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 |
|---|---|---|---|---|
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $2,656.80 | $3,321.00 | $780.44 – $3,242.23 | 13 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $542.40 | $678.00 | $176.28 – $508.27 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,900.80 | $2,376.00 | $603.65 – $1,620.01 | 13 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,460.80 | $3,076.00 | $741.40 – $1,973.03 | 13 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $2,128.80 | $2,661.00 | $641.50 – $1,704.64 | 13 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $1,954.40 | $2,443.00 | $585.70 – $1,620.01 | 13 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $1,534.40 | $1,918.00 | $454.58 – $1,620.01 | 13 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | $615.11 | $768.88 | $199.91 – $672.77 | 13 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | $6,480.00 | $8,100.00 | $2,106.00 – $7,356.10 | 9 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $950.51 – $2,532.39 | 10 |
| Troponin quantitative CPT 84484 | $64.28 | $80.35 | $7.48 – $52.23 | 13 |
| Tr retinal les preterm inf CPT 67229 | $5,792.00 | $7,240.00 | $485.86 – $2,788.17 | 13 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $4,385.60 | $5,482.00 | $347.61 – $3,054.48 | 13 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $103.80 – $108.85 | 3 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $32.00 – $81.45 | 10 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $29.56 – $75.22 | 10 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $101.99 – $259.53 | 10 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $67.35 – $171.38 | 10 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,711.58 | $2,139.47 | $556.26 – $1,390.66 | 14 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,711.58 | $2,139.47 | $556.26 – $1,390.66 | 12 |
| Tte w or without fol w/cont, com HCPCS C8921 | $1,711.58 | $2,139.47 | $556.26 – $1,390.66 | 12 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $1,711.58 | $2,139.47 | $556.26 – $1,390.66 | 12 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $920.80 | $1,151.00 | $299.26 – $5,167.04 | 13 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $7.87 – $20.03 | 10 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $32.79 – $83.45 | 10 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $3.88 – $9.89 | 10 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $33.10 – $84.21 | 10 |
| Tubing (oxygen) per foot HCPCS A4616 | $0.40 | $0.50 | $0.04 – $0.13 | 11 |
| Tubular dressing HCPCS A6457 | not published | not published | $0.79 – $2.02 | 10 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $134.28 – $447.36 | 9 |
| Tvh >250 gms 58290 CPT 58290 | $2,885.60 | $3,607.00 | $937.82 – $6,549.01 | 13 |
| Tvh w/mmk 58267 CPT 58267 | $2,665.60 | $3,332.00 | $866.32 – $2,568.91 | 11 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $282.07 – $717.77 | 10 |
| Tx atrial fib pulm vein isol CPT 93656 | $32,426.20 | $40,532.75 | $810.28 – $23,427.93 | 15 |
| Tx closed distal humerus fx CPT 24999 | $1,861.87 | $2,327.33 | $212.45 – $1,512.76 | 14 |
| Tx closed hip disl traumatic without anes CPT 27250 | $905.60 | $1,132.00 | $147.16 – $502.81 | 15 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,027.20 | $3,784.00 | $491.92 – $2,873.50 | 15 |
| Tx closed tib shaft fx without manip CPT 27750 | $1,692.80 | $2,116.00 | $212.45 – $653.30 | 15 |
| Tx contour defects >10.0 cc CPT 11954 | $388.80 | $486.00 | $99.72 – $542.11 | 13 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $262.40 | $328.00 | $64.63 – $542.11 | 13 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | $2,277.60 | $2,847.00 | $740.22 – $2,207.50 | 11 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $2,159.20 | $2,699.00 | $701.74 – $2,094.27 | 11 |
| Tx l/r atrial fib addl CPT 93657 | $18,268.70 | $22,835.87 | $262.54 – $13,199.13 | 13 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $1,828.80 | $2,286.00 | $594.36 – $2,873.50 | 13 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $3,985.72 | $4,982.15 | $400.66 – $2,879.68 | 15 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $5,585.88 | $6,982.35 | $436.28 – $4,035.80 | 15 |
| Tx open nsl fx uncomp CPT 21325 | $1,072.80 | $1,341.00 | $348.66 – $2,872.13 | 13 |
| Tx open nsl sptl fx CPT 21336 | $1,567.20 | $1,959.00 | $509.34 – $2,873.50 | 13 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $5,726.05 | $7,157.56 | $475.54 – $4,137.07 | 15 |
| Tx septic abortion surgical 59830 CPT 59830 | $1,094.40 | $1,368.00 | $355.68 – $1,087.67 | 11 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $664.98 | $831.22 | $170.04 – $480.45 | 15 |
| Tympanic membrane repair CPT 69610 | $1,856.00 | $2,320.00 | $259.18 – $1,311.86 | 13 |
| Tympanolysis transcanal 69450 CPT 69450 | $2,659.20 | $3,324.00 | $432.12 – $2,872.13 | 13 |
| Tympanometry & reflex thresh CPT 92550 | $49.60 | $62.00 | $16.12 – $138.56 | 13 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $966.40 | $1,208.00 | $120.19 – $451.01 | 13 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $6,740.80 | $8,426.00 | $1,095.38 – $5,239.04 | 13 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $6,043.20 | $7,554.00 | $982.02 – $5,239.04 | 13 |
| Tyms gene com variants CPT 81346 | $350.40 | $438.00 | $104.89 – $244.74 | 10 |
| Typhoid vaccine oral CPT 90690 | $100.00 | $125.00 | $26.67 – $120.54 | 7 |
| U2af1 gene common variants CPT 81357 | not published | not published | $115.95 – $292.26 | 9 |
| Ua w/micro/comp poc CPT 81000 | $25.72 | $32.14 | $3.12 – $20.89 | 13 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $111.95 | $139.93 | $36.38 – $87.96 | 13 |
| Ue triple control harness HCPCS L6677 | not published | not published | $177.76 – $452.34 | 10 |
| Ugt1a1 gene analy common variants CPT 81350 | $468.00 | $585.00 | $73.01 – $327.62 | 13 |
| Ultrasound bone density measure CPT 76977 | $29.60 | $37.00 | $2.34 – $94.18 | 13 |
| Ultrasound breast complete CPT 76641 | $513.65 | $642.06 | $21.06 – $185.56 | 15 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $452.00 | $565.00 | $19.76 – $163.29 | 15 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $319.80 | $399.75 | $14.56 – $231.06 | 15 |
| Ultrasound dx ophth b-scan CPT 76512 | $254.62 | $318.27 | $15.50 – $183.96 | 15 |
| Ultrasound elastography ea l target les CPT 76983 | $108.00 | $135.00 | $14.04 – $51.28 | 11 |
| Ultrasound elastography parenchyma CPT 76981 | $189.60 | $237.00 | $17.16 – $94.18 | 13 |
| Ultrasound encephalogram CPT 76506 | $247.20 | $308.99 | $24.44 – $178.60 | 15 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $34.00 – $34.00 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $283.20 | $354.00 | $23.14 – $178.60 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $242.99 | $303.73 | $29.90 – $175.56 | 15 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $366.13 | $457.66 | $19.50 – $264.53 | 13 |
| Ultrasound guidance for vascular access CPT 76937 | $404.00 | $504.99 | $11.96 – $291.88 | 13 |
| Ultrasound guide intraoperative CPT 76998 | $440.80 | $551.00 | $41.25 – $243.10 | 13 |
| Ultrasound guide tissue ablation CPT 76940 | $401.60 | $502.00 | $58.76 – $189.34 | 11 |
| Ultrasound hips infant dynamic CPT 76885 | $271.20 | $339.00 | $24.96 – $178.60 | 15 |
| Ultrasound infant hips ltd without stress CPT 76886 | $247.20 | $308.99 | $22.10 – $178.60 | 15 |
| Ultrasound joint complete left CPT 76881 | $268.80 | $336.00 | $9.30 – $178.60 | 15 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $191.20 | $239.00 | $13.14 – $104.81 | 13 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $242.99 | $303.73 | $35.59 – $175.56 | 13 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $216.87 | $271.08 | $16.90 – $156.68 | 13 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $421.60 | $527.00 | $63.44 – $214.62 | 15 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $254.62 | $318.27 | $30.16 – $183.96 | 15 |
| Ultrasound prostate/transrectal CPT 76872 | $373.60 | $467.00 | $26.78 – $94.18 | 13 |
| Ultrasound spinal canal and contents CPT 76800 | $332.80 | $416.00 | $40.30 – $178.60 | 15 |
| Ultrasound transabd ea addl gest CPT 76812 | $424.80 | $531.00 | $61.62 – $231.06 | 13 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $516.00 | $645.00 | $46.28 – $163.79 | 11 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $348.00 | $435.00 | $24.44 – $86.25 | 11 |
| Ultraviolet therapy CPT 97028 | $15.20 | $19.00 | $4.94 – $12.46 | 11 |
| Umbilical artery cath newborn 36660 CPT 36660 | $180.07 | $225.08 | $57.46 – $141.58 | 13 |
| Umbilical cord occlud w/us CPT 59072 | $1,262.40 | $1,578.00 | $269.40 – $1,195.73 | 13 |
| Umbilicoplasty 15847 CPT 15847 | $834.40 | $1,043.00 | $271.18 – $1,161.63 | 11 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $7,188.17 – $18,291.86 | 10 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $21.69 – $36.57 | 9 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $21.69 – $36.57 | 9 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $0.78 – $68.88 | 10 |
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.