Clsd tx/metacarpal fx/sg without manip 26600 at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$725.60
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.
$907.00
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.
$106.65 with Medica Exchange Inspire vs $690.80 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 | $106.65 | ↓ -85% |
| Medica Exchange Insure | Commercial | $119.74 | ↓ -83% |
| Cigna/Midlands | Commercial | $174.98 | ↓ -76% |
| Amerigroup | Managed Medicaid | $210.99 | ↓ -71% |
| Iowa Total Care | Managed Medicaid | $210.99 | ↓ -71% |
| Molina | Medicare Advantage | $226.84 | ↓ -69% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $226.84 | ↓ -69% |
| Aetna | Medicare Advantage | $226.84 | ↓ -69% |
| Humana | Medicare Advantage | $233.51 | ↓ -68% |
| United Healthcare | Medicare Advantage | $233.51 | ↓ -68% |
| Amerivantage | Medicare Advantage | $233.51 | ↓ -68% |
| Health Partners Open Network | Commercial | $380.39 | ↓ -48% |
| Aetna | HMO | $468.09 | ↓ -35% |
| Aetna | PPO | $486.93 | ↓ -33% |
| Wellmark UHP Self-Funded | Commercial | $587.20 | ↓ -19% |
| Wellmark Blue Cross and Blue Shield | HMO | $587.20 | ↓ -19% |
| United Healthcare | HMO | $597.22 | ↓ -18% |
| United Healthcare | PPO | $597.22 | ↓ -18% |
| Wellmark Blue Cross and Blue Shield | PPO | $690.80 | ↓ -5% |
Visitor-reported prices
Comments
Clsd tx/metacarpal fx/sg without manip 26600 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $519.00 | $229.62 – $232.05 |
| MercyOne Centerville Medical Center | Centerville | $2,571.00 | $140.49 – $512.00 |
| MercyOne Newton Medical Center | Newton | $1,671.15 | $233.49 – $2,571.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,197.00 | $30.88 – $880.38 |
| MercyOne Genesis Davenport Medical Center | Davenport | $544.80 | $229.62 – $280.80 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $544.80 | $146.88 – $315.36 |
| MercyOne Waterloo Medical Center | Waterloo | $1,014.00 | $48.87 – $1,014.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $725.60 | $174.51 – $587.20 |