CT upper extremity w/contrast (both sides) at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$1,737.77
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.
$2,172.21
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.
$50.66 with Aetna vs $814.58 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 | $50.66 | ↓ -97% |
| Molina | Medicare Advantage | $51.67 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $51.67 | ↓ -97% |
| Humana | Medicare Advantage | $53.19 | ↓ -97% |
| Amerivantage | Medicare Advantage | $53.19 | ↓ -97% |
| United Healthcare | Medicare Advantage | $53.19 | ↓ -97% |
| United Healthcare | HMO | $73.84 | ↓ -96% |
| United Healthcare | PPO | $73.84 | ↓ -96% |
| Wellmark UHP Self-Funded | Commercial | $104.60 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | HMO | $104.60 | ↓ -94% |
| Cigna/Midlands | Commercial | $107.39 | ↓ -94% |
| Health Partners Open Network | Commercial | $111.72 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | PPO | $123.10 | ↓ -93% |
| Aetna | HMO | $130.01 | ↓ -93% |
| Aetna | PPO | $150.11 | ↓ -91% |
| Amerigroup | Managed Medicaid | $314.12 | ↓ -82% |
| Iowa Total Care | Managed Medicaid | $314.12 | ↓ -82% |
| Medica Exchange Inspire | Commercial | $725.52 | ↓ -58% |
| Medica Exchange Insure | Commercial | $814.58 | ↓ -53% |
Visitor-reported prices
Comments
CT upper extremity w/contrast (both sides) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,560.60 | $341.85 – $478.59 |
| MercyOne Dubuque Medical Center | Dubuque | $2,247.70 | $312.99 – $2,305.00 |
| MercyOne New Hampton Medical Center | New Hampton | $2,163.85 | $878.50 – $2,219.00 |
| MercyOne Clinton Medical Center | Clinton | $1,901.25 | $321.26 – $1,950.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,632.15 | $328.68 – $1,674.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $5,094.00 | $329.29 – $3,396.00 |
| MercyOne Des Moines Medical Center | Des Moines | $4,230.90 | $329.29 – $2,199.00 |
| MercyOne Centerville Medical Center | Centerville | $3,329.00 | $608.89 – $2,219.00 |