Ghs layer closure 7.6 - 12.5 cm - 12034 at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$795.20
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.
$994.00
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.
$185.41 with Aetna vs $638.95 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 | $185.41 | ↓ -77% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $189.12 | ↓ -76% |
| Molina | Medicare Advantage | $189.12 | ↓ -76% |
| United Healthcare | Medicare Advantage | $194.68 | ↓ -76% |
| Amerivantage | Medicare Advantage | $194.68 | ↓ -76% |
| Humana | Medicare Advantage | $194.68 | ↓ -76% |
| Medica Exchange Inspire | Commercial | $209.86 | ↓ -74% |
| Medica Exchange Insure | Commercial | $234.81 | ↓ -70% |
| Cigna/Midlands | Commercial | $288.28 | ↓ -64% |
| Amerigroup | Managed Medicaid | $331.16 | ↓ -58% |
| Iowa Total Care | Managed Medicaid | $331.16 | ↓ -58% |
| Wellmark Blue Cross and Blue Shield | HMO | $367.00 | ↓ -54% |
| Wellmark UPH Self-Funded | Commercial | $367.00 | ↓ -54% |
| Health Partners Open Network | Commercial | $379.05 | ↓ -52% |
| Wellmark Blue Cross and Blue Shield | PPO | $431.80 | ↓ -46% |
| Aetna | HMO | $467.54 | ↓ -41% |
| Aetna | PPO | $557.55 | ↓ -30% |
| United Healthcare | HMO | $638.95 | ↓ -20% |
| United Healthcare | PPO | $638.95 | ↓ -20% |
Visitor-reported prices
Comments
Ghs layer closure 7.6 - 12.5 cm - 12034 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $3,643.00 | $55.07 – $4,235.59 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $558.00 | $291.20 – $382.44 |
| MercyOne New Hampton Medical Center | New Hampton | $719.55 | $166.21 – $1,107.00 |
| MercyOne Elkader Medical Center | Elkader | $676.00 | $55.07 – $676.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,478.00 | $31.45 – $880.71 |
| MercyOne Genesis Davenport Medical Center | Davenport | $586.20 | $351.65 – $382.44 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $586.20 | $183.94 – $394.93 |
| UnityPoint Health - Finley Hospital | Dubuque | $795.20 | $164.42 – $379.05 |