2d tee w or without fol w/con,in at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$1,711.58
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.
$2,139.47
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.
$556.26 with Nebraska Total Care vs $2,108.73 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 |
|---|---|---|---|
| Nebraska Total Care | Managed Medicaid | $556.26 | ↓ -68% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $785.36 | ↓ -54% |
| Molina | Medicare Advantage | $785.36 | ↓ -54% |
| Aetna | Medicare Advantage | $785.36 | ↓ -54% |
| United Healthcare | Medicare Advantage | $808.46 | ↓ -53% |
| Amerivantage | Medicare Advantage | $808.46 | ↓ -53% |
| Humana | Medicare Advantage | $808.46 | ↓ -53% |
| Medica Exchange Inspire | Commercial | $1,103.97 | ↓ -35% |
| Health Partners Open Network | Commercial | $1,179.56 | ↓ -31% |
| Medica Exchange Insure | Commercial | $1,236.61 | ↓ -28% |
| Cigna/Midlands | Commercial | $1,345.73 | ↓ -21% |
| Avera Health Plan | Commercial | $1,390.66 | ↓ -19% |
| Aetna | HMO | $1,683.44 | ↓ -2% |
| Aetna | PPO | $1,931.52 | ↑ +13% |
| United Healthcare | HMO | $2,108.73 | ↑ +23% |
| United Healthcare | PPO | $2,108.73 | ↑ +23% |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
Visitor-reported prices
Comments
2d tee w or without fol w/con,in at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $1,416.35 | $437.98 – $2,179.00 |
| MercyOne North Iowa Medical Center | Mason City | $2,018.90 | $795.14 – $3,106.00 |
| MercyOne Waterloo Medical Center | Waterloo | $1,131.00 | $408.90 – $1,740.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,707.38 | $743.00 – $1,380.84 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,642.24 | $671.27 – $1,642.24 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,410.56 | $752.14 – $1,304.71 |
| UnityPoint Health - Marshalltown | Marshalltown | $1,707.38 | $743.00 – $1,703.11 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $2,210.64 | $743.00 – $1,456.26 |