Destruction vag lesions simple 57061 at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$347.20
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.
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What you pay up front if you don't use insurance.
$434.00
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.
$103.63 with Aetna vs $2,815.86 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 | $103.63 | ↓ -70% |
| Molina | Medicare Advantage | $105.70 | ↓ -70% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $105.70 | ↓ -70% |
| United Healthcare | Medicare Advantage | $108.81 | ↓ -69% |
| Humana | Medicare Advantage | $108.81 | ↓ -69% |
| Amerivantage | Medicare Advantage | $108.81 | ↓ -69% |
| Nebraska Total Care | Managed Medicaid | $112.84 | ↓ -68% |
| Avera Health Plan | Commercial | $155.45 | ↓ -55% |
| Health Partners Open Network | Commercial | $182.60 | ↓ -47% |
| Aetna | HMO | $217.12 | ↓ -37% |
| Wellmark UPH Self-Funded | Commercial | $220.00 | ↓ -37% |
| Wellmark Blue Cross and Blue Shield | HMO | $220.00 | ↓ -37% |
| Wellmark Blue Cross and Blue Shield | PPO | $258.90 | ↓ -25% |
| Aetna | PPO | $264.04 | ↓ -24% |
| Cigna/Midlands | Commercial | $278.38 | ↓ -20% |
| United Healthcare | HMO | $331.55 | ↓ -5% |
| United Healthcare | PPO | $331.55 | ↓ -5% |
| Amerigroup | Managed Medicaid | $2,815.86 | ↑ +711% |
| Iowa Total Care | Managed Medicaid | $2,815.86 | ↑ +711% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Destruction vag lesions simple 57061 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $210.00 | not published |
| MercyOne North Iowa Medical Center | Mason City | $6,449.30 | $2,540.03 – $9,922.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $220.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $220.80 | $268.64 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $505.00 | $26.52 – $270.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $347.20 | $103.63 – $2,635.43 |
| UnityPoint Health - Finley Hospital | Dubuque | $347.20 | $103.63 – $2,795.53 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $347.20 | $103.63 – $3,163.52 |