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 |
|---|---|---|---|---|
| Dx duod intub w/asp specs CPT 43757 | $837.60 | $1,047.00 | $69.11 – $830.32 | 13 |
| Dx gastr intub w/asp spec CPT 43754 | $441.60 | $552.00 | $34.05 – $275.78 | 13 |
| Dx gastr intub w/asp specs CPT 43755 | $421.60 | $527.00 | $54.03 – $143.76 | 13 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | $64.00 | $80.00 | $0.01 – $66.65 | 10 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | $171.20 | $214.00 | $0.01 – $179.63 | 10 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | $55.20 | $69.00 | $0.01 – $57.90 | 10 |
| Dx laryngoscopy newborn CPT 31520 | $823.80 | $1,029.74 | $125.32 – $595.19 | 15 |
| Dx laryngoscopy w/oper scope CPT 31526 | $387.20 | $484.00 | $125.84 – $1,527.23 | 13 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | $108.80 | $136.00 | $0.01 – $113.90 | 10 |
| Dynamic cavernosometry CPT 54231 | $354.40 | $443.00 | $104.97 – $279.23 | 13 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $29.80 – $45.28 | 5 |
| Dynamic surface emg CPT 96002 | $49.60 | $62.00 | $16.12 – $275.78 | 13 |
| Ear and throat examination CPT 92502 | $210.40 | $263.00 | $68.38 – $451.01 | 13 |
| Ear canal biopsy 69105 CPT 69105 | $688.00 | $860.00 | $58.36 – $1,311.86 | 13 |
| Ear cartilage graft CPT 21235 | $1,787.20 | $2,234.00 | $517.41 – $5,239.04 | 13 |
| Ear irrigation 69209 CPT 69209 | $68.80 | $86.00 | $11.18 – $52.60 | 15 |
| Ear protector evaluation CPT 92596 | $141.60 | $177.00 | $34.76 – $179.17 | 13 |
| Ecallantide injection HCPCS J1290 | not published | not published | $522.66 – $701.13 | 10 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $16.00 | $20.00 | $5.20 – $16.28 | 11 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $114.24 | $142.79 | $3.90 – $82.53 | 15 |
| Ecg < 30 days transmission & analysis CPT 93271 | $377.60 | $472.00 | $81.29 – $275.72 | 15 |
| Ecg external < 48 hours recording CPT 93225 | $352.18 | $440.22 | $15.80 – $254.45 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $264.14 | $330.17 | $28.60 – $190.84 | 15 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $33.60 | $42.00 | $10.19 – $34.76 | 13 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $46.40 | $58.00 | $10.19 – $34.76 | 13 |
| Ecg record/review CPT 93268 | $469.60 | $587.00 | $150.01 – $417.70 | 11 |
| Ecg/review interpret only CPT 93272 | $57.60 | $72.00 | $18.72 – $58.27 | 11 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,111.76 | $1,389.69 | $55.90 – $803.24 | 15 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $391.16 | $488.94 | $20.54 – $282.61 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $815.29 | $1,019.11 | $2.85 – $589.05 | 13 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,711.58 | $2,139.47 | $556.26 – $1,390.66 | 14 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $851.28 | $1,064.10 | $276.67 – $691.67 | 12 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $294.55 | $368.18 | $5.46 – $212.81 | 13 |
| Echo exam of eye CPT 76516 | $140.80 | $176.00 | $17.94 – $94.18 | 13 |
| Echo exam of eye CPT 76519 | $172.00 | $215.00 | $24.70 – $94.18 | 13 |
| Echo exam of eye CPT 76529 | $168.00 | $210.00 | $23.92 – $77.97 | 13 |
| Echo exam of eye thickness CPT 76514 | $29.60 | $37.00 | $3.10 – $21.69 | 13 |
| Echo exam of fetal heart CPT 76825 | $1,145.78 | $1,432.22 | $59.28 – $827.82 | 15 |
| Echo exam of fetal heart CPT 76826 | $539.56 | $674.44 | $24.96 – $389.83 | 15 |
| Echo exam of fetal heart CPT 76827 | $279.84 | $349.79 | $22.88 – $202.18 | 15 |
| Echo exam of fetal heart CPT 76828 | $279.84 | $349.79 | $14.82 – $202.18 | 15 |
| Echo exam uterus 76831- CPT 76831 | $225.60 | $282.00 | $26.00 – $214.07 | 13 |
| Echograp trans r pros study CPT 76873 | $336.80 | $421.00 | $52.52 – $149.27 | 13 |
| Echo guidance radiotherapy CPT 76965 | $313.60 | $392.00 | $24.66 – $51.79 | 11 |
| Echo guidance radiotherapy HCPCS G6001 | $322.40 | $403.00 | $19.24 – $76.60 | 11 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $56.00 – $56.00 | 2 |
| Echo guide for amniocentesis CPT 76946 | $374.32 | $467.89 | $13.44 – $270.44 | 13 |
| Echo guide for artery repair CPT 76936 | $1,031.25 | $1,289.06 | $75.14 – $745.08 | 15 |
| Echo guide for heart biopsy CPT 76932 | $192.80 | $241.00 | $26.26 – $67.73 | 11 |
| Echo guide for transfusion CPT 76941 | $273.60 | $342.00 | $38.48 – $125.73 | 11 |
| Echo guide ova aspiration CPT 76948 | $144.80 | $181.00 | $19.24 – $62.71 | 11 |
| Echo guide villus sampling CPT 76945 | $191.20 | $239.00 | $23.40 – $63.90 | 11 |
| Echo stress CPT 93350 | $841.27 | $1,051.58 | $52.52 – $607.81 | 15 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $65.60 | $82.00 | $21.32 – $485.59 | 13 |
| Echo tee guidance CPT 93355 | $1,917.85 | $2,397.31 | $168.22 – $1,385.65 | 13 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,336.37 | $1,670.46 | $80.86 – $965.53 | 15 |
| Echo transesophageal CPT 93313 | $99.20 | $124.00 | $10.18 – $485.59 | 13 |
| Echo transesophageal CPT 93314 | $564.80 | $706.00 | $70.46 – $209.59 | 11 |
| Echo transesophageal CPT 93315 | $1,530.42 | $1,913.02 | $101.14 – $1,105.73 | 15 |
| Echo transesophageal CPT 93317 | $603.20 | $754.00 | $71.24 – $208.73 | 11 |
| Echo transesophageal intraop CPT 93318 | $1,251.20 | $1,564.00 | $81.12 – $485.59 | 13 |
| Echo transthoracic CPT 93303 | $1,176.33 | $1,470.41 | $46.80 – $849.90 | 15 |
| Echo transthoracic CPT 93304 | $815.29 | $1,019.11 | $27.04 – $589.05 | 15 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $815.29 | $1,019.11 | $33.54 – $589.05 | 15 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $580.00 | $725.00 | $188.50 – $542.19 | 11 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $599.20 | $749.00 | $194.74 – $556.24 | 11 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $844.00 | $1,055.00 | $274.30 – $788.48 | 11 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $761.60 | $952.00 | $247.52 – $712.80 | 11 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $704.40 – $1,882.08 | 10 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $2,040.80 | $2,551.00 | $663.26 – $1,905.46 | 11 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $402.80 – $1,075.00 | 10 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $360.96 – $962.77 | 10 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $1,165.60 | $1,457.00 | $378.82 – $1,085.71 | 11 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,050.40 | $1,313.00 | $341.38 – $979.02 | 11 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $436.74 – $1,166.45 | 10 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $1,280.00 | $1,600.00 | $416.00 – $1,194.22 | 11 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $667.20 | $834.00 | $216.84 – $619.76 | 11 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $157.40 – $419.47 | 10 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $694.40 | $868.00 | $225.68 – $646.94 | 11 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $581.60 | $727.00 | $189.02 – $542.64 | 11 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $419.55 – $1,121.51 | 10 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $397.76 – $1,062.28 | 10 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $199.68 – $533.29 | 10 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $157.40 – $419.47 | 10 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $572.80 | $716.00 | $186.16 – $533.29 | 11 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $452.00 | $565.00 | $146.90 – $419.47 | 11 |
| Ecog impltd brn npgt <30 d CPT 95836 | $240.80 | $301.00 | $33.03 – $251.73 | 13 |
| E coli 0157 ag ia CPT 87335 | $32.00 | $40.00 | $7.60 – $18.65 | 10 |
| Ecp ciliary body destruction CPT 66711 | $2,486.40 | $3,108.00 | $404.04 – $2,019.86 | 13 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.81 – $51.49 | 8 |
| Eculizumab injection HCPCS J1300 | not published | not published | $225.47 – $293.39 | 3 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $58.16 – $7,422.76 | 10 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.41 – $1.49 | 4 |
| Ed svc ckd grp per session HCPCS G0421 | $58.40 | $73.00 | $18.98 – $65.49 | 11 |
| Ed svc ckd ind per session HCPCS G0420 | $249.60 | $312.00 | $81.12 – $262.50 | 11 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $57.60 | $72.00 | $18.72 – $70.75 | 7 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $788.00 | $985.00 | $47.06 – $275.78 | 13 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $568.40 | $710.50 | $28.86 – $469.91 | 15 |
| Eeg during surgery CPT 95955 | $452.00 | $565.00 | $39.52 – $127.19 | 11 |
| Eeg monitoring/function test CPT 95958 | $1,373.60 | $1,717.00 | $164.84 – $901.02 | 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.