Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right at UnityPoint Health - Iowa Lutheran Hospital

1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049

Source: hospital's published price file ↗ · Published Jan 28, 2026 · Ingested Aug 12, 2026

$425.17

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$531.46

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$33.22 with Aetna vs $284.41 with Iowa Total Care — 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 →

Payer
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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
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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 $33.22 ↓ -92%
Molina Medicare Advantage $33.88 ↓ -92%
Wellmark Blue Cross and Blue Shield Medicare Advantage $33.88 ↓ -92%
United Healthcare Medicare Advantage $34.88 ↓ -92%
Humana Medicare Advantage $34.88 ↓ -92%
Amerivantage Medicare Advantage $34.88 ↓ -92%
Wellmark Blue Cross and Blue Shield HMO $70.60 ↓ -83%
Wellmark UPH Self-Funded Commercial $70.60 ↓ -83%
Health Partners Open Network Commercial $71.42 ↓ -83%
Aetna HMO $81.76 ↓ -81%
Wellmark Blue Cross and Blue Shield PPO $83.10 ↓ -80%
Cigna/Midlands Commercial $88.72 ↓ -79%
Aetna PPO $99.17 ↓ -77%
United Healthcare PPO $117.42 ↓ -72%
United Healthcare HMO $117.42 ↓ -72%
Medica Exchange Inspire Commercial $139.24 ↓ -67%
Medica Exchange Insure Commercial $156.25 ↓ -63%
Amerigroup Managed Medicaid $284.41 ↓ -33%
Iowa Total Care Managed Medicaid $284.41 ↓ -33%

Visitor-reported prices

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Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Des Moines Medical Center Des Moines $724.75 $10.23 – $743.00
MercyOne Genesis Davenport West Medical Center Davenport $301.20 $282.56 – $326.30
MercyOne New Hampton Medical Center New Hampton $974.35 $9.60 – $999.00
MercyOne Dyersville Medical Center Dyersville $103.35 $40.07 – $119.31
MercyOne Clinton Medical Center Clinton $454.35 $10.23 – $656.86
MercyOne Elkader Medical Center Elkader $268.15 $10.23 – $79.00
MercyOne West Des Moines Medical Center West Des Moines $1,150.00 $154.17 – $767.00
MercyOne Centerville Medical Center Centerville $1,499.00 $10.23 – $106.00

All Iowa hospitals for this procedure →