MRI lower extremity other than joint without contrast (both sides) at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$1,063.34
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.
$1,329.17
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.
$59.03 with Aetna vs $700.47 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 | $59.03 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $60.21 | ↓ -94% |
| Molina | Medicare Advantage | $60.21 | ↓ -94% |
| Humana | Medicare Advantage | $61.98 | ↓ -94% |
| Amerivantage | Medicare Advantage | $61.98 | ↓ -94% |
| United Healthcare | Medicare Advantage | $61.98 | ↓ -94% |
| United Healthcare | HMO | $85.96 | ↓ -92% |
| United Healthcare | PPO | $85.96 | ↓ -92% |
| Cigna/Midlands | Commercial | $124.53 | ↓ -88% |
| Health Partners Open Network | Commercial | $129.95 | ↓ -88% |
| Wellmark UPH Self-Funded | Commercial | $141.40 | ↓ -87% |
| Wellmark Blue Cross and Blue Shield | HMO | $141.40 | ↓ -87% |
| Aetna | HMO | $154.49 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | PPO | $166.40 | ↓ -84% |
| Aetna | PPO | $174.23 | ↓ -84% |
| Amerigroup | Managed Medicaid | $200.36 | ↓ -81% |
| Iowa Total Care | Managed Medicaid | $200.36 | ↓ -81% |
| Medica Exchange Inspire | Commercial | $626.04 | ↓ -41% |
| Medica Exchange Insure | Commercial | $700.47 | ↓ -34% |
Visitor-reported prices
Comments
MRI lower extremity other than joint without contrast (both sides) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $4,687.80 | $224.79 – $4,808.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,208.60 | $231.38 – $323.93 |
| MercyOne Dubuque Medical Center | Dubuque | $4,349.15 | $214.06 – $4,460.00 |
| MercyOne New Hampton Medical Center | New Hampton | $4,087.20 | $1,659.61 – $4,192.00 |
| MercyOne Clinton Medical Center | Clinton | $1,564.55 | $219.72 – $1,604.00 |
| MercyOne Oelwein Medical Center | Oelwein | $4,087.20 | $1,602.18 – $4,192.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $4,687.80 | $224.79 – $4,808.00 |
| MercyOne Elkader Medical Center | Elkader | $4,087.20 | $2,157.62 – $4,381.48 |