Ghs plngl fx pm cl at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$832.80
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.
$1,041.00
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.
$212.45 with Iowa Total Care vs $727.10 with Wellmark Blue Cross and Blue Shield — 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 |
|---|---|---|---|
| Iowa Total Care | Managed Medicaid | $212.45 | ↓ -74% |
| Amerigroup | Managed Medicaid | $212.45 | ↓ -74% |
| Molina | Medicare Advantage | $238.45 | ↓ -71% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $238.45 | ↓ -71% |
| Aetna | Medicare Advantage | $238.45 | ↓ -71% |
| Humana | Medicare Advantage | $245.47 | ↓ -71% |
| United Healthcare | Medicare Advantage | $245.47 | ↓ -71% |
| Amerivantage | Medicare Advantage | $245.47 | ↓ -71% |
| Nebraska Total Care | Managed Medicaid | $259.16 | ↓ -69% |
| Health Partners Open Network | Commercial | $358.15 | ↓ -57% |
| Avera Health Plan | Commercial | $426.47 | ↓ -49% |
| Aetna | HMO | $511.14 | ↓ -39% |
| Medica Exchange Inspire | Commercial | $514.33 | ↓ -38% |
| Medica Exchange Insure | Commercial | $576.13 | ↓ -31% |
| Aetna | PPO | $586.46 | ↓ -30% |
| Wellmark Blue Cross and Blue Shield | HMO | $618.00 | ↓ -26% |
| Wellmark UPH Self-Funded | Commercial | $618.00 | ↓ -26% |
| Cigna/Midlands | Commercial | $626.97 | ↓ -25% |
| United Healthcare | HMO | $640.27 | ↓ -23% |
| United Healthcare | PPO | $640.27 | ↓ -23% |
| Wellmark Blue Cross and Blue Shield | PPO | $727.10 | ↓ -13% |
Visitor-reported prices
Comments
Ghs plngl fx pm cl at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $606.00 | $207.35 – $229.62 |
| MercyOne Genesis Davenport Medical Center | Davenport | $636.60 | $229.62 – $250.90 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $636.60 | $131.24 – $281.78 |
| MercyOne Waterloo Medical Center | Waterloo | $1,074.00 | $66.91 – $4,235.59 |
| UnityPoint Health - Allen Hospital | Waterloo | $832.80 | $178.43 – $618.00 |
| UnityPoint Health - Finley Hospital | Dubuque | $832.80 | $94.96 – $638.27 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $832.80 | $156.06 – $618.00 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $832.80 | $129.44 – $618.00 |