Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$20,043.37
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.
$25,054.21
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.
$414.32 with Aetna vs $13,203.57 with Medica Exchange Insure — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $414.32 | ↓ -98% |
| Molina | Medicare Advantage | $422.61 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $422.61 | ↓ -98% |
| Humana | Medicare Advantage | $435.04 | ↓ -98% |
| Amerivantage | Medicare Advantage | $435.04 | ↓ -98% |
| United Healthcare | Medicare Advantage | $435.04 | ↓ -98% |
| Wellmark UPH Self-Funded | Commercial | $945.50 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | HMO | $945.50 | ↓ -95% |
| Health Partners Open Network | Commercial | $949.02 | ↓ -95% |
| Cigna/Midlands | Commercial | $1,105.10 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,112.30 | ↓ -94% |
| Aetna | HMO | $1,122.39 | ↓ -94% |
| Aetna | PPO | $1,340.28 | ↓ -93% |
| United Healthcare | PPO | $1,470.87 | ↓ -93% |
| United Healthcare | HMO | $1,470.87 | ↓ -93% |
| Amerigroup | Managed Medicaid | $8,674.45 | ↓ -57% |
| Iowa Total Care | Managed Medicaid | $8,674.45 | ↓ -57% |
| Medica Exchange Inspire | Commercial | $11,800.53 | ↓ -41% |
| Medica Exchange Insure | Commercial | $13,203.57 | ↓ -34% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $13,000.00 | $134.62 – $20,196.34 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $11,979.60 | $10,017.62 – $12,977.90 |
| MercyOne Dubuque Medical Center | Dubuque | $5,658.90 | $3,108.04 – $20,884.03 |
| MercyOne West Des Moines Medical Center | West Des Moines | $12,819.00 | $2,576.62 – $20,291.63 |
| MercyOne Des Moines Medical Center | Des Moines | $28,570.93 | $0.96 – $20,291.63 |
| MercyOne North Iowa Medical Center | Mason City | $11,748.10 | $4,626.94 – $22,644.02 |
| MercyOne Genesis Davenport Medical Center | Davenport | $13,837.20 | $10,017.62 – $14,024.67 |
| UnityPoint Health - Finley Hospital | Dubuque | $20,742.08 | $414.32 – $20,742.07 |