Bx pleura pq ndl at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$1,162.20
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.
$1,452.74
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.
$75.39 with Aetna vs $1,434.92 with Iowa Total Care — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $75.39 | ↓ -94% |
| Molina | Medicare Advantage | $76.90 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $76.90 | ↓ -93% |
| United Healthcare | Medicare Advantage | $79.16 | ↓ -93% |
| Humana | Medicare Advantage | $79.16 | ↓ -93% |
| Amerivantage | Medicare Advantage | $79.16 | ↓ -93% |
| Avera Health Plan | Commercial | $113.09 | ↓ -90% |
| Nebraska Total Care | Managed Medicaid | $129.22 | ↓ -89% |
| Wellmark UPH Self-Funded | Commercial | $152.20 | ↓ -87% |
| Wellmark Blue Cross and Blue Shield | HMO | $152.20 | ↓ -87% |
| Health Partners Open Network | Commercial | $167.52 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | PPO | $179.10 | ↓ -85% |
| Aetna | HMO | $195.68 | ↓ -83% |
| Cigna/Midlands | Commercial | $201.06 | ↓ -83% |
| Aetna | PPO | $238.56 | ↓ -79% |
| United Healthcare | PPO | $274.98 | ↓ -76% |
| United Healthcare | HMO | $274.98 | ↓ -76% |
| Medica Exchange Inspire | Commercial | $749.61 | ↓ -36% |
| Medica Exchange Insure | Commercial | $839.68 | ↓ -28% |
| Amerigroup | Managed Medicaid | $1,434.92 | ↑ +23% |
| Iowa Total Care | Managed Medicaid | $1,434.92 | ↑ +23% |
Visitor-reported prices
Comments
Bx pleura pq ndl at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,157.40 | $668.85 – $1,550.93 |
| MercyOne North Iowa Medical Center | Mason City | $1,489.15 | $586.50 – $3,578.15 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,337.40 | $965.90 – $1,550.93 |
| UnityPoint Health - Allen Hospital | Waterloo | $740.55 | $75.39 – $1,342.97 |
| UnityPoint Health - Finley Hospital | Dubuque | $397.60 | $75.39 – $1,424.56 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $397.60 | $75.39 – $1,612.08 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,253.95 | $75.39 – $1,561.02 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $397.60 | $75.39 – $201.06 |