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 |
|---|---|---|---|---|
| Tendon lngth upr a/e ea tdn CPT 24305 | $1,428.00 | $1,785.00 | $464.10 – $2,873.50 | 13 |
| Tendon shortening CPT 26477 | $1,460.80 | $1,826.00 | $474.76 – $2,873.50 | 13 |
| Tendon transfer with graft CPT 26492 | $2,200.80 | $2,751.00 | $715.26 – $2,873.50 | 13 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $238.88 | $298.59 | $10.00 – $180.53 | 13 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $514.57 – $2,495.95 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | $3,020.80 | $3,776.00 | $490.88 – $6,326.64 | 13 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,436.00 | $1,795.00 | $466.70 – $2,873.50 | 13 |
| Tenolysis triceps CPT 24332 | $3,012.80 | $3,766.00 | $489.58 – $2,873.50 | 13 |
| Tenoplasty elbow to sho 1 CPT 24320 | $1,919.20 | $2,399.00 | $623.74 – $6,326.64 | 13 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,266.40 | $1,583.00 | $411.58 – $1,417.36 | 13 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $652.83 – $1,730.29 | 10 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $2,243.20 | $2,804.00 | $271.17 – $2,873.50 | 13 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $962.40 | $1,203.00 | $222.81 – $1,417.36 | 13 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $1,914.43 – $4,871.66 | 10 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $9.31 – $33.76 | 10 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $78.39 | $97.98 | $0.12 – $3.66 | 10 |
| Teriparatide injection HCPCS J3110 | $65.60 | $82.00 | $9.82 – $50.33 | 7 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $2,450.10 – $6,234.83 | 10 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $1,892.11 – $4,814.88 | 10 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $823.21 – $2,094.81 | 10 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $592.81 – $1,508.55 | 10 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $882.46 – $2,245.61 | 10 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $244.43 – $622.00 | 10 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $260.65 – $663.27 | 10 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $202.65 – $515.70 | 10 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $121.88 – $310.17 | 10 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $401.75 – $1,022.36 | 10 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $111.12 – $259.30 | 9 |
| Test for chlorohydrocarbons CPT 82441 | $32.15 | $40.18 | $3.61 – $26.12 | 13 |
| Test for porphobilinogen CPT 84106 | $33.57 | $41.96 | $3.49 – $27.27 | 13 |
| Test for urine cystines CPT 82615 | $23.20 | $29.00 | $5.73 – $13.36 | 10 |
| Testicular imaging w/vasc flow CPT 78761 | $459.20 | $574.00 | $24.18 – $355.87 | 13 |
| Testosterone pellet 75 mg HCPCS S0189 | $102.40 | $128.00 | $33.28 – $130.55 | 6 |
| Testosterone response panel CPT 80414 | $129.60 | $162.00 | $30.98 – $80.32 | 10 |
| Testosterone undecanoate 1mg HCPCS J3145 | $2.40 | $3.00 | $0.78 – $2.39 | 11 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $70.00 | $87.49 | $22.75 – $88.68 | 14 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $155.90 – $396.73 | 10 |
| Test socket above knee HCPCS L5624 | not published | not published | $217.69 – $553.97 | 10 |
| Test socket below knee HCPCS L5620 | not published | not published | $169.48 – $431.26 | 10 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $303.02 – $771.10 | 10 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $291.95 – $742.92 | 10 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $218.37 – $555.70 | 10 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $208.72 – $531.13 | 10 |
| Test socket symes HCPCS L5618 | not published | not published | $178.10 – $453.22 | 10 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $144.27 – $367.13 | 10 |
| Test stress cardiovascular tracing only CPT 93017 | $526.67 | $658.33 | $26.52 – $380.51 | 15 |
| Test urine for lactose CPT 83633 | $23.20 | $29.00 | $6.75 – $15.75 | 10 |
| Test urine for porphyrins CPT 84119 | $27.20 | $34.00 | $8.02 – $18.71 | 10 |
| Test urine urobilinogen CPT 84578 | $9.60 | $12.00 | $2.68 – $6.26 | 10 |
| Tetanus ig im CPT 90389 | $624.00 | $780.00 | $202.80 – $755.57 | 7 |
| Tetanus immune globulin inj HCPCS J1670 | $634.40 | $793.00 | $206.18 – $752.20 | 11 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.77 – $24.16 | 10 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $82.20 – $191.82 | 9 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $729.16 | $911.44 | $236.97 – $797.51 | 13 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,802.82 | $3,503.52 | $910.92 – $3,065.58 | 13 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $792.10 | $990.12 | $257.43 – $643.58 | 13 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | $419.20 | $524.00 | $136.24 – $255.85 | 9 |
| Thawing cryopresrved embryo CPT 89352 | $419.20 | $524.00 | $136.24 – $400.00 | 9 |
| Thawing cryopresrved oocyte CPT 89356 | $419.20 | $524.00 | $136.24 – $255.85 | 9 |
| Thawing cryopresrved sperm CPT 89353 | $419.20 | $524.00 | $53.11 – $400.00 | 9 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $52.30 – $447.36 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $66.43 | $83.03 | $8.48 – $53.97 | 13 |
| Therapeutic procd strg endur HCPCS G0237 | $89.95 | $112.43 | $6.76 – $64.98 | 13 |
| Therapy activation ipnss CPT 93150 | $228.80 | $286.00 | $38.27 – $137.04 | 11 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | not published | not published | $60.40 – $111.25 | 4 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $98.90 | $123.62 | $21.32 – $71.45 | 13 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $98.90 | $123.62 | $17.94 – $71.45 | 13 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $83.20 | $104.00 | $13.07 – $48.60 | 13 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $72.00 | $90.00 | $23.40 – $41.83 | 11 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $283.20 | $354.00 | $92.04 – $319.07 | 13 |
| Ther fx nasal inf turbinate CPT 30930 | $291.20 | $364.00 | $94.64 – $2,872.13 | 13 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $685.52 | $856.90 | $78.52 – $495.29 | 15 |
| Ther/proph/diag inj ia CPT 96373 | $522.12 | $652.65 | $13.00 – $377.23 | 15 |
| Ther radiology tx plng cplx CPT 77263 | $332.00 | $415.00 | $107.90 – $325.79 | 11 |
| Ther radiology tx plng intrm CPT 77262 | $224.00 | $280.00 | $72.80 – $210.67 | 11 |
| Ther radiology tx plng smpl CPT 77261 | $148.80 | $186.00 | $48.36 – $137.81 | 11 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $77.96 | $97.45 | $0.27 – $1.94 | 10 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $4.76 – $17.91 | 4 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $190.96 | $238.70 | $5.46 – $137.97 | 15 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $161.42 – $410.77 | 10 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $237.62 – $604.68 | 10 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $145.15 – $369.36 | 10 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $177.73 – $452.27 | 10 |
| Thiotepa injection HCPCS J9340 | not published | not published | $227.26 – $795.17 | 6 |
| Thorabd diaphr hern repair CPT 43336 | $3,542.40 | $4,428.00 | $1,151.28 – $3,336.69 | 11 |
| Thorabd diaphr hern repair CPT 43337 | $3,777.60 | $4,722.00 | $1,227.72 – $3,553.84 | 11 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $98.56 – $250.81 | 10 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $97.42 – $247.91 | 10 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,532.80 | $1,916.00 | $98.09 – $1,013.79 | 15 |
| Thoracic aortic graft 33875 CPT 33875 | $6,691.20 | $8,364.00 | $2,174.64 – $6,278.80 | 11 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $104.75 – $266.57 | 10 |
| Thoracic duct procedure CPT 38380 | $1,406.40 | $1,758.00 | $457.08 – $1,388.55 | 11 |
| Thoracic duct procedure CPT 38381 | $1,958.40 | $2,448.00 | $636.48 – $1,870.98 | 11 |
| Thoracic duct procedure CPT 38382 | $1,656.80 | $2,071.00 | $538.46 – $1,595.64 | 11 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $2,824.01 – $7,186.30 | 10 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | $524.80 | $656.00 | $170.56 – $489.46 | 11 |
| Thoracic pad HCPCS L1060 | not published | not published | $55.30 – $140.70 | 10 |
| Thoracoabdominal graft 33877 CPT 33877 | $8,824.00 | $11,030.00 | $2,867.80 – $8,224.30 | 11 |
| Thoracoscop w/esoph musc exc CPT 32665 | $2,999.20 | $3,749.00 | $974.74 – $2,836.14 | 11 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | $3,910.40 | $4,888.00 | $1,270.88 – $3,681.62 | 11 |
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.