Drainage absc/cyst/hmtma/vestibule mouth smpl at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$513.60
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.
$642.00
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.
$109.34 with Aetna vs $583.19 with Iowa Total Care — 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 | $109.34 | ↓ -79% |
| Molina | Medicare Advantage | $111.53 | ↓ -78% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $111.53 | ↓ -78% |
| United Healthcare | Medicare Advantage | $114.81 | ↓ -78% |
| Amerivantage | Medicare Advantage | $114.81 | ↓ -78% |
| Humana | Medicare Advantage | $114.81 | ↓ -78% |
| Medica Exchange Inspire | Commercial | $146.45 | ↓ -71% |
| Medica Exchange Insure | Commercial | $163.87 | ↓ -68% |
| Cigna/Midlands | Commercial | $201.18 | ↓ -61% |
| Wellmark UPH Self-Funded | Commercial | $234.20 | ↓ -54% |
| Wellmark Blue Cross and Blue Shield | HMO | $234.20 | ↓ -54% |
| Health Partners Open Network | Commercial | $246.71 | ↓ -52% |
| Wellmark Blue Cross and Blue Shield | PPO | $275.60 | ↓ -46% |
| Aetna | HMO | $304.84 | ↓ -41% |
| Aetna | PPO | $363.21 | ↓ -29% |
| United Healthcare | PPO | $385.98 | ↓ -25% |
| United Healthcare | HMO | $385.98 | ↓ -25% |
| Amerigroup | Managed Medicaid | $583.19 | ↑ +14% |
| Iowa Total Care | Managed Medicaid | $583.19 | ↑ +14% |
Visitor-reported prices
Comments
Drainage absc/cyst/hmtma/vestibule mouth smpl at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $382.20 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport | $401.40 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $401.40 | $488.37 – $2,679.00 |
| UnityPoint Health - Finley Hospital | Dubuque | $513.60 | $86.17 – $618.62 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $925.00 | $109.34 – $700.05 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $513.60 | $109.34 – $677.87 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $513.60 | $92.46 – $225.92 |
| UnityPoint Health - Marshalltown | Marshalltown | $513.60 | $108.83 – $684.66 |