In situ hybridization per specimen initial single probe stain at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$471.20
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.
$589.00
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.
$38.95 with Aetna vs $192.44 with Medica Exchange Insure — 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 | $38.95 | ↓ -92% |
| Molina | Medicare Advantage | $39.73 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $39.73 | ↓ -92% |
| United Healthcare | Medicare Advantage | $40.90 | ↓ -91% |
| Humana | Medicare Advantage | $40.90 | ↓ -91% |
| Amerivantage | Medicare Advantage | $40.90 | ↓ -91% |
| United Healthcare | HMO | $44.18 | ↓ -91% |
| United Healthcare | PPO | $44.18 | ↓ -91% |
| Cigna/Midlands | Commercial | $51.26 | ↓ -89% |
| Wellmark UPH Self-Funded | Commercial | $70.40 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | HMO | $70.40 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | PPO | $82.80 | ↓ -82% |
| Health Partners Open Network | Commercial | $92.67 | ↓ -80% |
| Aetna | HMO | $103.90 | ↓ -78% |
| Aetna | PPO | $111.25 | ↓ -76% |
| Amerigroup | Managed Medicaid | $142.04 | ↓ -70% |
| Iowa Total Care | Managed Medicaid | $142.04 | ↓ -70% |
| Medica Exchange Inspire | Commercial | $171.99 | ↓ -63% |
| Medica Exchange Insure | Commercial | $192.44 | ↓ -59% |
Visitor-reported prices
Comments
In situ hybridization per specimen initial single probe stain at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $467.35 | $156.19 – $510.49 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $472.80 | $164.03 – $229.64 |
| MercyOne Dyersville Medical Center | Dyersville | $280.15 | $156.19 – $485.13 |
| MercyOne Clinton Medical Center | Clinton | $204.10 | $88.86 – $364.58 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $209.30 | $75.67 – $457.48 |
| MercyOne Elkader Medical Center | Elkader | $280.15 | $156.19 – $450.48 |
| MercyOne West Des Moines Medical Center | West Des Moines | $335.00 | $67.34 – $335.00 |
| MercyOne Centerville Medical Center | Centerville | $431.00 | $117.24 – $431.00 |