Intro cath dialysis circuit w/pta at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$14,631.21
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.
$18,289.01
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.
$210.14 with Ambetter vs $14,770.28 with Aetna — 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 | $210.14 | ↓ -99% |
| Health Alliance | Medicare Advantage | $210.14 | ↓ -99% |
| Blue Cross and Blue Shield | Medicare Advantage | $210.14 | ↓ -99% |
| Aetna | Medicare Advantage | $210.14 | ↓ -99% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $214.34 | ↓ -99% |
| Meridian Health Plan | Medicare Advantage | $220.65 | ↓ -98% |
| Humana | Medicare Advantage | $220.65 | ↓ -98% |
| United Healthcare | Medicare Advantage | $220.65 | ↓ -98% |
| Health Partners Open Network | Commercial | $433.65 | ↓ -97% |
| Wellmark UPH Self-Funded | Commercial | $467.70 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | HMO | $467.70 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | PPO | $550.30 | ↓ -96% |
| Cigna/Midlands | Commercial | $561.75 | ↓ -96% |
| BC Illinois Community | PPO | $625.33 | ↓ -96% |
| United Healthcare | PPO | $755.95 | ↓ -95% |
| United Healthcare | HMO | $755.95 | ↓ -95% |
| BC Illinois Community | Blue Choice | $2,440.77 | ↓ -83% |
| Amerigroup | Managed Medicaid | $4,924.07 | ↓ -66% |
| Iowa Total Care | Managed Medicaid | $4,924.07 | ↓ -66% |
| Medica Exchange Inspire | Commercial | $6,693.78 | ↓ -54% |
| Medica Exchange Insure | Commercial | $7,498.49 | ↓ -49% |
| Aetna | HMO | $14,002.99 | ↓ -4% |
| Aetna | PPO | $14,770.28 | ↑ +1% |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/pta at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $7,486.80 | $2,948.40 – $5,457.61 |
| MercyOne Dubuque Medical Center | Dubuque | $14,720.12 | $2.28 – $13,696.00 |
| MercyOne Clinton Medical Center | Clinton | $8,717.80 | $3,795.60 – $13,412.00 |
| MercyOne Des Moines Medical Center | Des Moines | $28,014.72 | $9.09 – $23,982.00 |
| MercyOne North Iowa Medical Center | Mason City | $17,940.44 | $9.09 – $14,561.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $8,436.60 | $3,406.00 – $5,457.61 |
| MercyOne Waterloo Medical Center | Waterloo | $10,836.94 | $9.09 – $10,997.78 |
| UnityPoint Health - Allen Hospital | Waterloo | $10,528.64 | $210.14 – $6,935.74 |