Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at UnityPoint Health - Iowa Lutheran Hospital
1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049
$2,048.00
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.
$2,560.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$175.47 with Aetna vs $1,881.40 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 →
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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 | $175.47 | ↓ -91% |
| Molina | Medicare Advantage | $178.98 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $178.98 | ↓ -91% |
| Amerivantage | Medicare Advantage | $184.24 | ↓ -91% |
| Humana | Medicare Advantage | $184.24 | ↓ -91% |
| United Healthcare | Medicare Advantage | $184.24 | ↓ -91% |
| Wellmark UPH Self-Funded | Commercial | $370.30 | ↓ -82% |
| Wellmark Blue Cross and Blue Shield | HMO | $370.30 | ↓ -82% |
| Wellmark Blue Cross and Blue Shield | PPO | $435.60 | ↓ -79% |
| Health Partners Open Network | Commercial | $447.73 | ↓ -78% |
| Cigna/Midlands | Commercial | $467.94 | ↓ -77% |
| Aetna | HMO | $498.59 | ↓ -76% |
| Medica Exchange Inspire | Commercial | $516.25 | ↓ -75% |
| Medica Exchange Insure | Commercial | $579.31 | ↓ -72% |
| Aetna | PPO | $605.81 | ↓ -70% |
| United Healthcare | PPO | $700.22 | ↓ -66% |
| United Healthcare | HMO | $700.22 | ↓ -66% |
| Amerigroup | Managed Medicaid | $1,881.40 | ↓ -8% |
| Iowa Total Care | Managed Medicaid | $1,881.40 | ↓ -8% |
Visitor-reported prices
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Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $26,986.06 | $1,512.53 – $7,525.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,980.20 | $1,869.23 – $2,152.15 |
| MercyOne New Hampton Medical Center | New Hampton | $12,573.08 | $0.96 – $730.00 |
| MercyOne Clinton Medical Center | Clinton | $7,334.91 | $793.25 – $4,178.74 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $12,505.10 | $1,342.09 – $5,711.00 |
| MercyOne Centerville Medical Center | Centerville | $13,535.90 | $0.96 – $730.00 |
| MercyOne Newton Medical Center | Newton | $12,057.90 | $0.96 – $5,028.00 |
| MercyOne North Iowa Medical Center | Mason City | $2,161.90 | $567.55 – $4,230.54 |