Test pathogen(s) for platelets reference at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$70.00
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.
$87.49
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.
$22.75 with Nebraska Total Care vs $158.53 with United Healthcare — 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 | $22.75 | ↓ -68% |
| Medica Exchange Inspire | Commercial | $45.14 | ↓ -36% |
| Medica Exchange Insure | Commercial | $50.57 | ↓ -28% |
| Iowa Total Care | Managed Medicaid | $52.60 | ↓ -25% |
| Amerigroup | Managed Medicaid | $52.60 | ↓ -25% |
| Cigna/Midlands | Commercial | $55.03 | ↓ -21% |
| Avera Health Plan | Commercial | $56.87 | ↓ -19% |
| Aetna | Medicare Advantage | $59.05 | ↓ -16% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $59.05 | ↓ -16% |
| Molina | Medicare Advantage | $59.05 | ↓ -16% |
| United Healthcare | Medicare Advantage | $60.78 | ↓ -13% |
| Amerivantage | Medicare Advantage | $60.78 | ↓ -13% |
| Humana | Medicare Advantage | $60.78 | ↓ -13% |
| Health Partners Open Network | Commercial | $88.68 | ↑ +27% |
| Aetna | HMO | $126.56 | ↑ +81% |
| Aetna | PPO | $145.21 | ↑ +107% |
| United Healthcare | HMO | $158.53 | ↑ +126% |
| United Healthcare | PPO | $158.53 | ↑ +126% |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Test pathogen(s) for platelets reference at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $104.00 | $52.92 – $160.00 |
| MercyOne Dyersville Medical Center | Dyersville | $73.45 | $42.71 – $127.19 |
| MercyOne Clinton Medical Center | Clinton | $104.00 | $45.28 – $160.00 |
| MercyOne Oelwein Medical Center | Oelwein | $73.45 | $43.19 – $113.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $104.00 | $37.60 – $160.00 |
| MercyOne Elkader Medical Center | Elkader | $73.45 | $58.16 – $118.11 |
| MercyOne West Des Moines Medical Center | West Des Moines | $160.00 | $32.16 – $160.00 |
| MercyOne Des Moines Medical Center | Des Moines | $104.00 | $32.16 – $160.00 |