Perc d-e cor revasc chro sin at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$16,078.86
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.
?
What you pay up front if you don't use insurance.
$20,098.57
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5,225.63 with Nebraska Total Care vs $47,928.08 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $5,225.63 | ↓ -67% |
| Medica Exchange Inspire | Commercial | $10,370.86 | ↓ -36% |
| Medica Exchange Insure | Commercial | $11,616.97 | ↓ -28% |
| Cigna/Midlands | Commercial | $12,642.00 | ↓ -21% |
| Avera Health Plan | Commercial | $13,064.07 | ↓ -19% |
| Amerigroup | Managed Medicaid | $15,902.86 | ↓ -1% |
| Iowa Total Care | Managed Medicaid | $15,902.86 | ↓ -1% |
| Aetna | Medicare Advantage | $17,849.90 | ↑ +11% |
| Molina | Medicare Advantage | $17,849.90 | ↑ +11% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $17,849.90 | ↑ +11% |
| Humana | Medicare Advantage | $18,374.90 | ↑ +14% |
| United Healthcare | Medicare Advantage | $18,374.90 | ↑ +14% |
| Amerivantage | Medicare Advantage | $18,374.90 | ↑ +14% |
| Health Partners Open Network | Commercial | $26,809.52 | ↑ +67% |
| Aetna | HMO | $38,261.92 | ↑ +138% |
| Aetna | PPO | $43,900.51 | ↑ +173% |
| United Healthcare | HMO | $47,928.08 | ↑ +198% |
| United Healthcare | PPO | $47,928.08 | ↑ +198% |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Perc d-e cor revasc chro sin at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $16,485.30 | $9,054.23 – $36,628.26 |
| MercyOne Des Moines Medical Center | Des Moines | $22,922.90 | $7,088.47 – $35,589.27 |
| MercyOne North Iowa Medical Center | Mason City | $8,455.20 | $3,330.05 – $39,715.10 |
| MercyOne Waterloo Medical Center | Waterloo | $10,553.40 | $3,815.46 – $35,422.13 |
| UnityPoint Health - Allen Hospital | Waterloo | $18,435.36 | $10,853.81 – $25,689.86 |
| UnityPoint Health - Finley Hospital | Dubuque | $16,239.64 | $6,637.95 – $32,790.46 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $17,651.36 | $5,780.82 – $23,210.89 |
| UnityPoint Health - Marshalltown | Marshalltown | $18,435.36 | $8,065.47 – $18,389.26 |