Epidural/lumbar/sacral/ea add level64484 at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$1,023.43
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.
$1,279.28
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.
$46.23 with Aetna vs $739.42 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 →
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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 | $46.23 | ↓ -95% |
| Molina | Medicare Advantage | $47.15 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $47.15 | ↓ -95% |
| United Healthcare | Medicare Advantage | $48.54 | ↓ -95% |
| Humana | Medicare Advantage | $48.54 | ↓ -95% |
| Amerivantage | Medicare Advantage | $48.54 | ↓ -95% |
| Avera Health Plan | Commercial | $69.35 | ↓ -93% |
| Nebraska Total Care | Managed Medicaid | $83.72 | ↓ -92% |
| Wellmark UPH Self-Funded | Commercial | $96.90 | ↓ -91% |
| Wellmark Blue Cross and Blue Shield | HMO | $96.90 | ↓ -91% |
| Health Partners Open Network | Commercial | $104.79 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | PPO | $114.00 | ↓ -89% |
| Aetna | HMO | $115.26 | ↓ -89% |
| Cigna/Midlands | Commercial | $124.82 | ↓ -88% |
| Aetna | PPO | $140.73 | ↓ -86% |
| United Healthcare | PPO | $165.66 | ↓ -84% |
| United Healthcare | HMO | $165.66 | ↓ -84% |
| Medica Exchange Inspire | Commercial | $660.11 | ↓ -36% |
| Medica Exchange Insure | Commercial | $739.42 | ↓ -28% |
| Amerigroup | Managed Medicaid | not published by hospital | — |
| Iowa Total Care | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Epidural/lumbar/sacral/ea add level64484 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $490.80 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $410.00 | $27.90 – $161.62 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,695.20 | $408.67 – $3,576.15 |
| MercyOne Des Moines Medical Center | Des Moines | $6,992.00 | $277.18 – $1,717.13 |
| MercyOne Centerville Medical Center | Centerville | $5,418.00 | $991.13 – $3,612.00 |
| MercyOne Newton Medical Center | Newton | $3,521.70 | $2,347.80 – $3,612.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $567.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $567.00 | $305.87 – $321.30 |