Ghs intermed repair 12.6 - 20.0 cm-12035 at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$943.20
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.
$1,179.00
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.
$216.14 with Aetna vs $742.57 with United Healthcare — 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 | $216.14 | ↓ -77% |
| Molina | Medicare Advantage | $220.46 | ↓ -77% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $220.46 | ↓ -77% |
| United Healthcare | Medicare Advantage | $226.95 | ↓ -76% |
| Amerivantage | Medicare Advantage | $226.95 | ↓ -76% |
| Humana | Medicare Advantage | $226.95 | ↓ -76% |
| Nebraska Total Care | Managed Medicaid | $303.02 | ↓ -68% |
| Avera Health Plan | Commercial | $324.21 | ↓ -66% |
| Amerigroup | Managed Medicaid | $353.83 | ↓ -62% |
| Iowa Total Care | Managed Medicaid | $353.83 | ↓ -62% |
| Wellmark UPH Self-Funded | Commercial | $432.80 | ↓ -54% |
| Wellmark Blue Cross and Blue Shield | HMO | $432.80 | ↓ -54% |
| Health Partners Open Network | Commercial | $444.46 | ↓ -53% |
| Wellmark Blue Cross and Blue Shield | PPO | $509.20 | ↓ -46% |
| Aetna | HMO | $533.41 | ↓ -43% |
| Cigna/Midlands | Commercial | $575.08 | ↓ -39% |
| Medica Exchange Inspire | Commercial | $601.38 | ↓ -36% |
| Aetna | PPO | $648.68 | ↓ -31% |
| Medica Exchange Insure | Commercial | $673.64 | ↓ -29% |
| United Healthcare | PPO | $742.57 | ↓ -21% |
| United Healthcare | HMO | $742.57 | ↓ -21% |
Visitor-reported prices
Comments
Ghs intermed repair 12.6 - 20.0 cm-12035 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $681.60 | $305.50 – $382.44 |
| MercyOne North Iowa Medical Center | Mason City | $786.00 | $58.74 – $880.71 |
| MercyOne Genesis Davenport Medical Center | Davenport | $715.80 | $369.85 – $382.44 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $715.80 | $193.46 – $415.37 |
| MercyOne Waterloo Medical Center | Waterloo | $2,538.00 | $58.74 – $4,235.59 |
| UnityPoint Health - Allen Hospital | Waterloo | $943.20 | $216.14 – $456.31 |
| UnityPoint Health - Finley Hospital | Dubuque | $943.20 | $164.42 – $444.46 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $943.20 | $216.14 – $575.08 |