healthcosts.net
Egd varices ligation at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$620.80
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.
$776.00
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.
$201.76 with Nebraska Total Care vs $1,680.02 with Amerigroup — 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 | $201.76 | ↓ -68% |
| Aetna | Medicare Advantage | $218.38 | ↓ -65% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $222.75 | ↓ -64% |
| Molina | Medicare Advantage | $222.75 | ↓ -64% |
| Amerivantage | Medicare Advantage | $229.30 | ↓ -63% |
| Humana | Medicare Advantage | $229.30 | ↓ -63% |
| United Healthcare | Medicare Advantage | $229.30 | ↓ -63% |
| Avera Health Plan | Commercial | $327.57 | ↓ -47% |
| Wellmark Blue Cross and Blue Shield | HMO | $464.00 | ↓ -25% |
| Wellmark UPH Self-Funded | Commercial | $464.00 | ↓ -25% |
| Health Partners Open Network | Commercial | $505.28 | ↓ -19% |
| Wellmark Blue Cross and Blue Shield | PPO | $545.90 | ↓ -12% |
| Aetna | HMO | $580.35 | ↓ -7% |
| Cigna/Midlands | Commercial | $585.01 | ↓ -6% |
| Aetna | PPO | $707.69 | ↑ +14% |
| United Healthcare | HMO | $775.84 | ↑ +25% |
| United Healthcare | PPO | $775.84 | ↑ +25% |
| Iowa Total Care | Managed Medicaid | $1,680.02 | ↑ +171% |
| Amerigroup | Managed Medicaid | $1,680.02 | ↑ +171% |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Medica Exchange Insure | Commercial | not published by hospital | — |
Visitor-reported prices
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Egd varices ligation at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $525.60 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $5,127.04 | $2.46 – $3,834.15 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $8,331.60 | $2.28 – $4,235.59 |
| MercyOne Des Moines Medical Center | Des Moines | $13,871.45 | $68.70 – $3,725.39 |
| MercyOne Genesis Davenport Medical Center | Davenport | $552.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $552.00 | $671.60 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $12,047.75 | $68.70 – $4,235.59 |
| UnityPoint Health - Allen Hospital | Waterloo | $620.80 | $218.38 – $1,572.37 |