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 |
|---|---|---|---|---|
| Gastrostomy open neonatal CPT 43831 | $1,474.40 | $1,843.00 | $539.71 – $1,439.51 | 11 |
| Gated heart multiple CPT 78473 | $2,065.44 | $2,581.79 | $63.35 – $968.17 | 13 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $1.69 – $4.30 | 9 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $1.81 – $4.60 | 9 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $6.40 | $8.00 | $1.49 – $3.78 | 9 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.67 – $1.69 | 9 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $2.51 – $6.38 | 9 |
| Gba gene CPT 81251 | $127.86 | $159.82 | $28.35 – $66.15 | 11 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $41.95 – $90.88 | 9 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $49.73 – $107.74 | 9 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $58.22 – $126.15 | 8 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $31.12 – $67.42 | 9 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $35.53 – $76.99 | 9 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $40.91 – $88.63 | 9 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $55.51 – $120.26 | 9 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $66.18 – $143.39 | 9 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $78.40 – $169.86 | 9 |
| Gefitinib oral HCPCS J8565 | not published | not published | $65.53 – $162.64 | 6 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $37.84 – $96.29 | 9 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $1.29 – $3.28 | 9 |
| Gel-one HCPCS J7326 | $1,056.00 | $1,320.00 | $520.99 – $744.52 | 9 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1.60 | $2.00 | $0.56 – $0.72 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $41.81 | $52.26 | $3.26 – $22.11 | 8 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $216.05 – $294.16 | 9 |
| General health panel CPT 80050 | $70.40 | $88.00 | $25.73 – $46.96 | 8 |
| Generator barostim neo2 2014 HCPCS C1767 | $64,836.29 | $81,045.36 | $25,448.24 – $44,412.86 | 5 |
| Generator emblem MRI sicd subq HCPCS C1722 | $52,550.72 | $65,688.40 | $20,626.16 – $35,997.24 | 5 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $81.49 – $118.92 | 5 |
| Genetic tstg severe inh cond CPT 81443 | $4,897.60 | $6,122.00 | $981.38 – $3,428.21 | 11 |
| Genioplasty augmentation CPT 21120 | $1,643.20 | $2,054.00 | $453.22 – $5,203.21 | 11 |
| Geniop sldg augmentation CPT 21123 | $2,196.80 | $2,746.00 | $763.30 – $2,852.49 | 11 |
| Geniop sldg osteot 1 CPT 21121 | $1,696.80 | $2,121.00 | $488.60 – $2,852.49 | 11 |
| Geniop sldg osteot 2/> CPT 21122 | $1,895.20 | $2,369.00 | $667.90 – $5,203.21 | 11 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,402.59 – $3,272.93 | 9 |
| Genome sequence analysis CPT 81425 | $4,829.96 | $6,037.44 | $2,016.50 – $7,044.15 | 11 |
| Genome sequence analysis CPT 81426 | $2,601.56 | $3,251.94 | $1,086.15 – $3,794.18 | 11 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $76.40 | $95.50 | $0.37 – $2.47 | 8 |
| Gentamicin peak therapeutic drug level CPT 80170 | $66.43 | $83.03 | $9.83 – $31.14 | 11 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.13 – $12.20 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | $2,865.00 | $3,581.25 | $73.43 – $1,342.97 | 13 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $127.72 – $338.27 | 9 |
| Ghs abscess perianal iandd CPT 46050 | $1,060.62 | $1,325.77 | $91.50 – $801.91 | 13 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,952.74 | $3,690.92 | $159.46 – $2,517.36 | 13 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $33.57 | $41.96 | $5.89 – $15.74 | 11 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $64.28 | $80.35 | $10.27 – $30.13 | 11 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $204.80 | $256.00 | $53.38 – $143.18 | 11 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $114.40 | $143.00 | $16.79 – $113.38 | 11 |
| Ghs antibodies (torch) igm CPT 86694 | $48.57 | $60.71 | $8.63 – $22.77 | 11 |
| Ghs aspiration bladder - needle CPT 51100 | $169.60 | $212.00 | $34.98 – $213.92 | 11 |
| Ghs bladder cath - complex-foley CPT 51703 | $390.21 | $487.76 | $68.67 – $183.01 | 13 |
| Ghs bleeding time (ivy) CPT 85002 | $32.85 | $41.06 | $2.89 – $15.40 | 11 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $6,209.27 | $7,761.58 | $49.48 – $1,455.30 | 13 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,099.76 | $1,374.70 | $76.61 – $2,768.43 | 13 |
| Ghs change cysto/gastrost CPT 43762 | $1,114.60 | $1,393.24 | $32.97 – $522.47 | 13 |
| Ghs chemo >8 hrs CPT 96416 | $690.21 | $862.76 | $107.06 – $323.54 | 13 |
| Ghs chemo infusion >8 hrs CPT 96425 | $316.80 | $396.00 | $140.76 – $389.51 | 11 |
| Ghs chemo IV push, ea addtl CPT 96411 | $143.59 | $179.48 | $46.49 – $112.87 | 13 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $88.80 | $111.00 | $21.05 – $54.59 | 11 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $689.60 | $862.00 | $210.99 – $536.50 | 13 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,849.60 | $2,312.00 | $192.98 – $775.90 | 13 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,299.20 | $2,874.00 | $393.74 – $1,407.67 | 13 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $2,036.80 | $2,546.00 | $210.99 – $1,100.02 | 11 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,627.20 | $3,284.00 | $154.54 – $1,407.67 | 13 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,972.00 | $2,465.00 | $715.82 – $1,901.61 | 11 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $1,635.20 | $2,044.00 | $210.99 – $625.10 | 13 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,347.20 | $2,934.00 | $402.58 – $1,407.67 | 13 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,191.64 | $3,989.55 | $451.79 – $1,496.08 | 13 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $2,564.80 | $3,206.00 | $186.96 – $939.50 | 13 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $815.20 | $1,019.00 | $210.99 – $636.60 | 13 |
| Ghs community re-entry 15 minutes CPT 97537 | $119.88 | $149.85 | $30.14 – $56.19 | 11 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $1,262.01 | $1,577.51 | $32.87 – $591.57 | 13 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $404.61 | $505.76 | $26.33 – $189.66 | 13 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $416.41 | $520.51 | $36.85 – $350.98 | 13 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $415.08 | $518.85 | $45.48 – $194.57 | 13 |
| Ghs cricothyroidotomy CPT 31605 | $930.28 | $1,162.85 | $204.26 – $637.24 | 13 |
| Ghs cutdown placement age 1 and over CPT 36425 | $420.32 | $525.40 | $34.92 – $350.98 | 13 |
| Ghs cutdown placement under 1 yr CPT 36420 | $118.40 | $148.00 | $41.09 – $113.38 | 11 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $48.57 | $60.71 | $9.13 – $23.67 | 11 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,817.60 | $2,272.00 | $210.99 – $691.80 | 13 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $268.00 | $335.00 | $93.64 – $824.64 | 11 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $292.00 | $365.00 | $29.66 – $233.60 | 13 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,363.99 | $1,704.98 | $93.28 – $639.37 | 13 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $1,104.83 | $1,381.03 | $137.61 – $606.19 | 13 |
| Ghs electrostagmgraphy CPT 92537 | $92.80 | $116.00 | $7.53 – $137.61 | 11 |
| Ghs elect torsion swing CPT 92546 | $242.40 | $303.00 | $13.66 – $137.61 | 11 |
| Ghs elect vertical elct CPT 92547 | $18.40 | $23.00 | $4.65 – $17.60 | 9 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $380.00 | $475.00 | $64.50 – $351.41 | 11 |
| Ghs excision ingrown nail CPT 11765 | $548.64 | $685.79 | $85.24 – $351.41 | 13 |
| Ghs eye exam CPT 92002 | $174.40 | $218.00 | $41.75 – $113.35 | 11 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,272.00 | $1,590.00 | $104.15 – $284.93 | 13 |
| Ghs fat & muscle CPT 89160 | $56.44 | $70.54 | $2.91 – $26.45 | 11 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,593.97 | $3,242.46 | $286.93 – $1,425.10 | 13 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,162.40 | $1,453.00 | $223.64 – $2,517.36 | 11 |
| Ghs fb removal - incisional CPT 10121 | $4,030.40 | $5,038.00 | $165.86 – $1,889.25 | 13 |
| Ghs fb removal - non-incisional CPT 20520 | $1,116.94 | $1,396.17 | $134.26 – $1,425.10 | 13 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $48.57 | $60.71 | $4.19 – $22.77 | 11 |
| Ghs fish cytogen CPT 88271 | $127.86 | $159.82 | $21.42 – $59.93 | 11 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $127.86 | $159.82 | $51.19 – $71.67 | 11 |
| Ghs flow volume loop CPT 94375 | $89.60 | $112.00 | $13.13 – $273.89 | 11 |
| Ghs gastric intub aspiration lavage CPT 43753 | $477.94 | $597.42 | $19.13 – $273.89 | 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.