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 |
|---|---|---|---|---|
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $861.08 – $2,191.22 | 10 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $605.76 – $1,541.49 | 10 |
| Cutter lead HCPCS C1773 | $1,581.84 | $1,977.30 | $91.73 – $229.33 | 7 |
| Cv line/pic reposition CPT 36597 | $825.02 | $1,031.27 | $53.61 – $1,375.76 | 15 |
| Cv stress test i&r only 93018 CPT 93018 | $35.20 | $44.00 | $11.44 – $33.70 | 11 |
| Cv stress test/supervision only 93016 CPT 93016 | $51.20 | $64.00 | $16.64 – $51.14 | 11 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $64.28 | $80.35 | $8.59 – $52.23 | 13 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $81.20 | $101.50 | $0.29 – $1.11 | 10 |
| Cyclic citrullinated peptide antibody CPT 86200 | $48.57 | $60.71 | $7.77 – $39.46 | 13 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $27.61 – $46.96 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $6.97 | $8.71 | $0.64 – $2.30 | 13 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.80 – $7.01 | 7 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $14.74 – $83.59 | 7 |
| Cyclosporine 2 hour CPT 80158 | $66.43 | $83.03 | $10.83 – $53.97 | 13 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $5.08 | $6.35 | $0.74 – $3.45 | 10 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.02 – $4.19 | 7 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $149.80 – $413.19 | 6 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $47.78 – $950.00 | 6 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $391.59 – $1,016.79 | 3 |
| Cyp2c19 gene com variants CPT 81225 | $583.20 | $729.00 | $90.90 – $407.93 | 13 |
| Cyp2c9 gene com variants CPT 81227 | $350.40 | $438.00 | $54.54 – $244.74 | 13 |
| Cyp2d6 gene com variants CPT 81226 | $902.40 | $1,128.00 | $140.68 – $631.32 | 13 |
| Cyp3a4 gene common variants CPT 81230 | $350.40 | $438.00 | $54.54 – $244.74 | 13 |
| Cyp3a5 gene common variants CPT 81231 | $350.40 | $438.00 | $54.54 – $244.74 | 13 |
| Cystatin c CPT 82610 | $64.28 | $80.35 | $11.11 – $52.23 | 13 |
| Cystic fibrosis cftr CPT 81223 | $998.40 | $1,248.00 | $155.69 – $698.64 | 13 |
| Cystine urine quantitative CPT 82131 | $64.28 | $80.35 | $13.79 – $52.23 | 13 |
| Cysto cgen post urtl valves CPT 52400 | $1,205.60 | $1,507.00 | $391.82 – $3,054.48 | 13 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $734.36 | $917.94 | $13.26 – $530.57 | 15 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $9,192.14 – $13,806.06 | 7 |
| Cysto insj dev ischmc rmdlg CPT 53865 | $5,203.20 | $6,504.00 | $147.98 – $13,806.06 | 10 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $9,192.14 – $13,806.06 | 7 |
| Cystometrogram w/up 51727 CPT 51727 | $851.20 | $1,064.00 | $88.40 – $591.12 | 13 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $2,256.00 | $2,820.00 | $733.20 – $2,152.62 | 11 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $1,863.20 | $2,329.00 | $605.54 – $8,189.47 | 13 |
| Cysto rx balo cath urtl strx CPT 52284 | $6,853.60 | $8,567.00 | $147.98 – $7,589.89 | 13 |
| Cystoscopy and biopsy CPT 52007 | $2,324.80 | $2,906.00 | $149.23 – $3,054.48 | 13 |
| Cystoscopy and radiotracer CPT 52250 | $604.00 | $755.00 | $196.30 – $3,054.48 | 13 |
| Cystoscopy and treatment CPT 52214 | $1,786.40 | $2,233.00 | $157.08 – $3,054.48 | 13 |
| Cystoscopy and treatment CPT 52224 | $1,868.00 | $2,335.00 | $181.51 – $3,054.48 | 13 |
| Cystoscopy and treatment CPT 52234 | $620.00 | $775.00 | $201.50 – $3,054.48 | 13 |
| Cystoscopy and treatment CPT 52235 | $728.00 | $910.00 | $236.60 – $3,054.48 | 13 |
| Cystoscopy and treatment CPT 52240 | $991.20 | $1,239.00 | $322.14 – $4,502.17 | 13 |
| Cystoscopy and treatment CPT 52260 | $531.20 | $664.00 | $172.64 – $1,814.20 | 13 |
| Cystoscopy and treatment CPT 52265 | $934.40 | $1,168.00 | $145.31 – $1,814.20 | 13 |
| Cystoscopy and treatment CPT 52276 | $668.00 | $835.00 | $217.10 – $1,814.20 | 13 |
| Cystoscopy and treatment CPT 52277 | $816.00 | $1,020.00 | $265.20 – $3,054.48 | 13 |
| Cystoscopy and treatment CPT 52283 | $806.40 | $1,008.00 | $181.20 – $1,814.20 | 13 |
| Cystoscopy and treatment CPT 52285 | $802.40 | $1,003.00 | $176.11 – $591.12 | 13 |
| Cystoscopy and treatment CPT 52290 | $616.00 | $770.00 | $200.20 – $1,814.20 | 13 |
| Cystoscopy and treatment CPT 52300 | $706.40 | $883.00 | $229.58 – $3,054.48 | 13 |
| Cystoscopy and treatment CPT 52301 | $732.00 | $915.00 | $237.90 – $3,054.48 | 13 |
| Cystoscopy and treatment CPT 52305 | $704.00 | $880.00 | $228.80 – $4,502.17 | 13 |
| Cystoscopy and treatment CPT 52310 | $714.40 | $893.00 | $136.23 – $1,814.20 | 13 |
| Cystoscopy and treatment CPT 52315 | $1,150.40 | $1,438.00 | $245.73 – $1,814.20 | 13 |
| Cystoscopy and treatment CPT 52320 | $1,246.40 | $1,558.00 | $202.54 – $3,054.48 | 13 |
| Cystoscopy and treatment CPT 52330 | $2,864.00 | $3,580.00 | $235.81 – $3,054.48 | 13 |
| Cystoscopy (Bladder Scope) CPT 52000 | $831.11 | $1,038.88 | $72.23 – $600.47 | 15 |
| Cystoscopy chemodenervation CPT 52287 | $886.40 | $1,108.00 | $151.65 – $1,814.20 | 13 |
| Cystoscopy & duct catheter CPT 52010 | $976.80 | $1,221.00 | $148.78 – $591.12 | 13 |
| Cystoscopy implant stent CPT 52282 | $850.40 | $1,063.00 | $276.38 – $3,054.48 | 13 |
| Cystoscopy inject material CPT 52327 | $1,329.60 | $1,662.00 | $216.06 – $4,502.17 | 13 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,053.38 – $7,589.89 | 7 |
| Cystoscopy removal of clots CPT 52001 | $1,033.60 | $1,292.00 | $257.04 – $3,054.48 | 13 |
| Cystoscopy & revise urethra CPT 52270 | $989.60 | $1,237.00 | $163.33 – $1,814.20 | 13 |
| Cystoscopy & revise urethra CPT 52275 | $1,300.00 | $1,625.00 | $222.89 – $1,814.20 | 13 |
| Cystoscopy stone removal CPT 52325 | $1,619.20 | $2,024.00 | $263.12 – $4,502.17 | 13 |
| Cystoscopy & ureter catheter CPT 52005 | $4,019.46 | $5,024.32 | $119.93 – $2,904.06 | 15 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $727.20 | $909.00 | $236.34 – $1,814.20 | 13 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $1,179.20 | $1,474.00 | $383.24 – $3,054.48 | 13 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | $3,940.80 | $4,926.00 | $640.38 – $3,054.48 | 13 |
| Cystouretero & or pyeloscope CPT 52351 | $2,828.63 | $3,535.78 | $248.30 – $3,054.48 | 15 |
| Cysto/uretero stricture tx CPT 52344 | $1,864.00 | $2,330.00 | $302.90 – $3,054.48 | 13 |
| Cystouretero w/biopsy CPT 52354 | $2,108.80 | $2,636.00 | $342.68 – $4,502.17 | 13 |
| Cystouretero w/excise tumor CPT 52355 | $2,363.20 | $2,954.00 | $384.02 – $4,502.17 | 13 |
| Cysto/uretero w/lithotripsy CPT 52356 | $2,100.80 | $2,626.00 | $341.38 – $4,502.17 | 13 |
| Cystouretero w/lithotripsy CPT 52353 | $1,982.40 | $2,478.00 | $322.14 – $4,502.17 | 13 |
| Cystouretero w/renal strict CPT 52346 | $2,256.00 | $2,820.00 | $366.60 – $4,502.17 | 13 |
| Cystouretero w/stone remove CPT 52352 | $1,792.00 | $2,240.00 | $291.20 – $3,054.48 | 13 |
| Cysto/uretero w/up stricture CPT 52345 | $1,993.60 | $2,492.00 | $323.96 – $3,054.48 | 13 |
| Cystourethro cut ejacul duct CPT 52402 | $676.00 | $845.00 | $219.70 – $3,054.48 | 13 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,654.05 | $4,567.56 | $136.80 – $2,640.05 | 15 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $944.80 | $1,181.00 | $127.19 – $1,814.20 | 13 |
| Cystourethro w/addl implant 52442 CPT 52442 | $2,406.40 | $3,008.00 | $45.52 – $782.08 | 11 |
| Cystourethro w/implant CPT 52441 | $3,312.80 | $4,141.00 | $188.16 – $1,076.66 | 11 |
| Cysto w/renal stricture tx CPT 52343 | $1,739.20 | $2,174.00 | $282.62 – $3,054.48 | 13 |
| Cysto w/up stricture tx CPT 52342 | $1,560.00 | $1,950.00 | $253.50 – $3,054.48 | 13 |
| Cysto w/ureter stricture tx CPT 52341 | $1,433.60 | $1,792.00 | $232.96 – $3,054.48 | 13 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $155.20 | $194.00 | $0.76 – $112.13 | 10 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $517.70 – $921.34 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | $1,113.60 | $1,392.00 | $361.92 – $1,257.84 | 13 |
| Cytogenetics 25-99 CPT 88274 | $127.86 | $159.82 | $33.54 – $103.88 | 13 |
| Cytogenetics 3-5 CPT 88272 | $127.86 | $159.82 | $26.52 – $103.88 | 13 |
| Cytogenomic neo microra alys CPT 81277 | $1,113.60 | $1,392.00 | $361.92 – $1,218.00 | 13 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,800.00 | $2,250.00 | $280.80 – $1,260.10 | 13 |
| Cytog genom-wid alys hem mal CPT 81195 | $2,527.20 | $3,159.00 | $821.34 – $2,868.72 | 9 |
| Cytomegalovirus ag ia CPT 87332 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $48.57 | $60.71 | $8.63 – $39.46 | 13 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $48.57 | $60.71 | $10.11 – $39.46 | 13 |
| Cytomegalovirus dfa CPT 87271 | $34.40 | $43.00 | $8.05 – $18.78 | 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.