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Gi tract capsule endoscopy (pillcam) 91110 at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$1,981.60
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.
$2,477.00
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.
$102.88 with Aetna vs $1,411.60 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 | $102.88 | ↓ -95% |
| Molina | Medicare Advantage | $104.94 | ↓ -95% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $104.94 | ↓ -95% |
| Humana | Medicare Advantage | $108.02 | ↓ -95% |
| Amerivantage | Medicare Advantage | $108.02 | ↓ -95% |
| United Healthcare | Medicare Advantage | $108.02 | ↓ -95% |
| Nebraska Total Care | Managed Medicaid | $109.72 | ↓ -94% |
| Avera Health Plan | Commercial | $154.32 | ↓ -92% |
| Wellmark UPH Self-Funded | Commercial | $208.00 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | HMO | $208.00 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | PPO | $244.80 | ↓ -88% |
| Cigna/Midlands | Commercial | $270.37 | ↓ -86% |
| United Healthcare | HMO | $335.03 | ↓ -83% |
| United Healthcare | PPO | $335.03 | ↓ -83% |
| Health Partners Open Network | Commercial | $365.59 | ↓ -82% |
| Aetna | HMO | $431.56 | ↓ -78% |
| Aetna | PPO | $497.24 | ↓ -75% |
| Iowa Total Care | Managed Medicaid | $830.32 | ↓ -58% |
| Amerigroup | Managed Medicaid | $830.32 | ↓ -58% |
| Medica Exchange Inspire | Commercial | $1,260.18 | ↓ -36% |
| Medica Exchange Insure | Commercial | $1,411.60 | ↓ -29% |
Visitor-reported prices
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Gi tract capsule endoscopy (pillcam) 91110 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,281.60 | not published |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $2,442.00 | $75.19 – $347.34 |
| MercyOne West Des Moines Medical Center | West Des Moines | $3,891.00 | $782.09 – $3,891.00 |
| MercyOne Des Moines Medical Center | Des Moines | $6,362.20 | $856.09 – $9,788.00 |
| MercyOne North Iowa Medical Center | Mason City | $2,942.55 | $247.30 – $1,964.96 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,345.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,345.80 | $928.00 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $2,720.25 | $75.19 – $2,971.35 |