M/phmtrc alys ishquant/semiq at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$694.40
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.
$868.00
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.
$59.02 with Health Alliance vs $514.37 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 |
|---|---|---|---|
| Health Alliance | Medicare Advantage | $59.02 | ↓ -92% |
| Aetna | Medicare Advantage | $59.02 | ↓ -92% |
| Blue Cross and Blue Shield | Medicare Advantage | $59.02 | ↓ -92% |
| Ambetter | HMO | $59.02 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $60.20 | ↓ -91% |
| Meridian Health Plan | Medicare Advantage | $61.97 | ↓ -91% |
| United Healthcare | Medicare Advantage | $61.97 | ↓ -91% |
| Humana | Medicare Advantage | $61.97 | ↓ -91% |
| United Healthcare | HMO | $65.56 | ↓ -91% |
| United Healthcare | PPO | $65.56 | ↓ -91% |
| Cigna/Midlands | Commercial | $76.90 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | PPO | $83.99 | ↓ -88% |
| Wellmark Blue Cross and Blue Shield | HMO | $83.99 | ↓ -88% |
| Wellmark UPH Self-Funded | Commercial | $83.99 | ↓ -88% |
| Health Partners Open Network | Commercial | $100.78 | ↓ -85% |
| BC Illinois Community | PPO | $101.43 | ↓ -85% |
| Medica Exchange Inspire | Commercial | $133.65 | ↓ -81% |
| Iowa Total Care | Managed Medicaid | $148.00 | ↓ -79% |
| Amerigroup | Managed Medicaid | $148.00 | ↓ -79% |
| Aetna | HMO | $148.77 | ↓ -79% |
| Medica Exchange Insure | Commercial | $149.72 | ↓ -78% |
| Aetna | PPO | $163.51 | ↓ -76% |
| BC Illinois Community | Blue Choice | $514.37 | ↓ -26% |
Visitor-reported prices
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M/phmtrc alys ishquant/semiq at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $295.75 | $152.85 – $455.00 |
| MercyOne New Hampton Medical Center | New Hampton | $479.70 | $292.17 – $738.00 |
| MercyOne Clinton Medical Center | Clinton | $532.35 | $156.89 – $819.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $256.00 | $51.46 – $346.81 |
| MercyOne Des Moines Medical Center | Des Moines | $428.35 | $51.46 – $330.76 |
| MercyOne North Iowa Medical Center | Mason City | $166.40 | $65.54 – $369.10 |
| MercyOne Waterloo Medical Center | Waterloo | $166.40 | $60.16 – $1,001.36 |
| UnityPoint Health - Allen Hospital | Waterloo | $694.40 | $59.02 – $192.44 |