Nm imaging bone/joint 3 phase study at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$1,823.94
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.
$2,279.92
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.
$43.92 with Aetna vs $1,201.52 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 | $43.92 | ↓ -98% |
| Molina | Medicare Advantage | $44.80 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $44.80 | ↓ -98% |
| United Healthcare | Medicare Advantage | $46.12 | ↓ -97% |
| Humana | Medicare Advantage | $46.12 | ↓ -97% |
| Amerivantage | Medicare Advantage | $46.12 | ↓ -97% |
| United Healthcare | HMO | $64.28 | ↓ -96% |
| United Healthcare | PPO | $64.28 | ↓ -96% |
| Wellmark UPH Self-Funded | Commercial | $80.50 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | HMO | $80.50 | ↓ -96% |
| Cigna/Midlands | Commercial | $93.05 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | PPO | $94.70 | ↓ -95% |
| Health Partners Open Network | Commercial | $99.55 | ↓ -95% |
| Aetna | HMO | $114.83 | ↓ -94% |
| Aetna | PPO | $130.01 | ↓ -93% |
| Amerigroup | Managed Medicaid | $333.07 | ↓ -82% |
| Iowa Total Care | Managed Medicaid | $333.07 | ↓ -82% |
| Medica Exchange Inspire | Commercial | $1,073.84 | ↓ -41% |
| Medica Exchange Insure | Commercial | $1,201.52 | ↓ -34% |
Visitor-reported prices
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Nm imaging bone/joint 3 phase study at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $1,708.85 | $376.63 – $2,629.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $959.40 | $384.64 – $538.50 |
| MercyOne Dubuque Medical Center | Dubuque | $560.95 | $308.09 – $874.53 |
| MercyOne Clinton Medical Center | Clinton | $1,366.30 | $368.14 – $2,102.00 |
| MercyOne Des Moines Medical Center | Des Moines | $1,350.05 | $377.34 – $2,077.00 |
| MercyOne Centerville Medical Center | Centerville | $2,233.00 | $612.74 – $2,233.00 |
| MercyOne Newton Medical Center | Newton | $1,451.45 | $378.41 – $2,233.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,855.10 | $386.82 – $2,854.00 |