Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$2,818.00
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.
$3,522.50
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.
$67.70 with Aetna vs $6,997.12 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 | $67.70 | ↓ -98% |
| Molina | Medicare Advantage | $69.05 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $69.05 | ↓ -98% |
| United Healthcare | Medicare Advantage | $71.09 | ↓ -97% |
| Humana | Medicare Advantage | $71.09 | ↓ -97% |
| Amerivantage | Medicare Advantage | $71.09 | ↓ -97% |
| Avera Health Plan | Commercial | $101.55 | ↓ -96% |
| Nebraska Total Care | Managed Medicaid | $139.36 | ↓ -95% |
| Wellmark UPH Self-Funded | Commercial | $140.00 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | HMO | $140.00 | ↓ -95% |
| Health Partners Open Network | Commercial | $142.22 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | PPO | $164.70 | ↓ -94% |
| Cigna/Midlands | Commercial | $182.00 | ↓ -94% |
| United Healthcare | PPO | $248.18 | ↓ -91% |
| United Healthcare | HMO | $248.18 | ↓ -91% |
| Medica Exchange Inspire | Commercial | $908.81 | ↓ -68% |
| Medica Exchange Insure | Commercial | $1,018.00 | ↓ -64% |
| Amerigroup | Managed Medicaid | $2,534.69 | ↓ -10% |
| Iowa Total Care | Managed Medicaid | $2,534.69 | ↓ -10% |
| Aetna | HMO | $6,098.41 | ↑ +116% |
| Aetna | PPO | $6,997.12 | ↑ +148% |
Visitor-reported prices
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Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,854.80 | $1,858.35 – $2,739.61 |
| MercyOne Dubuque Medical Center | Dubuque | $3,955.90 | $1,448.35 – $5,803.88 |
| MercyOne Clinton Medical Center | Clinton | $5,088.20 | $1,476.98 – $6,215.96 |
| MercyOne West Des Moines Medical Center | West Des Moines | $9,918.00 | $1,329.01 – $6,612.00 |
| MercyOne Des Moines Medical Center | Des Moines | $18,847.10 | $366.78 – $6,612.00 |
| MercyOne Centerville Medical Center | Centerville | $19,039.36 | $2.46 – $436.00 |
| MercyOne North Iowa Medical Center | Mason City | $4,319.25 | $23.65 – $6,293.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $3,297.60 | $2,146.95 – $2,739.61 |