Ghs simple repair 7.6 - 12.5 cm - 12015 at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$412.80
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.
$516.00
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.
$78.44 with Nebraska Total Care vs $296.30 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 |
|---|---|---|---|
| Nebraska Total Care | Managed Medicaid | $78.44 | ↓ -81% |
| Aetna | Medicare Advantage | $82.66 | ↓ -80% |
| Molina | Medicare Advantage | $84.31 | ↓ -80% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $84.31 | ↓ -80% |
| Amerivantage | Medicare Advantage | $86.79 | ↓ -79% |
| United Healthcare | Medicare Advantage | $86.79 | ↓ -79% |
| Humana | Medicare Advantage | $86.79 | ↓ -79% |
| Avera Health Plan | Commercial | $123.99 | ↓ -70% |
| Medica Exchange Inspire | Commercial | $155.68 | ↓ -62% |
| Wellmark Blue Cross and Blue Shield | HMO | $166.60 | ↓ -60% |
| Wellmark UPH Self-Funded | Commercial | $166.60 | ↓ -60% |
| Medica Exchange Insure | Commercial | $174.38 | ↓ -58% |
| Iowa Total Care | Managed Medicaid | $175.98 | ↓ -57% |
| Amerigroup | Managed Medicaid | $175.98 | ↓ -57% |
| Health Partners Open Network | Commercial | $182.45 | ↓ -56% |
| Cigna/Midlands | Commercial | $189.77 | ↓ -54% |
| Wellmark Blue Cross and Blue Shield | PPO | $196.00 | ↓ -53% |
| Aetna | HMO | $218.46 | ↓ -47% |
| Aetna | PPO | $265.39 | ↓ -36% |
| United Healthcare | HMO | $296.30 | ↓ -28% |
| United Healthcare | PPO | $296.30 | ↓ -28% |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12015 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $322.20 | $190.20 – $266.28 |
| MercyOne Des Moines Medical Center | Des Moines | $531.00 | $28.76 – $346.56 |
| MercyOne Centerville Medical Center | Centerville | $479.00 | $92.44 – $479.00 |
| MercyOne North Iowa Medical Center | Mason City | $531.00 | $29.93 – $346.56 |
| MercyOne Genesis Davenport Medical Center | Davenport | $343.20 | $190.20 – $266.28 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $343.20 | $194.48 – $411.72 |
| UnityPoint Health - Allen Hospital | Waterloo | $412.80 | $82.66 – $182.45 |
| UnityPoint Health - Finley Hospital | Dubuque | $412.80 | $82.66 – $264.61 |