Clsd tx metatarsal fracture w/manip 28475 at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$638.40
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.
?
What you pay up front if you don't use insurance.
$798.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$198.83 with Iowa Total Care vs $653.72 with United Healthcare — 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 |
|---|---|---|---|
| Iowa Total Care | Managed Medicaid | $198.83 | ↓ -69% |
| Amerigroup | Managed Medicaid | $198.83 | ↓ -69% |
| Aetna | Medicare Advantage | $213.73 | ↓ -67% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $218.00 | ↓ -66% |
| Molina | Medicare Advantage | $218.00 | ↓ -66% |
| Amerivantage | Medicare Advantage | $224.42 | ↓ -65% |
| Humana | Medicare Advantage | $224.42 | ↓ -65% |
| United Healthcare | Medicare Advantage | $224.42 | ↓ -65% |
| Medica Exchange Inspire | Commercial | $224.46 | ↓ -65% |
| Medica Exchange Insure | Commercial | $251.14 | ↓ -61% |
| Cigna/Midlands | Commercial | $308.33 | ↓ -52% |
| Health Partners Open Network | Commercial | $343.19 | ↓ -46% |
| Wellmark UPH Self-Funded | Commercial | $458.20 | ↓ -28% |
| Wellmark Blue Cross and Blue Shield | HMO | $458.20 | ↓ -28% |
| Aetna | HMO | $514.03 | ↓ -19% |
| Wellmark Blue Cross and Blue Shield | PPO | $539.10 | ↓ -16% |
| Aetna | PPO | $554.18 | ↓ -13% |
| United Healthcare | HMO | $653.72 | ↑ +2% |
| United Healthcare | PPO | $653.72 | ↑ +2% |
Visitor-reported prices
Comments
Clsd tx metatarsal fracture w/manip 28475 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $471.00 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport | $494.40 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $494.40 | $601.52 – $2,679.00 |
| UnityPoint Health - Finley Hospital | Dubuque | $638.40 | $209.22 – $477.04 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $638.40 | $213.73 – $568.98 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $638.40 | $175.00 – $458.20 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $638.40 | $169.14 – $413.31 |
| UnityPoint Health - Marshalltown | Marshalltown | $638.40 | $166.79 – $380.29 |