Ghs layered repair 12.6 - 20.0 cm -12055 at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$1,190.40
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.
$1,488.00
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.
$269.02 with Aetna vs $927.11 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 | $269.02 | ↓ -77% |
| Molina | Medicare Advantage | $274.40 | ↓ -77% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $274.40 | ↓ -77% |
| Amerivantage | Medicare Advantage | $282.47 | ↓ -76% |
| Humana | Medicare Advantage | $282.47 | ↓ -76% |
| United Healthcare | Medicare Advantage | $282.47 | ↓ -76% |
| Nebraska Total Care | Managed Medicaid | $303.02 | ↓ -75% |
| Iowa Total Care | Managed Medicaid | $353.83 | ↓ -70% |
| Amerigroup | Managed Medicaid | $353.83 | ↓ -70% |
| Avera Health Plan | Commercial | $403.53 | ↓ -66% |
| Wellmark UPH Self-Funded | Commercial | $538.90 | ↓ -55% |
| Wellmark Blue Cross and Blue Shield | HMO | $538.90 | ↓ -55% |
| Health Partners Open Network | Commercial | $549.78 | ↓ -54% |
| Medica Exchange Inspire | Commercial | $601.38 | ↓ -49% |
| Wellmark Blue Cross and Blue Shield | PPO | $634.00 | ↓ -47% |
| Aetna | HMO | $668.79 | ↓ -44% |
| Medica Exchange Insure | Commercial | $673.64 | ↓ -43% |
| Cigna/Midlands | Commercial | $718.89 | ↓ -40% |
| Aetna | PPO | $813.56 | ↓ -32% |
| United Healthcare | HMO | $927.11 | ↓ -22% |
| United Healthcare | PPO | $927.11 | ↓ -22% |
Visitor-reported prices
Comments
Ghs layered repair 12.6 - 20.0 cm -12055 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $837.60 | $382.44 – $426.40 |
| MercyOne Genesis Davenport Medical Center | Davenport | $879.60 | $382.44 – $514.80 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $879.60 | $269.28 – $578.16 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,190.40 | $264.61 – $549.78 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,190.40 | $131.39 – $549.78 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,190.40 | $269.02 – $658.00 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,211.80 | $269.02 – $655.89 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $1,190.40 | $162.50 – $397.07 |