healthcosts.net
Abdominal Ultrasound (complete) at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$723.75
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.
$904.68
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.
$35.36 with Aetna vs $339.26 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 | $35.36 | ↓ -95% |
| Molina | Medicare Advantage | $36.07 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $36.07 | ↓ -95% |
| Amerivantage | Medicare Advantage | $37.13 | ↓ -95% |
| Humana | Medicare Advantage | $37.13 | ↓ -95% |
| United Healthcare | Medicare Advantage | $37.13 | ↓ -95% |
| United Healthcare | HMO | $51.85 | ↓ -93% |
| United Healthcare | PPO | $51.85 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | HMO | $67.60 | ↓ -91% |
| Wellmark UHP Self-Funded | Commercial | $67.60 | ↓ -91% |
| Health Partners Open Network | Commercial | $74.07 | ↓ -90% |
| Cigna/Midlands | Commercial | $74.53 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | PPO | $79.50 | ↓ -89% |
| Aetna | HMO | $85.78 | ↓ -88% |
| Amerigroup | Managed Medicaid | $93.54 | ↓ -87% |
| Iowa Total Care | Managed Medicaid | $93.54 | ↓ -87% |
| Aetna | PPO | $99.17 | ↓ -86% |
| Medica Exchange Inspire | Commercial | $302.16 | ↓ -58% |
| Medica Exchange Insure | Commercial | $339.26 | ↓ -53% |
Visitor-reported prices
Comments
Abdominal Ultrasound (complete) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $1,186.90 | $23.86 – $1,826.00 |
| MercyOne Dubuque Medical Center | Dubuque | $1,014.65 | $93.79 – $1,561.00 |
| MercyOne Oelwein Medical Center | Oelwein | $692.90 | $407.43 – $1,066.00 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $339.49 | $30.94 – $245.28 |
| MercyOne Waterloo Medical Center | Waterloo | $688.35 | $98.49 – $1,059.00 |
| MercyOne Elkader Medical Center | Elkader | $692.90 | $548.67 – $1,114.18 |
| MercyOne Newton Medical Center | Newton | $692.90 | $98.96 – $1,066.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $708.60 | $101.79 – $142.51 |