IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$522.12
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.
$652.65
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.
$48.88 with Nebraska Total Care vs $377.23 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 |
|---|---|---|---|
| Nebraska Total Care | Managed Medicaid | $48.88 | ↓ -91% |
| Aetna | Medicare Advantage | $52.86 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $53.92 | ↓ -90% |
| Molina | Medicare Advantage | $53.92 | ↓ -90% |
| Amerivantage | Medicare Advantage | $55.50 | ↓ -89% |
| Humana | Medicare Advantage | $55.50 | ↓ -89% |
| United Healthcare | Medicare Advantage | $55.50 | ↓ -89% |
| Avera Health Plan | Commercial | $79.29 | ↓ -85% |
| Wellmark UPH Self-Funded | Commercial | $112.80 | ↓ -78% |
| Wellmark Blue Cross and Blue Shield | HMO | $112.80 | ↓ -78% |
| Health Partners Open Network | Commercial | $130.02 | ↓ -75% |
| Wellmark Blue Cross and Blue Shield | PPO | $132.80 | ↓ -75% |
| Cigna/Midlands | Commercial | $146.12 | ↓ -72% |
| Aetna | HMO | $151.46 | ↓ -71% |
| United Healthcare | HMO | $172.82 | ↓ -67% |
| United Healthcare | PPO | $172.82 | ↓ -67% |
| Aetna | PPO | $183.61 | ↓ -65% |
| Iowa Total Care | Managed Medicaid | $186.59 | ↓ -64% |
| Amerigroup | Managed Medicaid | $186.59 | ↓ -64% |
| Medica Exchange Inspire | Commercial | $336.77 | ↓ -35% |
| Medica Exchange Insure | Commercial | $377.23 | ↓ -28% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $277.80 | $201.68 – $278.20 |
| MercyOne New Hampton Medical Center | New Hampton | $1,434.35 | $158.10 – $445.00 |
| MercyOne Clinton Medical Center | Clinton | $3,301.41 | $9.09 – $736.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,209.85 | $113.74 – $923.00 |
| MercyOne Elkader Medical Center | Elkader | $1,260.50 | $9.09 – $465.11 |
| MercyOne Centerville Medical Center | Centerville | $1,915.95 | $0.90 – $445.00 |
| MercyOne Newton Medical Center | Newton | $896.00 | $74.50 – $445.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,634.00 | $8.04 – $660.00 |