Unlisted procedure rectum at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$1,524.56
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.
$1,905.69
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.
$438.31 with Wellmark Blue Cross and Blue Shield vs $3,527.66 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 Blue Cross and Blue Shield | HMO | $438.31 | ↓ -71% |
| Wellmark UPH Self-Funded | Commercial | $438.31 | ↓ -71% |
| Wellmark Blue Cross and Blue Shield | PPO | $438.31 | ↓ -71% |
| Health Partners Open Network | Commercial | $525.97 | ↓ -66% |
| Medica Exchange Inspire | Commercial | $697.48 | ↓ -54% |
| Medica Exchange Insure | Commercial | $781.33 | ↓ -49% |
| Amerigroup | Managed Medicaid | $787.39 | ↓ -48% |
| Iowa Total Care | Managed Medicaid | $787.39 | ↓ -48% |
| Blue Cross and Blue Shield | Medicare Advantage | $840.60 | ↓ -45% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $857.41 | ↓ -44% |
| Health Alliance | Medicare Advantage | $857.41 | ↓ -44% |
| Aetna | Medicare Advantage | $857.41 | ↓ -44% |
| Humana | Medicare Advantage | $882.63 | ↓ -42% |
| Meridian Health Plan | Medicare Advantage | $882.63 | ↓ -42% |
| United Healthcare | Medicare Advantage | $882.63 | ↓ -42% |
| Cigna/Midlands | Commercial | $1,042.41 | ↓ -32% |
| Ambetter | HMO | $1,344.95 | ↓ -12% |
| Aetna | HMO | $2,239.17 | ↑ +47% |
| Aetna | PPO | $2,361.86 | ↑ +55% |
| United Healthcare | PPO | $2,740.17 | ↑ +80% |
| United Healthcare | HMO | $2,740.17 | ↑ +80% |
| BC Illinois Community | Blue Choice | $3,072.30 | ↑ +102% |
| BC Illinois Community | PPO | $3,527.66 | ↑ +131% |
Visitor-reported prices
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Unlisted procedure rectum at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $2,859.24 | $755.69 – $2,312.40 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,964.08 | $801.60 – $3,072.30 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $892.17 | $292.19 – $1,178.48 |
| UnityPoint Health - Marshalltown | Marshalltown | $2,859.24 | $857.41 – $2,852.08 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $1,524.56 | $666.99 – $1,344.95 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $1,002.62 | $580.26 – $1,443.60 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $2,921.28 | $801.91 – $2,001.07 |
| Sanford Sheldon Medical Center | Sheldon | $2,164.00 | $770.93 – $2,434.50 |