Repair blood vessel lesion at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$3,008.80
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.
$3,761.00
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.
$1,102.13 with Aetna vs $4,668.58 with Iowa Total Care — 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 | $1,102.13 | ↓ -63% |
| Blue Cross and Blue Shield | Medicare Advantage | $1,102.13 | ↓ -63% |
| Ambetter | HMO | $1,102.13 | ↓ -63% |
| Health Alliance | Medicare Advantage | $1,102.13 | ↓ -63% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $1,124.17 | ↓ -63% |
| Humana | Medicare Advantage | $1,157.24 | ↓ -62% |
| United Healthcare | Medicare Advantage | $1,157.24 | ↓ -62% |
| Meridian Health Plan | Medicare Advantage | $1,157.24 | ↓ -62% |
| BC Illinois Community | Blue Choice | $1,977.50 | ↓ -34% |
| Health Partners Open Network | Commercial | $1,982.13 | ↓ -34% |
| BC Illinois Community | PPO | $2,354.17 | ↓ -22% |
| Aetna | HMO | $2,416.52 | ↓ -20% |
| Wellmark UPH Self-Funded | Commercial | $2,621.60 | ↓ -13% |
| Wellmark Blue Cross and Blue Shield | HMO | $2,621.60 | ↓ -13% |
| Cigna/Midlands | Commercial | $2,938.32 | ↓ -2% |
| Aetna | PPO | $2,940.58 | ↓ -2% |
| Wellmark Blue Cross and Blue Shield | PPO | $3,084.30 | ↑ +3% |
| United Healthcare | PPO | $3,760.36 | ↑ +25% |
| United Healthcare | HMO | $3,760.36 | ↑ +25% |
| Amerigroup | Managed Medicaid | $4,668.58 | ↑ +55% |
| Iowa Total Care | Managed Medicaid | $4,668.58 | ↑ +55% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
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Repair blood vessel lesion at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne North Iowa Medical Center | Mason City | $33,547.13 | $31.45 – $12,055.34 |
| UnityPoint Health - Allen Hospital | Waterloo | $3,008.80 | $1,102.13 – $4,480.65 |
| UnityPoint Health - Finley Hospital | Dubuque | $3,008.80 | $1,102.13 – $4,752.85 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $3,008.80 | $1,102.13 – $5,378.48 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $3,008.80 | $1,102.13 – $5,208.13 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $3,008.80 | $1,102.13 – $2,938.32 |
| UnityPoint Health - Marshalltown | Marshalltown | $3,008.80 | $1,102.13 – $5,260.27 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $3,008.80 | $977.86 – $4,787.41 |