Tomosynthesis breast screen bilateral at UnityPoint Health - Iowa Lutheran Hospital
1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049
$96.80
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.
$121.00
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.
$14.75 with Medica Exchange Inspire vs $52.20 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 →
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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 |
|---|---|---|---|
| Medica Exchange Inspire | Commercial | $14.75 | ↓ -85% |
| Medica Exchange Insure | Commercial | $16.55 | ↓ -83% |
| Aetna | Medicare Advantage | $21.26 | ↓ -78% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $21.69 | ↓ -78% |
| Molina | Medicare Advantage | $21.69 | ↓ -78% |
| United Healthcare | Medicare Advantage | $22.32 | ↓ -77% |
| Humana | Medicare Advantage | $22.32 | ↓ -77% |
| Amerivantage | Medicare Advantage | $22.32 | ↓ -77% |
| Cigna/Midlands | Commercial | $24.37 | ↓ -75% |
| United Healthcare | PPO | $25.62 | ↓ -74% |
| United Healthcare | HMO | $25.62 | ↓ -74% |
| Aetna | PPO | $27.58 | ↓ -72% |
| Aetna | HMO | $27.58 | ↓ -72% |
| Health Partners Open Network | Commercial | $31.39 | ↓ -68% |
| Wellmark Blue Cross and Blue Shield | HMO | $44.40 | ↓ -54% |
| Wellmark UPH Self-Funded | Commercial | $44.40 | ↓ -54% |
| Wellmark Blue Cross and Blue Shield | PPO | $52.20 | ↓ -46% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $23.40 | $65.52 – $65.52 |
| MercyOne Dubuque Medical Center | Dubuque | $57.20 | $20.96 – $59.00 |
| MercyOne New Hampton Medical Center | New Hampton | $78.00 | $31.67 – $80.00 |
| MercyOne Dyersville Medical Center | Dyersville | $78.00 | $30.24 – $90.05 |
| MercyOne Clinton Medical Center | Clinton | $58.50 | $17.26 – $61.00 |
| MercyOne Oelwein Medical Center | Oelwein | $78.00 | $30.58 – $80.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $85.80 | $20.68 – $204.43 |
| MercyOne Elkader Medical Center | Elkader | $78.00 | $41.18 – $83.62 |