Asp & inj w/heparin pleurx cath at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$8,199.99
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.
$10,249.98
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.
$543.80 with Amerigroup vs $5,616.99 with Cigna/Midlands — 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $543.80 | ↓ -93% |
| Iowa Total Care | Managed Medicaid | $543.80 | ↓ -93% |
| Molina | Medicare Advantage | $584.65 | ↓ -93% |
| Aetna | Medicare Advantage | $584.65 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $584.65 | ↓ -93% |
| United Healthcare | Medicare Advantage | $601.85 | ↓ -93% |
| Amerivantage | Medicare Advantage | $601.85 | ↓ -93% |
| Humana | Medicare Advantage | $601.85 | ↓ -93% |
| Health Partners Open Network | Commercial | $980.41 | ↓ -88% |
| Aetna | HMO | $1,206.45 | ↓ -85% |
| Aetna | PPO | $1,254.98 | ↓ -85% |
| United Healthcare | HMO | $1,539.26 | ↓ -81% |
| United Healthcare | PPO | $1,539.26 | ↓ -81% |
| Medica Exchange Inspire | Commercial | $3,423.49 | ↓ -58% |
| Medica Exchange Insure | Commercial | $3,843.74 | ↓ -53% |
| Cigna/Midlands | Commercial | $5,616.99 | ↓ -32% |
| Wellmark UHP Self-Funded | Commercial | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Asp & inj w/heparin pleurx cath at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,937.40 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport | $2,034.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $2,034.00 | $928.00 – $2,679.00 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $4,630.11 | $588.59 – $2,506.04 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $1,290.16 | $419.30 – $1,048.26 |
| Sanford Sheldon Medical Center | Sheldon | $1,432.00 | $510.15 – $1,611.00 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $963.48 | $344.10 – $1,949.90 |
| UnityPoint Health - Allen Hospital | Waterloo | not published | $512.46 – $884.52 |