Aco cont gluc mnt phys/qhp eqp 95250aco at UnityPoint Health - Iowa Lutheran Hospital
1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049
$555.76
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.
$694.69
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.
$122.69 with Molina vs $319.70 with Wellmark Blue Cross and Blue Shield — 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 |
|---|---|---|---|
| Molina | Medicare Advantage | $122.69 | ↓ -78% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $122.69 | ↓ -78% |
| Aetna | Medicare Advantage | $122.69 | ↓ -78% |
| Iowa Total Care | Managed Medicaid | $124.16 | ↓ -78% |
| Amerigroup | Managed Medicaid | $124.16 | ↓ -78% |
| Humana | Medicare Advantage | $126.29 | ↓ -77% |
| Amerivantage | Medicare Advantage | $126.29 | ↓ -77% |
| United Healthcare | Medicare Advantage | $126.29 | ↓ -77% |
| Health Partners Open Network | Commercial | $166.57 | ↓ -70% |
| Medica Exchange Inspire | Commercial | $182.01 | ↓ -67% |
| Medica Exchange Insure | Commercial | $204.24 | ↓ -63% |
| Aetna | HMO | $258.69 | ↓ -53% |
| Wellmark Blue Cross and Blue Shield | HMO | $271.70 | ↓ -51% |
| Wellmark UPH Self-Funded | Commercial | $271.70 | ↓ -51% |
| Aetna | PPO | $296.27 | ↓ -47% |
| Cigna/Midlands | Commercial | $300.80 | ↓ -46% |
| United Healthcare | PPO | $313.61 | ↓ -44% |
| United Healthcare | HMO | $313.61 | ↓ -44% |
| Wellmark Blue Cross and Blue Shield | PPO | $319.70 | ↓ -42% |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $384.15 | $118.79 – $591.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $265.80 | not published |
| MercyOne Centerville Medical Center | Centerville | $549.00 | $150.65 – $549.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $279.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $279.00 | $339.45 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $793.00 | $88.83 – $682.56 |
| UnityPoint Health - Allen Hospital | Waterloo | $350.73 | $106.81 – $283.65 |
| UnityPoint Health - Finley Hospital | Dubuque | $494.68 | $113.30 – $494.68 |