Xcapsl ctrc rmvl cplx wo ecp at UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
$3,724.80
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.
$4,656.00
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.
$605.28 with Nebraska Total Care vs $2,327.87 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 | $605.28 | ↓ -84% |
| Aetna | Medicare Advantage | $669.56 | ↓ -82% |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $682.95 | ↓ -82% |
| Molina | Medicare Advantage | $682.95 | ↓ -82% |
| Amerivantage | Medicare Advantage | $703.04 | ↓ -81% |
| Humana | Medicare Advantage | $703.04 | ↓ -81% |
| United Healthcare | Medicare Advantage | $703.04 | ↓ -81% |
| Avera Health Plan | Commercial | $1,004.34 | ↓ -73% |
| Wellmark UPH Self-Funded | Commercial | $1,392.70 | ↓ -63% |
| Wellmark Blue Cross and Blue Shield | HMO | $1,392.70 | ↓ -63% |
| Health Partners Open Network | Commercial | $1,568.52 | ↓ -58% |
| Wellmark Blue Cross and Blue Shield | PPO | $1,638.40 | ↓ -56% |
| Aetna | HMO | $1,737.03 | ↓ -53% |
| Cigna/Midlands | Commercial | $1,797.73 | ↓ -52% |
| Iowa Total Care | Managed Medicaid | $2,019.86 | ↓ -46% |
| Amerigroup | Managed Medicaid | $2,019.86 | ↓ -46% |
| Aetna | PPO | $2,114.97 | ↓ -43% |
| United Healthcare | HMO | $2,327.87 | ↓ -38% |
| United Healthcare | PPO | $2,327.87 | ↓ -38% |
| Medica Exchange Inspire | Commercial | not published by hospital | — |
| Medica Exchange Insure | Commercial | not published by hospital | — |
Visitor-reported prices
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Xcapsl ctrc rmvl cplx wo ecp at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $9,347.84 | $3.44 – $4,611.24 |
| MercyOne Clinton Medical Center | Clinton | $11,790.12 | $2.28 – $4,938.64 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $12,882.55 | $0.32 – $5,817.59 |
| MercyOne Elkader Medical Center | Elkader | $9,916.89 | $0.96 – $22.80 |
| MercyOne Newton Medical Center | Newton | $8,065.00 | $0.16 – $4,480.44 |
| UnityPoint Health - Allen Hospital | Waterloo | $3,724.80 | $669.56 – $1,890.44 |
| UnityPoint Health - Finley Hospital | Dubuque | $3,724.80 | $669.56 – $2,141.76 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $3,724.80 | $669.56 – $2,269.24 |