Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$629.60
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.
$787.00
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.
$90.27 with Aetna vs $1,693.08 with Aetna — 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 | $90.27 | ↓ -86% |
| Molina | Medicare Advantage | $92.08 | ↓ -85% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $92.08 | ↓ -85% |
| United Healthcare | Medicare Advantage | $94.78 | ↓ -85% |
| Humana | Medicare Advantage | $94.78 | ↓ -85% |
| Amerivantage | Medicare Advantage | $94.78 | ↓ -85% |
| Avera Health Plan | Commercial | $135.41 | ↓ -78% |
| Nebraska Total Care | Managed Medicaid | $170.68 | ↓ -73% |
| Health Partners Open Network | Commercial | $179.07 | ↓ -72% |
| Wellmark UPH Self-Funded | Commercial | $190.60 | ↓ -70% |
| Wellmark Blue Cross and Blue Shield | HMO | $190.60 | ↓ -70% |
| Wellmark Blue Cross and Blue Shield | PPO | $224.20 | ↓ -64% |
| Cigna/Midlands | Commercial | $240.96 | ↓ -62% |
| United Healthcare | PPO | $314.20 | ↓ -50% |
| United Healthcare | HMO | $314.20 | ↓ -50% |
| Medica Exchange Inspire | Commercial | $338.74 | ↓ -46% |
| Medica Exchange Insure | Commercial | $379.45 | ↓ -40% |
| Amerigroup | Managed Medicaid | $613.31 | ↓ -3% |
| Iowa Total Care | Managed Medicaid | $613.31 | ↓ -3% |
| Aetna | HMO | $1,475.62 | ↑ +134% |
| Aetna | PPO | $1,693.08 | ↑ +169% |
Visitor-reported prices
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Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $553.80 | $599.95 – $662.89 |
| MercyOne New Hampton Medical Center | New Hampton | $1,006.85 | $28.44 – $736.00 |
| MercyOne Clinton Medical Center | Clinton | $2,582.71 | $562.89 – $1,989.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $2,325.70 | $665.02 – $3,578.00 |
| MercyOne Des Moines Medical Center | Des Moines | $3,061.65 | $604.61 – $3,008.00 |
| MercyOne Centerville Medical Center | Centerville | $2,392.75 | $9.60 – $736.00 |
| MercyOne Newton Medical Center | Newton | $1,006.85 | $668.16 – $1,549.00 |
| MercyOne North Iowa Medical Center | Mason City | $2,872.35 | $683.01 – $4,419.00 |