Unlisted laparoscopic liver biopy 47379 at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$1,218.40
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.
$1,523.00
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.
$102.96 with Nebraska Total Care vs $15,572.44 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 | $102.96 | ↓ -92% |
| Amerigroup | Managed Medicaid | $5,167.04 | ↑ +324% |
| Iowa Total Care | Managed Medicaid | $5,167.04 | ↑ +324% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $5,799.65 | ↑ +376% |
| Aetna | Medicare Advantage | $5,799.65 | ↑ +376% |
| Molina | Medicare Advantage | $5,799.65 | ↑ +376% |
| Amerivantage | Medicare Advantage | $5,970.23 | ↑ +390% |
| United Healthcare | Medicare Advantage | $5,970.23 | ↑ +390% |
| Humana | Medicare Advantage | $5,970.23 | ↑ +390% |
| Health Partners Open Network | Commercial | $8,710.75 | ↑ +615% |
| Aetna | HMO | $12,431.78 | ↑ +920% |
| Aetna | PPO | $14,263.83 | ↑ +1071% |
| United Healthcare | HMO | $15,572.44 | ↑ +1178% |
| United Healthcare | PPO | $15,572.44 | ↑ +1178% |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
| Avera Health Plan | Commercial | not published by hospital | — |
| Cigna/Midlands | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted laparoscopic liver biopy 47379 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $623.40 | not published |
| MercyOne West Des Moines Medical Center | West Des Moines | $33,433.37 | $183.41 – $11,736.86 |
| MercyOne Des Moines Medical Center | Des Moines | $6,504.00 | $293.65 – $1,678.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $654.60 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $654.60 | $796.43 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,218.40 | $4,835.96 – $8,346.96 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,218.40 | $364.32 – $10,654.03 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,218.40 | $5,554.35 – $5,804.99 |