Path clin consltj high 41-60 at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$156.24
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.
$195.29
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.
$65.23 with Medica Exchange Inspire vs $347.85 with Aetna — 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 | $65.23 | ↓ -58% |
| Medica Exchange Insure | Commercial | $73.23 | ↓ -53% |
| Aetna | Medicare Advantage | $81.60 | ↓ -48% |
| Molina | Medicare Advantage | $83.23 | ↓ -47% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $83.23 | ↓ -47% |
| Humana | Medicare Advantage | $85.68 | ↓ -45% |
| Amerivantage | Medicare Advantage | $85.68 | ↓ -45% |
| United Healthcare | Medicare Advantage | $85.68 | ↓ -45% |
| United Healthcare | HMO | $89.76 | ↓ -43% |
| United Healthcare | PPO | $89.76 | ↓ -43% |
| Cigna/Midlands | Commercial | $106.60 | ↓ -32% |
| Health Partners Open Network | Commercial | $122.74 | ↓ -21% |
| Wellmark UHP Self-Funded | Commercial | $150.40 | ↓ -4% |
| Wellmark Blue Cross and Blue Shield | HMO | $150.40 | ↓ -4% |
| Amerigroup | Managed Medicaid | $150.73 | ↓ -4% |
| Iowa Total Care | Managed Medicaid | $150.73 | ↓ -4% |
| Wellmark Blue Cross and Blue Shield | PPO | $176.90 | ↑ +13% |
| Aetna | HMO | $334.39 | ↑ +114% |
| Aetna | PPO | $347.85 | ↑ +123% |
Visitor-reported prices
Comments
Path clin consltj high 41-60 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $156.24 | $81.60 – $150.40 |
| UnityPoint Health - Finley Hospital | Dubuque | $156.24 | $71.87 – $156.23 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $156.24 | $61.71 – $170.50 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $156.24 | $51.17 – $165.10 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $156.24 | $70.89 – $173.22 |
| UnityPoint Health - Marshalltown | Marshalltown | $156.24 | $68.35 – $166.75 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $156.24 | $50.78 – $151.76 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $156.24 | $68.35 – $150.40 |