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 |
|---|---|---|---|---|
| Tissue culture skin/biopsy CPT 88233 | $353.60 | $442.00 | $58.50 – $218.93 | 13 |
| Tissue culture tumor CPT 88239 | $370.40 | $463.00 | $58.50 – $229.49 | 13 |
| Tissue exam koh skin/hair/nails CPT 87220 | $38.58 | $48.22 | $3.64 – $31.34 | 13 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $66.57 – $113.30 | 4 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $49.54 – $49.54 | 1 |
| Tissue transglutaminase iga CPT 86364 | $48.57 | $60.71 | $6.92 – $39.46 | 13 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $150.50 – $374.89 | 5 |
| Tl-201 thallium diag per mci HCPCS A9505 | $144.80 | $181.00 | $37.23 – $99.43 | 10 |
| Tlh uterus 250 g or less CPT 58570 | $1,982.40 | $2,478.00 | $644.28 – $9,220.40 | 13 |
| Tlh uterus over 250 g CPT 58572 | $2,575.20 | $3,219.00 | $836.94 – $9,220.40 | 13 |
| Tlh w/t/o 250 g or less CPT 58571 | $2,235.20 | $2,794.00 | $726.44 – $9,220.40 | 13 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $3,020.00 | $3,775.00 | $981.50 – $9,220.40 | 13 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $533.44 – $1,357.46 | 10 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $459.37 – $1,168.97 | 10 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $600.44 – $1,527.96 | 10 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $746.83 – $1,900.48 | 10 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $282.42 – $718.68 | 10 |
| Tlso corset front HCPCS L0970 | not published | not published | $64.24 – $163.46 | 10 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $207.44 – $429.53 | 10 |
| Tlso full corset HCPCS L0974 | not published | not published | $107.20 – $272.81 | 10 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $219.35 – $558.17 | 10 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $219.35 – $464.72 | 10 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $278.59 – $708.94 | 10 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $278.59 – $590.99 | 10 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $384.23 – $977.74 | 10 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $970.06 – $2,468.52 | 10 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $600.44 – $1,527.96 | 10 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,010.30 – $2,570.93 | 10 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,036.50 – $2,637.61 | 10 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $169.20 – $430.56 | 10 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $207.44 – $527.89 | 10 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | $5,816.80 | $7,271.00 | $1,890.46 – $5,466.76 | 11 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | $5,969.60 | $7,462.00 | $1,940.12 – $5,601.68 | 11 |
| Tnot opn elbw to sho ea tdn CPT 24310 | $1,161.60 | $1,452.00 | $377.52 – $2,873.50 | 13 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $17.04 – $73.31 | 4 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $36.56 | $45.69 | $0.12 – $2.39 | 10 |
| Tobramycin non-comp unit HCPCS J7682 | $12.08 | $15.10 | $0.40 – $17.04 | 10 |
| Tobramycin peak therapeutic drug level CPT 80200 | $66.43 | $83.03 | $9.68 – $53.97 | 13 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $10.96 | $13.70 | $1.73 – $6.08 | 13 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $5.89 – $8.71 | 10 |
| Toe joint transfer CPT 26556 | not published | not published | $3,016.03 – $8,059.45 | 10 |
| Toe X-ray (both feet) CPT 73660 | $190.96 | $238.70 | $4.42 – $137.97 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $382.40 | $478.00 | $11.03 – $31.39 | 13 |
| Tomosynthesis breast screen bilateral CPT 77063 | $96.80 | $121.00 | $7.61 – $44.40 | 13 |
| Tone decay hearing test CPT 92563 | $64.80 | $81.00 | $21.06 – $80.44 | 13 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,928.30 – $5,171.63 | 10 |
| Tongue base vol reduction CPT 41530 | $5,772.00 | $7,215.00 | $337.96 – $2,872.13 | 13 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $435.20 | $544.00 | $100.42 – $2,872.13 | 13 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,655.39 – $7,122.94 | 10 |
| Tongue mouth jaw surgery CPT 41150 | $5,428.00 | $6,785.00 | $1,764.10 – $5,245.57 | 11 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,129.53 – $5,708.68 | 10 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,441.66 – $6,558.67 | 10 |
| Tongue suspension CPT 41512 | $1,622.40 | $2,028.00 | $527.28 – $5,239.04 | 13 |
| Tongue to lip surgery CPT 41510 | $1,097.60 | $1,372.00 | $356.72 – $2,872.13 | 13 |
| Tonsillectomy (age 12+) CPT 42826 | $622.40 | $778.00 | $202.28 – $2,872.13 | 13 |
| Tonsillectomy (child under 12) CPT 42825 | $650.40 | $813.00 | $211.38 – $5,239.04 | 13 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $0.94 – $3.54 | 7 |
| Topotecan oral HCPCS J8705 | not published | not published | $114.31 – $160.55 | 7 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.10 – $45.43 | 8 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $68.48 – $174.27 | 10 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $83.65 – $212.85 | 10 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | $3,364.80 | $4,206.00 | $1,093.56 – $3,236.92 | 11 |
| Total hip arthroplasty CPT 27132 | $8,249.60 | $10,312.00 | $1,340.56 – $3,958.84 | 11 |
| Total Hip Replacement CPT 27130 | $6,675.20 | $8,344.00 | $1,084.72 – $11,395.13 | 13 |
| Total hysterectomy CPT 58150 | $2,520.80 | $3,151.00 | $819.26 – $2,441.34 | 11 |
| Total Knee Replacement CPT 27447 | $6,668.80 | $8,336.00 | $1,083.68 – $11,395.13 | 13 |
| Total lung lavage CPT 32997 | $1,758.40 | $2,198.00 | $285.74 – $815.35 | 11 |
| Total ob care failed vbac 59618 CPT 59618 | $4,795.20 | $5,994.00 | $1,558.44 – $5,950.55 | 11 |
| Total tau CPT 84394 | $64.28 | $80.35 | $20.89 – $52.23 | 7 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $292.32 – $743.87 | 10 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $3,925.60 | $4,907.00 | $1,275.82 – $16,286.62 | 13 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $4,365.60 | $5,457.00 | $1,418.82 – $4,135.70 | 11 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $355.62 – $835.89 | 9 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $1,230.40 | $1,538.00 | $399.88 – $1,159.96 | 11 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | $7,284.80 | $9,106.00 | $2,367.56 – $6,868.77 | 11 |
| Tot estradiol response panel CPT 80415 | $140.80 | $176.00 | $33.53 – $86.93 | 10 |
| Toxoplasma antibody igg CPT 86777 | $48.57 | $60.71 | $8.63 – $39.46 | 13 |
| Toxoplasma antibody igm CPT 86778 | $48.57 | $60.71 | $8.65 – $39.46 | 13 |
| Tp53 gene full gene sequence CPT 81351 | $616.18 | $770.22 | $200.26 – $789.47 | 13 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $184.80 – $400.40 | 9 |
| Tp53 gene trgt sequence alys CPT 81352 | $316.33 | $395.41 | $102.81 – $498.34 | 13 |
| Tpmt gene com vrnts CPT 81335 | $350.40 | $438.00 | $54.54 – $244.74 | 13 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $68.07 – $363.11 | 8 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $1,742.69 – $19,397.79 | 8 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $914.67 – $5,149.34 | 8 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $1,041.87 – $13,806.06 | 8 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $7,438.40 | $9,298.00 | $149.11 – $4,502.17 | 13 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $355.36 – $440.53 | 10 |
| Trabeculoplasty laser surg CPT 65855 | $1,224.00 | $1,530.00 | $184.90 – $545.62 | 13 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $4.10 – $10.44 | 10 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $897.60 | $1,122.00 | $291.72 – $4,371.83 | 13 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $420.80 | $526.00 | $104.26 – $451.01 | 13 |
| Tracheo-esophagoplasty cong CPT 43314 | $7,181.60 | $8,977.00 | $2,334.02 – $7,225.04 | 11 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,189.88 – $3,177.67 | 10 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.48 – $1.21 | 10 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $1,069.60 | $1,337.00 | $347.62 – $2,872.13 | 13 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $53.96 – $137.32 | 10 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $3.23 – $8.20 | 10 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $2.50 – $6.34 | 10 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $23.23 – $37.10 | 9 |
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.