Ot evaluation low complexity patient/family at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$194.48
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.
$243.09
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.
$81.19 with Medica Exchange Inspire vs $152.40 with Wellmark UHP Self-Funded — 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 |
|---|---|---|---|
| Medica Exchange Inspire | Commercial | $81.19 | ↓ -58% |
| United Healthcare | HMO | $87.61 | ↓ -55% |
| United Healthcare | PPO | $87.61 | ↓ -55% |
| Medica Exchange Insure | Commercial | $91.16 | ↓ -53% |
| Aetna | Medicare Advantage | $95.59 | ↓ -51% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $97.50 | ↓ -50% |
| Molina | Medicare Advantage | $97.50 | ↓ -50% |
| Humana | Medicare Advantage | $100.37 | ↓ -48% |
| United Healthcare | Medicare Advantage | $100.37 | ↓ -48% |
| Amerivantage | Medicare Advantage | $100.37 | ↓ -48% |
| Aetna | PPO | $121.55 | ↓ -38% |
| Aetna | HMO | $121.55 | ↓ -38% |
| Cigna/Midlands | Commercial | $133.21 | ↓ -32% |
| Health Partners Open Network | Commercial | $133.61 | ↓ -31% |
| Wellmark Blue Cross and Blue Shield | PPO | $152.40 | ↓ -22% |
| Wellmark Blue Cross and Blue Shield | HMO | $152.40 | ↓ -22% |
| Wellmark UHP Self-Funded | Commercial | $152.40 | ↓ -22% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Ot evaluation low complexity patient/family at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $202.80 | $128.99 – $128.99 |
| MercyOne New Hampton Medical Center | New Hampton | $179.40 | $109.27 – $276.00 |
| MercyOne Dyersville Medical Center | Dyersville | $179.40 | $104.33 – $310.67 |
| MercyOne Clinton Medical Center | Clinton | $189.80 | $72.58 – $292.00 |
| MercyOne Oelwein Medical Center | Oelwein | $179.40 | $105.49 – $276.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $229.45 | $72.58 – $353.00 |
| MercyOne Elkader Medical Center | Elkader | $179.40 | $142.06 – $288.48 |
| MercyOne West Des Moines Medical Center | West Des Moines | $407.00 | $72.58 – $388.00 |