Destroy premlg lesns;1st lesn 17000 at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$160.80
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.
$201.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$50.00 with Aetna vs $166.28 with United Healthcare — 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 | $50.00 | ↓ -69% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $51.00 | ↓ -68% |
| Molina | Medicare Advantage | $51.00 | ↓ -68% |
| Humana | Medicare Advantage | $52.50 | ↓ -67% |
| United Healthcare | Medicare Advantage | $52.50 | ↓ -67% |
| Amerivantage | Medicare Advantage | $52.50 | ↓ -67% |
| Health Partners Open Network | Commercial | $96.49 | ↓ -40% |
| Wellmark UPH Self-Funded | Commercial | $98.40 | ↓ -39% |
| Wellmark Blue Cross and Blue Shield | HMO | $98.40 | ↓ -39% |
| Wellmark Blue Cross and Blue Shield | PPO | $115.80 | ↓ -28% |
| Aetna | HMO | $117.57 | ↓ -27% |
| Cigna/Midlands | Commercial | $133.75 | ↓ -17% |
| Aetna | PPO | $140.73 | ↓ -12% |
| Iowa Total Care | Managed Medicaid | $164.70 | ↑ +2% |
| Amerigroup | Managed Medicaid | $164.70 | ↑ +2% |
| United Healthcare | PPO | $166.28 | ↑ +3% |
| United Healthcare | HMO | $166.28 | ↑ +3% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Destroy premlg lesns;1st lesn 17000 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $841.00 | $15.23 – $3,576.15 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $200.40 | $190.20 – $217.10 |
| MercyOne New Hampton Medical Center | New Hampton | $1,208.00 | $15.23 – $223.00 |
| MercyOne Clinton Medical Center | Clinton | $112.45 | $48.96 – $429.35 |
| MercyOne Elkader Medical Center | Elkader | $941.00 | $15.23 – $238.31 |
| MercyOne Centerville Medical Center | Centerville | $386.00 | $15.23 – $176.79 |
| MercyOne North Iowa Medical Center | Mason City | $2,001.00 | $15.87 – $288.44 |
| MercyOne Genesis Davenport Medical Center | Davenport | $231.60 | $190.20 – $228.15 |