Ghs intermed repair 20.1 - 30.0 cm-12036 at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$1,230.48
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.
$1,538.09
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.
$251.43 with Aetna vs $889.02 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 | $251.43 | ↓ -80% |
| Molina | Medicare Advantage | $256.46 | ↓ -79% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $256.46 | ↓ -79% |
| United Healthcare | Medicare Advantage | $264.00 | ↓ -79% |
| Amerivantage | Medicare Advantage | $264.00 | ↓ -79% |
| Humana | Medicare Advantage | $264.00 | ↓ -79% |
| Nebraska Total Care | Managed Medicaid | $341.64 | ↓ -72% |
| Avera Health Plan | Commercial | $377.15 | ↓ -69% |
| Wellmark UPH Self-Funded | Commercial | $506.30 | ↓ -59% |
| Wellmark Blue Cross and Blue Shield | HMO | $506.30 | ↓ -59% |
| Health Partners Open Network | Commercial | $515.83 | ↓ -58% |
| Amerigroup | Managed Medicaid | $542.11 | ↓ -56% |
| Iowa Total Care | Managed Medicaid | $542.11 | ↓ -56% |
| Wellmark Blue Cross and Blue Shield | PPO | $595.70 | ↓ -52% |
| Aetna | HMO | $617.86 | ↓ -50% |
| Cigna/Midlands | Commercial | $668.14 | ↓ -46% |
| Aetna | PPO | $751.90 | ↓ -39% |
| Medica Exchange Inspire | Commercial | $793.65 | ↓ -36% |
| United Healthcare | PPO | $866.98 | ↓ -30% |
| United Healthcare | HMO | $866.98 | ↓ -30% |
| Medica Exchange Insure | Commercial | $889.02 | ↓ -28% |
Visitor-reported prices
Comments
Ghs intermed repair 20.1 - 30.0 cm-12036 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $756.60 | $305.50 – $585.94 |
| MercyOne Elkader Medical Center | Elkader | $914.00 | $72.01 – $680.57 |
| MercyOne North Iowa Medical Center | Mason City | $914.00 | $72.01 – $680.57 |
| MercyOne Genesis Davenport Medical Center | Davenport | $903.00 | $369.85 – $585.94 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $794.40 | $193.46 – $415.37 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,051.20 | $251.43 – $515.83 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,051.20 | $251.43 – $1,208.88 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,204.20 | $251.43 – $668.14 |