healthcosts.net
Abdominal CT scan (with contrast) at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$1,199.76
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.
?
What you pay up front if you don't use insurance.
$1,499.69
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.55 with Aetna vs $790.34 with Medica Exchange Insure — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $55.55 | ↓ -95% |
| Molina | Medicare Advantage | $56.66 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $56.66 | ↓ -95% |
| Amerivantage | Medicare Advantage | $58.33 | ↓ -95% |
| Humana | Medicare Advantage | $58.33 | ↓ -95% |
| United Healthcare | Medicare Advantage | $58.33 | ↓ -95% |
| United Healthcare | HMO | $81.34 | ↓ -93% |
| United Healthcare | PPO | $81.34 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | HMO | $114.90 | ↓ -90% |
| Wellmark UPH Self-Funded | Commercial | $114.90 | ↓ -90% |
| Cigna/Midlands | Commercial | $117.79 | ↓ -90% |
| Health Partners Open Network | Commercial | $123.35 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | PPO | $135.10 | ↓ -89% |
| Aetna | HMO | $146.28 | ↓ -88% |
| Amerigroup | Managed Medicaid | $147.55 | ↓ -88% |
| Iowa Total Care | Managed Medicaid | $147.55 | ↓ -88% |
| Aetna | PPO | $164.83 | ↓ -86% |
| Medica Exchange Inspire | Commercial | $706.35 | ↓ -41% |
| Medica Exchange Insure | Commercial | $790.34 | ↓ -34% |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $1,914.25 | $165.25 – $2,945.00 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,583.24 | $55.55 – $949.34 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,311.60 | $170.40 – $238.57 |
| MercyOne Dubuque Medical Center | Dubuque | $1,578.85 | $157.36 – $2,429.00 |
| MercyOne Clinton Medical Center | Clinton | $2,052.70 | $161.52 – $3,158.00 |
| MercyOne Dyersville Medical Center | Dyersville | $1,591.20 | $925.34 – $2,755.47 |
| MercyOne Oelwein Medical Center | Oelwein | $1,591.20 | $935.63 – $2,448.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,914.25 | $165.25 – $2,945.00 |