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 |
|---|---|---|---|---|
| Skyla, 13.5 mg HCPCS J7301 | $1,324.80 | $1,656.00 | $430.56 – $1,011.38 | 6 |
| Slco1b1 gene com variants CPT 81328 | $350.40 | $438.00 | $104.89 – $244.74 | 10 |
| Sleep study attended CPT 95807 | $931.20 | $1,164.00 | $48.36 – $534.60 | 15 |
| Sleep Study (Polysomnography) CPT 95810 | $1,820.04 | $2,275.05 | $96.20 – $1,314.98 | 15 |
| Sleep study unattended CPT 95806 | $556.40 | $695.50 | $38.22 – $402.00 | 15 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $116.14 – $295.54 | 10 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $6.68 – $6.68 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,613.72 – $6,989.35 | 10 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $21.60 | $27.00 | $5.36 – $13.66 | 11 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $67.62 – $140.00 | 10 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,338.29 | $4,172.86 | $1,084.94 – $2,712.36 | 7 |
| Slitting of prepuce CPT 54000 | $388.80 | $486.00 | $101.64 – $3,054.48 | 13 |
| Slitting of prepuce CPT 54001 | $480.80 | $601.00 | $128.28 – $1,814.20 | 13 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $75.20 | $94.00 | $24.44 – $76.34 | 10 |
| Slp eval non-spch gen comm dev CPT 92605 | $211.20 | $264.00 | $68.64 – $206.13 | 10 |
| Slp pure tone screening CPT 92551 | $24.80 | $31.00 | $8.06 – $29.15 | 7 |
| Slp stdy unatnd w/anal CPT 95801 | $230.26 | $287.82 | $30.68 – $166.36 | 15 |
| Slp ther svc non-spch gen CPT 92606 | $186.40 | $233.00 | $60.58 – $164.27 | 10 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,314.91 – $16,282.88 | 9 |
| Small animal inoculation CPT 87003 | $42.40 | $53.00 | $10.10 – $26.19 | 10 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $403.15 | $503.93 | $23.14 – $291.27 | 15 |
| Small bowel endoscopy CPT 44360 | $363.20 | $454.00 | $118.04 – $1,680.02 | 13 |
| Small bowel endoscopy CPT 44364 | $517.60 | $647.00 | $168.22 – $1,680.02 | 13 |
| Small bowel endoscopy CPT 44366 | $608.00 | $760.00 | $197.60 – $1,680.02 | 13 |
| Small bowel endoscopy CPT 44369 | $623.20 | $779.00 | $202.54 – $1,680.02 | 13 |
| Small bowel endoscopy CPT 44376 | $720.00 | $900.00 | $234.00 – $1,680.02 | 13 |
| Small bowel endoscopy CPT 44378 | $975.20 | $1,219.00 | $316.94 – $1,680.02 | 13 |
| Small bowel endoscopy CPT 44382 | $698.40 | $873.00 | $66.35 – $830.32 | 13 |
| Small bowel endoscopy CPT 44384 | $388.00 | $485.00 | $126.10 – $1,680.02 | 13 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $484.80 | $606.00 | $157.56 – $1,680.02 | 13 |
| Small bowel endoscopy 44365 CPT 44365 | $460.00 | $575.00 | $149.50 – $1,680.02 | 13 |
| Small bowel endoscopy/biopsy CPT 44361 | $400.80 | $501.00 | $130.26 – $1,680.02 | 13 |
| Small bowel endoscopy/biopsy CPT 44377 | $756.80 | $946.00 | $245.96 – $1,680.02 | 13 |
| Small bowel endoscopy br/wa CPT 44380 | $447.20 | $559.00 | $51.77 – $830.32 | 13 |
| Small bowel endoscopy br/wa CPT 44381 | $2,381.60 | $2,977.00 | $75.50 – $1,680.02 | 13 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $673.60 | $842.00 | $218.92 – $5,271.93 | 13 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $270.00 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $38.58 | $48.22 | $3.23 – $31.34 | 13 |
| Smear gram stain CPT 87205 | $38.58 | $48.22 | $2.56 – $31.34 | 13 |
| Smear nasal eosinophil CPT 89190 | $56.44 | $70.54 | $3.90 – $45.85 | 13 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $38.58 | $48.22 | $3.59 – $27.87 | 13 |
| Smear wet mount CPT 87210 | $38.58 | $48.22 | $3.90 – $31.34 | 13 |
| Smn1 gene full gene sequence CPT 81336 | $289.30 | $361.62 | $94.02 – $421.92 | 13 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $177.80 | $222.24 | $57.78 – $259.30 | 13 |
| Smpd1 gene common variants CPT 81330 | $127.86 | $159.82 | $28.20 – $103.88 | 13 |
| Snrpn/ube3a gene CPT 81331 | $127.86 | $159.82 | $30.64 – $103.88 | 13 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $643.47 – $1,637.44 | 10 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $490.49 – $1,248.17 | 10 |
| Socket insert above knee HCPCS L5658 | not published | not published | $262.13 – $667.06 | 10 |
| Socket insert below knee HCPCS L5655 | not published | not published | $158.83 – $404.16 | 10 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $251.69 – $640.47 | 10 |
| Socket insert symes HCPCS L5654 | not published | not published | $212.27 – $540.16 | 10 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $373.79 – $951.21 | 10 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $448.55 – $1,141.44 | 10 |
| Sock fracture or equal each HCPCS L3995 | $72.80 | $91.00 | $17.98 – $45.76 | 11 |
| Sock wool above knee HCPCS L8430 | not published | not published | $14.63 – $37.23 | 10 |
| Sodium 24 hour urine CPT 84300 | $33.57 | $41.96 | $3.04 – $27.27 | 13 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $48.00 | $60.00 | $1.82 – $4.05 | 10 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $48.00 | $60.00 | $1.04 – $34.68 | 10 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $48.00 | $60.00 | $0.51 – $34.68 | 10 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.09 – $0.15 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $17.18 | $21.47 | $1.94 – $12.41 | 10 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $172.00 | $215.00 | $55.90 – $124.11 | 8 |
| Sodium serum/plasma/whole blood CPT 84295 | $33.57 | $41.96 | $2.89 – $27.27 | 13 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $1.55 | $1.93 | $0.50 – $1.25 | 10 |
| Soft interface below knee se HCPCS L2820 | $196.00 | $245.00 | $48.81 – $124.20 | 11 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $87.53 – $90.10 | 6 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $323.55 | $404.43 | $105.15 – $3,054.39 | 13 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $2,715.01 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $7,466.24 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $2,375.63 | 8 |
| Solid skin barrier HCPCS A4362 | not published | not published | $2.42 – $6.16 | 10 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $5.20 – $13.22 | 10 |
| Somatosensory testing CPT 95927 | $357.60 | $447.00 | $24.85 – $275.78 | 13 |
| Somatropin injection HCPCS J2941 | not published | not published | $48.92 – $155.10 | 9 |
| So neo gsap dna/dna&rna CPT 81459 | $2,869.97 | $3,587.46 | $932.74 – $6,787.48 | 13 |
| So neo gsap dna mcrstl ins CPT 81457 | $861.00 | $1,076.24 | $279.82 – $2,036.25 | 13 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $22.78 – $26.30 | 7 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $95.52 – $243.09 | 10 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $6.68 – $28.30 | 6 |
| Sp bone agrft morsel add-on CPT 20937 | $406.40 | $508.00 | $132.08 – $383.93 | 11 |
| Sp bone agrft struct add-on CPT 20938 | $442.40 | $553.00 | $143.78 – $418.97 | 11 |
| Sp bone algrft morsel add-on CPT 20930 | $291.20 | $364.00 | $94.64 – $363.06 | 7 |
| Special casting material HCPCS A4590 | $47.20 | $59.00 | $1.80 – $60.63 | 7 |
| Special physics consult CPT 77370 | $318.28 | $397.84 | $85.02 – $277.30 | 15 |
| Special pump services CPT 99190 | $928.00 | $1,160.00 | $301.60 – $1,070.13 | 7 |
| Special pump services CPT 99191 | $649.60 | $812.00 | $211.12 – $749.04 | 7 |
| Special pump services CPT 99192 | $464.80 | $581.00 | $151.06 – $535.75 | 7 |
| Special radiation dosimetry CPT 77331 | $318.28 | $397.84 | $12.48 – $229.95 | 15 |
| Special radiation treatment CPT 77470 | $933.60 | $1,166.99 | $30.46 – $674.52 | 15 |
| Special supplies phys/qhp CPT 99070 | $90.40 | $113.00 | $29.38 – $115.24 | 5 |
| Special teletx port plan CPT 77321 | $848.72 | $1,060.90 | $35.62 – $613.20 | 15 |
| Specific gravity body fluid CPT 84315 | $33.57 | $41.96 | $1.97 – $27.27 | 13 |
| Specimen fat stain CPT 89125 | $56.44 | $70.54 | $3.53 – $45.85 | 13 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $432.00 | $540.00 | $95.90 – $392.10 | 13 |
| Speech audiometry complete CPT 92556 | $83.20 | $104.00 | $27.04 – $104.55 | 13 |
| Speech evaluation complex CPT 70371 | $228.00 | $285.00 | $33.80 – $214.07 | 13 |
| Speech recep thresh CPT 92555 | $53.60 | $67.00 | $17.42 – $67.24 | 13 |
| Speech Therapy Session (one-on-one) CPT 92507 | $206.56 | $258.19 | $57.72 – $162.40 | 13 |
| Sperm antibody test CPT 89325 | $56.44 | $70.54 | $6.40 – $45.85 | 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.