X-ray optic foramina at UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
$299.47
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.
$374.33
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.
$9.89 with Aetna vs $140.37 with Medica Exchange Insure — 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 | $9.89 | ↓ -97% |
| Molina | Medicare Advantage | $10.09 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $10.09 | ↓ -97% |
| Humana | Medicare Advantage | $10.38 | ↓ -97% |
| Amerivantage | Medicare Advantage | $10.38 | ↓ -97% |
| United Healthcare | Medicare Advantage | $10.38 | ↓ -97% |
| United Healthcare | HMO | $14.34 | ↓ -95% |
| United Healthcare | PPO | $14.34 | ↓ -95% |
| Wellmark UHP Self-Funded | Commercial | $18.30 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | HMO | $18.30 | ↓ -94% |
| Cigna/Midlands | Commercial | $21.04 | ↓ -93% |
| Health Partners Open Network | Commercial | $21.33 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | PPO | $21.50 | ↓ -93% |
| Aetna | HMO | $25.47 | ↓ -91% |
| Aetna | PPO | $29.49 | ↓ -90% |
| Amerigroup | Managed Medicaid | $77.44 | ↓ -74% |
| Iowa Total Care | Managed Medicaid | $77.44 | ↓ -74% |
| Medica Exchange Inspire | Commercial | $125.03 | ↓ -58% |
| Medica Exchange Insure | Commercial | $140.37 | ↓ -53% |
Visitor-reported prices
Comments
X-ray optic foramina at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Elkader Medical Center | Elkader | $241.15 | $127.13 – $258.16 |
| UnityPoint Health - Allen Hospital | Waterloo | $185.95 | $9.89 – $122.49 |
| UnityPoint Health - Finley Hospital | Dubuque | $76.00 | $9.89 – $77.41 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $76.00 | $9.89 – $87.60 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $371.13 | $9.89 – $136.39 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $274.22 | $9.89 – $304.04 |
| UnityPoint Health - Marshalltown | Marshalltown | $185.95 | $9.89 – $111.57 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $266.36 | $7.80 – $192.44 |