healthcosts.net
Ghs layer closure 2.5 cm or less - 12041 at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$619.20
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.
$774.00
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.
$131.87 with Aetna vs $457.30 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 →
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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 | $131.87 | ↓ -79% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $134.51 | ↓ -78% |
| Molina | Medicare Advantage | $134.51 | ↓ -78% |
| Humana | Medicare Advantage | $138.46 | ↓ -78% |
| United Healthcare | Medicare Advantage | $138.46 | ↓ -78% |
| Amerivantage | Medicare Advantage | $138.46 | ↓ -78% |
| Medica Exchange Inspire | Commercial | $208.32 | ↓ -66% |
| Medica Exchange Insure | Commercial | $233.89 | ↓ -62% |
| Wellmark UHP Self-Funded | Commercial | $260.90 | ↓ -58% |
| Wellmark Blue Cross and Blue Shield | HMO | $260.90 | ↓ -58% |
| Health Partners Open Network | Commercial | $292.10 | ↓ -53% |
| Wellmark Blue Cross and Blue Shield | PPO | $306.90 | ↓ -50% |
| Cigna/Midlands | Commercial | $341.79 | ↓ -45% |
| Aetna | HMO | $347.14 | ↓ -44% |
| Iowa Total Care | Managed Medicaid | $351.41 | ↓ -43% |
| Amerigroup | Managed Medicaid | $351.41 | ↓ -43% |
| Aetna | PPO | $422.21 | ↓ -32% |
| United Healthcare | PPO | $457.30 | ↓ -26% |
| United Healthcare | HMO | $457.30 | ↓ -26% |
Visitor-reported prices
Comments
Ghs layer closure 2.5 cm or less - 12041 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $433.20 | $338.65 – $382.44 |
| MercyOne Clinton Medical Center | Clinton | $15,943.17 | $2.28 – $3,534.34 |
| MercyOne Elkader Medical Center | Elkader | $479.00 | $6.59 – $51.36 |
| MercyOne Des Moines Medical Center | Des Moines | $479.00 | $6.59 – $51.36 |
| MercyOne North Iowa Medical Center | Mason City | $1,003.00 | $43.00 – $880.71 |
| MercyOne Genesis Davenport Medical Center | Davenport | $573.60 | $382.44 – $408.85 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $454.80 | $213.86 – $459.17 |
| MercyOne Waterloo Medical Center | Waterloo | $664.95 | $40.55 – $3,576.15 |