Eeg monitor/record/awake/drowsy 95816 at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$779.20
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.
$974.00
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.
$51.47 with Aetna vs $273.89 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 | $51.47 | ↓ -93% |
| Molina | Medicare Advantage | $52.50 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $52.50 | ↓ -93% |
| United Healthcare | Medicare Advantage | $54.04 | ↓ -93% |
| Humana | Medicare Advantage | $54.04 | ↓ -93% |
| Amerivantage | Medicare Advantage | $54.04 | ↓ -93% |
| Health Partners Open Network | Commercial | $105.61 | ↓ -86% |
| Wellmark UHP Self-Funded | Commercial | $110.80 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | HMO | $110.80 | ↓ -86% |
| Aetna | HMO | $124.65 | ↓ -84% |
| Wellmark Blue Cross and Blue Shield | PPO | $130.30 | ↓ -83% |
| Cigna/Midlands | Commercial | $135.88 | ↓ -83% |
| Aetna | PPO | $147.42 | ↓ -81% |
| United Healthcare | HMO | $149.37 | ↓ -81% |
| United Healthcare | PPO | $149.37 | ↓ -81% |
| Amerigroup | Managed Medicaid | $273.89 | ↓ -65% |
| Iowa Total Care | Managed Medicaid | $273.89 | ↓ -65% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Eeg monitor/record/awake/drowsy 95816 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $752.40 | $298.08 – $417.31 |
| MercyOne Dubuque Medical Center | Dubuque | $848.25 | $193.72 – $1,305.00 |
| MercyOne Clinton Medical Center | Clinton | $1,125.00 | $36.00 – $1,612.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $1,817.00 | $203.81 – $1,817.00 |
| MercyOne Des Moines Medical Center | Des Moines | $1,181.05 | $36.00 – $1,817.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $790.20 | $298.08 – $417.31 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $790.20 | $135.05 – $395.42 |
| MercyOne Waterloo Medical Center | Waterloo | $1,125.00 | $36.00 – $1,818.10 |