Coronary angio/cath placement bypass graft/lv gram/lt heart at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$12,053.52
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.
$15,066.90
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.
$287.81 with Aetna vs $7,940.26 with Medica Exchange Insure — 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 | $287.81 | ↓ -98% |
| Molina | Medicare Advantage | $293.57 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $293.57 | ↓ -98% |
| Amerivantage | Medicare Advantage | $302.20 | ↓ -97% |
| Humana | Medicare Advantage | $302.20 | ↓ -97% |
| United Healthcare | Medicare Advantage | $302.20 | ↓ -97% |
| Wellmark UPH Self-Funded | Commercial | $649.20 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | HMO | $649.20 | ↓ -95% |
| Health Partners Open Network | Commercial | $709.62 | ↓ -94% |
| Cigna/Midlands | Commercial | $756.37 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | PPO | $763.80 | ↓ -94% |
| Aetna | HMO | $801.12 | ↓ -93% |
| United Healthcare | PPO | $901.83 | ↓ -93% |
| United Healthcare | HMO | $901.83 | ↓ -93% |
| Aetna | PPO | $955.64 | ↓ -92% |
| Amerigroup | Managed Medicaid | $2,666.01 | ↓ -78% |
| Iowa Total Care | Managed Medicaid | $2,666.01 | ↓ -78% |
| Medica Exchange Inspire | Commercial | $7,096.51 | ↓ -41% |
| Medica Exchange Insure | Commercial | $7,940.26 | ↓ -34% |
Visitor-reported prices
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Coronary angio/cath placement bypass graft/lv gram/lt heart at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $36,314.34 | $9.09 – $6,264.37 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $7,972.80 | $3,078.81 – $4,310.34 |
| MercyOne Dubuque Medical Center | Dubuque | $17,132.80 | $2.28 – $18,562.00 |
| MercyOne Clinton Medical Center | Clinton | $11,359.40 | $2,985.36 – $17,476.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $46,451.00 | $3,060.01 – $46,451.00 |
| MercyOne Des Moines Medical Center | Des Moines | $55,435.18 | $2.28 – $46,451.00 |
| MercyOne North Iowa Medical Center | Mason City | $24,538.18 | $2.28 – $16,547.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $10,046.40 | $3,078.81 – $4,310.34 |