healthcosts.net
Ghs paravert facet/nerve lumb ea add bil at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$3,922.71
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.
$4,903.38
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.
$40.96 with Health Partners Open Network vs $166.70 with United Healthcare — 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 |
|---|---|---|---|
| Health Partners Open Network | Commercial | $40.96 | ↓ -99% |
| Aetna | Medicare Advantage | $46.82 | ↓ -99% |
| Molina | Medicare Advantage | $47.76 | ↓ -99% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $47.76 | ↓ -99% |
| Humana | Medicare Advantage | $49.16 | ↓ -99% |
| Amerivantage | Medicare Advantage | $49.16 | ↓ -99% |
| United Healthcare | Medicare Advantage | $49.16 | ↓ -99% |
| Medica Exchange Inspire | Commercial | $52.00 | ↓ -99% |
| Aetna | HMO | $55.20 | ↓ -99% |
| Aetna | PPO | $55.20 | ↓ -99% |
| Medica Exchange Insure | Commercial | $58.18 | ↓ -99% |
| Cigna/Midlands | Commercial | $71.43 | ↓ -98% |
| Wellmark UPH Self-Funded | Commercial | $98.20 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | HMO | $98.20 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | PPO | $115.50 | ↓ -97% |
| United Healthcare | PPO | $166.70 | ↓ -96% |
| United Healthcare | HMO | $166.70 | ↓ -96% |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ghs paravert facet/nerve lumb ea add bil at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $4,753.45 | $1,145.63 – $4,875.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,076.40 | not published |
| MercyOne Des Moines Medical Center | Des Moines | $4,395.95 | $906.31 – $4,509.00 |
| MercyOne Newton Medical Center | Newton | $4,078.75 | $2,718.95 – $4,183.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,212.60 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,212.60 | $127.02 – $458.32 |
| UnityPoint Health - Finley Hospital | Dubuque | $849.30 | $46.82 – $424.65 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $441.60 | $46.82 – $125.58 |