Rpr aa hrn 1st < 3 cm rdc at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$856.00
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.
$1,070.00
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.
$299.57 with Ambetter vs $9,142.33 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 | $299.57 | ↓ -65% |
| Health Alliance | Medicare Advantage | $299.57 | ↓ -65% |
| Blue Cross and Blue Shield | Medicare Advantage | $299.57 | ↓ -65% |
| Aetna | Medicare Advantage | $299.57 | ↓ -65% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $305.56 | ↓ -64% |
| Meridian Health Plan | Medicare Advantage | $314.55 | ↓ -63% |
| Humana | Medicare Advantage | $314.55 | ↓ -63% |
| United Healthcare | Medicare Advantage | $314.55 | ↓ -63% |
| BC Illinois Community | Blue Choice | $524.27 | ↓ -39% |
| BC Illinois Community | PPO | $624.13 | ↓ -27% |
| Wellmark UPH Self-Funded | Commercial | $661.60 | ↓ -23% |
| Wellmark Blue Cross and Blue Shield | HMO | $661.60 | ↓ -23% |
| Health Partners Open Network | Commercial | $662.42 | ↓ -23% |
| Wellmark Blue Cross and Blue Shield | PPO | $778.40 | ↓ -9% |
| Cigna/Midlands | Commercial | $798.07 | ↓ -7% |
| United Healthcare | PPO | $1,069.72 | ↑ +25% |
| United Healthcare | HMO | $1,069.72 | ↑ +25% |
| Amerigroup | Managed Medicaid | $3,047.84 | ↑ +256% |
| Iowa Total Care | Managed Medicaid | $3,047.84 | ↑ +256% |
| Aetna | HMO | $8,667.41 | ↑ +913% |
| Aetna | PPO | $9,142.33 | ↑ +968% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
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Rpr aa hrn 1st < 3 cm rdc at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $453.60 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $17,859.06 | $0.36 – $7,153.96 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $25,990.05 | $5.34 – $6,918.39 |
| MercyOne West Des Moines Medical Center | West Des Moines | $28,434.55 | $0.36 – $6,951.03 |
| MercyOne Des Moines Medical Center | Des Moines | $17,531.41 | $0.96 – $6,951.03 |
| MercyOne Centerville Medical Center | Centerville | $16,133.70 | $1.92 – $1,218.00 |
| MercyOne Newton Medical Center | Newton | $16,049.96 | $1.92 – $6,951.03 |
| MercyOne North Iowa Medical Center | Mason City | $40,317.93 | $5.46 – $7,756.86 |