Nm imaging pulmonary ventilation/perfusion at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$614.40
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.
$768.00
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.
$45.83 with Aetna vs $446.16 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 | $45.83 | ↓ -93% |
| Molina | Medicare Advantage | $46.75 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $46.75 | ↓ -92% |
| United Healthcare | Medicare Advantage | $48.12 | ↓ -92% |
| Humana | Medicare Advantage | $48.12 | ↓ -92% |
| Amerivantage | Medicare Advantage | $48.12 | ↓ -92% |
| United Healthcare | HMO | $67.05 | ↓ -89% |
| United Healthcare | PPO | $67.05 | ↓ -89% |
| Wellmark UPH Self-Funded | Commercial | $83.90 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | HMO | $83.90 | ↓ -86% |
| Cigna/Midlands | Commercial | $97.13 | ↓ -84% |
| Wellmark Blue Cross and Blue Shield | PPO | $98.70 | ↓ -84% |
| Health Partners Open Network | Commercial | $102.38 | ↓ -83% |
| Aetna | HMO | $113.48 | ↓ -82% |
| Aetna | PPO | $128.66 | ↓ -79% |
| Medica Exchange Inspire | Commercial | $226.10 | ↓ -63% |
| Medica Exchange Insure | Commercial | $252.98 | ↓ -59% |
| Amerigroup | Managed Medicaid | $446.16 | ↓ -27% |
| Iowa Total Care | Managed Medicaid | $446.16 | ↓ -27% |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $1,445.60 | $511.54 – $2,224.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,124.40 | $515.24 – $721.34 |
| MercyOne Dubuque Medical Center | Dubuque | $1,546.35 | $487.13 – $2,379.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $2,162.00 | $434.56 – $2,162.00 |
| MercyOne Des Moines Medical Center | Des Moines | $1,405.30 | $434.56 – $2,162.00 |
| MercyOne Centerville Medical Center | Centerville | $2,960.00 | $812.22 – $2,960.00 |
| MercyOne Newton Medical Center | Newton | $1,924.00 | $513.95 – $2,960.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,256.45 | $494.85 – $1,933.00 |