Heart first pass multiple at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$558.40
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.
$698.00
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.
$63.20 with Aetna vs $446.16 with Amerigroup — 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 | $63.20 | ↓ -89% |
| Molina | Medicare Advantage | $64.46 | ↓ -88% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $64.46 | ↓ -88% |
| Humana | Medicare Advantage | $66.36 | ↓ -88% |
| United Healthcare | Medicare Advantage | $66.36 | ↓ -88% |
| Amerivantage | Medicare Advantage | $66.36 | ↓ -88% |
| United Healthcare | HMO | $91.82 | ↓ -84% |
| United Healthcare | PPO | $91.82 | ↓ -84% |
| Wellmark Blue Cross and Blue Shield | HMO | $115.30 | ↓ -79% |
| Wellmark UPH Self-Funded | Commercial | $115.30 | ↓ -79% |
| Cigna/Midlands | Commercial | $134.04 | ↓ -76% |
| Wellmark Blue Cross and Blue Shield | PPO | $135.70 | ↓ -76% |
| Health Partners Open Network | Commercial | $144.29 | ↓ -74% |
| Aetna | HMO | $162.68 | ↓ -71% |
| Aetna | PPO | $183.61 | ↓ -67% |
| Iowa Total Care | Managed Medicaid | $446.16 | ↓ -20% |
| Amerigroup | Managed Medicaid | $446.16 | ↓ -20% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Heart first pass multiple at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $1,592.50 | $874.65 – $2,450.00 |
| UnityPoint Health - Finley Hospital | Dubuque | $558.40 | $63.20 – $473.26 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $558.40 | $63.20 – $535.56 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $558.40 | $63.20 – $518.60 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $558.40 | $63.20 – $144.29 |
| UnityPoint Health - Marshalltown | Marshalltown | $558.40 | $63.20 – $523.79 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $558.40 | $56.68 – $476.70 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $558.40 | $63.20 – $463.18 |