Exc malig tal <0.5cm 11600 at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$483.20
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.
$604.00
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.
$110.46 with Aetna vs $618.85 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 | $110.46 | ↓ -77% |
| Molina | Medicare Advantage | $112.67 | ↓ -77% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $112.67 | ↓ -77% |
| United Healthcare | Medicare Advantage | $115.98 | ↓ -76% |
| Humana | Medicare Advantage | $115.98 | ↓ -76% |
| Amerivantage | Medicare Advantage | $115.98 | ↓ -76% |
| Health Partners Open Network | Commercial | $216.94 | ↓ -55% |
| Wellmark UHP Self-Funded | Commercial | $218.80 | ↓ -55% |
| Wellmark Blue Cross and Blue Shield | HMO | $218.80 | ↓ -55% |
| Wellmark Blue Cross and Blue Shield | PPO | $257.40 | ↓ -47% |
| Aetna | HMO | $264.04 | ↓ -45% |
| Cigna/Midlands | Commercial | $295.13 | ↓ -39% |
| Aetna | PPO | $321.69 | ↓ -33% |
| United Healthcare | HMO | $374.59 | ↓ -22% |
| United Healthcare | PPO | $374.59 | ↓ -22% |
| Amerigroup | Managed Medicaid | $618.85 | ↑ +28% |
| Iowa Total Care | Managed Medicaid | $618.85 | ↑ +28% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc malig tal <0.5cm 11600 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $862.80 | $673.49 – $934.70 |
| MercyOne New Hampton Medical Center | New Hampton | $350.35 | $213.39 – $539.00 |
| MercyOne Elkader Medical Center | Elkader | $654.00 | $23.97 – $375.33 |
| MercyOne North Iowa Medical Center | Mason City | $677.30 | $266.75 – $1,534.15 |
| MercyOne Genesis Davenport Medical Center | Davenport | $997.20 | $673.49 – $942.89 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $359.40 | $437.27 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $483.20 | $110.46 – $583.19 |
| UnityPoint Health - Finley Hospital | Dubuque | $483.20 | $110.46 – $618.62 |