Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$2,536.53
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.
$3,170.66
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.
$53.01 with Aetna vs $916.32 with Medica Exchange Insure — 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 | $53.01 | ↓ -98% |
| Molina | Medicare Advantage | $54.07 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $54.07 | ↓ -98% |
| United Healthcare | Medicare Advantage | $55.66 | ↓ -98% |
| Humana | Medicare Advantage | $55.66 | ↓ -98% |
| Amerivantage | Medicare Advantage | $55.66 | ↓ -98% |
| Nebraska Total Care | Managed Medicaid | $75.66 | ↓ -97% |
| Avera Health Plan | Commercial | $79.52 | ↓ -97% |
| Wellmark UPH Self-Funded | Commercial | $113.60 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | HMO | $113.60 | ↓ -96% |
| Health Partners Open Network | Commercial | $116.37 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | PPO | $133.60 | ↓ -95% |
| Aetna | HMO | $138.05 | ↓ -95% |
| Cigna/Midlands | Commercial | $141.80 | ↓ -94% |
| Aetna | PPO | $167.53 | ↓ -93% |
| United Healthcare | PPO | $188.97 | ↓ -93% |
| United Healthcare | HMO | $188.97 | ↓ -93% |
| Iowa Total Care | Managed Medicaid | $261.43 | ↓ -90% |
| Amerigroup | Managed Medicaid | $261.43 | ↓ -90% |
| Medica Exchange Inspire | Commercial | $818.03 | ↓ -68% |
| Medica Exchange Insure | Commercial | $916.32 | ↓ -64% |
Visitor-reported prices
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Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $621.00 | $282.56 – $395.59 |
| MercyOne Dubuque Medical Center | Dubuque | $1,514.50 | $275.38 – $1,553.00 |
| MercyOne Clinton Medical Center | Clinton | $2,039.05 | $15.98 – $2,091.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $2,550.25 | $289.18 – $3,576.15 |
| MercyOne Des Moines Medical Center | Des Moines | $1,936.90 | $88.83 – $1,247.00 |
| MercyOne Centerville Medical Center | Centerville | $3,632.00 | $15.98 – $178.00 |
| MercyOne Newton Medical Center | Newton | $2,360.80 | $290.55 – $2,421.00 |
| MercyOne North Iowa Medical Center | Mason City | $2,166.40 | $18.85 – $1,172.00 |