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 |
|---|---|---|---|---|
| Xm archive tissue molec anal CPT 88363 | $70.00 | $87.49 | $15.34 – $50.57 | 15 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $1,819.20 | $2,274.00 | $295.62 – $847.36 | 11 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $2,591.40 | $3,239.25 | $174.07 – $1,872.29 | 13 |
| X-ray abdomen >=3 views CPT 74021 | $254.62 | $318.27 | $7.80 – $183.96 | 15 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $859.96 | $1,074.94 | $20.28 – $621.32 | 15 |
| X-ray assay calculus CPT 82370 | $64.28 | $80.35 | $7.51 – $52.23 | 13 |
| X-ray bone length studies CPT 77073 | $254.62 | $318.27 | $8.58 – $183.96 | 15 |
| X-ray bone survey infant CPT 77076 | $254.62 | $318.27 | $20.28 – $183.96 | 15 |
| X-ray consultation CPT 76140 | $36.00 | $45.00 | $2.70 – $45.56 | 5 |
| Xray endovasc thor ao repr CPT 75956 | $2,903.54 | $3,629.42 | $0.01 – $2,097.80 | 13 |
| Xray endovasc thor ao repr CPT 75957 | $6,206.83 | $7,758.53 | $0.01 – $4,484.43 | 13 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $254.62 | $318.27 | $10.40 – $183.96 | 15 |
| X-ray exam entire spi 6/> vw CPT 72084 | $254.62 | $318.27 | $12.22 – $183.96 | 15 |
| X-ray exam of arm infant CPT 73092 | $254.62 | $318.27 | $5.46 – $183.96 | 15 |
| X-ray exam of femur 1 CPT 73551 | $190.96 | $238.70 | $4.94 – $137.97 | 15 |
| X-ray exam of jaw joint CPT 70328 | $216.54 | $270.67 | $7.80 – $156.45 | 15 |
| X-ray exam of jaw joint CPT 70332 | $176.80 | $221.00 | $20.54 – $214.07 | 13 |
| X-ray exam of mastoids CPT 70120 | $254.62 | $318.27 | $7.54 – $183.96 | 15 |
| X-ray exam of middle ear CPT 70134 | $114.40 | $143.00 | $11.70 – $485.59 | 13 |
| X-ray exam of penis CPT 74445 | $606.40 | $758.00 | $43.16 – $110.87 | 13 |
| X-ray exam of perineum CPT 74775 | $588.00 | $735.00 | $24.18 – $214.07 | 13 |
| X-ray exam of salivary gland CPT 70380 | $82.40 | $103.00 | $7.02 – $77.97 | 13 |
| X-ray exam of tear duct CPT 70170 | $728.80 | $911.00 | $12.74 – $214.07 | 13 |
| X-ray exam of teeth CPT 70300 | $32.00 | $40.00 | $4.16 – $77.97 | 13 |
| X-ray exam of teeth CPT 70310 | $82.40 | $103.00 | $5.98 – $214.07 | 13 |
| X-ray exam si joints CPT 72200 | $254.62 | $318.27 | $7.02 – $183.96 | 15 |
| X-ray exam thorac spine4/>vw CPT 72074 | $254.62 | $318.27 | $9.10 – $183.96 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $190.96 | $238.70 | $7.02 – $137.97 | 15 |
| X-ray fallopian tube CPT 74742 | $264.00 | $330.00 | $25.74 – $60.35 | 11 |
| X-ray head for orthodontia CPT 70350 | $41.60 | $52.00 | $6.50 – $77.97 | 13 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $254.62 | $318.27 | $8.06 – $183.96 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $243.59 | $304.48 | $9.10 – $175.99 | 15 |
| X-ray joint survey 1 view CPT 77077 | $254.62 | $318.27 | $13.26 – $183.96 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $124.35 | $155.43 | $5.46 – $89.84 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $254.62 | $318.27 | $9.36 – $183.96 | 15 |
| X-ray male genital tract CPT 74440 | $182.40 | $228.00 | $14.56 – $214.07 | 13 |
| X-ray mandible ltd <4 views CPT 70100 | $190.96 | $238.70 | $7.28 – $137.97 | 15 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $28.00 – $34.03 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $190.96 | $238.70 | $7.28 – $137.97 | 15 |
| X-ray of mammary ducts CPT 77054 | $688.71 | $860.88 | $17.42 – $497.59 | 15 |
| X-ray optic foramina CPT 70190 | $266.36 | $332.94 | $7.80 – $192.44 | 15 |
| Xray place dist ext thor ao CPT 75959 | $4,111.20 | $5,139.00 | $0.01 – $337.94 | 11 |
| Xray place prox ext thor ao CPT 75958 | $3,684.00 | $4,605.00 | $0.01 – $390.00 | 11 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $848.72 | $1,060.90 | $21.58 – $613.20 | 15 |
| X-ray ribs 2 views left CPT 71100 | $190.96 | $238.70 | $9.62 – $137.97 | 15 |
| X-ray sella turcica CPT 70240 | $190.96 | $238.70 | $6.50 – $137.97 | 15 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $594.11 | $742.63 | $21.84 – $485.59 | 15 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $254.62 | $318.27 | $21.58 – $183.96 | 15 |
| X-ray small intestine follow-through study CPT 74248 | $852.61 | $1,065.76 | $20.02 – $616.01 | 13 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $190.96 | $238.70 | $8.58 – $137.97 | 15 |
| X-ray surgical specimen CPT 76098 | $1,103.34 | $1,379.17 | $9.10 – $797.16 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $190.96 | $238.70 | $7.54 – $137.97 | 15 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $63.00 – $63.00 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $83.00 – $83.00 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $178.40 | $223.00 | $16.90 – $157.66 | 13 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $207.48 – $604.55 | 10 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $253.60 | $317.00 | $62.97 – $169.62 | 11 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $2,850.00 – $4,340.99 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | $64.28 | $80.35 | $7.75 – $52.23 | 13 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.42 – $1.77 | 10 |
| Yersinia antibody CPT 86793 | $33.60 | $42.00 | $7.91 – $20.52 | 10 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $110,513.94 | 9 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $71.50 – $687.19 | 6 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.66 – $11.75 | 10 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.08 | 7 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.51 – $3.12 | 6 |
| Zika virus dna/rna amp probe CPT 87662 | $103.20 | $129.00 | $21.82 – $79.84 | 13 |
| Zika virus igm antibody CPT 86794 | $48.57 | $60.71 | $10.11 – $39.46 | 13 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $4.00 | $5.00 | $0.88 – $2.22 | 11 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $79.08 | $98.85 | $3.61 – $44.25 | 10 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.09 – $10.31 | 10 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $34.23 – $38.59 | 7 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $49.52 | $61.90 | $5.73 – $29.02 | 10 |
| Zoster vaccine-live inj CPT 90736 | $204.80 | $256.00 | $66.56 – $319.46 | 5 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $115.95 – $292.26 | 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.