton Medical Center | Clinton | $14,561.95 | $6,340.05 – $22,403.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $16,985.00 | $3,413.99 – $20,291.63 |
| MercyOne Des Moines Medical Center | Des Moines | $31,991.25 | $2.28 – $20,291.63 |
| MercyOne North Iowa Medical Center | Mason City | $37,332.15 | $4.56 – $22,644.02 |
| MercyOne Genesis Davenport Medical Center | Davenport | $14,888.40 | $10,017.62 – $14,024.67 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,269.00 | $928.00 – $2,679.00 |