UnityPoint Health - St. Luke's Hospital
1026 A Avenue N.E, Cedar Rapids, IA · UnityPoint Health · · NPI 1083708226
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Decompress optic nerve CPT 67570 | $6,134.40 | $7,668.00 | $1,130.14 – $3,316.84 | 11 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $3,861.60 | $4,827.00 | $1,404.67 – $6,283.38 | 11 |
| Decompress small bowel CPT 44021 | $2,394.40 | $2,993.00 | $855.74 – $2,273.41 | 9 |
| Decompress spinal cord lmbr CPT 63056 | $3,568.00 | $4,460.00 | $1,295.49 – $6,283.38 | 11 |
| Decompress spinal cord thrc CPT 63064 | $4,239.20 | $5,299.00 | $1,530.17 – $6,283.38 | 11 |
| Decompress spine cord add-on CPT 63066 | $483.20 | $604.00 | $172.36 – $459.99 | 9 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $768.00 | $960.00 | $274.39 – $730.92 | 9 |
| Deep muscle biopsy 20205 CPT 20205 | $716.00 | $895.00 | $135.38 – $2,517.36 | 11 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $6.90 – $11.63 | 6 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $6.40 | $8.00 | $4.27 – $5.44 | 9 |
| Delayed breast prosthesis 19342 CPT 19342 | $4,585.60 | $5,732.00 | $684.85 – $8,416.61 | 11 |
| Delay flap arms/legs CPT 15610 | $880.00 | $1,100.00 | $221.36 – $1,608.93 | 11 |
| Delay flap eye/nos/ear/lip CPT 15630 | $1,125.60 | $1,407.00 | $312.43 – $1,608.93 | 11 |
| Delay flap fccnaxghf 15620 CPT 15620 | $1,081.60 | $1,352.00 | $296.14 – $1,608.93 | 11 |
| Delay flap trunk 15600 CPT 15600 | $809.60 | $1,012.00 | $190.24 – $3,220.06 | 11 |
| Delivery of placenta 59414 CPT 59414 | $4,355.23 | $5,444.03 | $77.78 – $2,796.60 | 13 |
| Delivery only failed vbac 59620 CPT 59620 | $1,904.80 | $2,381.00 | $803.58 – $2,034.78 | 9 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | $2,639.20 | $3,299.00 | $1,192.99 – $3,026.25 | 9 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $10,408.20 | $13,010.25 | $559.34 – $4,878.84 | 11 |
| Demonstrate use home inr mon HCPCS G0248 | $176.00 | $220.00 | $87.71 – $231.63 | 9 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $195.78 | $244.72 | $15.65 – $178.90 | 13 |
| Denervation of hip joint CPT 27035 | $5,857.60 | $7,322.00 | $1,043.10 – $2,853.85 | 11 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $66.00 – $74.58 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $49.15 | $61.43 | $3.88 – $30.70 | 11 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $716.00 | $895.00 | $113.38 – $370.07 | 13 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $1.81 – $4.60 | 9 |
| Depo-estradiol cypionate inj HCPCS J1000 | $36.00 | $45.00 | $15.28 – $46.48 | 6 |
| Dermabrasion other than face CPT 15782 | $1,328.80 | $1,661.00 | $337.65 – $2,517.36 | 11 |
| Dermabrasion segmental face 15781 CPT 15781 | $1,344.00 | $1,680.00 | $379.75 – $1,025.44 | 11 |
| Dermabrasion suprfl any site CPT 15783 | $1,144.80 | $1,431.00 | $325.46 – $863.18 | 11 |
| Dermabrasion total face CPT 15780 | $2,188.80 | $2,736.00 | $604.45 – $2,517.36 | 11 |
| Derma-fat-fascia graft 15770 CPT 15770 | $1,644.00 | $2,055.00 | $607.76 – $3,220.06 | 11 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $231.29 – $300.18 | 5 |
| Dermagraft HCPCS Q4106 | $42.40 | $53.00 | $41.15 – $116.85 | 4 |
| Dermal filler injection(s) HCPCS G0429 | $240.80 | $301.00 | $61.68 – $161.95 | 9 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $43.45 – $65.54 | 6 |
| Derm autograft face/nck/hf/g CPT 15135 | $2,156.80 | $2,696.00 | $684.17 – $3,220.06 | 11 |
| Derm autograft trnk/arm/leg CPT 15130 | $1,764.80 | $2,206.00 | $536.85 – $1,608.93 | 11 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $44.23 – $161.86 | 6 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $883.62 – $2,067.00 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $26,920.40 | $33,650.49 | $1,519.28 – $12,618.93 | 11 |
| Description not available HCPCS S0013 | not published | not published | $12.37 – $14.90 | 4 |
| Design custom breast implant CPT 19396 | $1,401.60 | $1,752.00 | $127.64 – $338.83 | 9 |
| Design mlc device for imrt CPT 77338 | $3,652.76 | $4,565.95 | $210.68 – $1,712.23 | 13 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $57.20 | $71.50 | $0.90 – $4.49 | 11 |
| Desoxycorticosterone CPT 82633 | $109.28 | $136.60 | $18.59 – $51.23 | 11 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $6,413.00 | $8,016.24 | $334.08 – $3,006.09 | 11 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $23,063.96 | $28,829.94 | $1,304.96 – $10,811.23 | 11 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $16,619.45 | $20,774.31 | $945.25 – $7,790.37 | 11 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $341.60 | $427.00 | $79.78 – $210.83 | 11 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $440.00 | $550.00 | $108.05 – $286.31 | 11 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $505.60 | $632.00 | $124.46 – $330.30 | 11 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $366.40 | $458.00 | $87.73 – $231.77 | 11 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $404.00 | $505.00 | $96.18 – $254.85 | 11 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $461.60 | $577.00 | $110.56 – $293.81 | 11 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $238.40 | $298.00 | $64.43 – $174.77 | 11 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $358.40 | $448.00 | $80.07 – $211.63 | 11 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $435.20 | $544.00 | $100.87 – $267.81 | 11 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $472.80 | $591.00 | $111.50 – $296.32 | 11 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $7,753.78 | $9,692.22 | $175.32 – $1,817.29 | 13 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $5,802.53 | $7,253.16 | $60.86 – $1,359.97 | 11 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $526.40 | $658.00 | $139.05 – $1,037.08 | 11 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $160.80 | $201.00 | $50.00 – $174.77 | 11 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $623.20 | $779.00 | $190.89 – $1,608.93 | 11 |
| Destroy vulva lesion simple 56501 CPT 56501 | $403.20 | $504.00 | $120.22 – $1,608.93 | 11 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $321.60 | $402.00 | $76.56 – $202.22 | 11 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $1,100.00 | $1,375.00 | $328.75 – $871.59 | 11 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $843.20 | $1,054.00 | $251.67 – $669.18 | 11 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $1,572.80 | $1,966.00 | $478.55 – $1,608.93 | 11 |
| Destruction 2-14 lesions 17003 CPT 17003 | $15.20 | $19.00 | $1.88 – $5.06 | 9 |
| Destruction anal lesion(s) CPT 46910 | $633.60 | $792.00 | $121.88 – $1,608.93 | 11 |
| Destruction anal lesion(s) CPT 46924 | $1,316.80 | $1,646.00 | $165.17 – $2,412.11 | 11 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $581.60 | $727.00 | $125.43 – $351.41 | 11 |
| Destruction benign lesions < 14 lesions CPT 17110 | $272.80 | $341.00 | $62.81 – $174.77 | 11 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $600.00 | $750.00 | $173.09 – $783.07 | 11 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $5,704.58 | $7,130.72 | $53.47 – $1,337.01 | 11 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $7,233.09 | $9,041.36 | $175.47 – $1,717.59 | 13 |
| Destruction ciliary body CPT 66700 | $2,240.00 | $2,800.00 | $352.32 – $2,006.05 | 11 |
| Destruction ciliary body CPT 66720 | $2,283.20 | $2,854.00 | $369.68 – $2,051.99 | 11 |
| Destruction ciliary body CPT 66740 | $2,177.60 | $2,722.00 | $352.32 – $2,051.99 | 11 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $605.60 | $757.00 | $129.27 – $344.79 | 11 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $1,024.80 | $1,281.00 | $116.86 – $2,412.11 | 11 |
| Destruction les conjunctiva CPT 68135 | $782.40 | $978.00 | $135.26 – $2,051.99 | 11 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $513.60 | $642.00 | $125.08 – $351.41 | 11 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $605.60 | $757.00 | $153.03 – $405.37 | 11 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $507.20 | $634.00 | $119.45 – $351.41 | 11 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $578.40 | $723.00 | $139.77 – $371.00 | 11 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $332.00 | $415.00 | $97.84 – $351.41 | 11 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $544.80 | $681.00 | $158.60 – $1,608.93 | 11 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $388.80 | $486.00 | $89.50 – $351.41 | 11 |
| Destruction rectal tumor 45190 CPT 45190 | $1,743.20 | $2,179.00 | $629.30 – $2,412.11 | 11 |
| Destruction vag lesions complex 57065 CPT 57065 | $547.20 | $684.00 | $166.67 – $2,796.60 | 11 |
| Destruction vag lesions simple 57061 CPT 57061 | $347.20 | $434.00 | $103.63 – $2,796.60 | 11 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $311.20 | $389.00 | $88.43 – $1,608.93 | 11 |
| Detect agent nos dna dir CPT 87797 | $67.15 | $83.93 | $18.02 – $42.04 | 11 |
| Detect agnt mult dna direc CPT 87800 | $109.60 | $137.00 | $26.20 – $62.41 | 11 |
| Determination venous press CPT 93770 | $18.40 | $23.00 | $1.12 – $20.88 | 6 |
| Determine refractive state CPT 92015 | not published | not published | $33.90 – $51.76 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $56.80 | $71.00 | $18.14 – $26.81 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | $635.10 | $793.87 | $111.75 – $299.96 | 13 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.