Removal cerumen impacted (both sides) at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$235.20
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.
$294.00
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.
$29.04 with Aetna vs $103.84 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 | $29.04 | ↓ -88% |
| Molina | Medicare Advantage | $29.62 | ↓ -87% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $29.62 | ↓ -87% |
| United Healthcare | Medicare Advantage | $30.49 | ↓ -87% |
| Amerivantage | Medicare Advantage | $30.49 | ↓ -87% |
| Humana | Medicare Advantage | $30.49 | ↓ -87% |
| Iowa Total Care | Managed Medicaid | $52.24 | ↓ -78% |
| Amerigroup | Managed Medicaid | $52.24 | ↓ -78% |
| Wellmark UHP Self-Funded | Commercial | $60.50 | ↓ -74% |
| Wellmark Blue Cross and Blue Shield | HMO | $60.50 | ↓ -74% |
| Health Partners Open Network | Commercial | $61.16 | ↓ -74% |
| Wellmark Blue Cross and Blue Shield | PPO | $71.20 | ↓ -70% |
| Aetna | HMO | $72.38 | ↓ -69% |
| Cigna/Midlands | Commercial | $78.28 | ↓ -67% |
| Medica Exchange Inspire | Commercial | $86.38 | ↓ -63% |
| Aetna | PPO | $88.45 | ↓ -62% |
| Medica Exchange Insure | Commercial | $96.98 | ↓ -59% |
| United Healthcare | PPO | $103.84 | ↓ -56% |
| United Healthcare | HMO | $103.84 | ↓ -56% |
Visitor-reported prices
Comments
Removal cerumen impacted (both sides) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $141.60 | $56.86 – $79.60 |
| MercyOne New Hampton Medical Center | New Hampton | $356.20 | $8.63 – $365.00 |
| MercyOne Clinton Medical Center | Clinton | $232.00 | $8.63 – $126.24 |
| MercyOne Elkader Medical Center | Elkader | $356.20 | $8.63 – $381.50 |
| MercyOne Centerville Medical Center | Centerville | $1,385.00 | $8.63 – $365.00 |
| MercyOne North Iowa Medical Center | Mason City | $352.00 | $10.23 – $127.81 |
| MercyOne Genesis Davenport Medical Center | Davenport | $148.80 | $56.86 – $79.60 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $148.80 | $52.36 – $112.42 |