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 |
|---|---|---|---|---|
| Excision tongue lesion without closure 41110 CPT 41110 | $540.80 | $676.00 | $117.06 – $2,872.13 | 13 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $1,150.40 | $1,438.00 | $373.88 – $1,434.92 | 13 |
| Excis partial tal calc CPT 28120 | $3,372.80 | $4,216.00 | $453.09 – $2,873.50 | 13 |
| Excis uppr jaw cyst w/repair CPT 21049 | $3,006.40 | $3,758.00 | $977.08 – $5,239.04 | 13 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | $3,361.60 | $4,202.00 | $546.26 – $2,534.69 | 13 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $2,296.00 | $2,870.00 | $373.10 – $2,534.69 | 13 |
| Exc les conjunctiva <1 cm CPT 68110 | $1,150.40 | $1,438.00 | $134.03 – $2,066.12 | 13 |
| Exc les conjunctiva >1 cm CPT 68115 | $1,593.60 | $1,992.00 | $164.78 – $2,066.12 | 13 |
| Exc les conjunctiva adj scl CPT 68130 | $2,699.20 | $3,374.00 | $371.70 – $2,066.12 | 13 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $517.60 | $647.00 | $111.03 – $2,872.13 | 13 |
| Excl laa open any method 33267 CPT 33267 | $2,592.00 | $3,240.00 | $842.40 – $2,407.21 | 11 |
| Excl laa opn oth px any meth 33268 CPT 33268 | $324.00 | $405.00 | $105.30 – $295.79 | 11 |
| Excl laa thrscp any method CPT 33269 | $2,050.40 | $2,563.00 | $666.38 – $1,912.48 | 11 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $497.60 | $622.00 | $114.71 – $623.11 | 13 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $664.00 | $830.00 | $164.34 – $623.11 | 13 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $964.00 | $1,205.00 | $253.06 – $1,434.92 | 13 |
| Exc malig feenl >4cm 11646 CPT 11646 | $1,256.00 | $1,570.00 | $347.66 – $2,534.69 | 13 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $485.60 | $607.00 | $111.23 – $1,434.92 | 13 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $564.80 | $706.00 | $135.36 – $623.11 | 13 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $736.00 | $920.00 | $188.91 – $1,434.92 | 13 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $483.20 | $604.00 | $110.46 – $623.11 | 13 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $563.20 | $704.00 | $134.44 – $623.11 | 13 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $607.20 | $759.00 | $146.52 – $389.89 | 13 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $692.80 | $866.00 | $174.80 – $623.11 | 13 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $770.40 | $963.00 | $191.88 – $623.11 | 13 |
| Exc mandible 21025 CPT 21025 | $2,060.80 | $2,576.00 | $611.36 – $5,239.04 | 13 |
| Exc neck tum deep < 5 cm CPT 21556 | $1,300.00 | $1,625.00 | $422.50 – $2,534.69 | 13 |
| Exc neck tum deep 5 cm/> CPT 21554 | $1,793.60 | $2,242.00 | $582.92 – $2,534.69 | 13 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | $1,396.80 | $1,746.00 | $400.12 – $5,239.04 | 13 |
| Exc of rectal prlpse 45130 CPT 45130 | $2,701.60 | $3,377.00 | $878.02 – $2,577.89 | 11 |
| Exc of residual cervix 57540 CPT 57540 | $1,968.80 | $2,461.00 | $639.86 – $1,902.75 | 11 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | $1,049.60 | $1,312.00 | $341.12 – $4,371.83 | 13 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $6,124.39 | $7,655.48 | $164.02 – $4,424.87 | 15 |
| Exc prtl bn phlnx toe CPT 28124 | $2,401.60 | $3,002.00 | $309.99 – $2,873.50 | 13 |
| Exc rect tum transanal full CPT 45172 | $2,019.20 | $2,524.00 | $656.24 – $2,428.72 | 13 |
| Exc rect tum transanal part CPT 45171 | $1,494.40 | $1,868.00 | $485.68 – $2,428.72 | 13 |
| Exc sac pr ulc prim str ostc CPT 15933 | $2,116.00 | $2,645.00 | $687.70 – $2,534.69 | 13 |
| Exc sac pr ulc skn flp ostc CPT 15935 | $2,844.00 | $3,555.00 | $924.30 – $3,242.23 | 13 |
| Exc sacral pr ulc prim sutr CPT 15931 | $1,705.60 | $2,132.00 | $554.32 – $2,534.69 | 13 |
| Exc sacral pr ulc skn flap CPT 15934 | $2,322.40 | $2,903.00 | $754.78 – $3,242.23 | 13 |
| Exc shoulder tum deep < 5 cm CPT 23076 | $2,652.80 | $3,316.00 | $431.08 – $2,534.69 | 13 |
| Exc skn hdrdnt ax complex CPT 11451 | $2,475.20 | $3,094.00 | $297.91 – $2,534.69 | 13 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $1,982.40 | $2,478.00 | $235.14 – $2,534.69 | 13 |
| Exc skn hdrdnt ing complex CPT 11463 | $2,516.80 | $3,146.00 | $297.17 – $2,534.69 | 13 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $627.20 | $784.00 | $153.27 – $623.11 | 13 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $832.00 | $1,040.00 | $213.82 – $1,434.92 | 13 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $1,000.80 | $1,251.00 | $260.02 – $2,534.69 | 13 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $2,310.40 | $2,888.00 | $276.80 – $1,434.92 | 13 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $1,091.20 | $1,364.00 | $354.64 – $2,534.69 | 13 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $1,044.80 | $1,306.00 | $277.39 – $1,434.92 | 13 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $2,475.20 | $3,094.00 | $308.67 – $2,534.69 | 13 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $2,473.60 | $3,092.00 | $287.28 – $1,434.92 | 13 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $2,028.80 | $2,536.00 | $329.68 – $2,534.69 | 13 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $2,056.00 | $2,570.00 | $334.10 – $1,434.92 | 13 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $2,049.60 | $2,562.00 | $333.06 – $2,534.69 | 13 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $1,024.80 | $1,281.00 | $333.06 – $1,434.92 | 13 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $2,292.80 | $2,866.00 | $372.58 – $2,534.69 | 13 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $1,396.00 | $1,745.00 | $290.91 – $1,417.36 | 13 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $2,369.60 | $2,962.00 | $284.18 – $1,434.92 | 13 |
| Exc thigh/knee tum deep <5cm CPT 27328 | $3,059.20 | $3,824.00 | $497.12 – $2,534.69 | 13 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | $3,700.80 | $4,626.00 | $601.38 – $2,534.69 | 13 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,806.51 | $2,258.13 | $102.08 – $1,305.20 | 15 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $2,448.00 | $3,060.00 | $297.29 – $1,434.92 | 13 |
| Exc torus mandibularis 21031 CPT 21031 | $1,926.40 | $2,408.00 | $248.50 – $2,872.13 | 13 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | $2,200.80 | $2,751.00 | $715.26 – $2,534.69 | 13 |
| Exc trchntr pr ulc flp clsr CPT 15952 | $2,252.00 | $2,815.00 | $731.90 – $2,188.08 | 13 |
| Exc trchntr pr ulc flp ostc CPT 15953 | $2,480.00 | $3,100.00 | $806.00 – $3,242.23 | 13 |
| Exc trchntr pr ulc prep flap CPT 15956 | $2,872.80 | $3,591.00 | $933.66 – $2,809.80 | 13 |
| Exc trchntr pr ulc prep ostc CPT 15958 | $2,911.20 | $3,639.00 | $946.14 – $3,242.23 | 13 |
| Exc trchntr pr ulc prim sutr CPT 15950 | $1,495.20 | $1,869.00 | $485.94 – $1,523.54 | 13 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $1,100.80 | $1,376.00 | $282.15 – $1,434.92 | 13 |
| Exc/unroofing cyst kidney CPT 50280 | $4,817.60 | $6,022.00 | $782.86 – $2,280.01 | 11 |
| Excursion amplifier lever ty HCPCS L6642 | not published | not published | $159.96 – $407.04 | 10 |
| Excursion amplifier pulley t HCPCS L6641 | not published | not published | $116.83 – $297.31 | 10 |
| Exc vagina lesion 57135 CPT 57135 | $548.80 | $686.00 | $168.70 – $2,815.86 | 13 |
| Exemestane, 25 mg HCPCS S0156 | not published | not published | $1.67 – $19.90 | 6 |
| Exercise tst brncspsm w/ecg CPT 94617 | $198.40 | $248.00 | $24.70 – $114.16 | 13 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $19.84 – $52.60 | 12 |
| Exercise w/hemodynamic meas CPT 93464 | $528.00 | $660.00 | $65.52 – $267.35 | 13 |
| Exhaled breath condensate CPT 83987 | $24.80 | $31.00 | $2.15 – $8.06 | 10 |
| Exome re-evaluation CPT 81417 | $640.00 | $800.00 | $192.00 – $448.02 | 10 |
| Exome sequence analysis CPT 81415 | $9,560.00 | $11,950.00 | $1,491.36 – $6,692.45 | 13 |
| Exome sequence analysis CPT 81416 | $24,000.00 | $30,000.00 | $3,744.00 – $16,801.11 | 13 |
| Exoskeletal ak ultra-light m HCPCS L5790 | not published | not published | $442.38 – $1,125.72 | 10 |
| Exoskeletal axial rotation u HCPCS L5982 | not published | not published | $403.41 – $1,026.56 | 10 |
| Exoskeletal bk ultralt mater HCPCS L5785 | not published | not published | $311.10 – $791.67 | 10 |
| Exoskel hip ultra-light mate HCPCS L5795 | not published | not published | $642.91 – $1,636.02 | 10 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $533.60 | $667.00 | $122.59 – $2,872.13 | 13 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $4,514.08 | $5,642.60 | $373.91 – $3,261.42 | 13 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $4,514.08 | $5,642.60 | $1,467.08 – $3,667.69 | 7 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $1,889.60 | $2,362.00 | $614.12 – $1,807.99 | 11 |
| Exploration carotid artery 35701 CPT 35701 | $2,177.60 | $2,722.00 | $353.86 – $1,088.30 | 11 |
| Exploration for testis CPT 54550 | $2,481.60 | $3,102.00 | $403.26 – $3,125.41 | 13 |
| Exploration for testis CPT 54560 | $3,468.80 | $4,336.00 | $563.68 – $1,814.20 | 13 |
| Exploration maxillary sinus CPT 31030 | $3,195.20 | $3,994.00 | $465.96 – $5,239.04 | 13 |
| Exploration maxillary sinus CPT 31256 | $897.60 | $1,122.00 | $145.86 – $3,265.24 | 13 |
| Exploration of ankle joint CPT 27612 | $2,780.80 | $3,476.00 | $451.88 – $2,873.50 | 13 |
| Exploration of bile ducts CPT 47700 | $2,589.60 | $3,237.00 | $841.62 – $2,482.02 | 11 |
| Exploration of chest 39000 CPT 39000 | $1,215.20 | $1,519.00 | $394.94 – $1,190.12 | 11 |
| Exploration of chest 39010 CPT 39010 | $1,920.00 | $2,400.00 | $624.00 – $1,833.11 | 11 |
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.