Tx closed distal humerus fx at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$1,936.90
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.
$2,421.12
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.
$210.99 with Iowa Total Care vs $1,326.77 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 |
|---|---|---|---|
| Iowa Total Care | Managed Medicaid | $210.99 | ↓ -89% |
| Amerigroup | Managed Medicaid | $210.99 | ↓ -89% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $226.84 | ↓ -88% |
| Molina | Medicare Advantage | $226.84 | ↓ -88% |
| Aetna | Medicare Advantage | $226.84 | ↓ -88% |
| Humana | Medicare Advantage | $233.51 | ↓ -88% |
| Amerivantage | Medicare Advantage | $233.51 | ↓ -88% |
| United Healthcare | Medicare Advantage | $233.51 | ↓ -88% |
| Health Partners Open Network | Commercial | $380.39 | ↓ -80% |
| Aetna | HMO | $468.09 | ↓ -76% |
| Aetna | PPO | $486.93 | ↓ -75% |
| United Healthcare | PPO | $597.22 | ↓ -69% |
| United Healthcare | HMO | $597.22 | ↓ -69% |
| Medica Exchange Inspire | Commercial | $808.65 | ↓ -58% |
| Medica Exchange Insure | Commercial | $907.92 | ↓ -53% |
| Cigna/Midlands | Commercial | $1,326.77 | ↓ -32% |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
| Wellmark UHP Self-Funded | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Tx closed distal humerus fx at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $1,844.48 | $198.83 – $1,491.72 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,886.87 | $210.91 – $7,680.75 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $382.44 | $125.25 – $310.07 |
| UnityPoint Health - Marshalltown | Marshalltown | $1,844.48 | $225.59 – $1,839.87 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $1,861.87 | $212.45 – $1,512.76 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $1,599.28 | $206.42 – $1,053.52 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $1,599.28 | $207.17 – $7,680.75 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $237.88 | $137.67 – $379.83 |