Colonoscopy w/resection at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$842.40
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.
$1,053.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$273.78 with Nebraska Total Care vs $2,428.72 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 |
|---|---|---|---|
| Nebraska Total Care | Managed Medicaid | $273.78 | ↓ -68% |
| Aetna | Medicare Advantage | $295.94 | ↓ -65% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $301.86 | ↓ -64% |
| Molina | Medicare Advantage | $301.86 | ↓ -64% |
| Amerivantage | Medicare Advantage | $310.74 | ↓ -63% |
| Humana | Medicare Advantage | $310.74 | ↓ -63% |
| United Healthcare | Medicare Advantage | $310.74 | ↓ -63% |
| Health Partners Open Network | Commercial | $403.38 | ↓ -52% |
| Avera Health Plan | Commercial | $443.91 | ↓ -47% |
| Aetna | HMO | $478.47 | ↓ -43% |
| Aetna | PPO | $581.68 | ↓ -31% |
| Wellmark UPH Self-Funded | Commercial | $628.90 | ↓ -25% |
| Wellmark Blue Cross and Blue Shield | HMO | $628.90 | ↓ -25% |
| Wellmark Blue Cross and Blue Shield | PPO | $739.90 | ↓ -12% |
| Cigna/Midlands | Commercial | $792.69 | ↓ -6% |
| United Healthcare | PPO | $1,052.11 | ↑ +25% |
| United Healthcare | HMO | $1,052.11 | ↑ +25% |
| Amerigroup | Managed Medicaid | $2,428.72 | ↑ +188% |
| Iowa Total Care | Managed Medicaid | $2,428.72 | ↑ +188% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
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Colonoscopy w/resection at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,839.20 | $2,625.07 – $3,075.80 |
| MercyOne Clinton Medical Center | Clinton | $11,165.17 | $2.28 – $5,939.79 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $18,409.30 | $31.45 – $5,363.39 |
| MercyOne Genesis Davenport Medical Center | Davenport | $3,279.60 | $2,625.07 – $3,552.90 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $3,279.60 | $862.86 – $1,858.44 |
| MercyOne Waterloo Medical Center | Waterloo | $18,711.29 | $82.93 – $5,363.39 |
| UnityPoint Health - Allen Hospital | Waterloo | $842.40 | $295.94 – $2,273.10 |
| UnityPoint Health - Finley Hospital | Dubuque | $842.40 | $295.94 – $2,411.19 |