Unlisted px tongue flr mouth at UnityPoint Health - Iowa Lutheran Hospital
1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049
$208.00
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.
$260.00
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.
$66.88 with Medica Exchange Inspire vs $565.13 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 |
|---|---|---|---|
| Medica Exchange Inspire | Commercial | $66.88 | ↓ -68% |
| Medica Exchange Insure | Commercial | $75.05 | ↓ -64% |
| Cigna/Midlands | Commercial | $110.53 | ↓ -47% |
| Aetna | Medicare Advantage | $221.08 | ↑ +6% |
| Molina | Medicare Advantage | $221.08 | ↑ +6% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $221.08 | ↑ +6% |
| Iowa Total Care | Managed Medicaid | $223.74 | ↑ +8% |
| Amerigroup | Managed Medicaid | $223.74 | ↑ +8% |
| United Healthcare | Medicare Advantage | $227.58 | ↑ +9% |
| Humana | Medicare Advantage | $227.58 | ↑ +9% |
| Amerivantage | Medicare Advantage | $227.58 | ↑ +9% |
| Health Partners Open Network | Commercial | $300.17 | ↑ +44% |
| Aetna | HMO | $466.17 | ↑ +124% |
| Aetna | PPO | $533.88 | ↑ +157% |
| United Healthcare | PPO | $565.13 | ↑ +172% |
| United Healthcare | HMO | $565.13 | ↑ +172% |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px tongue flr mouth at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $2,335.97 | $192.48 – $1,889.21 |
| UnityPoint Health - Finley Hospital | Dubuque | $208.00 | $204.18 – $424.06 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $208.00 | $221.08 – $231.05 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $208.00 | not published |
| UnityPoint Health - Marshalltown | Marshalltown | $2,335.97 | $218.39 – $2,330.13 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $451.08 | $67.60 – $366.50 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $2,426.09 | $199.83 – $1,598.19 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $2,426.09 | $200.56 – $3,072.30 |