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 |
|---|---|---|---|---|
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $37.27 – $94.84 | 10 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $35.00 – $89.06 | 10 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $48.70 – $123.93 | 10 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $55.54 – $141.35 | 10 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $24.34 – $61.93 | 10 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $29.66 – $75.49 | 10 |
| Shoe post-op mens m HCPCS L3260 | $23.20 | $29.00 | $7.27 – $29.51 | 7 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $29.66 – $75.49 | 10 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $21.29 – $54.18 | 10 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $50.98 – $129.73 | 10 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $95.86 – $243.95 | 10 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $316.05 – $804.26 | 10 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $31.19 – $79.38 | 10 |
| Shortening of hand tendon CPT 26479 | $1,575.20 | $1,969.00 | $511.94 – $2,873.50 | 13 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,115.57 – $2,966.46 | 10 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,198.13 – $3,186.76 | 10 |
| Shorten radius or ulna CPT 25390 | $3,796.80 | $4,746.00 | $616.98 – $6,326.64 | 13 |
| Shorten radius & ulna CPT 25392 | $4,988.80 | $6,236.00 | $810.68 – $6,326.64 | 13 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $171.60 | $214.50 | $13.03 – $123.98 | 15 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $172.15 – $438.06 | 10 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $190.96 | $238.70 | $7.54 – $137.97 | 15 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $5,272.00 | $6,590.00 | $856.70 – $6,326.64 | 13 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $254.62 | $318.27 | $7.02 – $183.96 | 15 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $202.59 – $515.54 | 10 |
| Shoulder harness HCPCS L5699 | not published | not published | $111.65 – $284.10 | 10 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $311.18 – $791.88 | 10 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,750.36 | $2,187.94 | $90.22 – $1,264.63 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $1,697.44 | $2,121.80 | $62.66 – $1,226.40 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $1,011.42 | $1,264.27 | $52.52 – $730.75 | 15 |
| Shoulder prosthesis removal CPT 23334 | $5,259.20 | $6,574.00 | $854.62 – $2,534.69 | 13 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,133.23 – $3,018.59 | 10 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $202.68 – $515.76 | 10 |
| Shoulder X-ray CPT 73030 | $212.19 | $265.23 | $8.06 – $153.30 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $190.96 | $238.70 | $5.98 – $137.97 | 15 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $39.91 – $101.56 | 10 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $25.10 – $63.88 | 10 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $29.21 – $74.32 | 10 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,140.59 – $3,044.66 | 10 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,140.59 – $3,044.66 | 10 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,104.56 – $2,951.17 | 10 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $667.60 | $834.49 | $18.72 – $482.34 | 15 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,087.39 – $2,905.54 | 10 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,146.86 – $3,065.07 | 10 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,223.21 – $3,270.26 | 10 |
| Sialidase enzyme assay CPT 87905 | $38.58 | $48.22 | $7.33 – $31.34 | 13 |
| Sialography s&i CPT 70390 | $215.20 | $269.00 | $14.56 – $214.07 | 13 |
| Sialolithotomy 42330 CPT 42330 | $572.00 | $715.00 | $150.19 – $2,872.13 | 13 |
| Sickling rbc CPT 85660 | $33.57 | $41.96 | $3.31 – $27.27 | 13 |
| Sigmoidoscopy and biopsy CPT 45331 | $672.00 | $840.00 | $64.93 – $807.43 | 13 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $291.20 | $364.00 | $94.64 – $807.43 | 13 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,288.80 | $1,611.00 | $105.16 – $1,044.22 | 13 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $649.60 | $812.00 | $60.22 – $807.43 | 13 |
| Sigmoidoscopy w/ablation CPT 45346 | $6,681.60 | $8,352.00 | $143.02 – $2,171.52 | 13 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $648.00 | $810.00 | $94.00 – $1,044.22 | 13 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $388.80 | $486.00 | $126.36 – $5,271.93 | 13 |
| Sigmoidoscopy w/resection CPT 45349 | $501.60 | $627.00 | $118.64 – $2,428.72 | 13 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $694.40 | $868.00 | $107.51 – $1,044.22 | 13 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $312.00 | $390.00 | $101.40 – $807.43 | 13 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $428.80 | $536.00 | $139.36 – $1,044.22 | 13 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $764.00 | $955.00 | $83.96 – $807.43 | 13 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $70.40 | $88.00 | $9.88 – $52.60 | 13 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,105.60 | $1,382.00 | $69.67 – $1,044.22 | 13 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $29.54 | 6 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $338.84 – $862.25 | 10 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,273.11 – $11,604.67 | 6 |
| Simple cystometrogram 51725 CPT 51725 | $522.40 | $653.00 | $62.92 – $215.39 | 13 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $176.60 | $220.74 | $4.02 – $143.26 | 10 |
| Single energy x-ray study HCPCS G0130 | $76.80 | $96.00 | $9.36 – $26.10 | 11 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $110.90 – $282.22 | 10 |
| Single transfer toe-hand CPT 26553 | not published | not published | $786.83 – $7,745.69 | 10 |
| Sinus CT scan (with and without contrast) CPT 70488 | $842.90 | $1,053.62 | $52.78 – $608.99 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $758.16 | $947.69 | $43.16 – $547.76 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $683.83 | $854.78 | $35.62 – $494.06 | 15 |
| Sinus/juglr venogram s&i CPT 75860 | $4,738.85 | $5,923.56 | $42.90 – $3,423.82 | 15 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $2,321.60 | $2,902.00 | $310.17 – $2,872.13 | 13 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $2,859.20 | $3,574.00 | $464.62 – $5,239.04 | 13 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $2,446.40 | $3,058.00 | $397.54 – $5,239.04 | 13 |
| Sinus X-ray (complete) CPT 70220 | $190.96 | $238.70 | $9.36 – $137.97 | 15 |
| Sinus X-ray (limited) CPT 70210 | $190.96 | $238.70 | $6.76 – $137.97 | 15 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $173.51 – $441.56 | 10 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $78.16 – $218.93 | 10 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $45,263.10 – $69,454.65 | 10 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.10 – $18.58 | 7 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $86.22 – $142.07 | 10 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $136.73 – $347.95 | 10 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Skel musc relaxant 3 or more CPT 80370 | $13.60 | $17.00 | $4.42 – $24.10 | 4 |
| Skin and muscle repair face CPT 15845 | $2,522.40 | $3,153.00 | $819.78 – $3,242.23 | 13 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $4.37 – $11.12 | 10 |
| Skin Biopsy CPT 11102 | $356.56 | $445.69 | $34.05 – $257.61 | 15 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,052.80 | $2,566.00 | $604.31 – $1,620.01 | 13 |
| Skin full graft add-on 15241 CPT 15241 | $445.60 | $557.00 | $95.17 – $253.71 | 11 |
| Skin pedicle flap arms/legs CPT 15572 | $2,168.80 | $2,711.00 | $661.68 – $3,242.23 | 13 |
| Skin pedicle flap trunk CPT 15570 | $2,240.00 | $2,800.00 | $650.86 – $1,733.31 | 13 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $460.00 | $575.00 | $96.84 – $259.38 | 11 |
| Skin test unlisted antigen ea CPT 86486 | $48.57 | $60.71 | $2.84 – $35.09 | 15 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,138.35 – $5,703.83 | 10 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,579.85 – $9,529.98 | 10 |
| Skull X-ray (1 to 3 views) CPT 70250 | $254.62 | $318.27 | $7.80 – $183.96 | 15 |
| Skull X-ray (complete) CPT 70260 | $254.62 | $318.27 | $11.96 – $183.96 | 15 |
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.