Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$125.64
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.
$157.04
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.
$46.98 with Aetna vs $79.45 with Cigna/Midlands — 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 | $46.98 | ↓ -63% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $47.92 | ↓ -62% |
| Molina | Medicare Advantage | $47.92 | ↓ -62% |
| United Healthcare | Medicare Advantage | $49.33 | ↓ -61% |
| Amerivantage | Medicare Advantage | $49.33 | ↓ -61% |
| Humana | Medicare Advantage | $49.33 | ↓ -61% |
| United Healthcare | PPO | $50.36 | ↓ -60% |
| United Healthcare | HMO | $50.36 | ↓ -60% |
| Medica Exchange Inspire | Commercial | $52.45 | ↓ -58% |
| Medica Exchange Insure | Commercial | $58.89 | ↓ -53% |
| Health Partners Open Network | Commercial | $71.73 | ↓ -43% |
| Wellmark Blue Cross and Blue Shield | PPO | $76.00 | ↓ -40% |
| Wellmark Blue Cross and Blue Shield | HMO | $76.00 | ↓ -40% |
| Wellmark UHP Self-Funded | Commercial | $76.00 | ↓ -40% |
| Aetna | HMO | $78.52 | ↓ -38% |
| Aetna | PPO | $78.52 | ↓ -38% |
| Cigna/Midlands | Commercial | $79.45 | ↓ -37% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $84.00 | $66.46 – $66.46 |
| MercyOne Dubuque Medical Center | Dubuque | $87.75 | $26.42 – $212.00 |
| MercyOne Dyersville Medical Center | Dyersville | $128.70 | $74.84 – $222.87 |
| MercyOne Clinton Medical Center | Clinton | $50.70 | $22.07 – $195.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $143.00 | $28.74 – $189.00 |
| MercyOne Des Moines Medical Center | Des Moines | $92.95 | $28.74 – $189.00 |
| MercyOne Centerville Medical Center | Centerville | $198.00 | $54.33 – $198.00 |
| MercyOne Newton Medical Center | Newton | $128.70 | $44.48 – $198.00 |