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 |
|---|---|---|---|---|
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $3.20 | $4.00 | $1.04 – $3.76 | 7 |
| Bcg vaccine intravesical CPT 90586 | $187.20 | $234.00 | $60.84 – $238.21 | 8 |
| Bcg vaccine percut CPT 90585 | $187.20 | $234.00 | $60.84 – $249.50 | 7 |
| Bckdhb gene CPT 81205 | $190.40 | $238.00 | $56.99 – $133.00 | 10 |
| Bebtelovimab injection HCPCS M0222 | not published | not published | $350.50 – $873.19 | 5 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $2.66 – $45.32 | 6 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $6.36 – $16.19 | 10 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $60.80 | $76.00 | $13.07 – $81.92 | 15 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $6.42 | $8.02 | $1.01 – $4.08 | 13 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $54.13 – $67.60 | 10 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $5,043.37 – $12,833.94 | 10 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $1,506.27 – $3,833.04 | 10 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $190.30 – $484.24 | 10 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $44.69 – $113.72 | 10 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $328.08 – $834.87 | 10 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $469.28 – $1,194.18 | 10 |
| Below knee leather socket HCPCS L5638 | not published | not published | $291.41 – $741.55 | 10 |
| Below knee suction socket HCPCS L5647 | not published | not published | $635.08 – $1,616.11 | 10 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $76.77 – $195.36 | 10 |
| Below knee total contact HCPCS L5637 | not published | not published | $172.98 – $440.19 | 10 |
| Below knee wood socket HCPCS L5639 | not published | not published | $671.35 – $1,708.38 | 10 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $4.70 – $11.97 | 10 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $31.20 | $39.00 | $1.24 – $37.54 | 11 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $3.59 – $22.53 | 10 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $13.38 – $30.07 | 10 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $27.24 – $43.49 | 10 |
| Benign lesion paring 2-4 CPT 11056 | $181.60 | $227.00 | $20.31 – $175.98 | 13 |
| Benign lesion paring 4+ CPT 11057 | $200.80 | $251.00 | $26.05 – $175.98 | 13 |
| #_benzodiazconfur CPT 80346 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $107.60 | $134.50 | $8.06 – $64.16 | 10 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $64.00 | $80.00 | $15.27 – $39.59 | 13 |
| Beta-2 microglobulin CPT 82232 | $55.00 | $68.75 | $9.71 – $44.69 | 13 |
| Beta-amyloid 1-42 CPT 82234 | $64.28 | $80.35 | $20.89 – $52.23 | 7 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $52.63 | $65.78 | $0.98 – $7.28 | 10 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $5.62 – $6.63 | 3 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $88.00 | $110.00 | $28.60 – $101.81 | 11 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $26.60 – $53.45 | 10 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $20.97 – $56.98 | 10 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.82 – $1.99 | 7 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $176.00 | $220.00 | $39.15 – $102.67 | 11 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $72.00 | $90.00 | $21.93 – $57.72 | 11 |
| B-hexosaminidase ea assay CPT 83080 | $64.28 | $80.35 | $10.12 – $52.23 | 13 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $36.14 – $94.65 | 8 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $17.48 – $94.65 | 8 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | $1,660.80 | $2,076.00 | $247.76 – $1,363.85 | 11 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $497.60 | $622.00 | $49.63 – $788.46 | 13 |
| Bilateral n block inj occipital 64405 CPT 64405 | $556.90 | $696.12 | $46.36 – $402.36 | 15 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $516.80 | $646.00 | $45.38 – $261.43 | 15 |
| Bile acids cholylglycine CPT 82240 | $53.60 | $67.00 | $5.36 – $41.34 | 10 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $404.80 | $506.00 | $131.56 – $378.55 | 11 |
| Bile duct revision CPT 47701 | $4,258.40 | $5,323.00 | $1,383.98 – $4,046.05 | 11 |
| Biliary endo perq dx w/speci CPT 47552 | $705.60 | $882.00 | $229.32 – $5,526.06 | 13 |
| Biliary endoscopy thru skin CPT 47553 | $712.80 | $891.00 | $231.66 – $5,526.06 | 13 |
| Biliary endoscopy thru skin CPT 47554 | $1,260.80 | $1,576.00 | $398.48 – $9,220.40 | 13 |
| Biliary endoscopy thru skin CPT 47555 | $848.00 | $1,060.00 | $275.60 – $3,125.41 | 13 |
| Biliary endoscopy thru skin CPT 47556 | $11,329.00 | $14,161.25 | $312.00 – $9,220.40 | 15 |
| Bilicheck CPT 88720 | $33.57 | $41.96 | $4.16 – $27.27 | 13 |
| Bilirubin direct CPT 82248 | $33.57 | $41.96 | $3.01 – $27.27 | 13 |
| Bilirubin total CPT 82247 | $33.57 | $41.96 | $3.01 – $27.27 | 13 |
| Bilobectomy 32482 CPT 32482 | $3,860.80 | $4,826.00 | $1,254.76 – $3,646.11 | 11 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $32.95 – $68.21 | 10 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $132.29 – $2,575.00 | 6 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $49.54 – $242.39 | 5 |
| Biofeedback, pt CPT 90901 | $88.80 | $111.00 | $17.69 – $46.57 | 11 |
| Biopsy abdominal mass CPT 49180 | $1,071.36 | $1,339.19 | $74.42 – $1,434.92 | 15 |
| Biopsy arm/elbow soft tissue CPT 24066 | $3,036.80 | $3,796.00 | $384.82 – $2,534.69 | 13 |
| Biopsy, bone open deep CPT 20245 | $1,104.80 | $1,381.00 | $305.73 – $2,534.69 | 13 |
| Biopsy bone trocar/needle superficial CPT 20220 | $682.29 | $852.86 | $78.77 – $1,434.92 | 15 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $352.80 | $441.00 | $67.47 – $771.15 | 13 |
| Biopsy conjunctiva CPT 68100 | $876.80 | $1,096.00 | $86.49 – $2,066.12 | 13 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $2,774.40 | $3,468.00 | $450.84 – $3,391.30 | 13 |
| Biopsy external ear 69100 CPT 69100 | $241.60 | $302.00 | $41.85 – $205.66 | 13 |
| Biopsy eyelid & lid margin CPT 67810 | $886.40 | $1,108.00 | $61.80 – $264.74 | 13 |
| Biopsy eye muscle CPT 67346 | $960.00 | $1,200.00 | $156.00 – $3,339.68 | 13 |
| Biopsy finger joint lining CPT 26105 | $1,665.60 | $2,082.00 | $270.66 – $2,873.50 | 13 |
| Biopsy finger joint lining CPT 26110 | $794.40 | $993.00 | $258.18 – $1,417.36 | 13 |
| Biopsy forearm soft tissues CPT 25066 | $1,760.00 | $2,200.00 | $286.00 – $2,534.69 | 13 |
| Biopsy hand joint lining CPT 26100 | $1,652.80 | $2,066.00 | $268.58 – $2,873.50 | 13 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,818.00 | $3,522.50 | $67.70 – $2,534.69 | 15 |
| Biopsy knee joint lining CPT 27330 | $2,025.60 | $2,532.00 | $329.16 – $2,873.50 | 13 |
| Biopsy lower leg soft tissue CPT 27613 | $1,244.80 | $1,556.00 | $146.68 – $1,434.92 | 13 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $3,206.40 | $4,008.00 | $521.04 – $2,873.50 | 13 |
| Biopsy muscle percutaneous needle CPT 20206 | $930.39 | $1,162.98 | $51.81 – $1,434.92 | 15 |
| Biopsy needle liver percutaneous CPT 47000 | $1,162.20 | $1,452.74 | $78.77 – $1,434.92 | 15 |
| Biopsy needle lymph node superficial CPT 38505 | $930.39 | $1,162.98 | $77.42 – $1,434.92 | 15 |
| Biopsy of cornea CPT 65410 | $712.00 | $890.00 | $92.59 – $2,066.12 | 13 |
| Biopsy of epididymis CPT 54800 | $635.20 | $794.00 | $103.22 – $1,434.92 | 13 |
| Biopsy of foot joint lining CPT 28050 | $2,123.20 | $2,654.00 | $258.81 – $2,873.50 | 13 |
| Biopsy of foot joint lining CPT 28052 | $2,219.20 | $2,774.00 | $237.06 – $2,873.50 | 13 |
| Biopsy of heart lining CPT 93505 | $2,036.94 | $2,546.17 | $158.34 – $2,787.49 | 15 |
| Biopsy of hip joint CPT 27052 | $2,836.80 | $3,546.00 | $460.98 – $1,417.36 | 13 |
| Biopsy of inestine 44100 CPT 44100 | $272.80 | $341.00 | $88.66 – $830.32 | 13 |
| Biopsy of lip 40490 CPT 40490 | $308.80 | $386.00 | $62.94 – $205.66 | 13 |
| Biopsy of nail unit 11755 CPT 11755 | $303.20 | $379.00 | $55.50 – $623.11 | 13 |
| Biopsy of nerve CPT 64795 | $466.40 | $583.00 | $151.58 – $1,729.42 | 13 |
| Biopsy of ovary(s) 58900 CPT 58900 | $1,066.40 | $1,333.00 | $346.58 – $2,815.86 | 13 |
| Biopsy of pancreas open CPT 48100 | $2,174.40 | $2,718.00 | $706.68 – $2,093.05 | 11 |
| Biopsy of penis CPT 54105 | $672.80 | $841.00 | $193.37 – $2,534.69 | 13 |
| Biopsy of penis 54100 CPT 54100 | $492.00 | $615.00 | $110.63 – $1,434.92 | 13 |
| Biopsy of prostate CPT 55700 | $613.60 | $767.00 | $116.75 – $1,814.20 | 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.