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 |
|---|---|---|---|---|
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | $5,114.40 | $6,393.00 | $1,662.18 – $4,794.49 | 11 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $4,017.60 | $5,022.00 | $1,305.72 – $3,821.01 | 13 |
| Exc ischial pr ulc prim sutr CPT 15940 | $1,720.80 | $2,151.00 | $559.26 – $2,534.69 | 13 |
| Exc isch pr ulc prm sut ostc CPT 15941 | $2,252.80 | $2,816.00 | $732.16 – $2,534.69 | 13 |
| Exc isch pr ulc skn flp clsr CPT 15944 | $2,241.60 | $2,802.00 | $728.52 – $3,242.23 | 13 |
| Exc isch pr ulc skn flp ostc CPT 15945 | $2,508.80 | $3,136.00 | $815.36 – $2,435.46 | 13 |
| Excise anal ext tag/papilla CPT 46220 | $559.20 | $699.00 | $109.52 – $1,044.22 | 13 |
| Excise epiphyseal bar CPT 20150 | $4,947.20 | $6,184.00 | $803.92 – $2,873.50 | 13 |
| Excise foot tendon sheath CPT 28086 | $2,667.20 | $3,334.00 | $318.19 – $2,873.50 | 13 |
| Excise foot tendon sheath CPT 28088 | $2,161.60 | $2,702.00 | $270.50 – $2,873.50 | 13 |
| Excise ileoanal reservior CPT 45136 | $4,510.40 | $5,638.00 | $1,465.88 – $4,267.27 | 11 |
| Excise inferior turbinate CPT 30130 | $1,942.40 | $2,428.00 | $315.64 – $2,872.13 | 13 |
| Excise intestine lesion(s) 44110 CPT 44110 | $2,086.40 | $2,608.00 | $678.08 – $2,007.88 | 11 |
| Excise intraspinl lesion crv CPT 63265 | $3,952.00 | $4,940.00 | $1,284.40 – $6,326.64 | 13 |
| Excise intrspinl lesion crvl CPT 63270 | $4,875.20 | $6,094.00 | $1,584.44 – $4,748.35 | 11 |
| Excise intrspinl lesion lmbr CPT 63267 | $3,273.60 | $4,092.00 | $1,063.92 – $6,326.64 | 13 |
| Excise intrspinl lesion lmbr CPT 63272 | $4,479.20 | $5,599.00 | $1,455.74 – $4,326.44 | 11 |
| Excise intrspinl lesion scrl CPT 63268 | $3,365.60 | $4,207.00 | $1,093.82 – $6,326.64 | 13 |
| Excise intrspinl lesion scrl CPT 63273 | $4,381.60 | $5,477.00 | $1,424.02 – $4,278.72 | 11 |
| Excise intrspinl lesion thrc CPT 63271 | $4,874.40 | $6,093.00 | $1,584.18 – $4,742.49 | 11 |
| Excise lesion testis CPT 54512 | $2,715.20 | $3,394.00 | $441.22 – $3,054.48 | 13 |
| Excise lip or cheek fold CPT 40819 | $699.20 | $874.00 | $184.70 – $1,311.86 | 13 |
| Excise lwr jaw cyst w/repair CPT 21047 | $3,208.00 | $4,010.00 | $1,042.60 – $5,239.04 | 13 |
| Excise mandible lesion CPT 21040 | $1,231.20 | $1,539.00 | $333.07 – $2,872.13 | 13 |
| Excise max/zygoma b9 tumor CPT 21030 | $2,443.20 | $3,054.00 | $331.89 – $5,239.04 | 13 |
| Excise max/zygoma mal tumor CPT 21034 | $3,219.20 | $4,024.00 | $1,014.51 – $5,239.04 | 13 |
| Excise oral mucosa for graft 40818 CPT 40818 | $904.80 | $1,131.00 | $239.21 – $640.51 | 13 |
| Excise parotid gland/lesion CPT 42410 | $3,091.20 | $3,864.00 | $502.32 – $5,239.04 | 13 |
| Excise parotid gland/lesion CPT 42415 | $5,240.00 | $6,550.00 | $851.50 – $5,239.04 | 13 |
| Excise parotid gland/lesion CPT 42420 | $5,888.00 | $7,360.00 | $956.80 – $5,239.04 | 13 |
| Excise parotid gland/lesion CPT 42425 | $4,150.40 | $5,188.00 | $674.44 – $5,239.04 | 13 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,213.82 – $3,245.85 | 10 |
| Excise pharynx lesion CPT 42808 | $563.20 | $704.00 | $151.18 – $2,872.13 | 13 |
| Excise/repair mouth lesion CPT 40812 | $707.20 | $884.00 | $165.71 – $1,311.86 | 13 |
| Excise sacral spine tumor CPT 49215 | $5,464.80 | $6,831.00 | $1,776.06 – $5,220.21 | 11 |
| Excise sublingual gland CPT 42450 | $1,137.60 | $1,422.00 | $330.97 – $5,239.04 | 13 |
| Excise submaxillary gland CPT 42440 | $2,043.20 | $2,554.00 | $332.02 – $5,239.04 | 13 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $1,116.80 | $1,396.00 | $299.66 – $1,434.92 | 13 |
| Excise tendon forearm/wrist CPT 25109 | $2,648.00 | $3,310.00 | $430.30 – $2,873.50 | 13 |
| Excise wrist tendon sheath CPT 25118 | $1,876.80 | $2,346.00 | $304.98 – $1,417.36 | 13 |
| Excision addl breast lesion 19126 CPT 19126 | $394.40 | $493.00 | $128.18 – $370.74 | 11 |
| Excision aural polyp CPT 69540 | $1,000.00 | $1,250.00 | $116.33 – $1,311.86 | 13 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $420.80 | $526.00 | $120.96 – $623.11 | 13 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $3,150.27 | $3,937.83 | $124.19 – $2,276.07 | 15 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $416.00 | $520.00 | $105.08 – $623.11 | 13 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $775.20 | $969.00 | $223.44 – $1,434.92 | 13 |
| Excision breast lesion CPT 19125 | $2,707.20 | $3,384.00 | $410.60 – $3,391.30 | 13 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,155.54 – $3,083.59 | 10 |
| Excision floor mouth lesion 41116 CPT 41116 | $818.40 | $1,023.00 | $196.40 – $2,872.13 | 13 |
| Excision graft abdomen CPT 35907 | $4,638.40 | $5,798.00 | $1,507.48 – $4,340.75 | 11 |
| Excision graft extremity CPT 35903 | $1,379.20 | $1,724.00 | $448.24 – $2,787.49 | 13 |
| Excision graft neck CPT 35901 | $1,148.00 | $1,435.00 | $373.10 – $1,095.62 | 11 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,428.29 – $3,819.63 | 10 |
| Excision gum each quadrant CPT 41820 | not published | not published | $349.10 – $3,318.59 | 11 |
| Excision hand/finger tendon CPT 26415 | $2,024.80 | $2,531.00 | $658.06 – $2,873.50 | 13 |
| Excision lesion mouth roof CPT 42106 | $658.40 | $823.00 | $146.92 – $2,872.13 | 13 |
| Excision lesion mouth roof CPT 42107 | $1,147.20 | $1,434.00 | $297.38 – $5,239.04 | 13 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $1,171.20 | $1,464.00 | $120.79 – $1,311.86 | 15 |
| Excision of anal lesion(s) CPT 46922 | $716.80 | $896.00 | $124.10 – $2,428.72 | 13 |
| Excision of bile duct cyst CPT 47715 | $3,263.20 | $4,079.00 | $1,060.54 – $3,108.82 | 11 |
| Excision of bile duct tumor CPT 47711 | $3,825.60 | $4,782.00 | $1,243.32 – $3,642.80 | 11 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,739.69 – $4,642.69 | 10 |
| Excision of bowel lesion(s) CPT 44111 | $2,420.80 | $3,026.00 | $786.76 – $2,304.28 | 11 |
| Excision of brain tumor CPT 61545 | not published | not published | $2,719.78 – $7,254.83 | 10 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $576.07 – $1,541.77 | 10 |
| Excision of esophagus lesion CPT 43101 | $2,453.60 | $3,067.00 | $797.42 – $2,333.03 | 11 |
| Excision of gum flap CPT 41821 | not published | not published | $89.20 – $1,515.78 | 11 |
| Excision of gum lesion CPT 41822 | $844.00 | $1,055.00 | $182.65 – $1,311.86 | 13 |
| Excision of gum lesion CPT 41823 | $1,244.00 | $1,555.00 | $332.67 – $5,239.04 | 13 |
| Excision of gum lesion CPT 41826 | $773.60 | $967.00 | $178.52 – $2,872.13 | 13 |
| Excision of gum lesion CPT 41827 | $1,103.20 | $1,379.00 | $265.80 – $5,239.04 | 13 |
| Excision of gum lesion CPT 41828 | $851.20 | $1,064.00 | $200.22 – $1,311.86 | 13 |
| Excision of gum lesion 41825 CPT 41825 | $534.40 | $668.00 | $110.88 – $2,872.13 | 13 |
| Excision of lesion of mesentery 44820 CPT 44820 | $2,053.60 | $2,567.00 | $667.42 – $1,994.87 | 11 |
| Excision of lingual tonsil CPT 42870 | $1,444.00 | $1,805.00 | $469.30 – $5,239.04 | 13 |
| Excision of meckels diverticulum 44800 CPT 44800 | $1,888.80 | $2,361.00 | $613.86 – $1,831.63 | 11 |
| Excision of mouth lesion complex 40816 CPT 40816 | $989.60 | $1,237.00 | $275.97 – $2,872.13 | 13 |
| Excision of neck cyst CPT 42815 | $2,697.60 | $3,372.00 | $438.36 – $5,239.04 | 13 |
| Excision of neck cyst confined 42810 CPT 42810 | $1,892.80 | $2,366.00 | $257.00 – $2,872.13 | 13 |
| Excision of penis lesion(s) 54060 CPT 54060 | $464.80 | $581.00 | $120.46 – $1,620.01 | 13 |
| Excision of rectal lesion CPT 45160 | $2,506.40 | $3,133.00 | $814.58 – $2,428.72 | 13 |
| Excision of rectal prolapse CPT 45135 | $3,254.40 | $4,068.00 | $1,057.68 – $3,110.89 | 11 |
| Excision of rectal stricture CPT 45150 | $1,022.40 | $1,278.00 | $332.28 – $1,044.22 | 13 |
| Excision of salivary cyst CPT 42408 | $1,302.40 | $1,628.00 | $319.52 – $2,872.13 | 13 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,617.37 – $4,313.01 | 10 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,057.80 – $5,486.16 | 10 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,698.15 – $4,530.10 | 10 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,058.94 – $5,490.40 | 10 |
| Excision of stomach lesion CPT 43610 | $2,407.20 | $3,009.00 | $782.34 – $2,290.66 | 11 |
| Excision of stomach lesion CPT 43611 | $3,000.80 | $3,751.00 | $975.26 – $2,876.97 | 11 |
| Excision of tongue lesion CPT 41112 | $826.40 | $1,033.00 | $220.75 – $2,872.13 | 13 |
| Excision of tongue lesion CPT 41114 | $1,539.20 | $1,924.00 | $500.24 – $2,872.13 | 13 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | $899.20 | $1,124.00 | $240.06 – $2,872.13 | 13 |
| Excision of tonsil tags CPT 42860 | $466.40 | $583.00 | $151.58 – $2,872.13 | 13 |
| Excision of umbilicus 49250 CPT 49250 | $1,445.60 | $1,807.00 | $469.82 – $3,125.41 | 13 |
| Excision of uvula CPT 42140 | $689.60 | $862.00 | $148.32 – $2,872.13 | 13 |
| Excision of vaginal septum 57130 CPT 57130 | $509.60 | $637.00 | $155.18 – $2,815.86 | 13 |
| Excision olecranon bursa CPT 24105 | $1,736.00 | $2,170.00 | $282.10 – $2,873.50 | 13 |
| Excision perinephric cyst CPT 50290 | not published | not published | $813.47 – $2,168.34 | 10 |
| Excision radial head CPT 24130 | $2,507.20 | $3,134.00 | $407.42 – $2,873.50 | 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.