healthcosts.net
Unlisted chemotherapy px at UnityPoint Health - Iowa Lutheran Hospital
1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049
not published by hospital
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.
not published by hospital
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.
$0.78 with Cigna/Midlands vs $112.28 with United Healthcare — 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 |
|---|---|---|---|
| Cigna/Midlands | Commercial | $0.78 | — |
| Molina | Medicare Advantage | $43.93 | — |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $43.93 | — |
| Aetna | Medicare Advantage | $43.93 | — |
| Iowa Total Care | Managed Medicaid | $44.45 | — |
| Amerigroup | Managed Medicaid | $44.45 | — |
| Humana | Medicare Advantage | $45.22 | — |
| Amerivantage | Medicare Advantage | $45.22 | — |
| United Healthcare | Medicare Advantage | $45.22 | — |
| Health Partners Open Network | Commercial | $59.64 | — |
| Aetna | HMO | $92.61 | — |
| Aetna | PPO | $106.07 | — |
| United Healthcare | HMO | $112.28 | — |
| United Healthcare | PPO | $112.28 | — |
Visitor-reported prices
Comments
Unlisted chemotherapy px at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $83.85 | $25.93 – $427.00 |
| MercyOne Clinton Medical Center | Clinton | $85.80 | $37.36 – $752.00 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $92.20 | $0.78 – $68.07 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $92.20 | $0.78 – $68.07 |
| MercyOne Genesis Davenport West Medical Center | Davenport | not published | $44.17 – $61.83 |
| MercyOne Genesis Davenport Medical Center | Davenport | not published | $44.17 – $61.83 |
| UnityPoint Health - Allen Hospital | Waterloo | not published | $0.78 – $66.00 |
| UnityPoint Health - Finley Hospital | Dubuque | not published | $0.78 – $84.25 |