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 |
|---|---|---|---|---|
| Endovenous mchnchem add-on CPT 36474 | $1,403.20 | $1,754.00 | $77.58 – $228.02 | 11 |
| Endovenous rf abl vein addl CPT 36476 | $1,939.70 | $2,424.62 | $114.96 – $1,401.43 | 13 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $11,875.88 | $14,844.84 | $155.31 – $8,580.32 | 15 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $4,519.91 | $5,649.88 | $76.25 – $3,265.63 | 13 |
| Energy storing foot HCPCS L5976 | not published | not published | $377.72 – $961.21 | 10 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $29.94 – $45.54 | 10 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.41 – $45.66 | 6 |
| Enlarge breast CPT 19324 | not published | not published | $961.00 – $2,775.55 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $26.76 | $33.45 | $0.03 – $0.58 | 10 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Entamoeb hist dispr ag ia CPT 87336 | $35.20 | $44.00 | $9.60 – $22.40 | 10 |
| Enterectomy cong add-on CPT 44128 | $596.80 | $746.00 | $193.96 – $559.60 | 11 |
| Enterectomy small intestine addl 44121 CPT 44121 | $593.60 | $742.00 | $192.92 – $557.61 | 11 |
| Enterectomy small intestine single 44120 CPT 44120 | $3,002.40 | $3,753.00 | $975.78 – $2,855.72 | 11 |
| Enterectomy without taper cong CPT 44126 | $6,046.40 | $7,558.00 | $1,965.08 – $5,739.32 | 11 |
| Enterectomy w/taper cong CPT 44127 | $6,989.60 | $8,737.00 | $2,271.62 – $6,622.22 | 11 |
| Enteroenterostomy fusion 44130 CPT 44130 | $3,229.60 | $4,037.00 | $1,049.62 – $3,081.37 | 11 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $3,465.60 | $4,332.00 | $1,126.32 – $3,278.95 | 11 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $3,984.00 | $4,980.00 | $1,294.80 – $3,779.48 | 11 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $2,065.60 | $2,582.00 | $671.32 – $1,973.61 | 11 |
| Enterovirus antibody dfa CPT 87267 | $34.40 | $43.00 | $8.05 – $18.78 | 10 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $87.74 – $212.42 | 6 |
| Enzyme cell activity ra CPT 82658 | $88.80 | $111.00 | $26.42 – $61.65 | 10 |
| Enzyme histochemistry CPT 88319 | $786.52 | $983.15 | $21.84 – $723.47 | 15 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $272.24 – $692.77 | 10 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $67.99 – $173.02 | 10 |
| Ep & ablate supravent arrhyt CPT 93653 | $28,817.44 | $36,021.80 | $666.90 – $21,726.34 | 15 |
| Ep & ablate ventric tachy CPT 93654 | $35,121.57 | $43,901.96 | $861.22 – $25,375.33 | 15 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $54.44 – $69.94 | 9 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,977.60 | $2,472.00 | $631.43 – $1,672.07 | 13 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $412.00 | $515.00 | $120.74 – $322.72 | 11 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $1,979.20 | $2,474.00 | $636.76 – $1,701.43 | 13 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $280.80 | $351.00 | $88.94 – $236.59 | 11 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,023.43 | $1,279.28 | $46.23 – $739.42 | 13 |
| Epidural lysis mult sessions CPT 62263 | $1,514.40 | $1,893.00 | $295.52 – $788.46 | 13 |
| Epidural lysis on single day 62264 CPT 62264 | $1,087.20 | $1,359.00 | $222.57 – $788.46 | 13 |
| Epidurography CPT 72275 | not published | not published | $74.00 – $74.00 | 2 |
| Epiglottidectomy CPT 31420 | $2,032.00 | $2,540.00 | $660.40 – $5,239.04 | 13 |
| Epikeratoplasty CPT 65767 | not published | not published | $2,315.00 – $4,772.40 | 6 |
| Epilepsy gen seq alys panel CPT 81419 | $2,350.62 | $2,938.27 | $763.95 – $3,703.10 | 13 |
| Ep induct arrhy by elect pacing CPT 93618 | $952.00 | $1,190.00 | $153.14 – $1,075.14 | 13 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $2.51 – $2.51 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $3.92 | $4.89 | $0.39 – $1.16 | 7 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $9.20 | $11.50 | $0.67 – $3.11 | 7 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $9.54 | $11.92 | $2.28 – $5.51 | 7 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | $3,576.00 | $4,470.00 | $581.10 – $2,873.50 | 13 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | $3,028.80 | $3,786.00 | $492.18 – $2,873.50 | 13 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.35 – $2.85 | 7 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $5,988.64 | $7,485.80 | $127.29 – $4,326.79 | 15 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1.60 | $2.00 | $0.52 – $1.65 | 8 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $30.51 | $38.13 | $2.87 – $7.94 | 13 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $56.76 | $70.95 | $4.31 – $10.44 | 13 |
| Epoetin beta esrd use HCPCS J0887 | $5.56 | $6.94 | $1.08 – $4.01 | 10 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.08 – $2.23 | 10 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $16.08 – $21.48 | 7 |
| Epstein barr early antigen antibody CPT 86663 | $48.57 | $60.71 | $7.87 – $39.46 | 13 |
| Epstein barr nuclear antigen antibody CPT 86664 | $48.57 | $60.71 | $9.17 – $39.46 | 13 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $48.57 | $60.71 | $10.88 – $39.46 | 13 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $55.11 | $68.88 | $4.98 – $12.46 | 10 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $29.96 | $37.44 | $3.53 – $20.84 | 13 |
| Ercp biliary & pancreas CPT 74330 | $867.43 | $1,084.28 | $24.91 – $626.71 | 13 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $1,172.80 | $1,466.00 | $381.16 – $5,271.93 | 13 |
| Ercp ea duct/ampulla dilate CPT 43277 | $958.40 | $1,198.00 | $311.48 – $3,369.37 | 13 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $384.96 – $3,369.37 | 12 |
| Ercp lithotripsy calculi CPT 43265 | $1,098.40 | $1,373.00 | $356.98 – $5,271.93 | 13 |
| Ercp remove duct calculi 43264 CPT 43264 | $921.60 | $1,152.00 | $299.52 – $3,369.37 | 13 |
| Ercp remove forgn body duct 43275 CPT 43275 | $952.80 | $1,191.00 | $309.66 – $1,680.02 | 13 |
| Ercp sphincter pressure meas CPT 43263 | $904.80 | $1,131.00 | $294.06 – $1,680.02 | 13 |
| Ercp stent exchange w/dilate CPT 43276 | $1,220.80 | $1,526.00 | $396.76 – $5,271.93 | 13 |
| Ercp w/specimen collection CPT 43260 | $816.80 | $1,021.00 | $265.46 – $3,369.37 | 13 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $5.73 – $6.77 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $151.20 | $189.00 | $49.14 – $174.22 | 11 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $133.27 | $166.58 | $9.18 – $42.63 | 10 |
| ER Visit (level 1, minor) CPT 99281 | $128.16 | $160.20 | $10.30 – $35.89 | 13 |
| ER Visit (level 2) CPT 99282 | $237.64 | $297.05 | $14.30 – $140.24 | 15 |
| ER Visit (level 3) CPT 99283 | $416.72 | $520.90 | $14.30 – $245.22 | 15 |
| ER Visit (level 4) CPT 99284 | $648.43 | $810.53 | $14.30 – $377.11 | 15 |
| ER Visit (level 5, high severity) CPT 99285 | $931.05 | $1,163.81 | $14.30 – $542.97 | 15 |
| Erwinaze injection HCPCS J9019 | not published | not published | $415.17 – $598.86 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $60.45 – $105.01 | 7 |
| Escharotomy ea addl incision CPT 16036 | $203.20 | $254.00 | $66.04 – $192.36 | 11 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,369.37 – $5,680.19 | 9 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.40 – $0.59 | 6 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $9.52 | $11.90 | $0.04 – $0.28 | 10 |
| Esophageal dilat s&i CPT 74360 | $323.20 | $404.00 | $21.32 – $54.57 | 11 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $97.78 – $261.50 | 10 |
| Esophageal motility CPT 78258 | $481.60 | $602.00 | $24.96 – $355.87 | 13 |
| Esophageal recording CPT 93615 | $160.00 | $200.00 | $13.14 – $1,075.14 | 13 |
| Esophageal recording CPT 93616 | $959.20 | $1,199.00 | $30.43 – $1,075.14 | 13 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,781.90 – $5,680.19 | 7 |
| Esophagomyotomy abdominal 43330 CPT 43330 | $3,271.20 | $4,089.00 | $1,063.14 – $3,119.21 | 11 |
| Esophagomyotomy thoracic 43331 CPT 43331 | $3,267.20 | $4,084.00 | $1,061.84 – $3,099.63 | 11 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,536.34 – $6,756.81 | 10 |
| Esophagosc dilate balloon 30 CPT 43214 | $485.60 | $607.00 | $157.82 – $1,680.02 | 13 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $87.96 – $830.32 | 12 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $209.40 – $1,680.02 | 12 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $167.28 – $5,271.93 | 12 |
| Esophagoscop ultrasound exam CPT 43231 | $723.20 | $904.00 | $139.75 – $1,680.02 | 13 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,460.00 | $3,075.00 | $105.75 – $1,680.02 | 13 |
| Esophagoscopy control bleed CPT 43227 | $1,519.20 | $1,899.00 | $147.24 – $1,680.02 | 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.