Ultrasound joint complete left at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$268.80
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.
$336.00
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.
$9.30 with Aetna vs $178.60 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $9.30 | ↓ -97% |
| Molina | Medicare Advantage | $9.49 | ↓ -96% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $9.49 | ↓ -96% |
| Amerivantage | Medicare Advantage | $9.77 | ↓ -96% |
| Humana | Medicare Advantage | $9.77 | ↓ -96% |
| United Healthcare | Medicare Advantage | $9.77 | ↓ -96% |
| Avera Health Plan | Commercial | $13.95 | ↓ -95% |
| Wellmark UPH Self-Funded | Commercial | $19.00 | ↓ -93% |
| Wellmark Blue Cross and Blue Shield | HMO | $19.00 | ↓ -93% |
| Cigna/Midlands | Commercial | $20.41 | ↓ -92% |
| Wellmark Blue Cross and Blue Shield | PPO | $22.30 | ↓ -92% |
| Nebraska Total Care | Managed Medicaid | $37.96 | ↓ -86% |
| United Healthcare | HMO | $40.24 | ↓ -85% |
| United Healthcare | PPO | $40.24 | ↓ -85% |
| Health Partners Open Network | Commercial | $58.75 | ↓ -78% |
| Aetna | HMO | $67.02 | ↓ -75% |
| Aetna | PPO | $77.75 | ↓ -71% |
| Amerigroup | Managed Medicaid | $94.18 | ↓ -65% |
| Iowa Total Care | Managed Medicaid | $94.18 | ↓ -65% |
| Medica Exchange Inspire | Commercial | $159.44 | ↓ -41% |
| Medica Exchange Insure | Commercial | $178.60 | ↓ -34% |
Visitor-reported prices
Comments
Ultrasound joint complete left at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $218.40 | $101.79 – $142.51 |
| MercyOne Dubuque Medical Center | Dubuque | $208.00 | $93.79 – $320.00 |
| MercyOne New Hampton Medical Center | New Hampton | $642.85 | $391.55 – $989.00 |
| MercyOne Clinton Medical Center | Clinton | $825.50 | $96.27 – $1,270.00 |
| MercyOne Elkader Medical Center | Elkader | $642.85 | $509.04 – $1,033.70 |
| MercyOne Des Moines Medical Center | Des Moines | $193.70 | $59.90 – $298.00 |
| MercyOne Newton Medical Center | Newton | $642.85 | $98.96 – $989.00 |
| MercyOne North Iowa Medical Center | Mason City | $425.75 | $101.16 – $655.00 |