Removal devitalized tissue non-selective debridement without anesthesia per session 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

$268.08

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.

$335.09

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.

$77.91 with United Healthcare vs $198.70 with Wellmark Blue Cross and Blue Shield — 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
United Healthcare HMO $77.91 ↓ -71%
United Healthcare PPO $77.91 ↓ -71%
Health Partners Open Network Commercial $78.43 ↓ -71%
Medica Exchange Inspire Commercial $87.79 ↓ -67%
Medica Exchange Insure Commercial $98.52 ↓ -63%
Aetna PPO $105.87 ↓ -61%
Aetna HMO $105.87 ↓ -61%
Cigna/Midlands Commercial $127.83 ↓ -52%
Aetna Medicare Advantage $189.16 ↓ -29%
Wellmark Blue Cross and Blue Shield Medicare Advantage $189.16 ↓ -29%
Molina Medicare Advantage $189.16 ↓ -29%
Iowa Total Care Managed Medicaid $191.44 ↓ -29%
Amerigroup Managed Medicaid $191.44 ↓ -29%
United Healthcare Medicare Advantage $194.73 ↓ -27%
Humana Medicare Advantage $194.73 ↓ -27%
Amerivantage Medicare Advantage $194.73 ↓ -27%
Wellmark UPH Self-Funded Commercial $198.70 ↓ -26%
Wellmark Blue Cross and Blue Shield HMO $198.70 ↓ -26%
Wellmark Blue Cross and Blue Shield PPO $198.70 ↓ -26%

Visitor-reported prices

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Removal devitalized tissue non-selective debridement without anesthesia per session at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Des Moines Medical Center Des Moines $1,125.90 $41.45 – $325.56
MercyOne Genesis Davenport West Medical Center Davenport $200.40 $190.20 – $217.10
MercyOne New Hampton Medical Center New Hampton $300.95 $148.07 – $374.00
MercyOne Centerville Medical Center Centerville $463.00 $28.35 – $463.00
MercyOne Genesis Davenport Medical Center Davenport $223.20 $190.20 – $241.80
MercyOne Genesis DeWitt Medical Center DeWitt $70.80 $86.14 – $2,679.00
MercyOne Waterloo Medical Center Waterloo $300.95 $108.81 – $463.00
UnityPoint Health - Allen Hospital Waterloo $245.89 $77.91 – $198.70

All Iowa hospitals for this procedure →