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 |
|---|---|---|---|---|
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,542.65 – $4,120.86 | 10 |
| Rpr choanal atresia ntranasl CPT 30540 | $1,745.60 | $2,182.00 | $567.32 – $5,239.04 | 13 |
| Rpr choanal atresia trsnpltn CPT 30545 | $2,387.20 | $2,984.00 | $775.84 – $5,239.04 | 13 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | $2,661.60 | $3,327.00 | $865.02 – $2,601.61 | 11 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | $2,301.60 | $2,877.00 | $748.02 – $2,174.51 | 11 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $2,092.00 | $2,615.00 | $679.90 – $1,997.12 | 11 |
| Rpr fem hernia init blocked CPT 49553 | $3,094.40 | $3,868.00 | $502.84 – $3,125.41 | 13 |
| Rpr hern preemie reduc CPT 49491 | $3,897.60 | $4,872.00 | $633.36 – $5,167.04 | 13 |
| Rpr hypopl a-arch w/byp CPT 33853 | $4,469.60 | $5,587.00 | $1,452.62 – $4,218.01 | 11 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,208.59 – $3,227.49 | 10 |
| Rpr hypspad comp dsj & urtp CPT 54348 | $2,556.80 | $3,196.00 | $830.96 – $4,502.17 | 13 |
| Rpr hypspad comp simple CPT 54340 | $1,436.00 | $1,795.00 | $466.70 – $3,054.48 | 13 |
| Rpr ing hernia baby blocked CPT 49496 | $3,006.40 | $3,758.00 | $488.54 – $3,125.41 | 13 |
| Rpr ing hernia baby reduc CPT 49495 | $2,000.00 | $2,500.00 | $325.00 – $3,125.41 | 13 |
| Rpr ing hernia init blocked CPT 49501 | $2,963.20 | $3,704.00 | $481.52 – $3,125.41 | 13 |
| Rpr ing hernia init reduce CPT 49500 | $2,017.60 | $2,522.00 | $327.86 – $5,526.06 | 13 |
| Rpr ing hern premie blocked CPT 49492 | $4,691.20 | $5,864.00 | $762.32 – $3,125.41 | 13 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,726.08 – $4,094.41 | 7 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $7,606.40 | $9,508.00 | $152.30 – $2,472.08 | 11 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $134.75 – $361.46 | 10 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $1,872.00 | $2,340.00 | $608.40 – $1,741.10 | 11 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $2,311.20 | $2,889.00 | $751.14 – $2,149.12 | 11 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,470.91 – $3,931.59 | 10 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $29.00 – $43.24 | 6 |
| Rpr&refit spct prsth aphakia CPT 92371 | $25.60 | $32.00 | $8.32 – $60.78 | 12 |
| Rpr rem hernia init reduce CPT 49550 | $2,825.60 | $3,532.00 | $459.16 – $3,125.41 | 13 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,015.12 – $5,388.30 | 10 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,688.10 – $4,509.85 | 10 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,595.87 – $4,262.84 | 10 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,551.57 – $4,143.99 | 10 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,623.12 – $4,339.48 | 10 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,023.53 – $5,411.64 | 10 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $1,984.58 – $5,309.14 | 10 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $1,972.12 – $5,276.52 | 10 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,809.69 – $4,839.19 | 10 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,858.24 – $4,971.00 | 10 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $928.00 – $928.00 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $893.60 | $1,117.00 | $290.42 – $6,326.64 | 13 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $198.49 – $334.62 | 9 |
| Rrp hypspad comp moblj&urtp CPT 54344 | $2,390.40 | $2,988.00 | $776.88 – $8,189.47 | 13 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,824.00 – $4,853.42 | 10 |
| Rsv assay w/optic CPT 87807 | $38.58 | $48.22 | $7.86 – $31.34 | 13 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $290.00 – $337.53 | 3 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $17.72 – $45.86 | 10 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $37.07 – $111.70 | 8 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $37.07 – $109.98 | 10 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $37.07 – $109.98 | 10 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $28.03 – $73.76 | 10 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $27.41 – $72.93 | 10 |
| Rubella antibody igg CPT 86762 | $48.57 | $60.71 | $8.63 – $39.46 | 13 |
| Rubeola ag if CPT 87283 | $121.60 | $152.00 | $22.78 – $85.11 | 10 |
| Rubeola antibody igg CPT 86765 | $48.57 | $60.71 | $7.73 – $39.46 | 13 |
| Runx1 gene targeted seq alys CPT 81334 | $659.20 | $824.00 | $197.71 – $461.35 | 10 |
| Russell viper venom diluted CPT 85613 | $32.85 | $41.06 | $5.75 – $26.69 | 13 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,834.40 | $2,293.00 | $286.13 – $1,821.34 | 13 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $125.56 – $319.50 | 10 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $34.93 – $44.30 | 10 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $254.62 | $318.27 | $7.80 – $183.96 | 15 |
| Safety plan interven HCPCS G0560 | not published | not published | $40.13 – $63.60 | 9 |
| Salivary gland function exam CPT 78232 | $228.00 | $285.00 | $16.12 – $355.87 | 13 |
| Salivary gland imaging CPT 78230 | $378.40 | $473.00 | $15.34 – $355.87 | 13 |
| Salivary glnd img serial img CPT 78231 | $282.40 | $353.00 | $17.42 – $355.87 | 13 |
| Salmonella antibody CPT 86768 | $48.57 | $60.71 | $7.91 – $39.46 | 13 |
| Salpingostomy 58770 CPT 58770 | $4,304.00 | $5,380.00 | $699.40 – $2,815.86 | 13 |
| Same day nb discharge 99463 CPT 99463 | $199.20 | $249.00 | $64.74 – $209.56 | 13 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $3.12 – $5.62 | 6 |
| Sargramostim injection HCPCS J2820 | not published | not published | $44.19 – $77.11 | 10 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $22.98 – $54.00 | 9 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.01 – $192.66 | 10 |
| Sarscov coronavirus ag ia CPT 87426 | $71.20 | $89.00 | $12.54 – $37.10 | 13 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $168.80 | $211.00 | $21.93 – $73.80 | 13 |
| S bowel endoscope w/stent CPT 44379 | $1,034.40 | $1,293.00 | $336.18 – $5,271.93 | 13 |
| Sbrt management CPT 77435 | $1,189.60 | $1,487.00 | $386.62 – $1,244.10 | 11 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,728.19 – $5,599.51 | 7 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $248.00 | $310.00 | $80.60 – $263.30 | 11 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $281.60 | $352.00 | $91.52 – $298.01 | 11 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $136.80 | $171.00 | $44.46 – $144.33 | 11 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $197.60 | $247.00 | $64.22 – $208.93 | 11 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $79.20 | $99.00 | $25.74 – $77.95 | 11 |
| Sbsq psyc collab care mgmt CPT 99493 | $251.20 | $314.00 | $81.64 – $199.35 | 13 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $463.59 | $579.48 | $28.34 – $334.94 | 15 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $341.39 | $426.73 | $17.68 – $246.65 | 15 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $383.83 | $479.78 | $17.94 – $277.31 | 15 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $260.80 | $326.00 | $16.12 – $178.60 | 15 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $348.00 | $435.00 | $20.60 – $178.60 | 15 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $275.20 | $344.00 | $17.94 – $178.60 | 15 |
| Scan proc cranial extra CPT 61782 | $434.40 | $543.00 | $141.18 – $411.81 | 11 |
| Scan proc cranial intra 61781 CPT 61781 | $552.80 | $691.00 | $179.66 – $528.28 | 11 |
| Scan proc spinal CPT 61783 | $552.80 | $691.00 | $179.66 – $523.91 | 11 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $2,673.59 – $6,803.52 | 10 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,860.00 | $3,575.00 | $107.03 – $1,434.92 | 15 |
| Scope plantar fasciotomy CPT 29893 | $3,185.60 | $3,982.00 | $406.88 – $2,873.50 | 13 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | not published | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | $36.80 | $46.00 | $9.07 – $46.18 | 10 |
| Scr c/v cyto,autosys and md HCPCS G0141 | $55.20 | $69.00 | $17.94 – $57.51 | 11 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | $64.00 | $80.00 | $19.16 – $83.04 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $88.00 | $110.00 | $26.38 – $114.32 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $55.00 | $68.75 | $15.89 – $44.69 | 13 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $54.40 | $68.00 | $16.23 – $70.33 | 10 |
| Screen cerv/vag thin layer HCPCS G0123 | $55.00 | $68.75 | $12.16 – $44.69 | 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.