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 |
|---|---|---|---|---|
| Ped crit care transport CPT 99466 | $434.40 | $543.00 | $210.61 – $459.40 | 9 |
| Ped crit care transport addl CPT 99467 | $217.60 | $272.00 | $105.69 – $230.40 | 9 |
| Ped critical care initial CPT 99471 | $1,446.40 | $1,808.00 | $702.97 – $1,533.50 | 9 |
| Ped critical care subsq CPT 99472 | $724.00 | $905.00 | $360.94 – $796.60 | 9 |
| Ped home apnea mntr att only CPT 94775 | $100.00 | $125.00 | $15.10 – $152.31 | 11 |
| Ped home apnea mntr dl&alys CPT 94776 | $472.00 | $590.00 | $137.61 – $555.75 | 11 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $3,306.68 – $8,414.58 | 9 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $967.84 – $2,462.88 | 9 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,969.60 | $2,462.00 | $589.13 – $1,608.93 | 11 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $793.04 – $2,018.07 | 9 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $936.29 – $2,382.58 | 9 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $741.88 – $1,887.86 | 9 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $402.93 – $1,025.35 | 9 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $195.77 – $461.25 | 4 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $889.25 – $1,149.25 | 3 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $10,221.50 – $33,515.90 | 9 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.98 – $93.03 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $79.60 – $366.29 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $360.00 | $450.00 | $138.76 – $449.20 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $579.20 | $724.00 | $227.34 – $396.75 | 11 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $351.20 | $439.00 | $105.78 – $438.88 | 9 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $152.20 – $262.57 | 9 |
| Peginesatide injection HCPCS J0890 | not published | not published | $12.97 – $15.93 | 3 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,113.42 – $1,277.52 | 5 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $1,029.60 – $4,382.40 | 9 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.60 – $241.79 | 7 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $292.75 – $744.95 | 9 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $253.87 – $646.04 | 9 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $188.88 – $480.64 | 9 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $139.18 – $354.16 | 9 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $189.74 – $482.83 | 9 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $260.85 – $663.79 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,097.14 | $2,621.42 | $53.20 – $983.03 | 13 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,876.33 | $2,345.41 | $50.66 – $879.53 | 13 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,488.35 | $1,860.43 | $47.51 – $697.66 | 13 |
| Pelvic exenteration CPT 45126 | $6,904.00 | $8,630.00 | $2,428.98 – $6,514.36 | 9 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $833.98 – $2,122.25 | 9 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,684.65 | $5,855.81 | $96.27 – $2,195.93 | 13 |
| Pelvic MRI (with contrast) CPT 72196 | $3,665.25 | $4,581.56 | $75.45 – $1,718.09 | 13 |
| Pelvic MRI (without contrast) CPT 72195 | $3,321.63 | $4,152.03 | $63.91 – $1,557.01 | 13 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $2,616.80 | $3,271.00 | $953.32 – $6,283.38 | 11 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $900.37 – $2,347.98 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $559.93 | $699.91 | $30.15 – $262.47 | 13 |
| Pelvic Ultrasound (limited) CPT 76857 | $282.65 | $353.31 | $21.78 – $132.49 | 13 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $270.10 | $337.62 | $7.71 – $126.61 | 13 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $340.17 | $425.21 | $11.19 – $159.45 | 13 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $83.25 – $211.85 | 9 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $61.60 | $77.00 | $56.66 – $72.45 | 9 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $80.00 | $100.00 | $3.77 – $85.68 | 9 |
| Pemivibart infusion HCPCS M0224 | $661.25 | $826.56 | $276.07 – $714.38 | 10 |
| Peng benzathine/procaine inj HCPCS J0558 | $16.80 | $21.00 | $7.33 – $22.85 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $71.60 | $89.50 | $7.67 – $30.77 | 11 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $17.44 | $21.80 | $0.12 – $0.93 | 8 |
| Penicillin g procaine inj HCPCS J2510 | $46.40 | $58.00 | $12.29 – $49.55 | 9 |
| Penile injection CPT 54235 | $220.80 | $276.00 | $67.14 – $178.13 | 9 |
| Penile vascular study CPT 93980 | $284.00 | $355.00 | $51.24 – $135.64 | 11 |
| Penile vascular study CPT 93981 | $169.60 | $212.00 | $19.40 – $93.54 | 11 |
| Penile venous occlusion CPT 37790 | $1,226.40 | $1,533.00 | $440.59 – $3,033.59 | 11 |
| Penis plastic surgery CPT 54360 | $1,820.80 | $2,276.00 | $653.95 – $3,033.59 | 11 |
| Penis study CPT 54240 | $256.80 | $321.00 | $39.28 – $273.89 | 11 |
| Pentamidine non-comp unit HCPCS J2545 | $141.60 | $177.00 | $54.76 – $87.20 | 8 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.30 – $15.27 | 3 |
| Pentazocine injection HCPCS J3070 | $128.80 | $161.00 | $33.58 – $164.13 | 4 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $8.60 – $55.65 | 6 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,447.89 – $2,955.10 | 9 |
| Perc cryo ablate renal tum CPT 50593 | $21,107.20 | $26,384.00 | $410.84 – $9,157.35 | 11 |
| Perc d-e cor revasc chro add HCPCS C9608 | $18,116.76 | $22,645.94 | $7,110.83 – $12,409.98 | 5 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $21,583.93 | $26,979.91 | $9,011.29 – $28,474.92 | 12 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $16,726.84 | $20,908.54 | $6,565.28 – $11,457.88 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $18,116.76 | $22,645.94 | $7,563.74 – $17,983.34 | 12 |
| Perc d-e cor stent ather br HCPCS C9603 | $16,726.84 | $20,908.54 | $6,565.28 – $11,457.88 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | $21,584.07 | $26,980.08 | $9,011.35 – $28,474.92 | 12 |
| Perc drug-el cor stent bran HCPCS C9601 | $16,726.84 | $20,908.54 | $6,565.28 – $11,457.88 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | $18,116.76 | $22,645.94 | $7,563.74 – $17,983.34 | 12 |
| Perc rf ablate renal tumor CPT 50592 | $15,611.20 | $19,514.00 | $307.42 – $5,131.71 | 13 |
| Percut ablate liver rf CPT 47382 | $10,753.60 | $13,442.00 | $660.71 – $5,131.71 | 13 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $279.69 – $728.36 | 9 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $344.83 | $431.03 | $41.79 – $72.24 | 8 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,871.00 | $4,838.74 | $186.32 – $1,814.53 | 11 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $6,040.80 | $7,551.00 | $2,123.49 – $5,673.46 | 9 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,560.01 | $4,450.01 | $201.55 – $1,668.75 | 13 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $2,013.60 | $2,517.00 | $717.65 – $1,905.75 | 9 |
| Peri-implt capslc brst compl CPT 19371 | $3,896.00 | $4,870.00 | $640.91 – $3,368.11 | 11 |
| Perineoplasty rpr per nonob CPT 56810 | $667.20 | $834.00 | $243.77 – $2,796.60 | 11 |
| Peripheral vascular rehab CPT 93668 | $33.60 | $42.00 | $12.85 – $33.80 | 9 |
| Peri-proc device eval icd CPT 93287 | $145.16 | $181.44 | $20.02 – $68.04 | 11 |
| Peri-proc device eval pm CPT 93286 | $145.16 | $181.44 | $13.40 – $68.04 | 11 |
| Peritoneal cath sub q resv per CPT 49419 | $1,072.80 | $1,341.00 | $365.18 – $4,754.67 | 11 |
| Peritoneogram rs&i CPT 74190 | $813.60 | $1,017.00 | $20.10 – $482.27 | 11 |
| Perit-vens shunt pat tst CPT 78291 | $547.20 | $684.00 | $38.51 – $353.44 | 11 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $15.71 – $74.50 | 6 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $9.82 – $24.97 | 9 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,051.00 – $2,674.48 | 9 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.47 – $3.17 | 6 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $7.51 – $9.24 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | $4,081.60 | $5,102.00 | $729.79 – $1,941.50 | 9 |
| Perq clsr tcat l atr apndge CPT 33340 | $20,636.93 | $25,796.16 | $668.49 – $9,673.56 | 11 |
| Perq dev breast 1st mr guide CPT 19287 | $3,793.60 | $4,742.00 | $113.20 – $618.85 | 11 |
| Perq dev breast 1st strtctc CPT 19283 | $2,057.89 | $2,572.36 | $89.21 – $964.64 | 13 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $6,456.00 | $8,070.00 | $1,014.70 – $8,133.47 | 11 |
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.