Fem/popl revasc w/stent at UnityPoint Health - Iowa Lutheran Hospital
1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049
$48,569.60
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.
$60,712.00
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.
$441.27 with Aetna vs $10,926.09 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 | $441.27 | ↓ -99% |
| Molina | Medicare Advantage | $450.10 | ↓ -99% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $450.10 | ↓ -99% |
| Humana | Medicare Advantage | $463.33 | ↓ -99% |
| Amerivantage | Medicare Advantage | $463.33 | ↓ -99% |
| United Healthcare | Medicare Advantage | $463.33 | ↓ -99% |
| Wellmark UPH Self-Funded | Commercial | $1,009.50 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,009.50 | ↓ -98% |
| Health Partners Open Network | Commercial | $1,086.31 | ↓ -98% |
| Cigna/Midlands | Commercial | $1,180.58 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,187.70 | ↓ -98% |
| Aetna | HMO | $1,222.33 | ↓ -97% |
| Aetna | PPO | $1,487.71 | ↓ -97% |
| United Healthcare | PPO | $1,600.31 | ↓ -97% |
| United Healthcare | HMO | $1,600.31 | ↓ -97% |
| Medica Exchange Inspire | Commercial | $8,913.80 | ↓ -82% |
| Medica Exchange Insure | Commercial | $10,002.51 | ↓ -79% |
| Amerigroup | Managed Medicaid | $10,926.09 | ↓ -78% |
| Iowa Total Care | Managed Medicaid | $10,926.09 | ↓ -78% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $63,304.80 | $9.09 – $64,928.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $12,478.20 | $10,855.42 – $13,518.05 |
| MercyOne Dubuque Medical Center | Dubuque | $31,217.55 | $6,205.09 – $32,018.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $97,392.00 | $10,596.25 – $64,928.00 |
| MercyOne North Iowa Medical Center | Mason City | $55,547.42 | $9.09 – $32,375.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $13,888.80 | $10,855.42 – $15,046.20 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $874.80 | $928.00 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $17,579.90 | $3,606.20 – $18,031.00 |