Puncture aspiration abscess/hematoma/bulla/cyst at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$827.68
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.
?
What you pay up front if you don't use insurance.
$1,034.59
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.
?
The hospital's undiscounted list price — almost no one pays this.
$87.69 with Aetna vs $387.97 with Medica Exchange Insure — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $87.69 | ↓ -89% |
| Molina | Medicare Advantage | $89.44 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $89.44 | ↓ -89% |
| United Healthcare | Medicare Advantage | $92.07 | ↓ -89% |
| Humana | Medicare Advantage | $92.07 | ↓ -89% |
| Amerivantage | Medicare Advantage | $92.07 | ↓ -89% |
| Wellmark UHP Self-Funded | Commercial | $173.70 | ↓ -79% |
| Wellmark Blue Cross and Blue Shield | HMO | $173.70 | ↓ -79% |
| Health Partners Open Network | Commercial | $177.65 | ↓ -79% |
| Wellmark Blue Cross and Blue Shield | PPO | $204.40 | ↓ -75% |
| Aetna | HMO | $211.78 | ↓ -74% |
| Cigna/Midlands | Commercial | $233.65 | ↓ -72% |
| Aetna | PPO | $257.34 | ↓ -69% |
| United Healthcare | HMO | $293.92 | ↓ -64% |
| United Healthcare | PPO | $293.92 | ↓ -64% |
| Medica Exchange Inspire | Commercial | $345.55 | ↓ -58% |
| Amerigroup | Managed Medicaid | $351.41 | ↓ -58% |
| Iowa Total Care | Managed Medicaid | $351.41 | ↓ -58% |
| Medica Exchange Insure | Commercial | $387.97 | ↓ -53% |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $232.20 | $128.70 – $382.44 |
| MercyOne Dubuque Medical Center | Dubuque | $885.30 | $364.70 – $1,362.00 |
| MercyOne New Hampton Medical Center | New Hampton | $382.85 | $18.97 – $430.00 |
| MercyOne Clinton Medical Center | Clinton | $566.15 | $18.97 – $871.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $2,038.00 | $383.70 – $2,038.00 |
| MercyOne Centerville Medical Center | Centerville | $430.00 | $18.97 – $215.00 |
| MercyOne North Iowa Medical Center | Mason City | $746.20 | $18.97 – $1,148.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $243.60 | $250.90 – $382.44 |