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 |
|---|---|---|---|---|
| Screen c/v thin layer by md HCPCS G0124 | $55.20 | $69.00 | $17.94 – $57.51 | 11 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $813.60 | $1,017.00 | $82.56 – $807.43 | 13 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $813.60 | $1,017.00 | $82.41 – $807.43 | 13 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $64.28 | $80.35 | $10.83 – $52.23 | 13 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $110.00 | $137.50 | $16.96 – $89.38 | 13 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $110.00 | $137.50 | $27.81 – $89.38 | 13 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $48.80 | $61.00 | $14.45 – $62.61 | 10 |
| Screening Mammogram CPT 77067 | $235.20 | $294.00 | $21.84 – $169.93 | 13 |
| Screening pap smear by phys HCPCS P3001 | $55.20 | $69.00 | $17.94 – $57.51 | 11 |
| Screening prostate cancer PSA HCPCS G0103 | $64.28 | $80.35 | $11.59 – $52.23 | 13 |
| Screen pap by tech w md supv HCPCS P3000 | $36.80 | $46.00 | $9.07 – $46.18 | 10 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $6.40 | $8.00 | $2.08 – $7.38 | 7 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,385.53 | $1,731.91 | $450.30 – $1,125.74 | 7 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $247.20 | $308.99 | $26.52 – $178.60 | 15 |
| Sc ther infusion reset pump CPT 96371 | $158.40 | $198.00 | $50.65 – $140.30 | 13 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $2,005.60 | $2,507.00 | $651.82 – $1,945.66 | 11 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $5,862.96 | $7,328.70 | $210.25 – $4,235.99 | 13 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $400.41 | $500.51 | $4.86 – $289.29 | 13 |
| Sedimentation rate erythrocyte automated CPT 85652 | $33.57 | $41.96 | $1.62 – $27.27 | 13 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,374.44 – $2,420.54 | 3 |
| Segmentectomy 32484 CPT 32484 | $3,491.20 | $4,364.00 | $1,134.64 – $3,301.37 | 11 |
| Select picture audiometry CPT 92583 | $105.60 | $132.00 | $34.32 – $132.52 | 13 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.55 – $1.39 | 10 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $91.91 | $114.88 | $19.76 – $66.40 | 13 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $8.04 – $17.09 | 10 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $12.55 – $26.69 | 10 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $28.00 | $35.00 | $9.10 – $33.80 | 7 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $20.00 | $25.00 | $6.50 – $25.27 | 7 |
| Semen analysis HCPCS G0027 | $13.60 | $17.00 | $4.42 – $16.90 | 10 |
| Semen analysis presence/motility CPT 89321 | $56.44 | $70.54 | $7.23 – $45.85 | 13 |
| Semen analysis w/count CPT 89310 | $56.44 | $70.54 | $7.02 – $45.85 | 13 |
| Sensorimotor examination CPT 92060 | $132.00 | $165.00 | $16.64 – $63.34 | 13 |
| Sensorineural acuity lvl tst CPT 92575 | $137.60 | $172.00 | $34.76 – $171.78 | 13 |
| Separate eyelid adhesions CPT 68340 | $2,857.60 | $3,572.00 | $355.68 – $2,066.12 | 13 |
| Sept9 promoter methylation analysis CPT 81327 | $384.00 | $480.00 | $115.20 – $268.82 | 10 |
| Sequestrectomy olecrn proces CPT 24138 | $3,342.40 | $4,178.00 | $543.14 – $6,326.64 | 13 |
| Sequestrectomy radial h/n CPT 24136 | $3,104.00 | $3,880.00 | $504.40 – $2,873.50 | 13 |
| Sequestrectomy shft/dstl hum CPT 24134 | $3,673.60 | $4,592.00 | $596.96 – $6,326.64 | 13 |
| Serial casting application 97139app CPT 97139 | not published | not published | $20.46 – $28.46 | 2 |
| Serial tonometry CPT 92100 | $169.60 | $212.00 | $29.48 – $77.58 | 11 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.80 – $3.12 | 4 |
| Serpina1 gene CPT 81332 | $127.86 | $159.82 | $26.19 – $103.88 | 13 |
| Sertraline (zoloft) - sendout CPT 80332 | $126.43 | $158.03 | $11.70 – $102.72 | 10 |
| Set radiation therapy field CPT 77280 | $548.00 | $685.00 | $25.22 – $229.95 | 15 |
| Set radiation therapy field CPT 77285 | $795.20 | $994.00 | $35.10 – $324.20 | 13 |
| Set radiation therapy field CPT 77290 | $918.40 | $1,148.00 | $54.08 – $613.20 | 15 |
| Set-up cardiovert-defibrill CPT 93745 | $218.40 | $273.00 | $27.56 – $265.61 | 12 |
| Set up port xray equipment HCPCS Q0092 | $49.60 | $62.00 | $16.12 – $60.24 | 11 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.01 | 2 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.05 | 2 |
| Sever cranial nerve CPT 64771 | $1,500.80 | $1,876.00 | $487.76 – $1,729.42 | 13 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $914.59 – $2,327.39 | 10 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,079.82 – $2,747.84 | 10 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,025.00 – $2,608.33 | 10 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $914.59 – $2,327.39 | 10 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,079.82 – $2,747.84 | 10 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,079.82 – $2,747.84 | 10 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $914.59 – $2,327.39 | 10 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,025.00 – $2,608.33 | 10 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $460.60 – $1,172.11 | 10 |
| Sex chromatin identification CPT 88130 | $45.60 | $57.00 | $14.82 – $27.97 | 10 |
| Sex chromatin identification CPT 88140 | $20.80 | $26.00 | $6.76 – $12.43 | 10 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,428.45 – $9,875.78 | 10 |
| Sex transformation m to f CPT 55970 | not published | not published | $3,817.29 – $9,354.82 | 10 |
| Sf3b1 gene common variants CPT 81347 | $185.52 | $231.90 | $60.29 – $292.26 | 13 |
| Sgmdsc w/band ligation CPT 45350 | $1,523.20 | $1,904.00 | $90.08 – $1,044.22 | 13 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $284.00 | $355.00 | $40.94 – $175.98 | 13 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $337.60 | $422.00 | $56.70 – $175.98 | 13 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $390.40 | $488.00 | $67.30 – $353.83 | 13 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $456.00 | $570.00 | $86.54 – $353.83 | 13 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $258.40 | $323.00 | $34.15 – $175.98 | 13 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $303.20 | $379.00 | $44.34 – $175.98 | 13 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $354.40 | $443.00 | $55.95 – $175.98 | 13 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $380.00 | $475.00 | $63.03 – $353.83 | 13 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $244.80 | $306.00 | $30.63 – $353.83 | 13 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $298.40 | $373.00 | $46.54 – $175.98 | 13 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $344.80 | $431.00 | $54.05 – $175.98 | 13 |
| Sheath above knee HCPCS L8410 | not published | not published | $12.68 – $32.28 | 10 |
| Sheath below knee HCPCS L8400 | not published | not published | $10.97 – $27.90 | 10 |
| Sheath upper limb HCPCS L8415 | not published | not published | $14.57 – $37.06 | 10 |
| Shigella antibody CPT 86771 | $49.60 | $62.00 | $14.69 – $34.28 | 10 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $2,512.00 – $6,392.33 | 10 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $2,455.45 – $6,248.41 | 10 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $8,600.89 – $21,886.83 | 10 |
| Sho arthrs dx +- synovial bx CPT 29805 | $2,310.40 | $2,888.00 | $375.44 – $2,873.50 | 13 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $4,523.20 | $5,654.00 | $735.02 – $6,326.64 | 13 |
| Sho arthrs srg capsulorraphy CPT 29806 | $5,208.00 | $6,510.00 | $846.30 – $6,326.64 | 13 |
| Sho arthrs srg compl synvct CPT 29821 | $2,916.80 | $3,646.00 | $473.98 – $2,873.50 | 13 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $2,836.80 | $3,546.00 | $460.98 – $2,873.50 | 13 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $2,883.20 | $3,604.00 | $468.52 – $2,873.50 | 13 |
| Sho arthrs srg prtl synvct CPT 29820 | $2,641.60 | $3,302.00 | $429.26 – $6,326.64 | 13 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $2,883.20 | $3,604.00 | $468.52 – $2,873.50 | 13 |
| Sho arthrs srg rpr slap les CPT 29807 | $5,091.20 | $6,364.00 | $827.32 – $6,326.64 | 13 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $3,086.40 | $3,858.00 | $501.54 – $2,873.50 | 13 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $29.66 – $75.49 | 10 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $25.87 – $65.82 | 10 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $24.34 – $61.93 | 10 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $20.53 – $52.26 | 10 |
| Shoe heel pad & depress for HCPCS L3480 | $149.60 | $187.00 | $37.27 – $94.84 | 11 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $63.14 – $160.67 | 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.