Clsd tx temporomandibular dislocat 21480 at UnityPoint Health - St. Lukes Downtown

2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622

Source: hospital's published price file ↗ · Published Jan 28, 2026 · Ingested Aug 12, 2026

$1,208.93

Cash price

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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.

$1,511.16

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$27.85 with Aetna vs $873.45 with Medica Exchange Insure — 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 →

Payer
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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
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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 $27.85 ↓ -98%
Molina Medicare Advantage $28.41 ↓ -98%
Wellmark Blue Cross and Blue Shield Medicare Advantage $28.41 ↓ -98%
United Healthcare Medicare Advantage $29.24 ↓ -98%
Humana Medicare Advantage $29.24 ↓ -98%
Amerivantage Medicare Advantage $29.24 ↓ -98%
Avera Health Plan Commercial $41.78 ↓ -97%
Health Partners Open Network Commercial $60.38 ↓ -95%
Wellmark UPH Self-Funded Commercial $61.00 ↓ -95%
Wellmark Blue Cross and Blue Shield HMO $61.00 ↓ -95%
Aetna HMO $71.02 ↓ -94%
Wellmark Blue Cross and Blue Shield PPO $71.70 ↓ -94%
Cigna/Midlands Commercial $73.54 ↓ -94%
Aetna PPO $87.13 ↓ -93%
Nebraska Total Care Managed Medicaid $92.82 ↓ -92%
United Healthcare HMO $98.44 ↓ -92%
United Healthcare PPO $98.44 ↓ -92%
Amerigroup Managed Medicaid $212.45 ↓ -82%
Iowa Total Care Managed Medicaid $212.45 ↓ -82%
Medica Exchange Inspire Commercial $779.76 ↓ -35%
Medica Exchange Insure Commercial $873.45 ↓ -28%

Visitor-reported prices

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Clsd tx temporomandibular dislocat 21480 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $174.60 $118.95 – $229.62
MercyOne Oelwein Medical Center Oelwein $304.00 $9.69 – $152.00
MercyOne Genesis Davenport Medical Center Davenport $183.60 $143.65 – $229.62
MercyOne Genesis DeWitt Medical Center DeWitt $183.60 $75.14 – $161.33
UnityPoint Health - Allen Hospital Waterloo $571.20 $27.85 – $198.83
UnityPoint Health - Finley Hospital Dubuque $571.20 $27.85 – $404.39
UnityPoint Health - Grinnell Regional Medical Center Grinnell $708.57 $27.85 – $356.94
UnityPoint Health - Iowa Lutheran Hospital Des Moines $571.20 $27.85 – $231.12

All Iowa hospitals for this procedure →