Bx bone trocar/ndl deep at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$1,292.84
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.
$1,616.04
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.
$116.91 with Aetna vs $1,434.92 with Iowa Total Care — 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 | $116.91 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $119.25 | ↓ -91% |
| Molina | Medicare Advantage | $119.25 | ↓ -91% |
| Humana | Medicare Advantage | $122.76 | ↓ -91% |
| Amerivantage | Medicare Advantage | $122.76 | ↓ -91% |
| United Healthcare | Medicare Advantage | $122.76 | ↓ -91% |
| Avera Health Plan | Commercial | $175.37 | ↓ -86% |
| Health Partners Open Network | Commercial | $211.30 | ↓ -84% |
| Aetna | HMO | $243.92 | ↓ -81% |
| Wellmark UPH Self-Funded | Commercial | $247.10 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | HMO | $247.10 | ↓ -81% |
| Wellmark Blue Cross and Blue Shield | PPO | $290.70 | ↓ -78% |
| Aetna | PPO | $297.54 | ↓ -77% |
| Cigna/Midlands | Commercial | $310.45 | ↓ -76% |
| Nebraska Total Care | Managed Medicaid | $333.84 | ↓ -74% |
| United Healthcare | HMO | $418.63 | ↓ -68% |
| United Healthcare | PPO | $418.63 | ↓ -68% |
| Medica Exchange Inspire | Commercial | $833.88 | ↓ -36% |
| Medica Exchange Insure | Commercial | $934.07 | ↓ -28% |
| Amerigroup | Managed Medicaid | $1,434.92 | ↑ +11% |
| Iowa Total Care | Managed Medicaid | $1,434.92 | ↑ +11% |
Visitor-reported prices
Comments
Bx bone trocar/ndl deep at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,790.40 | $1,504.75 – $1,550.93 |
| MercyOne Dubuque Medical Center | Dubuque | $1,040.00 | $571.20 – $3,300.04 |
| MercyOne Clinton Medical Center | Clinton | $554.00 | $12.65 – $275.00 |
| MercyOne Des Moines Medical Center | Des Moines | $10,371.70 | $183.41 – $4,429.00 |
| MercyOne North Iowa Medical Center | Mason City | $3,693.95 | $1,454.85 – $5,683.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $2,068.20 | $1,550.93 – $1,738.75 |
| MercyOne Waterloo Medical Center | Waterloo | $5,770.70 | $1,555.99 – $8,878.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,425.80 | $116.91 – $1,342.97 |