Mra, w/o&w/dye, upper extr at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$1,396.71
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.
$1,745.88
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.
$316.28 with Iowa Total Care vs $1,134.82 with Avera Health Plan — 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 | $316.28 | ↓ -77% |
| Amerigroup | Managed Medicaid | $316.28 | ↓ -77% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $355.01 | ↓ -75% |
| Molina | Medicare Advantage | $355.01 | ↓ -75% |
| Aetna | Medicare Advantage | $355.01 | ↓ -75% |
| United Healthcare | Medicare Advantage | $365.45 | ↓ -74% |
| Amerivantage | Medicare Advantage | $365.45 | ↓ -74% |
| Humana | Medicare Advantage | $365.45 | ↓ -74% |
| Nebraska Total Care | Managed Medicaid | $453.93 | ↓ -68% |
| Health Partners Open Network | Commercial | $533.20 | ↓ -62% |
| Aetna | HMO | $760.97 | ↓ -46% |
| Aetna | PPO | $873.11 | ↓ -37% |
| Medica Exchange Inspire | Commercial | $900.87 | ↓ -36% |
| United Healthcare | PPO | $953.21 | ↓ -32% |
| United Healthcare | HMO | $953.21 | ↓ -32% |
| Medica Exchange Insure | Commercial | $1,009.12 | ↓ -28% |
| Cigna/Midlands | Commercial | $1,098.16 | ↓ -21% |
| Avera Health Plan | Commercial | $1,134.82 | ↓ -19% |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Mra, w/o&w/dye, upper extr at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $1,862.25 | $296.02 – $1,506.09 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $4,776.21 | $339.99 – $3,725.44 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $3,180.04 | $339.99 – $1,721.20 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $2,559.65 | $1,161.44 – $2,838.01 |
| UnityPoint Health - Marshalltown | Marshalltown | $1,862.25 | $335.86 – $1,857.59 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $4,552.23 | $304.39 – $4,836.74 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $3,072.52 | $314.12 – $2,104.68 |
| MercyOne Genesis Davenport West Medical Center | Davenport | not published | $341.85 – $478.59 |