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 |
|---|---|---|---|---|
| Drain lower leg bursa CPT 27604 | $6,340.68 | $7,925.84 | $301.02 – $4,581.14 | 15 |
| Drain lower leg lesion 27603 CPT 27603 | $2,617.60 | $3,272.00 | $351.25 – $2,534.69 | 13 |
| Drain neck/chest lesion 21501 CPT 21501 | $5,319.69 | $6,649.61 | $305.06 – $3,843.47 | 15 |
| Drain open lung lesion 32200 CPT 32200 | $2,765.60 | $3,457.00 | $898.82 – $2,643.88 | 11 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $1.88 – $4.80 | 10 |
| Drain ovarn cyst abd CPT 58805 | $1,043.20 | $1,304.00 | $339.04 – $2,815.86 | 13 |
| Drain ovary abscess open CPT 58820 | $1,630.40 | $2,038.00 | $264.94 – $2,815.86 | 13 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | $2,690.40 | $3,363.00 | $874.38 – $2,568.04 | 11 |
| Drain penis lesion CPT 54015 | $772.00 | $965.00 | $250.90 – $1,434.92 | 13 |
| Drain shoulder bone lesion CPT 23035 | $3,345.60 | $4,182.00 | $543.66 – $1,628.35 | 13 |
| Drain shoulder bursa 23031 CPT 23031 | $1,976.00 | $2,470.00 | $201.59 – $2,534.69 | 13 |
| Drain shoulder lesion CPT 23030 | $1,062.40 | $1,328.00 | $229.94 – $2,534.69 | 13 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,307.20 | $4,134.00 | $459.28 – $2,534.69 | 15 |
| Drain thyroid/tongue cyst CPT 60000 | $429.60 | $537.00 | $139.62 – $1,311.86 | 13 |
| Drain to peritoneal cavity CPT 49062 | $1,880.00 | $2,350.00 | $611.00 – $1,803.99 | 11 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $376.80 | $471.00 | $49.94 – $209.55 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $201.60 | $252.00 | $49.94 – $175.98 | 15 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $474.40 | $593.00 | $108.69 – $353.83 | 15 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $116.00 | $145.00 | $37.70 – $542.11 | 13 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $45.70 – $57.67 | 7 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $789.74 – $2,102.32 | 10 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $2,422.31 | $3,027.88 | $239.20 – $1,750.11 | 13 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $53,976.33 – $129,999.92 | 10 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | $242.40 | $303.00 | $78.78 – $210.57 | 11 |
| Drm agrft t/a/l ea addl CPT 15131 | $244.80 | $306.00 | $79.53 – $210.57 | 11 |
| Drng appendix abscess open 44900 CPT 44900 | $1,916.80 | $2,396.00 | $622.96 – $1,837.54 | 11 |
| Drng hand tendon sheath 26020 CPT 26020 | $1,364.00 | $1,705.00 | $443.30 – $2,873.50 | 13 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,364.80 | $1,706.00 | $105.24 – $264.74 | 15 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,426.84 | $1,783.54 | $167.85 – $1,434.92 | 15 |
| Drng of hydrocele 55000 CPT 55000 | $587.20 | $734.00 | $76.53 – $623.11 | 13 |
| Drng of mouth lesion 40801 CPT 40801 | $744.00 | $930.00 | $184.01 – $482.94 | 13 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $856.80 | $1,071.00 | $278.46 – $2,815.86 | 13 |
| Drng of palm multi bursas 26030 CPT 26030 | $2,416.00 | $3,020.00 | $392.60 – $2,873.50 | 13 |
| Drng of palm single bursa 26025 CPT 26025 | $2,070.40 | $2,588.00 | $336.44 – $2,873.50 | 13 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,056.80 | $1,321.00 | $343.46 – $1,044.22 | 13 |
| Drng of salivary cyst 42409 CPT 42409 | $894.40 | $1,118.00 | $212.12 – $2,872.13 | 13 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,361.87 | $1,702.33 | $152.49 – $1,434.92 | 15 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $2,708.80 | $3,386.00 | $880.36 – $2,573.39 | 11 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $2,461.60 | $3,077.00 | $800.02 – $2,353.44 | 11 |
| Drng ovary abscess perqt 58822 CPT 58822 | $3,547.20 | $4,434.00 | $576.42 – $1,719.64 | 11 |
| Drng peritoneal abscess open 49020 CPT 49020 | $3,915.20 | $4,894.00 | $1,272.44 – $3,738.12 | 11 |
| Drng salivary gland simple 42300 CPT 42300 | $2,466.88 | $3,083.60 | $141.72 – $1,782.32 | 15 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $433.60 | $542.00 | $123.55 – $451.01 | 13 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.05 – $6.39 | 7 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $77.48 | $96.84 | $0.36 – $9.31 | 10 |
| Drop lock knee HCPCS L2182 | not published | not published | $61.81 – $157.29 | 10 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $19.01 – $48.36 | 10 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $776.17 | $970.21 | $252.25 – $630.64 | 7 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $8.64 – $16.89 | 7 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $24.80 | $31.00 | $8.06 – $17.43 | 8 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $2.85 – $18.03 | 7 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $9.62 – $38.09 | 6 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $7.62 – $19.40 | 10 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $161.79 – $166.64 | 3 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $9.06 – $29.55 | 6 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $33.51 – $64.39 | 7 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $193.54 – $226.60 | 4 |
| Drug admin & hemodynmic meas CPT 93463 | $568.64 | $710.80 | $72.28 – $410.84 | 13 |
| Drug assay caffeine CPT 80155 | $77.60 | $97.00 | $21.59 – $54.00 | 13 |
| Drug assay posaconazole CPT 80187 | $66.43 | $83.03 | $16.27 – $53.97 | 13 |
| Drug assay rufinamide CPT 80210 | $66.43 | $83.03 | $16.27 – $53.97 | 13 |
| Drug assay vedolizumab CPT 80280 | $66.43 | $83.03 | $21.59 – $53.97 | 13 |
| Drug assay voriconazole CPT 80285 | $66.43 | $83.03 | $16.27 – $53.97 | 13 |
| Drug asy hydroxychloroquine CPT 80220 | $66.43 | $83.03 | $11.18 – $53.97 | 13 |
| Drug of abuse screen urine CPT 80305 | $72.14 | $90.17 | $7.56 – $58.61 | 13 |
| Drug screening tapentadol CPT 80372 | $36.00 | $45.00 | $11.70 – $28.76 | 6 |
| Drug screen quant tiagabine CPT 80199 | $66.43 | $83.03 | $16.27 – $53.97 | 13 |
| Drug/substance nos 4-6 CPT 80376 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Drug test def 15-21 classes HCPCS G0482 | $397.60 | $497.00 | $95.64 – $249.12 | 13 |
| Drug test def 1-7 classes HCPCS G0480 | $229.60 | $287.00 | $41.09 – $143.44 | 13 |
| Drug test def 22+ classes HCPCS G0483 | $494.40 | $618.00 | $95.64 – $309.51 | 13 |
| Drug test def 8-14 classes HCPCS G0481 | $313.60 | $392.00 | $93.95 – $239.10 | 13 |
| Drug test def simple all cl HCPCS G0659 | $124.80 | $156.00 | $37.28 – $161.56 | 10 |
| Drug test prsmv instrmnt CPT 80306 | $72.14 | $90.17 | $10.28 – $58.61 | 13 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $127.20 | $159.00 | $37.28 – $102.72 | 13 |
| Drvvt confirm - quest CPT 85597 | $45.60 | $57.00 | $10.68 – $27.97 | 13 |
| Dstrj extensive retinopathy CPT 67227 | $2,158.40 | $2,698.00 | $228.98 – $3,339.68 | 13 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,995.20 | $2,494.00 | $133.88 – $355.18 | 11 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $702.40 | $878.00 | $183.69 – $488.40 | 13 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $603.20 | $754.00 | $155.24 – $412.87 | 13 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $688.00 | $860.00 | $181.18 – $542.11 | 13 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $886.40 | $1,108.00 | $247.10 – $652.96 | 13 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $545.34 – $1,528.90 | 10 |
| Ductogram sgl duct CPT 77053 | $688.71 | $860.88 | $14.04 – $497.59 | 15 |
| Duodenal exclusion CPT 48547 | $4,393.60 | $5,492.00 | $1,427.92 – $4,171.02 | 11 |
| Duodenal motility study CPT 91022 | $367.20 | $459.00 | $54.86 – $469.91 | 13 |
| Duplex scan bilateral study 93985 CPT 93985 | $620.00 | $775.00 | $33.71 – $343.56 | 15 |
| Duplex scan unilateral study 93986 CPT 93986 | $357.60 | $447.00 | $20.60 – $94.18 | 13 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $359.20 | $449.00 | $20.46 – $184.99 | 15 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $411.20 | $514.00 | $21.34 – $190.84 | 15 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $440.80 | $551.00 | $28.86 – $277.31 | 15 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $81.87 – $104.92 | 10 |
| Dxa bone density axl vrt fx CPT 77085 | $237.36 | $296.70 | $8.58 – $171.49 | 15 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $186.40 | $233.00 | $60.58 – $233.59 | 13 |
| Dx aly aud oi snd prcsr each CPT 92623 | $48.00 | $60.00 | $15.60 – $42.48 | 10 |
| Dx bronchoscope/brush 31623 CPT 31623 | $666.40 | $833.00 | $118.59 – $1,527.23 | 13 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,935.03 | $3,668.78 | $120.22 – $2,120.55 | 15 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,935.03 | $3,668.78 | $118.02 – $2,120.55 | 15 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $22.00 – $353.40 | 12 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $608.80 | $761.00 | $45.58 – $830.32 | 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.