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 |
|---|---|---|---|---|
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $12.58 – $31.99 | 10 |
| Cauterization chemical granulation tissue CPT 17250 | $374.32 | $467.90 | $33.75 – $270.45 | 15 |
| Cauterization of cervix 57510 CPT 57510 | $372.80 | $466.00 | $101.33 – $2,815.86 | 13 |
| Cbc/diffwbc without platelet HCPCS G0306 | $16.00 | $20.00 | $4.66 – $20.20 | 10 |
| CBC without platelet HCPCS G0307 | $13.60 | $17.00 | $3.88 – $16.82 | 10 |
| #cbg+cort-cbg CPT 84449 | $36.00 | $45.00 | $10.80 – $28.01 | 10 |
| Cciiv4 vacc abx free im CPT 90756 | $45.60 | $57.00 | $14.82 – $42.09 | 6 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $32.80 | $41.00 | $10.66 – $44.42 | 6 |
| Ccnd1/igh translocation alys CPT 81168 | $199.02 | $248.77 | $64.68 – $255.21 | 13 |
| Cdna analysis for variants CPT 81403 | $370.40 | $463.00 | $57.78 – $259.30 | 13 |
| Cdp-sot 6 cond w/i&r CPT 92548 | $215.20 | $269.00 | $11.96 – $114.16 | 13 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $17.87 – $47.03 | 10 |
| Cebpa gene full sequence CPT 81218 | $528.00 | $660.00 | $75.47 – $376.30 | 13 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $21.77 | $27.21 | $0.08 – $0.83 | 10 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $74.56 | $93.20 | $0.77 – $1.72 | 10 |
| Cefotaxime sodium injection HCPCS J0698 | $8.80 | $11.00 | $2.17 – $10.09 | 6 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $11.52 – $14.19 | 5 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $50.84 | $63.55 | $0.65 – $5.01 | 10 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $8.36 | $10.45 | $1.06 – $4.46 | 13 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $71.12 | $88.90 | $0.78 – $15.46 | 10 |
| Ceftazidime and avibactam HCPCS J0714 | $175.75 | $219.68 | $57.12 – $126.98 | 13 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | $8.00 | $10.00 | $2.60 – $7.29 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $71.15 | $88.93 | $0.05 – $0.49 | 10 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $1.87 – $4.13 | 7 |
| #celiac hla-dq2 CPT 81377 | $206.40 | $258.00 | $56.84 – $142.82 | 10 |
| #celiac hla-dq8 CPT 81383 | $245.60 | $307.00 | $65.48 – $169.78 | 10 |
| Cell count body fluid CPT 89050 | $56.44 | $70.54 | $2.83 – $45.85 | 13 |
| Cell count w differential body fluid CPT 89051 | $56.44 | $70.54 | $3.36 – $45.85 | 13 |
| Cell cryopreserve/storage CPT 88240 | $56.44 | $70.54 | $8.58 – $45.85 | 13 |
| Cell enumeration & id CPT 86152 | $542.40 | $678.00 | $150.47 – $382.23 | 10 |
| Cell enumeration phys interp CPT 86153 | $61.60 | $77.00 | $20.02 – $46.02 | 11 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $80.04 – $624.34 | 4 |
| Cell function assay w/stim CPT 86352 | $335.20 | $419.00 | $42.39 – $211.35 | 13 |
| Cell marker study CPT 88182 | $302.40 | $378.00 | $22.75 – $69.84 | 15 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $27.70 – $35.70 | 10 |
| Centralization wrist on ulna CPT 25335 | $4,641.60 | $5,802.00 | $754.26 – $2,873.50 | 13 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $4,855.30 – $5,246.10 | 8 |
| Cephalin floculation test HCPCS P2028 | $10.40 | $13.00 | $2.97 – $12.87 | 10 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $206.95 – $554.38 | 10 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $833.60 | $1,042.00 | $270.92 – $2,815.86 | 13 |
| Cerebrospinal fld flw imag CPT 78645 | $872.52 | $1,090.65 | $23.66 – $630.40 | 15 |
| Cerebrospinal fluid scan CPT 78647 | not published | not published | $82.00 – $82.00 | 2 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $209.80 – $533.88 | 10 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $23.48 | $29.34 | $3.90 – $16.96 | 13 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $294.93 – $750.52 | 10 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $369.38 – $939.97 | 10 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $1,302.26 – $3,434.77 | 10 |
| Cervical lymphadenectomy 38720 CPT 38720 | $6,633.60 | $8,292.00 | $1,077.96 – $5,775.54 | 13 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $85.60 | $107.00 | $24.30 – $81.92 | 13 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $97.88 – $249.09 | 10 |
| Cesarean section delivery only 59514 CPT 59514 | $1,844.00 | $2,305.00 | $599.30 – $1,971.58 | 11 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $80.80 | $101.00 | $26.26 – $95.84 | 11 |
| #cf-97variants CPT 81220 | $1,113.60 | $1,392.00 | $173.66 – $779.29 | 13 |
| Cftr gene dup/delet variants CPT 81222 | $870.40 | $1,088.00 | $135.74 – $609.13 | 13 |
| Cftr gene intron poly t CPT 81224 | $337.60 | $422.00 | $101.25 – $236.26 | 10 |
| Cftr gene known fam variants CPT 81221 | $195.20 | $244.00 | $41.55 – $136.12 | 13 |
| Change cystostomy tube; complex 51710 CPT 51710 | $326.40 | $408.00 | $72.32 – $591.12 | 13 |
| Change cystostomy tube simple CPT 51705 | $406.53 | $508.16 | $47.13 – $293.72 | 15 |
| Change gastric port open CPT 43888 | $1,230.40 | $1,538.00 | $399.88 – $3,242.23 | 13 |
| Change g-tube to g-j perc CPT 49446 | $2,366.35 | $2,957.93 | $130.73 – $1,709.68 | 15 |
| Change nephroureteral cath CPT 50387 | $2,681.60 | $3,352.00 | $74.33 – $1,814.20 | 13 |
| Change of ureter tube/stent CPT 50688 | $1,724.90 | $2,156.12 | $63.96 – $1,814.20 | 15 |
| Change of windpipe airway 31502 CPT 31502 | $406.53 | $508.16 | $28.60 – $293.72 | 15 |
| Change stent via transureth CPT 50385 | $5,286.40 | $6,608.00 | $193.13 – $1,814.20 | 13 |
| Change ureter stent percut CPT 50382 | $5,390.40 | $6,738.00 | $224.46 – $1,814.20 | 13 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $113.20 – $288.08 | 10 |
| Chct for mal hyperthermia CPT 89049 | $516.80 | $646.00 | $36.04 – $167.96 | 13 |
| Chemical exfoliation acne 17360 CPT 17360 | $307.20 | $384.00 | $85.03 – $225.73 | 11 |
| Chemical peel face epiderm 15788 CPT 15788 | $1,051.20 | $1,314.00 | $197.11 – $524.41 | 13 |
| Chemical peel nonfacial 15793 CPT 15793 | $1,170.40 | $1,463.00 | $325.67 – $862.95 | 13 |
| Chemical peel nonfacial; epidermal CPT 15792 | $942.40 | $1,178.00 | $191.00 – $542.11 | 13 |
| Chemo adm cns w/lmbr punct CPT 96450 | $824.98 | $1,031.22 | $69.72 – $596.05 | 15 |
| Chemodener muscle larynx emg CPT 64617 | $798.40 | $998.00 | $97.49 – $613.31 | 13 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $227.20 | $284.00 | $61.47 – $165.28 | 11 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $285.60 | $357.00 | $71.10 – $189.95 | 11 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $416.00 | $520.00 | $102.58 – $613.31 | 13 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $356.00 | $445.00 | $94.28 – $613.31 | 13 |
| Chemodenervation anal musc CPT 46505 | $1,465.60 | $1,832.00 | $223.66 – $1,044.22 | 13 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $652.80 | $816.00 | $106.01 – $283.97 | 13 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $1,195.20 | $1,494.00 | $193.94 – $515.50 | 13 |
| Chemodenerv eccrine glands CPT 64653 | $237.60 | $297.00 | $45.45 – $261.43 | 13 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $197.60 | $247.00 | $36.23 – $261.43 | 13 |
| Chemodenerv musc migraine 64615 CPT 64615 | $358.40 | $448.00 | $105.48 – $282.17 | 13 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $635.20 | $794.00 | $94.98 – $261.43 | 13 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $289.60 | $362.00 | $94.12 – $263.68 | 13 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $373.60 | $467.00 | $101.64 – $613.31 | 13 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $427.20 | $534.00 | $115.66 – $613.31 | 13 |
| Chemo extend IV infus w/pump HCPCS G0498 | $261.60 | $327.00 | $85.02 – $443.04 | 11 |
| Chemo ia infuse each addl hr CPT 96423 | $138.40 | $173.00 | $40.86 – $168.77 | 13 |
| Chemo ia infusion up to 1 hr CPT 96422 | $299.20 | $374.00 | $97.24 – $361.53 | 13 |
| Chemo ia push tecnique CPT 96420 | $182.40 | $228.00 | $59.28 – $293.75 | 13 |
| Chemo intralesional over 7 CPT 96406 | $237.60 | $297.00 | $40.64 – $186.59 | 13 |
| Chemo intralesional up to 7 96405 CPT 96405 | $175.20 | $219.00 | $26.42 – $68.74 | 13 |
| Chemotaxis assay CPT 86155 | $33.60 | $42.00 | $9.59 – $24.87 | 10 |
| Chemotherapy injection 96542 CPT 96542 | $261.60 | $327.00 | $37.70 – $293.75 | 13 |
| Chemotx admn pertl cav impl CPT 96446 | $353.60 | $442.00 | $17.29 – $293.75 | 13 |
| Chest 2 vws w oblique CPT 71048 | $254.62 | $318.27 | $9.10 – $183.96 | 15 |
| Chest apical lordotic proj CPT 71047 | $190.96 | $238.70 | $8.06 – $137.97 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $842.90 | $1,053.62 | $52.00 – $608.99 | 15 |
| Chest CT scan (with contrast) CPT 71260 | $758.16 | $947.69 | $44.72 – $547.76 | 15 |
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.