healthcosts.net
Clsd tx fracture of radius 25500 at UnityPoint Health - Iowa Lutheran Hospital
1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049
$1,363.20
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.
?
What you pay up front if you don't use insurance.
$1,704.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$121.09 with Medica Exchange Inspire vs $620.60 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 |
|---|---|---|---|
| Medica Exchange Inspire | Commercial | $121.09 | ↓ -91% |
| Medica Exchange Insure | Commercial | $135.88 | ↓ -90% |
| Cigna/Midlands | Commercial | $200.12 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $228.37 | ↓ -83% |
| Aetna | Medicare Advantage | $228.37 | ↓ -83% |
| Molina | Medicare Advantage | $228.37 | ↓ -83% |
| Iowa Total Care | Managed Medicaid | $231.12 | ↓ -83% |
| Amerigroup | Managed Medicaid | $231.12 | ↓ -83% |
| United Healthcare | Medicare Advantage | $235.08 | ↓ -83% |
| Amerivantage | Medicare Advantage | $235.08 | ↓ -83% |
| Humana | Medicare Advantage | $235.08 | ↓ -83% |
| Health Partners Open Network | Commercial | $310.07 | ↓ -77% |
| Aetna | HMO | $481.55 | ↓ -65% |
| Wellmark Blue Cross and Blue Shield | HMO | $527.50 | ↓ -61% |
| Wellmark UPH Self-Funded | Commercial | $527.50 | ↓ -61% |
| Aetna | PPO | $551.49 | ↓ -60% |
| United Healthcare | HMO | $583.77 | ↓ -57% |
| United Healthcare | PPO | $583.77 | ↓ -57% |
| Wellmark Blue Cross and Blue Shield | PPO | $620.60 | ↓ -54% |
Visitor-reported prices
Comments
Clsd tx fracture of radius 25500 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $483.00 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport | $507.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $507.00 | $616.85 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,363.20 | $190.78 – $527.50 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,363.20 | $210.91 – $783.84 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,363.20 | $228.37 – $642.33 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $1,363.20 | $193.18 – $472.04 |
| UnityPoint Health - Marshalltown | Marshalltown | $1,363.20 | $141.77 – $323.23 |