healthcosts.net
Bx perianal mass at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$572.00
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.
?
What you pay up front if you don't use insurance.
$715.00
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.
$109.46 with Nebraska Total Care vs $2,433.43 with United Healthcare — 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 |
|---|---|---|---|
| Nebraska Total Care | Managed Medicaid | $109.46 | ↓ -81% |
| Amerigroup | Managed Medicaid | $807.43 | ↑ +41% |
| Iowa Total Care | Managed Medicaid | $807.43 | ↑ +41% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $906.29 | ↑ +58% |
| Aetna | Medicare Advantage | $906.29 | ↑ +58% |
| Molina | Medicare Advantage | $906.29 | ↑ +58% |
| Amerivantage | Medicare Advantage | $932.94 | ↑ +63% |
| United Healthcare | Medicare Advantage | $932.94 | ↑ +63% |
| Humana | Medicare Advantage | $932.94 | ↑ +63% |
| Health Partners Open Network | Commercial | $1,361.19 | ↑ +138% |
| Aetna | HMO | $1,942.66 | ↑ +240% |
| Aetna | PPO | $2,228.94 | ↑ +290% |
| United Healthcare | HMO | $2,433.43 | ↑ +325% |
| United Healthcare | PPO | $2,433.43 | ↑ +325% |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
| Avera Health Plan | Commercial | not published by hospital | — |
| Cigna/Midlands | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Bx perianal mass at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $1,415.32 | $755.69 – $1,304.34 |
| UnityPoint Health - Finley Hospital | Dubuque | $572.00 | $387.32 – $1,664.86 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $572.00 | $867.95 – $907.12 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $962.96 | $315.37 – $1,178.48 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $572.00 | not published |
| UnityPoint Health - Marshalltown | Marshalltown | $1,415.32 | $619.20 – $1,411.78 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $1,478.94 | $647.03 – $1,344.95 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $1,478.94 | $425.19 – $3,072.30 |