healthcosts.net
Removal of bone for graft at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$696.80
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.
$871.00
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.
$226.46 with Nebraska Total Care vs $6,326.64 with Amerigroup — 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 | $226.46 | ↓ -68% |
| Aetna | Medicare Advantage | $243.85 | ↓ -65% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $248.73 | ↓ -64% |
| Molina | Medicare Advantage | $248.73 | ↓ -64% |
| Amerivantage | Medicare Advantage | $256.04 | ↓ -63% |
| Humana | Medicare Advantage | $256.04 | ↓ -63% |
| United Healthcare | Medicare Advantage | $256.04 | ↓ -63% |
| Avera Health Plan | Commercial | $365.78 | ↓ -48% |
| Wellmark Blue Cross and Blue Shield | HMO | $528.20 | ↓ -24% |
| Wellmark UPH Self-Funded | Commercial | $528.20 | ↓ -24% |
| Health Partners Open Network | Commercial | $533.93 | ↓ -23% |
| Wellmark Blue Cross and Blue Shield | PPO | $621.40 | ↓ -11% |
| Aetna | HMO | $639.31 | ↓ -8% |
| Cigna/Midlands | Commercial | $652.17 | ↓ -6% |
| Aetna | PPO | $778.70 | ↑ +12% |
| United Healthcare | HMO | $870.73 | ↑ +25% |
| United Healthcare | PPO | $870.73 | ↑ +25% |
| Iowa Total Care | Managed Medicaid | $6,326.64 | ↑ +808% |
| Amerigroup | Managed Medicaid | $6,326.64 | ↑ +808% |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Medica Exchange Insure | Commercial | not published by hospital | — |
Visitor-reported prices
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Removal of bone for graft at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Clinton Medical Center | Clinton | $34,469.09 | $0.96 – $27,474.19 |
| MercyOne West Des Moines Medical Center | West Des Moines | $104,104.65 | $0.96 – $14,087.30 |
| MercyOne Centerville Medical Center | Centerville | $996.00 | $252.54 – $996.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $380.40 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $380.40 | $462.82 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $78,036.26 | $4.56 – $24,808.12 |
| UnityPoint Health - Allen Hospital | Waterloo | $696.80 | $243.85 – $5,921.26 |
| UnityPoint Health - Finley Hospital | Dubuque | $696.80 | $243.85 – $6,280.98 |