Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
$1,255.16
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.
$1,568.95
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.
$77.23 with Aetna vs $1,794.04 with Aetna — 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 | $77.23 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $78.77 | ↓ -94% |
| Humana | Medicare Advantage | $81.09 | ↓ -94% |
| United Healthcare | Medicare Advantage | $81.09 | ↓ -94% |
| Wellmark Blue Cross and Blue Shield | HMO | $162.40 | ↓ -87% |
| Wellmark UPH Self-Funded | Commercial | $162.40 | ↓ -87% |
| Health Partners Open Network | Commercial | $177.61 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | PPO | $191.00 | ↓ -85% |
| Cigna/Midlands | Commercial | $205.98 | ↓ -84% |
| United Healthcare | PPO | $281.26 | ↓ -78% |
| United Healthcare | HMO | $281.26 | ↓ -78% |
| Iowa Total Care | Managed Medicaid | $590.25 | ↓ -53% |
| Amerigroup | Managed Medicaid | $590.25 | ↓ -53% |
| Medica Exchange Insure | Commercial | $726.42 | ↓ -42% |
| Medica Exchange Inspire | Commercial | $1,333.61 | ↑ +6% |
| Aetna | HMO | $1,700.84 | ↑ +36% |
| Aetna | PPO | $1,794.04 | ↑ +43% |
Visitor-reported prices
Comments
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $855.00 | $662.89 – $926.25 |
| MercyOne Dubuque Medical Center | Dubuque | $961.35 | $528.00 – $1,479.00 |
| MercyOne Clinton Medical Center | Clinton | $1,217.45 | $530.06 – $1,873.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $2,045.00 | $411.05 – $2,045.00 |
| MercyOne Des Moines Medical Center | Des Moines | $1,329.25 | $411.05 – $2,045.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,785.55 | $683.01 – $2,747.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,032.60 | $662.89 – $928.05 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,032.60 | $585.14 – $1,256.33 |