Diagnostic anoscopy spx 46600 at UnityPoint Health - St. Luke's Hospital

1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226

Source: hospital's published price file ↗ · Published Jan 28, 2026 · Ingested Aug 12, 2026

$252.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$315.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$37.28 with Aetna vs $125.59 with United Healthcare — 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 →

Payer
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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
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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 $37.28 ↓ -85%
Wellmark Blue Cross and Blue Shield Medicare Advantage $38.03 ↓ -85%
Molina Medicare Advantage $38.03 ↓ -85%
United Healthcare Medicare Advantage $39.14 ↓ -84%
Amerivantage Medicare Advantage $39.14 ↓ -84%
Humana Medicare Advantage $39.14 ↓ -84%
Medica Exchange Inspire Commercial $42.69 ↓ -83%
Medica Exchange Insure Commercial $47.93 ↓ -81%
Cigna/Midlands Commercial $70.04 ↓ -72%
Health Partners Open Network Commercial $74.20 ↓ -71%
Wellmark UHP Self-Funded Commercial $80.20 ↓ -68%
Wellmark Blue Cross and Blue Shield HMO $80.20 ↓ -68%
Aetna HMO $89.78 ↓ -64%
Wellmark Blue Cross and Blue Shield PPO $94.40 ↓ -63%
Aetna PPO $109.90 ↓ -56%
Iowa Total Care Managed Medicaid $113.38 ↓ -55%
Amerigroup Managed Medicaid $113.38 ↓ -55%
United Healthcare PPO $125.59 ↓ -50%
United Healthcare HMO $125.59 ↓ -50%

Visitor-reported prices

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Diagnostic anoscopy spx 46600 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $157.20 not published
MercyOne New Hampton Medical Center New Hampton $209.30 $127.48 – $322.00
MercyOne Clinton Medical Center Clinton $617.50 $10.42 – $950.00
MercyOne Des Moines Medical Center Des Moines $580.00 $10.42 – $362.00
MercyOne North Iowa Medical Center Mason City $96.85 $38.14 – $288.25
MercyOne Genesis Davenport Medical Center Davenport $165.00 not published
MercyOne Genesis DeWitt Medical Center DeWitt $165.00 $200.75 – $2,679.00
MercyOne Waterloo Medical Center Waterloo $175.50 $10.42 – $3,576.15

All Iowa hospitals for this procedure →