Unlisted px leg/ankle at UnityPoint Health - Trinity Muscatine
1518 Mulberry, Muscatine, IA · UnityPoint Health · · NPI 1861444333
$413.40
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.
$516.75
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.
$118.85 with Wellmark Blue Cross and Blue Shield vs $8,778.00 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 | $118.85 | ↓ -71% |
| Wellmark Blue Cross and Blue Shield | PPO | $118.85 | ↓ -71% |
| Wellmark UPH Self-Funded | Commercial | $118.85 | ↓ -71% |
| Health Partners Open Network | Commercial | $142.62 | ↓ -66% |
| Medica Exchange Inspire | Commercial | $189.13 | ↓ -54% |
| Iowa Total Care | Managed Medicaid | $207.17 | ↓ -50% |
| Amerigroup | Managed Medicaid | $207.17 | ↓ -50% |
| Medica Exchange Insure | Commercial | $211.87 | ↓ -49% |
| Blue Cross and Blue Shield | Medicare Advantage | $221.17 | ↓ -46% |
| Aetna | Medicare Advantage | $225.59 | ↓ -45% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $225.59 | ↓ -45% |
| Health Alliance | Medicare Advantage | $225.59 | ↓ -45% |
| United Healthcare | Medicare Advantage | $232.23 | ↓ -44% |
| Meridian Health Plan | Medicare Advantage | $232.23 | ↓ -44% |
| Humana | Medicare Advantage | $232.23 | ↓ -44% |
| Cigna/Midlands | Commercial | $282.66 | ↓ -32% |
| Ambetter | HMO | $353.87 | ↓ -14% |
| Aetna | HMO | $589.15 | ↑ +43% |
| Aetna | PPO | $621.44 | ↑ +50% |
| United Healthcare | HMO | $720.97 | ↑ +74% |
| United Healthcare | PPO | $720.97 | ↑ +74% |
| BC Illinois Community | Blue Choice | $7,680.75 | ↑ +1758% |
| BC Illinois Community | PPO | $8,778.00 | ↑ +2023% |
Visitor-reported prices
Comments
Unlisted px leg/ankle at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $324.76 | $106.36 – $310.07 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $413.40 | $180.86 – $353.87 |
| Sanford Sheldon Medical Center | Sheldon | $3,078.40 | $1,096.68 – $3,463.20 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $1,528.38 | $545.85 – $3,093.15 |
| MercyOne Genesis Davenport West Medical Center | Davenport | not published | $229.62 – $321.47 |
| MercyOne Genesis Davenport Medical Center | Davenport | not published | $229.62 – $321.47 |
| UnityPoint Health - Allen Hospital | Waterloo | not published | $198.83 – $343.19 |
| UnityPoint Health - Finley Hospital | Dubuque | not published | $210.91 – $438.05 |