healthcosts.net
Blood Count (CBC) Test (without differential) at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$33.57
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.
?
What you pay up front if you don't use insurance.
$41.96
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3.88 with United Healthcare vs $27.27 with Avera Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare | HMO | $3.88 | ↓ -88% |
| United Healthcare | PPO | $3.88 | ↓ -88% |
| Nebraska Total Care | Managed Medicaid | $5.46 | ↓ -84% |
| Wellmark Blue Cross and Blue Shield | HMO | $6.47 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | PPO | $6.47 | ↓ -81% |
| Wellmark UPH Self-Funded | Commercial | $6.47 | ↓ -81% |
| Aetna | Medicare Advantage | $6.60 | ↓ -80% |
| Molina | Medicare Advantage | $6.60 | ↓ -80% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $6.60 | ↓ -80% |
| Amerivantage | Medicare Advantage | $6.79 | ↓ -80% |
| Humana | Medicare Advantage | $6.79 | ↓ -80% |
| United Healthcare | Medicare Advantage | $6.79 | ↓ -80% |
| Cigna/Midlands | Commercial | $8.41 | ↓ -75% |
| Aetna | HMO | $9.71 | ↓ -71% |
| Aetna | PPO | $9.71 | ↓ -71% |
| Health Partners Open Network | Commercial | $10.06 | ↓ -70% |
| Medica Exchange Inspire | Commercial | $21.65 | ↓ -36% |
| Medica Exchange Insure | Commercial | $24.25 | ↓ -28% |
| Avera Health Plan | Commercial | $27.27 | ↓ -19% |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
| Amerigroup | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Blood Count (CBC) Test (without differential) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $33.57 | $3.88 – $12.34 |
| UnityPoint Health - Allen Hospital | Waterloo | $33.57 | $3.88 – $22.11 |
| MercyOne Clinton Medical Center | Clinton | $70.85 | $6.27 – $109.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $357.60 | $6.47 – $6.47 |
| MercyOne New Hampton Medical Center | New Hampton | $56.55 | $6.47 – $87.00 |
| MercyOne Dyersville Medical Center | Dyersville | $56.55 | $6.47 – $97.93 |
| MercyOne Elkader Medical Center | Elkader | $618.00 | $6.47 – $90.93 |
| MercyOne Newton Medical Center | Newton | $605.00 | $6.27 – $87.00 |