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Upper Endoscopy (EGD, diagnostic) at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$687.20
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.
$859.00
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.
$109.69 with Aetna vs $830.32 with Iowa Total Care — 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 | $109.69 | ↓ -84% |
| Molina | Medicare Advantage | $111.88 | ↓ -84% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $111.88 | ↓ -84% |
| Amerivantage | Medicare Advantage | $115.17 | ↓ -83% |
| Humana | Medicare Advantage | $115.17 | ↓ -83% |
| United Healthcare | Medicare Advantage | $115.17 | ↓ -83% |
| Avera Health Plan | Commercial | $164.54 | ↓ -76% |
| Nebraska Total Care | Managed Medicaid | $223.34 | ↓ -68% |
| Wellmark Blue Cross and Blue Shield | HMO | $234.20 | ↓ -66% |
| Wellmark UPH Self-Funded | Commercial | $234.20 | ↓ -66% |
| Health Partners Open Network | Commercial | $253.88 | ↓ -63% |
| Wellmark Blue Cross and Blue Shield | PPO | $275.60 | ↓ -60% |
| Cigna/Midlands | Commercial | $293.06 | ↓ -57% |
| Aetna | HMO | $294.87 | ↓ -57% |
| Aetna | PPO | $359.20 | ↓ -48% |
| United Healthcare | HMO | $385.30 | ↓ -44% |
| United Healthcare | PPO | $385.30 | ↓ -44% |
| Amerigroup | Managed Medicaid | $830.32 | ↑ +21% |
| Iowa Total Care | Managed Medicaid | $830.32 | ↑ +21% |
| Medica Exchange Insure | Commercial | not published by hospital | — |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, diagnostic) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,610.37 | $109.69 – $903.29 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,751.66 | $109.69 – $1,153.90 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $172.80 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $4,349.57 | $3.51 – $1,812.24 |
| MercyOne Clinton Medical Center | Clinton | $10,152.54 | $2.28 – $1,940.91 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $446.00 | $5.64 – $42.72 |
| MercyOne West Des Moines Medical Center | West Des Moines | $10,416.30 | $0.36 – $1,760.83 |
| MercyOne Des Moines Medical Center | Des Moines | $14,673.40 | $1.92 – $1,760.83 |