Lung perfusion imaging at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$520.80
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.
$651.00
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.
$31.91 with Aetna vs $333.07 with Iowa Total Care — 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 | $31.91 | ↓ -94% |
| Molina | Medicare Advantage | $32.55 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $32.55 | ↓ -94% |
| United Healthcare | Medicare Advantage | $33.51 | ↓ -94% |
| Humana | Medicare Advantage | $33.51 | ↓ -94% |
| Amerivantage | Medicare Advantage | $33.51 | ↓ -94% |
| United Healthcare | HMO | $46.46 | ↓ -91% |
| United Healthcare | PPO | $46.46 | ↓ -91% |
| Wellmark UPH Self-Funded | Commercial | $58.80 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | HMO | $58.80 | ↓ -89% |
| Cigna/Midlands | Commercial | $67.20 | ↓ -87% |
| Wellmark Blue Cross and Blue Shield | PPO | $69.20 | ↓ -87% |
| Health Partners Open Network | Commercial | $72.33 | ↓ -86% |
| Aetna | HMO | $83.40 | ↓ -84% |
| Aetna | PPO | $93.81 | ↓ -82% |
| Medica Exchange Inspire | Commercial | $155.13 | ↓ -70% |
| Medica Exchange Insure | Commercial | $173.57 | ↓ -67% |
| Amerigroup | Managed Medicaid | $333.07 | ↓ -36% |
| Iowa Total Care | Managed Medicaid | $333.07 | ↓ -36% |
Visitor-reported prices
Comments
Lung perfusion imaging at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $919.75 | $332.53 – $1,415.00 |
| MercyOne Clinton Medical Center | Clinton | $1,290.90 | $368.14 – $1,986.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $1,924.00 | $377.34 – $1,924.00 |
| MercyOne Des Moines Medical Center | Des Moines | $942.50 | $291.45 – $1,450.00 |
| MercyOne North Iowa Medical Center | Mason City | $805.35 | $317.18 – $1,239.00 |
| UnityPoint Health - Finley Hospital | Dubuque | $785.65 | $31.91 – $785.65 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,205.68 | $31.91 – $607.36 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,303.10 | $31.91 – $478.89 |