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Ultrasound breast unilateral limited (both sides) at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$452.00
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.
$565.00
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.
$19.76 with Nebraska Total Care vs $163.29 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 | $19.76 | ↓ -96% |
| Aetna | Medicare Advantage | $29.97 | ↓ -93% |
| Molina | Medicare Advantage | $30.57 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $30.57 | ↓ -93% |
| United Healthcare | Medicare Advantage | $31.47 | ↓ -93% |
| Humana | Medicare Advantage | $31.47 | ↓ -93% |
| Amerivantage | Medicare Advantage | $31.47 | ↓ -93% |
| United Healthcare | HMO | $43.21 | ↓ -90% |
| United Healthcare | PPO | $43.21 | ↓ -90% |
| Avera Health Plan | Commercial | $44.96 | ↓ -90% |
| Wellmark Blue Cross and Blue Shield | HMO | $57.50 | ↓ -87% |
| Wellmark UPH Self-Funded | Commercial | $57.50 | ↓ -87% |
| Health Partners Open Network | Commercial | $61.02 | ↓ -87% |
| Cigna/Midlands | Commercial | $63.08 | ↓ -86% |
| Wellmark Blue Cross and Blue Shield | PPO | $67.70 | ↓ -85% |
| Aetna | HMO | $72.38 | ↓ -84% |
| Iowa Total Care | Managed Medicaid | $77.97 | ↓ -83% |
| Amerigroup | Managed Medicaid | $77.97 | ↓ -83% |
| Aetna | PPO | $84.44 | ↓ -81% |
| Medica Exchange Inspire | Commercial | $145.77 | ↓ -68% |
| Medica Exchange Insure | Commercial | $163.29 | ↓ -64% |
Visitor-reported prices
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Ultrasound breast unilateral limited (both sides) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $472.80 | $84.28 – $118.00 |
| MercyOne Dubuque Medical Center | Dubuque | $562.25 | $75.49 – $576.00 |
| MercyOne New Hampton Medical Center | New Hampton | $729.30 | $75.49 – $748.00 |
| MercyOne Clinton Medical Center | Clinton | $553.15 | $75.49 – $567.00 |
| MercyOne Oelwein Medical Center | Oelwein | $729.30 | $75.49 – $748.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $713.70 | $75.49 – $519.72 |
| MercyOne Elkader Medical Center | Elkader | $729.30 | $75.49 – $781.81 |
| MercyOne West Des Moines Medical Center | West Des Moines | $1,219.00 | $75.49 – $813.00 |