Perq nl/pl lithotrp cplx>2cm at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$16,197.63
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.
$20,247.03
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.
$1,014.70 with Aetna vs $10,670.18 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 | $1,014.70 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $1,034.99 | ↓ -94% |
| Molina | Medicare Advantage | $1,034.99 | ↓ -94% |
| United Healthcare | Medicare Advantage | $1,065.44 | ↓ -93% |
| Amerivantage | Medicare Advantage | $1,065.44 | ↓ -93% |
| Humana | Medicare Advantage | $1,065.44 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | HMO | $2,157.60 | ↓ -87% |
| Wellmark UPH Self-Funded | Commercial | $2,157.60 | ↓ -87% |
| Health Partners Open Network | Commercial | $2,404.89 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | PPO | $2,538.30 | ↓ -84% |
| Cigna/Midlands | Commercial | $2,706.18 | ↓ -83% |
| Aetna | HMO | $2,888.66 | ↓ -82% |
| Aetna | PPO | $3,445.86 | ↓ -79% |
| United Healthcare | PPO | $4,034.91 | ↓ -75% |
| United Healthcare | HMO | $4,034.91 | ↓ -75% |
| Amerigroup | Managed Medicaid | $7,664.73 | ↓ -53% |
| Iowa Total Care | Managed Medicaid | $7,664.73 | ↓ -53% |
| Medica Exchange Inspire | Commercial | $9,536.35 | ↓ -41% |
| Medica Exchange Insure | Commercial | $10,670.18 | ↓ -34% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $55,200.67 | $5.46 – $18,291.99 |
| MercyOne Des Moines Medical Center | Des Moines | $46,617.76 | $9.09 – $18,378.31 |
| MercyOne North Iowa Medical Center | Mason City | $68,142.29 | $9.09 – $20,508.88 |
| UnityPoint Health - Finley Hospital | Dubuque | $6,456.00 | $1,014.70 – $8,130.36 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $6,456.00 | $1,014.70 – $9,200.58 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $6,456.00 | $1,014.70 – $8,909.18 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $6,456.00 | $1,014.70 – $2,706.18 |
| UnityPoint Health - Marshalltown | Marshalltown | $16,197.63 | $1,014.70 – $9,718.57 |