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 |
|---|---|---|---|---|
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $98.90 – $251.67 | 10 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | not published | not published | $1,933.59 – $5,142.27 | 10 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | $10,107.20 | $12,634.00 | $1,642.42 – $4,778.85 | 11 |
| Brst rcnstj free flap CPT 19364 | not published | not published | $2,419.94 – $6,439.39 | 10 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $3.11 – $7.93 | 10 |
| Bso omentectomy w/tah 58956 CPT 58956 | $3,372.00 | $4,215.00 | $1,095.90 – $3,269.52 | 11 |
| Btk gene common variants CPT 81233 | not published | not published | $105.24 – $245.58 | 9 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.30 – $5.74 | 4 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $0.02 – $2.01 | 3 |
| Budesonide non-comp unit HCPCS J7626 | $9.72 | $12.14 | $1.03 – $2.30 | 10 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $48.51 | $60.63 | $0.19 – $0.64 | 13 |
| Bundled special stain group 1 microorganisms CPT 88312 | $212.00 | $265.00 | $19.50 – $71.21 | 15 |
| Bundled special stain group 2 CPT 88313 | $154.40 | $193.00 | $9.62 – $114.16 | 15 |
| Bundle his recording CPT 93600 | $1,234.12 | $1,542.65 | $69.68 – $6,720.19 | 15 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $7.10 | $8.87 | $0.01 – $0.01 | 10 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.83 – $2.70 | 7 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $3.99 – $11.29 | 4 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $3.81 | $4.76 | $0.04 – $7.12 | 10 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $5.66 | $7.07 | $0.18 – $11.53 | 10 |
| Buprenorphine and metabolite - sendout CPT 80348 | $72.14 | $90.17 | $5.98 – $58.61 | 9 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.79 – $5.36 | 7 |
| Buprenorphine oral 1mg HCPCS J0571 | $1.56 | $1.95 | $0.18 – $0.68 | 10 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $3,864.00 | $4,830.00 | $1,255.80 – $2,453.25 | 11 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $3,864.00 | $4,830.00 | $1,255.80 – $2,453.25 | 11 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $13.80 – $234.08 | 6 |
| Bur hol/trph drg brn abs/cst CPT 61150 | not published | not published | $1,162.70 – $3,098.04 | 10 |
| Burr hol aspir hmtm/cst icer CPT 61156 | $2,916.80 | $3,646.00 | $947.96 – $2,844.25 | 11 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $653.31 – $1,739.09 | 10 |
| Burr hole implant ventricular cath/other device CPT 61210 | $862.40 | $1,078.00 | $280.28 – $822.88 | 11 |
| Burr hole skull for biopsy 61140 CPT 61140 | $2,978.40 | $3,723.00 | $967.98 – $2,930.13 | 11 |
| Burr hole skull & remove clot 61154 CPT 61154 | $5,985.60 | $7,482.00 | $972.66 – $2,947.52 | 11 |
| Burr hole treph ittl uni/bi CPT 61253 | not published | not published | $859.05 – $2,289.04 | 10 |
| Burr hole/treph sbsq tapping CPT 61151 | not published | not published | $859.05 – $2,289.04 | 10 |
| Burr hole/treph sttl expl CPT 61250 | $4,076.80 | $5,096.00 | $662.48 – $2,005.33 | 11 |
| Bur rotalink 2.15mm HCPCS C1724 | $21,587.23 | $26,984.03 | $7,015.85 – $17,539.62 | 7 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.96 – $8.55 | 10 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $39.36 | $49.19 | $2.08 – $28.06 | 10 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $56.40 – $132.91 | 6 |
| Buttock fasciotomy CPT 27027 | $4,411.20 | $5,514.00 | $716.82 – $6,326.64 | 13 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | $4,984.00 | $6,230.00 | $809.90 – $2,401.06 | 13 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $1,275.20 | $1,594.00 | $147.61 – $1,434.92 | 13 |
| Bx bone trocar/ndl deep CPT 20225 | $1,292.84 | $1,616.04 | $116.91 – $1,434.92 | 15 |
| Bx breast 1st lesion mr imag CPT 19085 | $4,500.80 | $5,626.00 | $161.90 – $2,246.15 | 15 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,985.60 | $3,732.00 | $146.74 – $1,434.92 | 15 |
| Bx breast add lesion mr imag CPT 19086 | $1,784.00 | $2,230.00 | $80.73 – $579.80 | 11 |
| Bx breast add lesion strtctc CPT 19082 | $1,199.20 | $1,499.00 | $73.46 – $578.05 | 13 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,167.20 | $1,459.00 | $69.34 – $492.95 | 13 |
| Bx breast perq without image 19100 CPT 19100 | $745.60 | $932.00 | $59.84 – $1,434.92 | 13 |
| Bx breast pq tomo guide CPT 19499 | $5,741.36 | $7,176.69 | $1,865.94 – $5,717.15 | 14 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $405.60 | $507.00 | $119.52 – $319.86 | 13 |
| Bx/exc idrl imed lesn cervl CPT 63285 | $6,138.40 | $7,673.00 | $1,994.98 – $5,959.11 | 11 |
| Bx/exc idrl imed lesn thrc CPT 63286 | $6,069.60 | $7,587.00 | $1,972.62 – $5,873.83 | 11 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | $6,440.80 | $8,051.00 | $2,093.26 – $6,245.02 | 11 |
| Bx/exc idrl spine lesn crvl CPT 63280 | $4,980.80 | $6,226.00 | $1,618.76 – $4,849.10 | 11 |
| Bx/exc idrl spine lesn scrl CPT 63283 | $4,463.20 | $5,579.00 | $1,450.54 – $4,363.28 | 11 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $2,579.20 | $3,224.00 | $373.67 – $3,391.30 | 13 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $1,640.00 | $2,050.00 | $225.97 – $3,391.30 | 13 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | $6,551.20 | $8,189.00 | $2,129.14 – $6,349.64 | 11 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | $4,260.80 | $5,326.00 | $1,384.76 – $4,141.74 | 11 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | $3,712.80 | $4,641.00 | $1,206.66 – $3,612.00 | 11 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | $3,737.60 | $4,672.00 | $1,214.72 – $3,663.10 | 11 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | $4,230.40 | $5,288.00 | $1,374.88 – $4,114.71 | 11 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $2,856.00 | $3,570.00 | $375.30 – $2,534.69 | 13 |
| Bx liver with other CPT 47001 | $774.81 | $968.51 | $82.94 – $559.80 | 13 |
| Bx muscle CPT 20200 | $514.40 | $643.00 | $84.15 – $1,434.92 | 13 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | $544.00 | $680.00 | $128.18 – $2,872.13 | 13 |
| Bx of breast open 19101 CPT 19101 | $1,630.40 | $2,038.00 | $197.81 – $3,391.30 | 13 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $753.60 | $942.00 | $142.79 – $2,815.86 | 13 |
| Bx pancreas pq ndl CPT 48102 | $1,336.00 | $1,670.00 | $211.84 – $1,434.92 | 15 |
| Bx perianal mass CPT 46999 | $572.00 | $715.00 | $109.46 – $1,361.19 | 10 |
| Bx pleura pq ndl CPT 32400 | $1,162.20 | $1,452.74 | $75.39 – $1,434.92 | 15 |
| Bx prst8 ndl sat sampling CPT 55706 | $941.60 | $1,177.00 | $306.02 – $3,054.48 | 13 |
| Bx shoulder tissues deep 23066 CPT 23066 | $2,768.00 | $3,460.00 | $337.27 – $2,534.69 | 13 |
| Bx shoulder tissues supf 23065 CPT 23065 | $1,100.80 | $1,376.00 | $143.95 – $1,434.92 | 13 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $176.80 | $221.00 | $27.51 – $73.41 | 11 |
| Bx skin punch ea sep/ addl les CPT 11105 | $392.20 | $490.25 | $22.83 – $283.36 | 13 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $356.56 | $445.69 | $19.68 – $257.61 | 13 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $1,268.80 | $1,586.00 | $142.92 – $1,434.92 | 13 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,697.60 | $2,122.00 | $180.10 – $1,434.92 | 13 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $3,444.80 | $4,306.00 | $559.78 – $1,697.43 | 13 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $1,141.60 | $1,427.00 | $341.15 – $1,434.92 | 13 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $3,158.15 | $3,947.68 | $139.72 – $2,281.76 | 15 |
| Bx spinal cord pq ndl CPT 62269 | $677.60 | $847.00 | $220.22 – $1,434.92 | 13 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,358.40 | $1,698.00 | $159.24 – $1,434.92 | 13 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $540.09 | $675.11 | $68.77 – $623.11 | 15 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $237.60 | $297.00 | $58.61 – $771.15 | 13 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $223.20 | $279.00 | $52.86 – $771.15 | 13 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $96.00 | $120.00 | $25.77 – $69.51 | 11 |
| Bypass graft/av fist patency CPT 35686 | $392.80 | $491.00 | $127.66 – $363.53 | 11 |
| Bypass graft patency/patch CPT 35685 | $484.80 | $606.00 | $157.56 – $447.27 | 11 |
| Bypass temp external fem-fem CPT 37799 | $2,650.40 | $3,313.00 | $187.46 – $923.07 | 14 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $53.65 – $87.24 | 10 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $63.88 – $81.32 | 10 |
| C1 esterase inhibitor func - sendout CPT 86161 | $48.57 | $60.71 | $7.20 – $39.46 | 13 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $230.40 | $288.00 | $74.88 – $273.59 | 11 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $1.81 – $17.21 | 6 |
| Cabg 2 arterial grafts 33534 CPT 33534 | $5,366.40 | $6,708.00 | $1,744.08 – $5,047.32 | 11 |
| Cabg 3 arterial grafts 33535 CPT 33535 | $5,984.80 | $7,481.00 | $1,945.06 – $5,610.58 | 11 |
| Cabg arterial four or more 33536 CPT 33536 | $6,450.40 | $8,063.00 | $2,096.38 – $6,046.00 | 11 |
| Cabgsingle artery graft 33533 CPT 33533 | $4,567.20 | $5,709.00 | $1,484.34 – $4,298.67 | 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.