Ex sq tumor/face or scalp < 2 cm 21011 at UnityPoint Health - Iowa Lutheran Hospital
1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049
$1,472.49
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.
$1,840.61
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.
$237.45 with Aetna vs $1,561.02 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 | $237.45 | ↓ -84% |
| Molina | Medicare Advantage | $242.20 | ↓ -84% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $242.20 | ↓ -84% |
| Humana | Medicare Advantage | $249.32 | ↓ -83% |
| United Healthcare | Medicare Advantage | $249.32 | ↓ -83% |
| Amerivantage | Medicare Advantage | $249.32 | ↓ -83% |
| Medica Exchange Inspire | Commercial | $482.24 | ↓ -67% |
| Health Partners Open Network | Commercial | $491.14 | ↓ -67% |
| Wellmark UPH Self-Funded | Commercial | $514.70 | ↓ -65% |
| Wellmark Blue Cross and Blue Shield | HMO | $514.70 | ↓ -65% |
| Medica Exchange Insure | Commercial | $541.14 | ↓ -63% |
| Aetna | HMO | $573.64 | ↓ -61% |
| Wellmark Blue Cross and Blue Shield | PPO | $605.50 | ↓ -59% |
| Cigna/Midlands | Commercial | $629.06 | ↓ -57% |
| Aetna | PPO | $698.29 | ↓ -53% |
| United Healthcare | PPO | $790.13 | ↓ -46% |
| United Healthcare | HMO | $790.13 | ↓ -46% |
| Amerigroup | Managed Medicaid | $1,561.02 | ↑ +6% |
| Iowa Total Care | Managed Medicaid | $1,561.02 | ↑ +6% |
Visitor-reported prices
Comments
Ex sq tumor/face or scalp < 2 cm 21011 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $18,536.75 | $31.45 – $3,206.43 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $640.20 | not published |
| MercyOne Clinton Medical Center | Clinton | $899.00 | $79.77 – $819.88 |
| MercyOne Genesis Davenport Medical Center | Davenport | $672.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $672.00 | $817.60 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $921.05 | $333.00 – $3,576.15 |
| UnityPoint Health - Allen Hospital | Waterloo | $885.60 | $237.45 – $1,342.97 |
| UnityPoint Health - Finley Hospital | Dubuque | $885.60 | $237.45 – $1,424.56 |