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 |
|---|---|---|---|---|
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $4,390.40 | $5,488.00 | $630.76 – $8,133.47 | 11 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $757.34 – $9,974.77 | 11 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $642.50 – $15,794.12 | 11 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $665.62 – $9,974.77 | 11 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $506.40 – $9,974.77 | 11 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $253.76 – $675.17 | 9 |
| Perq plmt bile duct stent CPT 47538 | $10,412.00 | $13,015.00 | $208.88 – $5,131.71 | 13 |
| Perq plmt bile duct stent CPT 47539 | $11,495.20 | $14,369.00 | $376.37 – $5,131.71 | 11 |
| Perq plmt bile duct stent CPT 47540 | $11,729.60 | $14,662.00 | $389.71 – $5,131.71 | 11 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $823.20 | $1,029.00 | $77.51 – $213.92 | 11 |
| Perq skel fix rad/uln dislc CPT 25671 | $2,609.60 | $3,262.00 | $489.68 – $2,853.85 | 11 |
| Perq skel fix ulnar styld fx CPT 25651 | $2,398.40 | $2,998.00 | $449.49 – $2,853.85 | 11 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $161.00 – $161.00 | 2 |
| Perq transcath closure each CPT 93592 | $6,902.32 | $8,627.90 | $348.26 – $3,235.46 | 11 |
| Perq transcath closure pda CPT 93582 | not published | not published | $565.09 – $15,794.12 | 11 |
| Perq transcath cls aortic CPT 93591 | $13,804.64 | $17,255.79 | $795.70 – $15,794.12 | 13 |
| Perq transcath cls mitral CPT 93590 | $13,804.64 | $17,255.79 | $961.09 – $15,794.12 | 13 |
| Perq transcath septal reduxn CPT 93583 | $18,788.21 | $23,485.26 | $633.97 – $8,806.97 | 11 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $496.19 – $1,328.29 | 9 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $2,222.40 | $2,778.00 | $251.66 – $2,853.85 | 11 |
| Perq tx malar fracture CPT 21355 | $2,113.60 | $2,642.00 | $298.26 – $2,852.49 | 11 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $1,726.40 | $2,158.00 | $403.08 – $5,203.21 | 11 |
| Perq tx nasoethmoid fx CPT 21340 | $1,848.00 | $2,310.00 | $682.22 – $2,852.49 | 11 |
| Pertussis ag if CPT 87265 | $38.58 | $48.22 | $7.19 – $18.65 | 11 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $17.60 | $22.00 | $15.31 – $20.06 | 9 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $62.99 – $87.17 | 9 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $141.60 | $177.00 | $35.30 – $89.83 | 9 |
| Pessary reusable rub anytype HCPCS A4561 | $57.60 | $72.00 | $14.19 – $36.11 | 9 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,886.81 | $8,608.51 | $104.62 – $3,228.19 | 13 |
| Pet CT whole body initial CPT 78816 | $6,886.81 | $8,608.51 | $105.68 – $3,228.19 | 13 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,576.16 | $4,470.20 | $63.73 – $1,676.33 | 13 |
| Pet image full body CPT 78813 | $2,796.00 | $3,495.00 | $84.19 – $1,282.93 | 11 |
| Pet image ltd area CPT 78811 | $2,519.20 | $3,149.00 | $65.76 – $1,148.25 | 11 |
| Pet image skull-thigh CPT 78812 | $2,776.00 | $3,470.00 | $82.51 – $1,282.93 | 11 |
| Pet image w/ct lmtd CPT 78814 | $6,574.53 | $8,218.16 | $93.61 – $3,081.81 | 13 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $379.99 – $637.20 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $0.01 – $171.56 | 6 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $3,446.84 | $4,308.54 | $1,352.88 – $2,361.08 | 5 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $60.80 | $76.00 | $21.19 – $54.24 | 9 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $89.60 | $112.00 | $29.87 – $76.28 | 9 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $31.20 | $39.00 | $10.89 – $27.90 | 9 |
| Phalangectomy ea toe 28150 CPT 28150 | $1,053.60 | $1,317.00 | $258.06 – $2,853.85 | 11 |
| Pharmacologic management w/psytx CPT 90863 | $188.09 | $235.11 | $33.00 – $117.56 | 8 |
| Ph body fluid CPT 83986 | $33.57 | $41.96 | $3.58 – $15.74 | 11 |
| Phencyclidine (pcp) CPT 83992 | $43.20 | $54.00 | $12.62 – $23.57 | 8 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $107.11 | $133.88 | $16.90 – $32.77 | 8 |
| Phenobarbital therapeutic drug level CPT 80184 | $66.43 | $83.03 | $9.18 – $31.14 | 11 |
| Phentolaine mesylate inj HCPCS J2760 | $853.96 | $1,067.45 | $177.63 – $508.05 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.16 | $0.19 | $0.01 – $0.03 | 6 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $92.12 – $119.55 | 8 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.80 | $1.00 | $0.50 – $0.90 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $66.43 | $83.03 | $7.95 – $31.14 | 11 |
| Phlebotomy therapeutic CPT 99195 | $272.93 | $341.16 | $78.85 – $186.96 | 13 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $2,361.60 | $2,952.00 | $232.80 – $2,768.43 | 11 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $2,803.20 | $3,504.00 | $286.69 – $2,768.43 | 11 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $40.92 – $127.39 | 5 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $61.53 – $188.54 | 5 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $20.60 – $67.91 | 5 |
| Phosphorus CPT 84100 | $33.57 | $41.96 | $2.84 – $15.74 | 11 |
| Phosphorus 24 hour urine CPT 84105 | $33.57 | $41.96 | $3.47 – $15.74 | 11 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $245.60 | $307.00 | $52.24 – $275.94 | 11 |
| Photochemotherapy puva CPT 96912 | $210.40 | $263.00 | $52.24 – $234.73 | 11 |
| Photochemotherapy uv-a or b CPT 96913 | $304.80 | $381.00 | $133.04 – $355.60 | 11 |
| Photodynamic tx addl 15 min CPT 96571 | $59.20 | $74.00 | $22.81 – $60.03 | 9 |
| Photodynmc tx 30 min add-on CPT 96570 | $124.00 | $155.00 | $48.28 – $120.46 | 9 |
| Photo patch test CPT 95052 | $18.40 | $23.00 | $4.87 – $52.24 | 11 |
| Photopheresis CPT 36522 | $4,664.80 | $5,831.00 | $87.17 – $4,120.92 | 11 |
| Photosensitivity tests CPT 95056 | $137.60 | $172.00 | $46.66 – $121.26 | 11 |
| Phys blood bank serv authrj CPT 86079 | $97.60 | $122.00 | $29.85 – $84.73 | 11 |
| Phys blood bank serv reactj CPT 86078 | $97.60 | $122.00 | $30.04 – $93.39 | 9 |
| Phys blood bank serv xmatch CPT 86077 | $97.60 | $122.00 | $23.16 – $63.70 | 9 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $212.40 | $265.50 | $82.70 – $148.50 | 11 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $190.73 | $238.41 | $79.63 – $148.50 | 11 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $206.91 | $258.63 | $82.70 – $148.50 | 11 |
| Physical Therapy Re-Evaluation CPT 97164 | $162.29 | $202.86 | $56.66 – $106.87 | 11 |
| Physician standby services CPT 99360 | $145.60 | $182.00 | $81.90 – $138.72 | 6 |
| Phys review of motion tests CPT 96004 | $252.80 | $316.00 | $97.28 – $257.58 | 9 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $109.60 | $137.00 | $0.56 – $2.85 | 8 |
| Pierce earlobes 69090 CPT 69090 | $75.20 | $94.00 | $59.90 – $93.26 | 6 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $332.44 – $580.30 | 7 |
| Pik3ca gene trgt seq alys CPT 81309 | $263.84 | $329.80 | $110.15 – $288.57 | 11 |
| Pild/placebo control clin tr HCPCS G0276 | $840.80 | $1,051.00 | $332.35 – $875.11 | 9 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $443.02 – $1,127.37 | 9 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,435.20 | $1,794.00 | $413.20 – $1,093.79 | 11 |
| Pin finger dislocation CPT 26776 | $1,097.60 | $1,372.00 | $413.48 – $2,853.85 | 11 |
| Pin finger fracture each CPT 26756 | $1,036.00 | $1,295.00 | $389.74 – $2,853.85 | 11 |
| Pin hand dislocation CPT 26676 | $1,243.20 | $1,554.00 | $468.31 – $2,853.85 | 11 |
| Pin knuckle dislocation CPT 26706 | $1,086.40 | $1,358.00 | $413.50 – $2,853.85 | 11 |
| Pin service 60m per month HCPCS G0023 | $151.20 | $189.00 | $45.34 – $146.69 | 9 |
| Pinworm exam CPT 87172 | $38.58 | $48.22 | $4.27 – $18.08 | 11 |
| Pinworm examinations HCPCS Q0113 | $8.80 | $11.00 | $4.27 – $11.10 | 9 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $44.76 | $55.95 | $0.13 – $1.18 | 8 |
| Pituitary evaluation panel CPT 80418 | $1,453.60 | $1,817.00 | $347.69 – $901.43 | 9 |
| Place breast cath for rad CPT 19297 | $232.80 | $291.00 | $81.34 – $217.41 | 9 |
| Place breast rad tube/caths CPT 19298 | $4,883.20 | $6,104.00 | $294.09 – $5,736.05 | 11 |
| Place cath intracranial art CPT 36228 | $6,400.00 | $8,000.00 | $212.36 – $562.94 | 9 |
| Place cath xtrnl carotid CPT 36227 | $3,616.24 | $4,520.29 | $103.20 – $1,695.11 | 11 |
| Place cecostomy tube perc CPT 49442 | $2,420.18 | $3,025.22 | $186.57 – $1,134.46 | 13 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,293.88 – $2,169.73 | 7 |
| Place duod/jej tube perc CPT 49441 | $3,399.64 | $4,249.54 | $214.44 – $1,668.53 | 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.