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 |
|---|---|---|---|---|
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,410.17 – $2,350.23 | 10 |
| Cytomeg dna dir probe CPT 87495 | $60.80 | $76.00 | $18.02 – $42.04 | 10 |
| Cyto/molecular report CPT 88291 | $63.20 | $79.00 | $20.54 – $60.50 | 11 |
| Cytopath c/v auto in fluid CPT 88174 | $56.00 | $70.00 | $18.20 – $35.52 | 10 |
| Cytopath c/v automated CPT 88147 | $101.60 | $127.00 | $22.11 – $70.77 | 10 |
| Cytopath c/v auto redo CPT 88152 | $56.00 | $70.00 | $18.20 – $38.70 | 10 |
| Cytopath c/v auto rescreen CPT 88148 | $39.20 | $49.00 | $12.74 – $23.65 | 10 |
| Cytopath c/v index add-on CPT 88155 | $29.60 | $37.00 | $9.62 – $20.52 | 10 |
| Cytopath c/v manual CPT 88150 | $36.80 | $46.00 | $11.96 – $23.09 | 10 |
| Cytopath c/v redo CPT 88153 | $48.80 | $61.00 | $15.86 – $33.64 | 10 |
| Cytopath c/v thin layer redo CPT 88143 | $50.40 | $63.00 | $16.38 – $32.27 | 10 |
| Cytopath fl nongyn filter CPT 88106 | $169.60 | $212.00 | $15.86 – $36.57 | 13 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $145.60 | $182.00 | $22.10 – $54.13 | 15 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $67.20 | $84.00 | $17.88 – $44.69 | 13 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $55.00 | $68.75 | $16.38 – $44.69 | 13 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $166.40 | $208.00 | $18.98 – $50.57 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $160.00 | $200.00 | $21.58 – $56.13 | 15 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $70.00 | $87.49 | $5.20 – $50.57 | 13 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $180.00 | $224.99 | $12.74 – $151.76 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $335.20 | $419.00 | $31.57 – $114.60 | 15 |
| Cytopath smear other source CPT 88160 | $156.00 | $195.00 | $17.16 – $50.57 | 13 |
| Cytopath smear other source CPT 88162 | $247.20 | $309.00 | $22.75 – $78.32 | 13 |
| Cytopath smear oth prep screen & interp CPT 88161 | $166.40 | $208.00 | $20.02 – $50.57 | 13 |
| Cytopath tbs c/v auto redo CPT 88166 | $36.80 | $46.00 | $11.96 – $23.09 | 10 |
| Cytopath tbs c/v manual CPT 88164 | $36.80 | $46.00 | $11.96 – $23.09 | 10 |
| Cytopath tbs c/v redo CPT 88165 | $84.80 | $106.00 | $17.88 – $59.11 | 13 |
| Cytopath tbs c/v select CPT 88167 | $36.80 | $46.00 | $11.96 – $23.09 | 10 |
| Cytotoxic antibody screening CPT 86807 | $157.60 | $197.00 | $46.19 – $115.49 | 13 |
| Cytotoxic antibody screening CPT 86808 | $75.20 | $94.00 | $17.81 – $46.42 | 13 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $988.00 | $1,235.00 | $31.72 – $151.76 | 13 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $3.60 – $6.42 | 7 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $288.80 – $1,571.70 | 10 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.57 – $19.88 | 10 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $16.04 – $22.62 | 7 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.52 | $0.65 | $0.02 – $0.10 | 10 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.06 | 8 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $51.00 – $63.77 | 10 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $13.09 | $16.36 | $2.34 – $9.46 | 13 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $7.20 | $9.00 | $2.34 – $4.97 | 11 |
| Dark field exam spec collj CPT 87164 | $31.20 | $39.00 | $6.44 – $26.15 | 11 |
| Dark field exam without collj CPT 87166 | $28.80 | $36.00 | $6.78 – $17.58 | 10 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $241.05 – $301.29 | 10 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $20.16 – $59.22 | 10 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $65.53 – $276.00 | 4 |
| Dbrdmt prmlg les w/pdt CPT 96574 | $575.20 | $719.00 | $175.98 – $653.02 | 13 |
| D&c after delivery 59160 CPT 59160 | $2,962.14 | $3,702.67 | $162.97 – $2,815.86 | 15 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $695.20 | $869.00 | $209.46 – $2,815.86 | 13 |
| Dch glucoscan CPT 82948 | $33.57 | $41.96 | $3.38 – $27.27 | 13 |
| Dch pulmonary stress test CPT 94621 | $345.60 | $432.00 | $51.22 – $275.78 | 13 |
| Dch validity tests CPT 81002 | $25.72 | $32.14 | $2.34 – $20.89 | 13 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $1,456.00 | $1,820.00 | $473.20 – $1,729.42 | 13 |
| Dcmprn orbit only transcrnl CPT 61330 | $8,420.80 | $10,526.00 | $1,368.38 – $4,108.24 | 13 |
| Dcmprn plantar digital nerve CPT 64726 | $679.20 | $849.00 | $220.74 – $1,729.42 | 13 |
| D&c of cervical stump CPT 57558 | $356.00 | $445.00 | $115.00 – $2,815.86 | 13 |
| Deamidated gliadin antibody iga CPT 86258 | $48.57 | $60.71 | $6.92 – $39.46 | 13 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,742.40 | $2,178.00 | $566.28 – $1,631.98 | 11 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $140.00 | $175.00 | $24.72 – $542.11 | 13 |
| Debridement (>20 cm) charge pt CPT 97598 | $232.93 | $291.16 | $17.43 – $168.29 | 13 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,838.72 | $3,548.39 | $200.85 – $2,050.97 | 15 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $405.15 | $506.43 | $48.09 – $292.72 | 13 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $300.80 | $376.00 | $85.25 – $227.90 | 11 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $932.37 | $1,165.46 | $54.67 – $673.64 | 15 |
| Debride nail1-5 11720 CPT 11720 | $101.58 | $126.97 | $13.16 – $73.39 | 15 |
| Debride nail6 or more 11721 CPT 11721 | $112.80 | $141.00 | $21.90 – $57.96 | 13 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,288.00 | $1,610.00 | $264.50 – $913.03 | 15 |
| Debride skin bone at fx site CPT 11012 | $5,103.65 | $6,379.56 | $368.28 – $3,687.39 | 15 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,427.20 | $1,784.00 | $463.84 – $1,333.35 | 11 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,914.40 | $2,393.00 | $622.18 – $1,790.34 | 11 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $407.85 | $509.81 | $22.23 – $294.67 | 13 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $488.00 | $610.00 | $46.49 – $175.98 | 13 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,263.72 | $1,579.64 | $246.88 – $913.03 | 15 |
| Debr inf skin add-on 11001 CPT 11001 | $58.40 | $73.00 | $13.40 – $35.93 | 11 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $932.37 | $1,165.46 | $137.84 – $673.64 | 15 |
| Decalcification CPT 88311 | $98.56 | $123.20 | $4.94 – $71.21 | 13 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $28.80 | $36.00 | $1.43 – $36.33 | 8 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $362.03 | $452.53 | $24.44 – $293.75 | 15 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $2,368.00 | $2,960.00 | $384.80 – $2,873.50 | 13 |
| Decomp forearm 1 space 25020 CPT 25020 | $3,137.60 | $3,922.00 | $509.86 – $1,774.44 | 13 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $5,931.20 | $7,414.00 | $963.82 – $2,923.45 | 13 |
| Decompress fasciotomyhand 26037 CPT 26037 | $2,788.80 | $3,486.00 | $453.18 – $2,873.50 | 13 |
| Decompress fingers/hand CPT 26035 | $2,107.20 | $2,634.00 | $684.84 – $2,873.50 | 13 |
| Decompress forearm 1 space CPT 25023 | $5,883.20 | $7,354.00 | $956.02 – $3,127.29 | 13 |
| Decompress forearm 2 spaces CPT 25024 | $3,851.20 | $4,814.00 | $625.82 – $2,873.50 | 13 |
| Decompression fasct forearm CPT 24495 | $3,988.80 | $4,986.00 | $648.18 – $6,326.64 | 13 |
| Decompression of leg CPT 27892 | $2,705.60 | $3,382.00 | $439.66 – $2,873.50 | 13 |
| Decompression of leg CPT 27893 | $3,000.00 | $3,750.00 | $487.50 – $6,326.64 | 13 |
| Decompression of leg CPT 27894 | $4,134.40 | $5,168.00 | $671.84 – $2,873.50 | 13 |
| Decompression of lower leg CPT 27600 | $1,990.40 | $2,488.00 | $323.44 – $2,873.50 | 13 |
| Decompression of lower leg CPT 27601 | $6,917.10 | $8,646.37 | $356.98 – $4,997.60 | 15 |
| Decompression of thigh/knee CPT 27496 | $2,676.80 | $3,346.00 | $434.98 – $2,873.50 | 13 |
| Decompression of thigh/knee CPT 27497 | $2,857.60 | $3,572.00 | $464.36 – $2,873.50 | 13 |
| Decompression of thigh/knee CPT 27498 | $3,217.60 | $4,022.00 | $522.86 – $1,583.38 | 13 |
| Decompression of thigh/knee CPT 27499 | $3,443.20 | $4,304.00 | $559.52 – $6,326.64 | 13 |
| Decompression of tibia nerve CPT 28035 | $2,625.60 | $3,282.00 | $332.20 – $1,729.42 | 13 |
| Decompression unspecified nerve 64722 CPT 64722 | $886.40 | $1,108.00 | $288.08 – $1,729.42 | 13 |
| Decompressive craniotomy CPT 61322 | $5,584.80 | $6,981.00 | $1,815.06 – $5,442.01 | 11 |
| Decompress optic nerve CPT 67570 | $6,134.40 | $7,668.00 | $996.84 – $3,339.68 | 13 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $3,861.60 | $4,827.00 | $1,255.02 – $6,326.64 | 13 |
| Decompress small bowel CPT 44021 | $2,394.40 | $2,993.00 | $778.18 – $2,273.41 | 11 |
| Decompress spinal cord lmbr CPT 63056 | $3,568.00 | $4,460.00 | $1,159.60 – $6,326.64 | 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.