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 |
|---|---|---|---|---|
| Strep b assay w/optic CPT 87802 | $32.00 | $40.00 | $7.64 – $18.65 | 10 |
| Strep b dna amp probe CPT 87653 | $87.20 | $109.00 | $21.05 – $54.59 | 13 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $90.10 – $110.58 | 4 |
| Streptokinase antibody CPT 86590 | $25.60 | $32.00 | $7.60 – $17.72 | 10 |
| Streptomycin injection HCPCS J3000 | $73.60 | $92.00 | $17.74 – $42.27 | 8 |
| Streptozocin injection HCPCS J9320 | not published | not published | $215.02 – $553.78 | 6 |
| Stress test pulmonary CPT 94618 | $128.90 | $161.12 | $8.06 – $114.16 | 15 |
| Stress tte complete CPT 93351 | $1,367.93 | $1,709.91 | $62.66 – $988.33 | 15 |
| Str markers spec anal addl CPT 81266 | $610.40 | $763.00 | $95.10 – $426.76 | 13 |
| Str markers specimen anal CPT 81265 | $483.20 | $604.00 | $72.72 – $334.54 | 13 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $264.80 | $331.00 | $86.06 – $613.31 | 13 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $717.60 | $897.00 | $233.22 – $766.40 | 11 |
| Subq njx filling matrl 1cc/< CPT 11950 | $194.40 | $243.00 | $46.37 – $175.98 | 13 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $353.60 | $442.00 | $90.85 – $542.11 | 13 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $224.80 | $281.00 | $73.06 – $239.10 | 11 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $216.00 | $270.00 | $70.20 – $230.40 | 11 |
| Subsequent repair of nerve CPT 64872 | $288.80 | $361.00 | $93.86 – $270.14 | 11 |
| Subtalar arthro w/deb CPT 29906 | $3,296.00 | $4,120.00 | $535.60 – $2,873.50 | 13 |
| Subtalar arthro w/exc CPT 29905 | $2,641.60 | $3,302.00 | $429.26 – $6,326.64 | 13 |
| Subtalar arthro w/fb rmvl CPT 29904 | $3,132.80 | $3,916.00 | $509.08 – $2,873.50 | 13 |
| Subtalar arthro w/fusion CPT 29907 | $4,308.80 | $5,386.00 | $700.18 – $11,395.13 | 13 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,240.24 – $3,304.47 | 10 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $18.31 | $22.88 | $0.04 – $0.81 | 10 |
| Suction lipectomy head&neck CPT 15876 | $575.20 | $719.00 | $186.94 – $3,746.23 | 10 |
| Suction lipectomy lwr extrem CPT 15879 | $6,080.00 | $7,600.00 | $988.00 – $3,800.00 | 10 |
| Suction lipectomy trunk CPT 15877 | $2,272.00 | $2,840.00 | $738.40 – $3,746.23 | 10 |
| Suction lipectomy upr extrem CPT 15878 | $4,544.00 | $5,680.00 | $598.87 – $2,840.00 | 10 |
| Suction socket HCPCS L6686 | not published | not published | $353.50 – $899.56 | 10 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $261.06 – $664.33 | 10 |
| Sugars multiple quant CPT 84379 | $66.24 | $82.79 | $6.92 – $53.81 | 13 |
| Sugars single quant CPT 84378 | $64.28 | $80.35 | $6.92 – $52.23 | 13 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.06 – $0.06 | 3 |
| Sulfonylurea screen qn-sendout CPT 80377 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $448.80 | $561.00 | $28.47 – $71.18 | 10 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $1.70 – $4.45 | 10 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $44.80 | $56.00 | $2.97 – $40.86 | 13 |
| Supply of digital device HCPCS G0552 | not published | not published | $128.10 – $192.40 | 7 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $13.15 – $37.57 | 10 |
| Support clav 29.6-40.5in med HCPCS L3650 | $156.00 | $195.00 | $38.72 – $98.53 | 11 |
| Supprelin la implant HCPCS J9226 | $51,408.00 | $64,260.00 | $16,707.60 – $57,948.72 | 11 |
| Suprv interfacilty transport CPT 99485 | $139.20 | $174.00 | $45.24 – $173.69 | 7 |
| Suprv interfac trnsport addl CPT 99486 | $120.80 | $151.00 | $39.26 – $150.86 | 7 |
| Surg dx exam anorectal CPT 45990 | $264.00 | $330.00 | $85.80 – $2,428.72 | 13 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,955.20 | $2,444.00 | $635.44 – $1,903.68 | 11 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $1,957.60 | $2,447.00 | $636.22 – $1,904.21 | 11 |
| Surgery for urethra pouch CPT 53240 | $1,068.00 | $1,335.00 | $347.10 – $3,054.48 | 13 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,008.18 – $2,690.65 | 10 |
| Surgery to stop leg growth CPT 27475 | $3,256.00 | $4,070.00 | $529.10 – $6,326.64 | 13 |
| Surgery to stop leg growth CPT 27477 | $3,604.80 | $4,506.00 | $585.78 – $6,326.64 | 13 |
| Surgery to stop leg growth CPT 27479 | $4,521.60 | $5,652.00 | $734.76 – $6,326.64 | 13 |
| Surgery to stop leg growth CPT 27485 | $3,299.20 | $4,124.00 | $536.12 – $6,326.64 | 13 |
| Surgical exposure prostate 55860 CPT 55860 | $2,212.00 | $2,765.00 | $718.90 – $4,502.17 | 13 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,147.16 – $3,061.89 | 10 |
| Surgical opening esophagus CPT 43352 | not published | not published | $929.07 – $2,478.47 | 10 |
| Surgical opening of stomach CPT 43510 | $2,320.80 | $2,901.00 | $754.26 – $2,227.72 | 13 |
| Surgical opening of stomach 43500 CPT 43500 | $1,925.60 | $2,407.00 | $625.82 – $1,846.33 | 11 |
| Surgical opening of throat CPT 42955 | $1,870.40 | $2,338.00 | $607.88 – $1,821.64 | 13 |
| Surgical pathology level 1 gross examination only CPT 88300 | $98.56 | $123.20 | $3.64 – $71.21 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $98.56 | $123.20 | $6.12 – $71.21 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $98.56 | $123.20 | $9.36 – $71.21 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $164.00 | $205.00 | $23.40 – $71.21 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $647.20 | $809.00 | $74.02 – $318.57 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $942.40 | $1,178.00 | $130.73 – $723.47 | 15 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $3,304.80 | $4,131.00 | $1,074.06 – $3,160.73 | 11 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $3,736.80 | $4,671.00 | $1,214.46 – $3,558.02 | 11 |
| Surgical revision intestine CPT 44680 | $2,607.20 | $3,259.00 | $847.34 – $2,512.86 | 11 |
| Surgical trays HCPCS A4550 | $45.60 | $57.00 | $11.59 – $57.75 | 7 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $90.00 – $160.92 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $1,352.80 | $1,691.00 | $384.28 – $2,428.72 | 13 |
| Susceptibility agar dilution per agent CPT 87181 | $38.58 | $48.22 | $2.85 – $31.34 | 13 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $38.58 | $48.22 | $2.85 – $31.34 | 13 |
| Susceptibility mic per plate CPT 87186 | $38.58 | $48.22 | $5.19 – $31.34 | 13 |
| Suscept studies macrobroth dilution ea CPT 87188 | $38.58 | $48.22 | $3.98 – $31.34 | 13 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $889.29 – $2,379.25 | 10 |
| Suspension of testis CPT 54620 | $1,510.40 | $1,888.00 | $245.44 – $3,054.48 | 13 |
| Suspension of uterus CPT 58410 | not published | not published | $729.49 – $1,960.87 | 10 |
| Suspension of uterus 58400 CPT 58400 | $1,136.00 | $1,420.00 | $369.20 – $1,121.08 | 11 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $75.73 – $192.71 | 10 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $2,600.80 | $3,251.00 | $845.26 – $2,468.82 | 11 |
| Suture bile duct injury 47900 CPT 47900 | $3,346.40 | $4,183.00 | $1,087.58 – $3,220.92 | 11 |
| Svc venogram s&i CPT 75827 | $1,711.96 | $2,139.94 | $42.12 – $1,375.76 | 15 |
| Swallowing Evaluation (Bedside) CPT 92610 | $295.08 | $368.85 | $62.92 – $213.20 | 13 |
| Swallowing Therapy Session CPT 92526 | $221.31 | $276.63 | $63.44 – $174.00 | 13 |
| Sweat collection by iontophoresis CPT 89230 | $70.00 | $87.49 | $1.27 – $50.57 | 15 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $1,259.71 – $3,205.61 | 10 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $1,825.15 – $4,644.50 | 10 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $154.45 – $393.02 | 10 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $195.84 – $498.34 | 10 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $150.78 – $383.68 | 10 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $345.18 – $878.38 | 10 |
| Sympathectomy cervical CPT 64802 | $3,934.40 | $4,918.00 | $639.34 – $1,966.75 | 13 |
| Sympathectomy digital artery CPT 64820 | $1,808.80 | $2,261.00 | $587.86 – $1,842.28 | 13 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $698.35 – $1,856.75 | 10 |
| Sympathectomy supfc palmar CPT 64823 | $3,880.00 | $4,850.00 | $630.50 – $2,873.50 | 13 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $942.67 – $2,511.78 | 10 |
| Synch audio-only est high 40 CPT 98015 | $265.60 | $332.00 | $86.32 – $178.90 | 3 |
| Synch audio-only est low 20 CPT 98013 | $160.80 | $201.00 | $52.26 – $81.90 | 3 |
| Synch audio-only est mod 30 CPT 98014 | $192.00 | $240.00 | $62.40 – $121.20 | 3 |
| Synch audio-only est sf 10 CPT 98012 | $83.20 | $104.00 | $27.04 – $45.00 | 3 |
| Synch audio-only new high 60 CPT 98011 | $367.20 | $459.00 | $119.34 – $219.60 | 3 |
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.