Treatment of ankle fracture 27786 at UnityPoint Health - Allen Hospital
1825 Logan Avenue, Waterloo, IA · UnityPoint Health · · NPI 1336231091
$1,540.80
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.
$1,926.00
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.
$99.46 with Medica Exchange Inspire vs $681.80 with Wellmark Blue Cross and Blue Shield — 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 |
|---|---|---|---|
| Medica Exchange Inspire | Commercial | $99.46 | ↓ -94% |
| Medica Exchange Insure | Commercial | $111.28 | ↓ -93% |
| Cigna/Midlands | Commercial | $136.62 | ↓ -91% |
| Amerigroup | Managed Medicaid | $198.83 | ↓ -87% |
| Iowa Total Care | Managed Medicaid | $198.83 | ↓ -87% |
| Aetna | Medicare Advantage | $225.59 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $225.59 | ↓ -85% |
| Molina | Medicare Advantage | $225.59 | ↓ -85% |
| Humana | Medicare Advantage | $232.23 | ↓ -85% |
| United Healthcare | Medicare Advantage | $232.23 | ↓ -85% |
| Amerivantage | Medicare Advantage | $232.23 | ↓ -85% |
| Health Partners Open Network | Commercial | $343.19 | ↓ -78% |
| Aetna | HMO | $532.66 | ↓ -65% |
| Aetna | PPO | $554.18 | ↓ -64% |
| Wellmark UPH Self-Funded | Commercial | $579.50 | ↓ -62% |
| Wellmark Blue Cross and Blue Shield | HMO | $579.50 | ↓ -62% |
| United Healthcare | PPO | $653.72 | ↓ -58% |
| United Healthcare | HMO | $653.72 | ↓ -58% |
| Wellmark Blue Cross and Blue Shield | PPO | $681.80 | ↓ -56% |
Visitor-reported prices
Comments
Treatment of ankle fracture 27786 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $4,954.30 | $83.64 – $3,607.51 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $565.80 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $2,409.55 | $978.27 – $2,471.00 |
| MercyOne Centerville Medical Center | Centerville | $3,707.00 | $678.04 – $2,471.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,014.00 | $62.72 – $1,014.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $594.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $594.00 | $722.70 – $2,679.00 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,540.80 | $105.83 – $580.52 |