Conversion ext bil drg cath at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$4,907.39
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.
$6,134.23
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.
$174.44 with Aetna vs $8,152.90 with Aetna — 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 | $174.44 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $177.93 | ↓ -96% |
| Molina | Medicare Advantage | $177.93 | ↓ -96% |
| United Healthcare | Medicare Advantage | $183.16 | ↓ -96% |
| Amerivantage | Medicare Advantage | $183.16 | ↓ -96% |
| Humana | Medicare Advantage | $183.16 | ↓ -96% |
| Health Partners Open Network | Commercial | $363.63 | ↓ -93% |
| Wellmark UPH Self-Funded | Commercial | $368.40 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | HMO | $368.40 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | PPO | $433.40 | ↓ -91% |
| Cigna/Midlands | Commercial | $463.99 | ↓ -91% |
| United Healthcare | PPO | $629.12 | ↓ -87% |
| United Healthcare | HMO | $629.12 | ↓ -87% |
| Medica Exchange Inspire | Commercial | $2,889.22 | ↓ -41% |
| Amerigroup | Managed Medicaid | $2,925.15 | ↓ -40% |
| Iowa Total Care | Managed Medicaid | $2,925.15 | ↓ -40% |
| Medica Exchange Insure | Commercial | $3,232.74 | ↓ -34% |
| Aetna | HMO | $7,836.29 | ↑ +60% |
| Aetna | PPO | $8,152.90 | ↑ +66% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $5,660.85 | $1,750.51 – $8,709.00 |
| UnityPoint Health - Finley Hospital | Dubuque | $2,422.40 | $174.44 – $3,102.85 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $2,422.40 | $174.44 – $3,511.29 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $7,015.31 | $174.44 – $3,400.08 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $3,425.17 | $174.44 – $3,797.66 |
| UnityPoint Health - Marshalltown | Marshalltown | $4,907.39 | $174.44 – $3,434.11 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $4,785.08 | $174.44 – $3,457.22 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $7,362.84 | $174.44 – $3,607.79 |