Treatment of thigh fracture at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$2,574.40
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.
$3,218.00
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.
$186.93 with Wellmark UPH Self-Funded vs $1,104.44 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 |
|---|---|---|---|
| Wellmark UPH Self-Funded | Commercial | $186.93 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | HMO | $186.93 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | PPO | $186.93 | ↓ -93% |
| Iowa Total Care | Managed Medicaid | $207.17 | ↓ -92% |
| Amerigroup | Managed Medicaid | $207.17 | ↓ -92% |
| Blue Cross and Blue Shield | Medicare Advantage | $221.17 | ↓ -91% |
| Health Partners Open Network | Commercial | $224.31 | ↓ -91% |
| Aetna | Medicare Advantage | $225.59 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $225.59 | ↓ -91% |
| Health Alliance | Medicare Advantage | $225.59 | ↓ -91% |
| Humana | Medicare Advantage | $232.23 | ↓ -91% |
| United Healthcare | Medicare Advantage | $232.23 | ↓ -91% |
| Meridian Health Plan | Medicare Advantage | $232.23 | ↓ -91% |
| Medica Exchange Inspire | Commercial | $297.46 | ↓ -88% |
| Medica Exchange Insure | Commercial | $333.22 | ↓ -87% |
| Ambetter | HMO | $353.87 | ↓ -86% |
| Cigna/Midlands | Commercial | $444.56 | ↓ -83% |
| Aetna | HMO | $589.15 | ↓ -77% |
| Aetna | PPO | $621.44 | ↓ -76% |
| United Healthcare | HMO | $720.97 | ↓ -72% |
| United Healthcare | PPO | $720.97 | ↓ -72% |
| BC Illinois Community | Blue Choice | $976.44 | ↓ -62% |
| BC Illinois Community | PPO | $1,104.44 | ↓ -57% |
Visitor-reported prices
Comments
Treatment of thigh fracture at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Centerville Medical Center | Centerville | $3,707.00 | $678.04 – $2,471.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,735.00 | $145.33 – $1,532.00 |
| MercyOne Waterloo Medical Center | Waterloo | $2,561.00 | $145.33 – $3,576.15 |
| UnityPoint Health - Allen Hospital | Waterloo | $2,574.40 | $198.83 – $1,211.85 |
| UnityPoint Health - Finley Hospital | Dubuque | $2,574.40 | $176.10 – $992.80 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $2,574.40 | $228.37 – $1,211.85 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,574.40 | $108.87 – $992.80 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $2,574.40 | $199.12 – $486.55 |