Nm radiopharmaceutical therapy oral administration at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$2,987.80
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.
$3,734.75
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.
$36.40 with Nebraska Total Care vs $2,158.69 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 | $36.40 | ↓ -99% |
| Aetna | Medicare Advantage | $45.48 | ↓ -98% |
| Molina | Medicare Advantage | $46.39 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $46.39 | ↓ -98% |
| Humana | Medicare Advantage | $47.75 | ↓ -98% |
| United Healthcare | Medicare Advantage | $47.75 | ↓ -98% |
| Amerivantage | Medicare Advantage | $47.75 | ↓ -98% |
| United Healthcare | HMO | $60.07 | ↓ -98% |
| United Healthcare | PPO | $60.07 | ↓ -98% |
| Avera Health Plan | Commercial | $68.22 | ↓ -98% |
| Wellmark Blue Cross and Blue Shield | HMO | $88.50 | ↓ -97% |
| Wellmark UPH Self-Funded | Commercial | $88.50 | ↓ -97% |
| Health Partners Open Network | Commercial | $89.54 | ↓ -97% |
| Cigna/Midlands | Commercial | $96.05 | ↓ -97% |
| Wellmark Blue Cross and Blue Shield | PPO | $104.10 | ↓ -97% |
| Aetna | HMO | $107.22 | ↓ -96% |
| Aetna | PPO | $130.01 | ↓ -96% |
| Amerigroup | Managed Medicaid | $198.49 | ↓ -93% |
| Iowa Total Care | Managed Medicaid | $198.49 | ↓ -93% |
| Medica Exchange Inspire | Commercial | $1,927.13 | ↓ -36% |
| Medica Exchange Insure | Commercial | $2,158.69 | ↓ -28% |
Visitor-reported prices
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Nm radiopharmaceutical therapy oral administration at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $483.60 | $214.54 – $300.36 |
| MercyOne Dubuque Medical Center | Dubuque | $975.00 | $209.34 – $1,500.00 |
| MercyOne Clinton Medical Center | Clinton | $1,348.75 | $214.87 – $2,075.00 |
| MercyOne Des Moines Medical Center | Des Moines | $3,868.20 | $51.97 – $2,413.00 |
| MercyOne North Iowa Medical Center | Mason City | $859.30 | $225.78 – $1,322.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $528.00 | $214.54 – $300.36 |
| MercyOne Waterloo Medical Center | Waterloo | $1,166.10 | $219.83 – $1,794.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,088.57 | $45.48 – $717.09 |