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 |
|---|---|---|---|---|
| Reteplase injection HCPCS J2993 | not published | not published | $1,392.13 – $3,049.80 | 9 |
| Reticulated platelet assay CPT 85055 | $95.72 | $119.64 | $21.44 – $77.77 | 13 |
| Reticulocyte automated CPT 85045 | $33.57 | $41.96 | $2.39 – $27.27 | 13 |
| Reticulocyte direct measurement automated CPT 85046 | $33.57 | $41.96 | $3.34 – $27.27 | 13 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $29.36 – $38.78 | 9 |
| Retr bone flap to fix skull CPT 62148 | $296.80 | $371.00 | $96.46 – $282.12 | 11 |
| Retrieval of oocyte CPT 58970 | $580.80 | $726.00 | $175.00 – $468.26 | 11 |
| Retrograde ejaculation anal CPT 89331 | $48.80 | $61.00 | $11.75 – $30.46 | 10 |
| Reusable nipple prosthesis HCPCS L8032 | not published | not published | $23.47 – $59.72 | 10 |
| Revasc intra lithotrip-ather HCPCS C9766 | not published | not published | $17,849.90 – $26,809.52 | 7 |
| Revasc intra lithotrip-stent HCPCS C9765 | not published | not published | $17,849.90 – $26,809.52 | 7 |
| Revasc intravasc lithotripsy HCPCS C9764 | not published | not published | $11,273.11 – $16,931.55 | 7 |
| Revasc lithotr-ather tib/per HCPCS C9774 | not published | not published | $17,849.90 – $26,809.52 | 7 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $36,382.86 | $45,478.57 | $11,824.43 – $29,561.07 | 12 |
| Revasc lithotrip tibi/perone HCPCS C9772 | not published | not published | $11,273.11 – $16,931.55 | 7 |
| Revasc lithotr-stent tib/per HCPCS C9773 | not published | not published | $17,849.90 – $26,809.52 | 7 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | not published | not published | $17,849.90 – $26,809.52 | 7 |
| Revascularization penis CPT 37788 | not published | not published | $1,138.31 – $3,035.02 | 10 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.18 – $0.24 | 6 |
| Revise abdomen-venous shunt CPT 49426 | $1,633.60 | $2,042.00 | $530.92 – $3,125.41 | 13 |
| Revise additional leg tendon CPT 27692 | $259.20 | $324.00 | $84.24 – $241.10 | 11 |
| Revise aqueous shunt eye CPT 66185 | $4,198.40 | $5,248.00 | $682.24 – $2,052.16 | 13 |
| Revise arm/leg nerve CPT 64708 | $1,239.20 | $1,549.00 | $402.74 – $1,729.42 | 13 |
| Revise bladder & ureter(s) CPT 51565 | $3,277.60 | $4,097.00 | $1,065.22 – $3,098.65 | 11 |
| Revise breast reconst 19380 CPT 19380 | $3,846.40 | $4,808.00 | $625.04 – $5,775.54 | 13 |
| Revise circulation to head CPT 61708 | not published | not published | $2,172.49 – $5,795.42 | 10 |
| Revise circulation to head CPT 61705 | not published | not published | $2,220.07 – $5,921.45 | 10 |
| Revise circulation to head CPT 61710 | not published | not published | $1,834.07 – $4,891.13 | 10 |
| Revise esophagus & stomach 43325 CPT 43325 | $3,326.40 | $4,158.00 | $1,081.08 – $3,169.85 | 11 |
| Revise eye CPT 65091 | $3,406.40 | $4,258.00 | $553.54 – $3,339.68 | 13 |
| Revise eyelashes CPT 67825 | $659.20 | $824.00 | $107.12 – $294.81 | 13 |
| Revise eyelashes CPT 67835 | $2,180.80 | $2,726.00 | $354.38 – $2,066.12 | 13 |
| Revise eyelid defect CPT 67909 | $2,684.80 | $3,356.00 | $393.99 – $2,066.12 | 13 |
| Revise eyelid defect CPT 67911 | $2,784.00 | $3,480.00 | $452.40 – $2,066.12 | 13 |
| Revise eyelid lining CPT 68330 | $3,038.40 | $3,798.00 | $414.66 – $2,019.86 | 13 |
| Revise eyelid lining CPT 68360 | $2,657.60 | $3,322.00 | $369.83 – $3,339.68 | 13 |
| Revise eyelid lining CPT 68362 | $3,251.20 | $4,064.00 | $528.32 – $2,066.12 | 13 |
| Revise eye muscle CPT 67311 | $2,964.80 | $3,706.00 | $410.66 – $2,066.12 | 13 |
| Revise eye muscle CPT 67314 | $3,366.40 | $4,208.00 | $410.66 – $2,066.12 | 13 |
| Revise eye muscle add-on CPT 67340 | $895.20 | $1,119.00 | $262.89 – $703.63 | 11 |
| Revise eye muscle(s) CPT 67318 | $3,515.20 | $4,394.00 | $571.22 – $2,066.12 | 13 |
| Revise eye muscle(s) add-on CPT 67320 | $804.80 | $1,006.00 | $157.14 – $593.36 | 11 |
| Revise eye muscle w/suture CPT 67334 | $1,507.20 | $1,884.00 | $112.12 – $554.69 | 11 |
| Revise eye socket implant CPT 67560 | $5,192.00 | $6,490.00 | $843.70 – $3,339.68 | 13 |
| Revise eye sockets CPT 21260 | $3,432.80 | $4,291.00 | $1,115.66 – $5,239.04 | 13 |
| Revise eye sockets CPT 21261 | $6,089.60 | $7,612.00 | $1,979.12 – $5,754.77 | 13 |
| Revise eye sockets CPT 21263 | $5,630.40 | $7,038.00 | $1,829.88 – $5,324.83 | 13 |
| Revise eye sockets CPT 21267 | $8,025.60 | $10,032.00 | $1,304.16 – $5,239.04 | 13 |
| Revise eye sockets CPT 21268 | not published | not published | $1,791.50 – $4,770.98 | 10 |
| Revise eye with implant CPT 65093 | $3,371.20 | $4,214.00 | $547.82 – $3,339.68 | 13 |
| Revise finger joint each CPT 26135 | $1,362.40 | $1,703.00 | $442.78 – $2,873.50 | 13 |
| Revise finger joint each CPT 26140 | $1,246.40 | $1,558.00 | $405.08 – $1,417.36 | 13 |
| Revise gastric port open 43886 CPT 43886 | $1,230.40 | $1,538.00 | $328.04 – $3,242.23 | 13 |
| Revise/graft eyelid lining CPT 68320 | $3,628.80 | $4,536.00 | $485.75 – $2,066.12 | 13 |
| Revise/graft eyelid lining CPT 68325 | $3,259.20 | $4,074.00 | $529.62 – $3,339.68 | 13 |
| Revise/graft eyelid lining CPT 68326 | $3,196.80 | $3,996.00 | $519.48 – $3,339.68 | 13 |
| Revise/graft eyelid lining CPT 68328 | $3,510.40 | $4,388.00 | $570.44 – $2,066.12 | 13 |
| Revise/graft eyelid lining CPT 68335 | $3,208.00 | $4,010.00 | $521.30 – $3,339.68 | 13 |
| Revise graft w/vein CPT 35879 | $4,513.60 | $5,642.00 | $733.46 – $4,787.41 | 13 |
| Revise graft w/vein 35881 CPT 35881 | $4,979.20 | $6,224.00 | $809.12 – $4,787.41 | 13 |
| Revise hand/finger tendon CPT 26390 | $2,084.00 | $2,605.00 | $677.30 – $6,326.64 | 13 |
| Revise head/neck of femur CPT 27179 | $4,809.60 | $6,012.00 | $781.56 – $6,326.64 | 13 |
| Revise hernia & sperm veins CPT 55540 | $2,702.40 | $3,378.00 | $439.14 – $3,125.41 | 13 |
| Revise hip joint replacement CPT 27134 | $9,432.00 | $11,790.00 | $1,532.70 – $4,500.57 | 11 |
| Revise hip joint replacement CPT 27138 | $7,536.00 | $9,420.00 | $1,224.60 – $3,605.11 | 11 |
| Revise hip joint replacement CPT 27137 | $7,248.00 | $9,060.00 | $1,177.80 – $3,471.61 | 11 |
| Revise/implant finger joint CPT 26536 | $1,780.00 | $2,225.00 | $578.50 – $6,326.64 | 13 |
| Revise kneecap CPT 27437 | $3,241.60 | $4,052.00 | $526.76 – $6,326.64 | 13 |
| Revise kneecap with implant CPT 27438 | $4,140.80 | $5,176.00 | $672.88 – $11,395.13 | 13 |
| Revise knuckle joint CPT 26530 | $1,326.40 | $1,658.00 | $431.08 – $6,326.64 | 13 |
| Revise knuckle with implant CPT 26531 | $1,546.40 | $1,933.00 | $502.58 – $6,326.64 | 13 |
| Revise low back nerve(s) CPT 64714 | $3,603.20 | $4,504.00 | $585.52 – $1,821.48 | 13 |
| Revise lower leg tendon CPT 27690 | $3,182.40 | $3,978.00 | $517.14 – $6,326.64 | 13 |
| Revise lower leg tendon CPT 27691 | $3,688.00 | $4,610.00 | $599.30 – $6,326.64 | 13 |
| Revise lower leg tendons CPT 27686 | $2,684.80 | $3,356.00 | $436.28 – $2,873.50 | 13 |
| Revise middle ear bone CPT 69660 | $4,540.80 | $5,676.00 | $737.88 – $5,239.04 | 13 |
| Revise middle ear bone CPT 69661 | $5,928.00 | $7,410.00 | $963.30 – $5,239.04 | 13 |
| Revise middle ear bone CPT 69662 | $5,659.20 | $7,074.00 | $919.62 – $5,239.04 | 13 |
| Revise middle ear & mastoid CPT 69641 | $5,104.00 | $6,380.00 | $829.40 – $5,239.04 | 13 |
| Revise middle ear & mastoid CPT 69642 | $6,560.00 | $8,200.00 | $1,066.00 – $5,239.04 | 13 |
| Revise middle ear & mastoid CPT 69643 | $5,993.60 | $7,492.00 | $973.96 – $5,239.04 | 13 |
| Revise middle ear & mastoid CPT 69644 | $7,254.40 | $9,068.00 | $1,178.84 – $5,239.04 | 13 |
| Revise middle ear & mastoid CPT 69646 | $7,568.00 | $9,460.00 | $1,229.80 – $5,239.04 | 13 |
| Revise middle ear & mastoid 69645 CPT 69645 | $7,132.80 | $8,916.00 | $1,159.08 – $5,239.04 | 13 |
| Revise ocular implant CPT 65125 | $2,244.80 | $2,806.00 | $265.40 – $2,066.12 | 13 |
| Revise ocular implant CPT 65150 | $3,147.20 | $3,934.00 | $511.42 – $3,339.68 | 13 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $811.16 – $2,179.97 | 10 |
| Revise palsy hand tendon(s) CPT 25315 | $3,787.20 | $4,734.00 | $615.42 – $6,326.64 | 13 |
| Revise palsy hand tendon(s) CPT 25316 | $4,499.20 | $5,624.00 | $731.12 – $2,193.35 | 11 |
| Revise penis/urethra CPT 54328 | $2,369.60 | $2,962.00 | $770.12 – $3,054.48 | 13 |
| Revise penis/urethra CPT 54332 | $2,558.40 | $3,198.00 | $831.48 – $3,054.48 | 13 |
| Revise penis/urethra CPT 54336 | $3,004.80 | $3,756.00 | $976.56 – $3,054.48 | 13 |
| Revise prosth vag graft lap CPT 57426 | $2,150.40 | $2,688.00 | $698.88 – $6,549.01 | 13 |
| Revise radius or ulna CPT 25370 | $4,961.60 | $6,202.00 | $806.26 – $2,873.50 | 13 |
| Revise radius & ulna CPT 25365 | $4,504.00 | $5,630.00 | $731.90 – $11,395.13 | 13 |
| Revise radius & ulna CPT 25375 | $4,692.80 | $5,866.00 | $762.58 – $2,873.50 | 13 |
| Revise reconst elbow joint CPT 24370 | $7,622.40 | $9,528.00 | $1,238.64 – $11,395.13 | 13 |
| Revise reconst elbow joint CPT 24371 | $8,792.00 | $10,990.00 | $1,428.70 – $16,286.62 | 13 |
| Revise/remove neuroelectrode CPT 61880 | $2,724.80 | $3,406.00 | $442.78 – $3,045.66 | 13 |
| Revise/remove neuroreceiver CPT 61888 | $1,868.80 | $2,336.00 | $303.68 – $11,043.98 | 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.