Biopsy abdominal mass at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$1,807.00
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.
$2,258.74
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.
$74.42 with Aetna vs $1,425.10 with Iowa Total Care — 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 | $74.42 | ↓ -96% |
| Molina | Medicare Advantage | $75.91 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $75.91 | ↓ -96% |
| United Healthcare | Medicare Advantage | $78.14 | ↓ -96% |
| Humana | Medicare Advantage | $78.14 | ↓ -96% |
| Amerivantage | Medicare Advantage | $78.14 | ↓ -96% |
| Wellmark UHP Self-Funded | Commercial | $156.60 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | HMO | $156.60 | ↓ -91% |
| Health Partners Open Network | Commercial | $165.69 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | PPO | $184.20 | ↓ -90% |
| Aetna | HMO | $193.00 | ↓ -89% |
| Cigna/Midlands | Commercial | $198.06 | ↓ -89% |
| Aetna | PPO | $234.55 | ↓ -87% |
| United Healthcare | HMO | $270.45 | ↓ -85% |
| United Healthcare | PPO | $270.45 | ↓ -85% |
| Medica Exchange Inspire | Commercial | $754.42 | ↓ -58% |
| Medica Exchange Insure | Commercial | $847.03 | ↓ -53% |
| Amerigroup | Managed Medicaid | $1,425.10 | ↓ -21% |
| Iowa Total Care | Managed Medicaid | $1,425.10 | ↓ -21% |
Visitor-reported prices
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Biopsy abdominal mass at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,953.00 | $1,326.65 – $1,550.93 |
| MercyOne Dubuque Medical Center | Dubuque | $1,293.50 | $710.43 – $3,300.04 |
| MercyOne West Des Moines Medical Center | West Des Moines | $3,659.00 | $735.46 – $3,659.00 |
| MercyOne Des Moines Medical Center | Des Moines | $2,378.35 | $735.46 – $3,659.00 |
| MercyOne North Iowa Medical Center | Mason City | $2,685.80 | $1,057.79 – $4,132.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $2,256.60 | $1,532.70 – $1,550.93 |
| MercyOne Waterloo Medical Center | Waterloo | $5,770.70 | $22.69 – $6,303.38 |
| UnityPoint Health - Allen Hospital | Waterloo | $731.96 | $74.42 – $1,342.97 |