UnityPoint Health - St. Lukes Downtown
2720 Stone Park Blvd, Sioux City, IA · UnityPoint Health · · NPI 1962594622
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $68.80 | $86.00 | $17.57 – $45.55 | 13 |
| 17-hydroxypregnenolone CPT 84143 | $55.00 | $68.75 | $13.69 – $44.69 | 13 |
| 17-ketosteroids CPT 83586 | $55.00 | $68.75 | $7.68 – $44.69 | 13 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $4.02 – $10.22 | 10 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $3.26 – $8.29 | 10 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $6.70 – $17.03 | 10 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $172.80 | $216.00 | $56.16 – $180.05 | 13 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $1,656.80 | $2,071.00 | $538.46 – $1,771.30 | 11 |
| 1st psyc collab care mgmt CPT 99492 | $272.00 | $340.00 | $81.92 – $182.64 | 13 |
| 1st/sbsq psyc collab care CPT 99494 | $111.20 | $139.00 | $36.14 – $79.93 | 11 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $21.55 – $93.39 | 9 |
| 24 hr ambulatory b/p monitor CPT 93786 | $81.60 | $102.00 | $19.93 – $114.16 | 13 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,711.58 | $2,139.47 | $556.26 – $1,390.66 | 12 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $785.36 – $1,179.56 | 7 |
| 2nd order venous cath CPT 36012 | $4,286.40 | $5,358.00 | $152.82 – $1,251.88 | 13 |
| 2vhpv vaccine 3 dose im CPT 90650 | $148.80 | $186.00 | $48.36 – $188.71 | 4 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $131.45 – $160.10 | 7 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $155.53 – $160.10 | 6 |
| 3d ech img cgen car anomal CPT 93319 | $209.11 | $261.38 | $21.19 – $151.08 | 13 |
| 3-d radiotherapy plan CPT 77295 | $3,311.39 | $4,139.23 | $171.86 – $2,392.47 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $366.40 | $458.00 | $8.68 – $143.67 | 13 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,011.31 – $2,573.51 | 10 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $48.00 | $60.00 | $2.19 – $39.00 | 9 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $2.88 – $4.62 | 4 |
| 5' nucleotidase - sendout CPT 83915 | $64.28 | $80.35 | $6.69 – $52.23 | 13 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $119.20 | $149.00 | $15.86 – $70.18 | 13 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $196.80 | $246.00 | $63.96 – $173.69 | 7 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $205.60 | $257.00 | $66.82 – $185.46 | 7 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $214.40 | $268.00 | $69.68 – $196.49 | 7 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $177.60 | $222.00 | $57.72 – $158.99 | 7 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $189.60 | $237.00 | $61.62 – $173.69 | 7 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $188.80 | $236.00 | $61.36 – $173.69 | 7 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $207.20 | $259.00 | $67.34 – $196.49 | 7 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $243.20 | $304.00 | $79.04 – $231.81 | 7 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $7,697.60 | $9,622.00 | $2,501.72 – $7,189.87 | 11 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $95.03 | $118.78 | $16.90 – $68.65 | 13 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $48.57 | $60.71 | $7.21 – $39.46 | 13 |
| Abciximab injection HCPCS J0130 | not published | not published | $707.32 – $1,791.32 | 4 |
| Abd aorta w/runoff s&i CPT 75630 | $3,797.00 | $4,746.24 | $56.11 – $2,787.49 | 15 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $2,938.40 | $3,673.00 | $954.98 – $2,825.09 | 11 |
| Abd/low ext cath 1st CPT 36245 | $6,521.60 | $8,152.00 | $205.50 – $2,099.24 | 13 |
| Abd/low ext cath 2nd CPT 36246 | $4,187.20 | $5,234.00 | $217.03 – $2,223.46 | 13 |
| Abd/low ext cath 3rd CPT 36247 | $7,384.00 | $9,230.00 | $259.62 – $3,179.25 | 13 |
| Abd/low ext cath addl CPT 36248 | $828.23 | $1,035.28 | $42.86 – $598.39 | 13 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $673.96 | $842.45 | $47.32 – $486.94 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $463.59 | $579.48 | $30.68 – $334.94 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,193.39 | $1,491.73 | $53.56 – $862.22 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,193.39 | $1,491.73 | $50.18 – $862.22 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,193.39 | $1,491.73 | $47.06 – $862.22 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,014.64 | $2,518.29 | $84.24 – $1,308.97 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $1,404.53 | $1,755.66 | $66.30 – $912.57 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $1,185.59 | $1,481.98 | $55.90 – $856.58 | 15 |
| Abdominal pad HCPCS L1270 | not published | not published | $43.55 – $110.81 | 10 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,806.92 | $2,258.65 | $95.71 – $1,305.50 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $339.49 | $424.36 | $30.94 – $245.28 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $247.20 | $308.99 | $21.32 – $178.60 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $254.62 | $318.27 | $6.76 – $183.96 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $254.62 | $318.27 | $11.96 – $183.96 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $190.96 | $238.70 | $5.46 – $137.97 | 15 |
| Abdominoplasty 15830 CPT 15830 | $2,899.20 | $3,624.00 | $942.24 – $5,775.54 | 13 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,398.57 | $1,748.21 | $65.22 – $1,010.47 | 15 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $104.27 – $265.33 | 10 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $157.14 – $399.85 | 10 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $69.14 – $175.96 | 10 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $53.26 – $135.53 | 10 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $48.70 – $123.93 | 10 |
| Abl1 gene CPT 81170 | $600.00 | $750.00 | $93.60 – $420.04 | 13 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $711.20 | $889.00 | $195.22 – $414.20 | 9 |
| Ablate arrhythmia add on CPT 93655 | $18,268.70 | $22,835.87 | $262.24 – $13,199.13 | 13 |
| Ablate atria lmtd endo 33265 CPT 33265 | $3,312.80 | $4,141.00 | $1,076.66 – $3,136.62 | 11 |
| Ablate atria w/bypass exten 33256 CPT 33256 | $4,732.00 | $5,915.00 | $1,537.90 – $4,421.05 | 11 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,401.04 – $3,735.04 | 10 |
| Ablate atria x10sv add-on 33258 CPT 33258 | $1,585.60 | $1,982.00 | $515.32 – $1,500.46 | 11 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,584.79 – $4,228.34 | 10 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $27,785.60 | $34,732.00 | $308.50 – $6,326.64 | 13 |
| Ablate bone tumor(s) perq CPT 20982 | $18,652.80 | $23,316.00 | $326.32 – $11,395.13 | 15 |
| Ablate heart dysrhythm focus CPT 93650 | $4,746.88 | $5,933.59 | $415.22 – $6,720.19 | 15 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,255.61 – $3,347.27 | 10 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,400.56 – $3,743.26 | 10 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,388.15 – $3,700.46 | 10 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $676.00 | $845.00 | $179.95 – $1,311.86 | 13 |
| Ablate inf turbinate superf 30801 CPT 30801 | $530.40 | $663.00 | $134.04 – $1,311.86 | 13 |
| Ablate pulm tumor perq crybl CPT 32994 | $26,644.80 | $33,306.00 | $392.22 – $9,220.40 | 15 |
| Ablate pulm tumor perq rf CPT 32998 | $17,062.40 | $21,328.00 | $391.92 – $5,167.04 | 13 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $6,572.36 | $8,215.44 | $44.46 – $5,340.04 | 14 |
| Ablation cryo abd perit om CPT 49999 | $1,846.56 | $2,308.20 | $600.13 – $1,500.33 | 14 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $5,167.04 – $8,710.75 | 9 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $212.45 – $358.15 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $18,488.67 | $23,110.83 | $405.83 – $13,358.06 | 15 |
| Ablation cryo retro lymph node CPT 38999 | $859.53 | $1,074.41 | $279.35 – $698.37 | 14 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $212.45 – $358.15 | 9 |
| Ablation of upper extremity nerves rf CPT 64999 | $584.97 | $731.21 | $42.90 – $475.29 | 14 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $4,368.80 | $5,461.00 | $281.40 – $2,419.03 | 10 |
| Abltj mal prst8 tiss hifu CPT 55880 | $2,536.00 | $3,170.00 | $824.20 – $2,362.48 | 11 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | $15,558.40 | $19,448.00 | $440.31 – $5,056.48 | 9 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | $16,097.60 | $20,122.00 | $538.72 – $19,397.79 | 10 |
| Abobotulinumtoxina HCPCS J0586 | $9.60 | $12.00 | $3.12 – $11.45 | 11 |
| Abortion CPT 59850 | $935.20 | $1,169.00 | $303.94 – $916.08 | 11 |
| Abortion (mpr) CPT 59866 | $576.80 | $721.00 | $187.46 – $548.68 | 11 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $2,251.37 – $5,729.09 | 10 |
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.