Unlisted procedure liver at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$2,118.31
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.
$2,647.88
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.
$623.11 with Iowa Total Care vs $1,877.94 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 |
|---|---|---|---|
| Iowa Total Care | Managed Medicaid | $623.11 | ↓ -71% |
| Amerigroup | Managed Medicaid | $623.11 | ↓ -71% |
| Nebraska Total Care | Managed Medicaid | $688.45 | ↓ -68% |
| Aetna | Medicare Advantage | $699.40 | ↓ -67% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $699.40 | ↓ -67% |
| Molina | Medicare Advantage | $699.40 | ↓ -67% |
| United Healthcare | Medicare Advantage | $719.98 | ↓ -66% |
| Humana | Medicare Advantage | $719.98 | ↓ -66% |
| Amerivantage | Medicare Advantage | $719.98 | ↓ -66% |
| Health Partners Open Network | Commercial | $1,050.46 | ↓ -50% |
| Medica Exchange Inspire | Commercial | $1,366.31 | ↓ -35% |
| Aetna | HMO | $1,499.20 | ↓ -29% |
| Medica Exchange Insure | Commercial | $1,530.47 | ↓ -28% |
| Cigna/Midlands | Commercial | $1,665.52 | ↓ -21% |
| Aetna | PPO | $1,720.13 | ↓ -19% |
| Avera Health Plan | Commercial | $1,721.12 | ↓ -19% |
| United Healthcare | HMO | $1,877.94 | ↓ -11% |
| United Healthcare | PPO | $1,877.94 | ↓ -11% |
| Wellmark Blue Cross and Blue Shield | PPO | not published by hospital | — |
| Wellmark UPH Self-Funded | Commercial | not published by hospital | — |
| Wellmark Blue Cross and Blue Shield | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted procedure liver at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Mercy Council Bluffs | Council Bluffs | $371.70 | $132.75 – $752.25 |
| MercyOne Genesis Davenport West Medical Center | Davenport | not published | $673.49 – $942.89 |
| MercyOne Genesis Davenport Medical Center | Davenport | not published | $673.49 – $942.89 |
| UnityPoint Health - Allen Hospital | Waterloo | not published | $583.19 – $1,006.59 |
| UnityPoint Health - Finley Hospital | Dubuque | not published | $618.62 – $1,284.81 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | not published | $669.82 – $700.05 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | not published | $669.82 – $909.46 |
| UnityPoint Health - Marshalltown | Marshalltown | not published | $661.68 – $1,236.52 |