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 |
|---|---|---|---|---|
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $248.00 | $310.00 | $80.60 – $361.30 | 11 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $236.80 | $296.00 | $76.96 – $329.63 | 11 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $501.64 | $627.05 | $102.70 – $375.26 | 13 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $40.00 | $50.00 | $13.00 – $56.73 | 7 |
| Vaccine rabies im CPT 90675 | $791.88 | $989.85 | $107.38 – $530.35 | 13 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $403.20 | $504.00 | $131.04 – $333.35 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $901.60 | $1,127.00 | $257.40 – $732.55 | 10 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $592.00 | $740.00 | $192.40 – $587.32 | 5 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $358.40 | $448.00 | $116.48 – $316.40 | 5 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $129.60 | $162.00 | $42.12 – $156.78 | 7 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $108.00 | $135.00 | $35.10 – $150.02 | 7 |
| Vaccine tdap >=7 years im CPT 90715 | $146.39 | $182.98 | $16.90 – $105.46 | 10 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $136.24 | $170.30 | $11.44 – $82.94 | 10 |
| Vaccine typhoid vicps im CPT 90691 | $126.40 | $158.00 | $41.08 – $157.74 | 7 |
| Vaccine varicella live subcutaneous CPT 90716 | $165.60 | $207.00 | $53.82 – $206.79 | 7 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $186.40 | $233.00 | $60.58 – $232.25 | 7 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 7 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $182.54 | $228.17 | $29.35 – $131.88 | 13 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $280.56 – $713.96 | 10 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $110.11 – $280.20 | 10 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $2,503.35 – $6,370.31 | 10 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $2,488.80 | $3,111.00 | $808.86 – $4,371.83 | 13 |
| Vag hyst incl t/o complex CPT 58291 | $3,129.60 | $3,912.00 | $1,017.12 – $4,371.83 | 13 |
| Vag hyst including t/o CPT 58262 | $2,317.60 | $2,897.00 | $753.22 – $4,371.83 | 13 |
| Vag hyst t/o & repair compl CPT 58292 | $3,294.40 | $4,118.00 | $1,070.68 – $6,549.01 | 13 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $3,056.00 | $3,820.00 | $993.20 – $4,371.83 | 13 |
| Vag hyst w/enterocele repair CPT 58270 | $2,227.20 | $2,784.00 | $723.84 – $4,371.83 | 13 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,475.00 – $2,475.00 | 2 |
| Vaginal bx CPT 58999 | $411.60 | $514.49 | $133.77 – $334.42 | 14 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $1,839.20 | $2,299.00 | $597.74 – $1,964.58 | 11 |
| Vaginal Delivery (full care) CPT 59400 | $4,552.00 | $5,690.00 | $1,479.40 – $5,338.68 | 11 |
| Vaginal hysterectomy CPT 58260 | $2,087.20 | $2,609.00 | $678.34 – $4,371.83 | 13 |
| Vaginectomy partial w/nodes CPT 57109 | $4,252.00 | $5,315.00 | $1,381.90 – $4,163.87 | 13 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $76.95 – $2,081.43 | 10 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,554.40 – $4,163.87 | 10 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $809.08 – $2,173.21 | 10 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | $616.00 | $770.00 | $97.36 – $259.57 | 11 |
| Vagotomy & pylorus repair CPT 43641 | $2,948.00 | $3,685.00 | $958.10 – $2,817.22 | 11 |
| Vagotomy & pylorus repair 43640 CPT 43640 | $2,892.00 | $3,615.00 | $939.90 – $2,785.20 | 11 |
| Valproic acid total therapeutic drug level CPT 80164 | $66.43 | $83.03 | $8.12 – $53.97 | 13 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,404.32 – $1,773.00 | 10 |
| Valvuloplasty aortic CPT 92986 | $2,842.40 | $3,553.00 | $923.78 – $5,049.39 | 13 |
| Valvuloplasty aortic valve CPT 33390 | $4,712.00 | $5,890.00 | $1,531.40 – $4,412.70 | 11 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,962.13 – $5,227.13 | 10 |
| Valvuloplasty mitral CPT 92987 | $2,933.60 | $3,667.00 | $953.42 – $10,043.45 | 13 |
| Valvuloplasty pulmonary CPT 92990 | $2,338.40 | $2,923.00 | $759.98 – $10,043.45 | 13 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | $7,556.80 | $9,446.00 | $2,455.96 – $7,063.63 | 11 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | $5,965.60 | $7,457.00 | $1,938.82 – $5,599.29 | 11 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $3.32 | $4.14 | $0.03 – $0.12 | 7 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $0.95 | $1.18 | $0.14 – $0.74 | 7 |
| Vancomycin hcl injection HCPCS J3370 | $83.08 | $103.85 | $0.09 – $2.00 | 10 |
| Vancomycin peak therapeutic drug level CPT 80202 | $66.43 | $83.03 | $8.12 – $53.97 | 13 |
| Vanomycin dna amp probe CPT 87500 | $87.20 | $109.00 | $21.05 – $54.59 | 13 |
| Vantas implant HCPCS J9225 | not published | not published | $4,848.69 – $5,774.91 | 4 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.44 – $1.13 | 10 |
| Varicella zoster antibody igg CPT 86787 | $48.57 | $60.71 | $7.73 – $39.46 | 13 |
| Varicella-zoster immue globin im CPT 90396 | $2,097.60 | $2,622.00 | $239.41 – $2,477.89 | 10 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $30.19 – $76.80 | 10 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $15,902.86 – $26,809.52 | 9 |
| Vasc graft into carpal bone CPT 25430 | $3,588.80 | $4,486.00 | $583.18 – $2,873.50 | 13 |
| Vasectomy CPT 55250 | $892.00 | $1,115.00 | $210.01 – $1,814.20 | 13 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $9.51 | $11.88 | $0.17 – $1.93 | 10 |
| Vbac delivery 59610 CPT 59610 | $4,492.00 | $5,615.00 | $1,459.90 – $5,551.23 | 11 |
| Vbac/include postpartum care 59614 CPT 59614 | $2,285.60 | $2,857.00 | $742.82 – $2,538.88 | 11 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $45.44 | $56.79 | $14.47 – $32.17 | 13 |
| Veeg cont 2-12 hrs CPT 95713 | $990.36 | $1,237.95 | $321.87 – $804.67 | 15 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,854.67 | $2,318.33 | $602.77 – $1,518.97 | 15 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $516.80 | $645.99 | $167.96 – $464.92 | 15 |
| Veeg unmon 12-26 hrs CPT 95714 | $990.36 | $1,237.95 | $206.34 – $715.54 | 15 |
| Veeg unmon 2-12 hrs CPT 95711 | $516.80 | $645.99 | $140.90 – $455.70 | 15 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $7,043.20 | $8,804.00 | $1,144.52 – $3,277.71 | 11 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $8,161.60 | $10,202.00 | $1,326.26 – $3,794.54 | 11 |
| Vein byp pop-tibl peroneal CPT 35587 | $6,646.40 | $8,308.00 | $1,080.04 – $3,033.14 | 11 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $8,152.00 | $10,190.00 | $1,324.70 – $3,776.33 | 11 |
| Vein x-ray adrenal gland CPT 75840 | $476.80 | $596.00 | $43.68 – $2,787.49 | 13 |
| Vein x-ray adrenal glands CPT 75842 | $518.40 | $648.00 | $57.20 – $4,787.41 | 13 |
| Vein x-ray eye socket CPT 75880 | $270.40 | $338.00 | $24.18 – $547.55 | 13 |
| Vein x-ray kidney CPT 75831 | $4,750.74 | $5,938.42 | $41.08 – $3,432.41 | 15 |
| Vein x-ray liver CPT 75891 | $470.40 | $588.00 | $41.60 – $2,787.49 | 13 |
| Vein x-ray liver w/hemodynam CPT 75885 | $502.40 | $628.00 | $52.00 – $2,787.49 | 13 |
| Vein x-ray liver w/hemodynam CPT 75889 | $7,050.36 | $8,812.95 | $41.08 – $5,093.89 | 15 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,276.83 | $2,846.03 | $52.52 – $2,787.49 | 15 |
| Vein x-ray skull CPT 75870 | $480.80 | $601.00 | $44.98 – $2,787.49 | 13 |
| Vein x-ray skull epidural CPT 75872 | $476.80 | $596.00 | $43.68 – $547.55 | 13 |
| Vein x-ray spleen/liver CPT 75810 | $4,700.80 | $5,876.00 | $37.96 – $2,787.49 | 13 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $369.48 – $477.63 | 10 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $38.72 – $101.92 | 10 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $39.17 – $102.70 | 10 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $58.60 – $153.45 | 10 |
| Ven-artl shunt det mbubb njx CPT 93898 | $420.00 | $525.00 | $26.00 – $79.50 | 9 |
| Ven blood coll snf/hha HCPCS G0471 | $22.40 | $28.00 | $3.00 – $28.16 | 10 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $60.95 – $950.00 | 6 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $43.20 | $54.00 | $8.19 – $29.56 | 13 |
| Venipuncture <3 yrs other vein CPT 36406 | $41.60 | $52.00 | $8.04 – $21.57 | 11 |
| Venogram ext bil s&i CPT 75822 | $1,711.96 | $2,139.94 | $49.92 – $1,375.76 | 15 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,711.96 | $2,139.94 | $37.70 – $1,375.76 | 15 |
| Venous mech thrombectomy CPT 37187 | $9,419.20 | $11,774.00 | $343.67 – $10,043.45 | 15 |
| Venous m-thrombectomy add-on CPT 37188 | $8,685.42 | $10,856.77 | $245.44 – $6,275.21 | 15 |
| Venous sampling s&i CPT 75893 | $404.80 | $506.00 | $20.28 – $4,787.41 | 13 |
| Venous thrombosis imaging CPT 78457 | $384.00 | $480.00 | $26.00 – $476.70 | 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.