Clsd tx pelvic ring fx at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$476.55
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.
$595.68
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.
$119.04 with Aetna vs $554.18 with Aetna — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $119.04 | ↓ -75% |
| Molina | Medicare Advantage | $121.42 | ↓ -75% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $121.42 | ↓ -75% |
| Amerivantage | Medicare Advantage | $124.99 | ↓ -74% |
| Humana | Medicare Advantage | $124.99 | ↓ -74% |
| United Healthcare | Medicare Advantage | $124.99 | ↓ -74% |
| Iowa Total Care | Managed Medicaid | $198.83 | ↓ -58% |
| Amerigroup | Managed Medicaid | $198.83 | ↓ -58% |
| Health Partners Open Network | Commercial | $217.31 | ↓ -54% |
| Wellmark UPH Self-Funded | Commercial | $258.60 | ↓ -46% |
| Wellmark Blue Cross and Blue Shield | HMO | $258.60 | ↓ -46% |
| Medica Exchange Inspire | Commercial | $280.57 | ↓ -41% |
| Wellmark Blue Cross and Blue Shield | PPO | $304.30 | ↓ -36% |
| Medica Exchange Insure | Commercial | $313.92 | ↓ -34% |
| Cigna/Midlands | Commercial | $319.35 | ↓ -33% |
| United Healthcare | HMO | $391.81 | ↓ -18% |
| United Healthcare | PPO | $391.81 | ↓ -18% |
| Aetna | HMO | $532.66 | ↑ +12% |
| Aetna | PPO | $554.18 | ↑ +16% |
Visitor-reported prices
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Clsd tx pelvic ring fx at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $148.85 | $53.82 – $3,576.15 |
| MercyOne North Iowa Medical Center | Mason City | $156.00 | $61.44 – $534.40 |
| UnityPoint Health - Finley Hospital | Dubuque | $476.48 | $119.04 – $476.48 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $313.60 | $119.04 – $319.35 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $583.89 | $119.04 – $316.03 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $326.87 | $112.58 – $275.09 |
| UnityPoint Health - Marshalltown | Marshalltown | $476.55 | $119.04 – $319.35 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $313.60 | $101.92 – $319.35 |