Athrectomy fem/pop/unilateral 37225 at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$54,692.80
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.
?
What you pay up front if you don't use insurance.
$68,366.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$510.05 with Aetna vs $15,794.12 with Iowa Total Care — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $510.05 | ↓ -99% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $520.25 | ↓ -99% |
| Molina | Medicare Advantage | $520.25 | ↓ -99% |
| United Healthcare | Medicare Advantage | $535.55 | ↓ -99% |
| Amerivantage | Medicare Advantage | $535.55 | ↓ -99% |
| Humana | Medicare Advantage | $535.55 | ↓ -99% |
| Wellmark UHP Self-Funded | Commercial | $1,160.30 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,160.30 | ↓ -98% |
| Health Partners Open Network | Commercial | $1,260.00 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,365.10 | ↓ -98% |
| Cigna/Midlands | Commercial | $1,367.48 | ↓ -97% |
| Aetna | HMO | $1,407.30 | ↓ -97% |
| Aetna | PPO | $1,711.53 | ↓ -97% |
| United Healthcare | HMO | $1,855.52 | ↓ -97% |
| United Healthcare | PPO | $1,855.52 | ↓ -97% |
| Medica Exchange Inspire | Commercial | $10,579.00 | ↓ -81% |
| Medica Exchange Insure | Commercial | $11,877.62 | ↓ -78% |
| Amerigroup | Managed Medicaid | $15,794.12 | ↓ -71% |
| Iowa Total Care | Managed Medicaid | $15,794.12 | ↓ -71% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $12,251.40 | $13,272.35 – $17,188.53 |
| MercyOne Dubuque Medical Center | Dubuque | $18,251.35 | $3,627.74 – $18,719.00 |
| MercyOne Clinton Medical Center | Clinton | $29,589.95 | $5,881.44 – $30,348.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $33,115.00 | $3,602.80 – $22,076.00 |
| MercyOne Des Moines Medical Center | Des Moines | $58,330.75 | $9.09 – $9,370.00 |
| MercyOne North Iowa Medical Center | Mason City | $73,534.54 | $4.56 – $49,728.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $13,636.20 | $14,772.55 – $17,188.53 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $963.00 | $928.00 – $2,679.00 |