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 |
|---|---|---|---|---|
| Extraction of lens CPT 66930 | $4,260.80 | $5,326.00 | $692.38 – $3,562.73 | 13 |
| Extraction of lens CPT 66940 | $3,889.60 | $4,862.00 | $632.06 – $2,019.86 | 13 |
| Extraction of lens 66920 CPT 66920 | $3,737.60 | $4,672.00 | $607.36 – $2,019.86 | 13 |
| Extrnl counterpulse, per tx HCPCS G0166 | $245.60 | $307.00 | $79.82 – $237.85 | 11 |
| Eye allergy tests CPT 95060 | $104.00 | $130.00 | $33.80 – $114.16 | 13 |
| Eye photodynamic ther add-on CPT 67225 | $74.40 | $93.00 | $24.18 – $66.14 | 11 |
| Eye Socket (Orbit) X-ray CPT 70200 | $254.62 | $318.27 | $10.40 – $183.96 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $842.90 | $1,053.62 | $48.36 – $608.99 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $758.16 | $947.69 | $47.32 – $547.76 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $683.83 | $854.78 | $49.14 – $494.06 | 15 |
| Eye surgery follow-up add-on CPT 67331 | $1,529.60 | $1,912.00 | $113.42 – $562.69 | 11 |
| Eye suture during surgery CPT 67335 | $739.20 | $924.00 | $120.12 – $450.61 | 11 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $105.24 – $245.58 | 9 |
| Ezh2 gene full gene sequence CPT 81236 | $271.57 | $339.46 | $88.26 – $396.06 | 13 |
| F-18 fdg pet diag HCPCS A9552 | $540.20 | $675.24 | $175.56 – $438.91 | 10 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $2,194.62 – $7,737.05 | 8 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $268.42 – $516.65 | 8 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $269.63 – $629.59 | 2 |
| F9 full gene sequence CPT 81238 | $1,200.00 | $1,500.00 | $187.20 – $840.06 | 13 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $242.90 – $927.19 | 10 |
| Face bone graft CPT 21210 | $4,874.40 | $6,093.00 | $700.20 – $5,239.04 | 13 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $1,798.22 | $2,247.77 | $82.42 – $1,299.21 | 15 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,101.36 | $1,376.70 | $56.16 – $795.73 | 15 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $190.96 | $238.70 | $7.54 – $137.97 | 15 |
| Facial Bones X-ray (complete) CPT 70150 | $254.62 | $318.27 | $10.14 – $183.96 | 15 |
| Facial nerve function test CPT 92516 | $148.00 | $185.00 | $20.55 – $275.78 | 13 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $2,872.13 – $4,841.92 | 9 |
| Factor ix CPT 85250 | $95.72 | $119.64 | $11.42 – $77.77 | 13 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.54 – $4.50 | 10 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.58 – $2.09 | 10 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.06 – $6.42 | 10 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.36 – $1.72 | 10 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.32 – $5.73 | 10 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.62 – $2.02 | 7 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.84 – $2.28 | 10 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.27 – $2.76 | 6 |
| Factor viii CPT 85240 | $39.20 | $49.00 | $10.68 – $27.85 | 13 |
| Factor viii HCPCS J7190 | not published | not published | $1.08 – $1.34 | 10 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.30 – $2.84 | 10 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.19 – $1.67 | 10 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.03 – $2.57 | 10 |
| Factor viii recombinant nos HCPCS J7192 | $2.40 | $3.00 | $0.78 – $1.97 | 11 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.38 – $1.75 | 10 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.22 – $4.19 | 10 |
| Factor xiii anti-hem factor HCPCS J7180 | $10.40 | $13.00 | $3.38 – $12.58 | 11 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.34 – $15,000.65 | 10 |
| Fallopian tube recnl CPT 58345 | $1,425.60 | $1,782.00 | $231.66 – $2,815.86 | 13 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $17.48 – $30.60 | 8 |
| Family therapy without pt 50min 90846 CPT 90846 | $230.40 | $288.00 | $74.88 – $242.84 | 13 |
| Family therapy with patient 50 min 90847 CPT 90847 | $239.20 | $299.00 | $77.74 – $253.76 | 13 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $71.44 | $89.30 | $0.01 – $0.19 | 9 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $25.37 – $35.41 | 10 |
| Fancc gene CPT 81242 | $127.86 | $159.82 | $21.97 – $103.88 | 13 |
| Fasciotomy hip/thigh any typ CPT 27025 | $4,512.00 | $5,640.00 | $733.20 – $2,220.99 | 11 |
| Fat/lipids feces qualitative CPT 82705 | $33.57 | $41.96 | $3.06 – $27.27 | 13 |
| Fatty acids nonesterified CPT 82725 | $64.28 | $80.35 | $11.26 – $52.23 | 13 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $100.01 – $254.49 | 10 |
| Fecal bilirubin test CPT 82252 | $12.00 | $15.00 | $2.74 – $7.07 | 10 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.28 – $81.88 | 10 |
| Fecal microbiota prep instil HCPCS G0455 | $1,623.28 | $2,029.10 | $63.43 – $1,172.82 | 15 |
| #fecal-sodium CPT 84302 | $33.57 | $41.96 | $2.92 – $27.27 | 13 |
| Feeding tube reposition CPT 74355 | $667.60 | $834.49 | $27.04 – $482.34 | 13 |
| Fees w/laryngeal sense i&r CPT 92617 | $92.80 | $116.00 | $30.16 – $97.97 | 11 |
| Fees w/laryngeal sense test CPT 92616 | $471.20 | $589.00 | $91.53 – $239.33 | 11 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $66.43 | $83.03 | $11.18 – $53.97 | 13 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $2,430.79 – $6,185.67 | 10 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $198.67 – $531.75 | 10 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $46.40 – $118.07 | 10 |
| Fem/popl revasc w/stent CPT 37226 | $48,569.60 | $60,712.00 | $441.27 – $19,150.86 | 15 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $7.28 – $18.51 | 10 |
| Feno poc CPT 95012 | $58.40 | $73.00 | $16.39 – $43.91 | 13 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $73.56 | $91.95 | $0.09 – $0.84 | 10 |
| Fern test HCPCS Q0114 | $56.44 | $70.54 | $6.50 – $45.85 | 13 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3.24 | $4.04 | $0.52 – $1.49 | 13 |
| Ferritin CPT 82728 | $64.28 | $80.35 | $8.18 – $52.23 | 13 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3.78 | $4.72 | $0.31 – $2.73 | 13 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.31 – $1.21 | 10 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $477.00 – $1,113.07 | 9 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $242.99 | $303.73 | $37.70 – $175.56 | 15 |
| Fetal chrmoml microdeltj CPT 81422 | $1,518.40 | $1,898.00 | $455.43 – $1,062.74 | 10 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,518.40 | $1,898.00 | $236.82 – $1,062.74 | 13 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $385.78 | $482.22 | $25.74 – $278.72 | 15 |
| Fetal cord puncture prenatal CPT 59012 | $488.00 | $610.00 | $158.60 – $462.93 | 13 |
| Fetal fibronectin CPT 82731 | $291.41 | $364.26 | $38.65 – $236.77 | 13 |
| Fetal fluid drainage w/us CPT 59074 | $932.80 | $1,166.00 | $265.06 – $709.86 | 13 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $33.57 | $41.96 | $4.64 – $27.27 | 13 |
| Fetal hemoglobin rosette CPT 85461 | $33.57 | $41.96 | $5.62 – $27.27 | 13 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $64.28 | $80.35 | $11.59 – $52.23 | 13 |
| Fetal monitor/interpret only CPT 59051 | $102.40 | $128.00 | $33.28 – $96.30 | 11 |
| Fetal monitor w/report CPT 59050 | $123.20 | $154.00 | $40.04 – $114.48 | 11 |
| Fetal non stress test CPT 59025 | $450.16 | $562.70 | $14.56 – $325.24 | 15 |
| Fetal scalp blood sampling 59030 CPT 59030 | $272.80 | $341.00 | $88.66 – $269.40 | 13 |
| Fetal shunt placement w/us CPT 59076 | $1,262.40 | $1,578.00 | $269.40 – $1,195.73 | 13 |
| #_fet/norfentcnfrmur CPT 80354 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.67 – $8.92 | 10 |
| Fibrin degradation d dimer quantitative CPT 85379 | $32.85 | $41.06 | $6.11 – $26.69 | 13 |
| Fibrin degradation products CPT 85362 | $32.85 | $41.06 | $4.13 – $26.69 | 13 |
| Fibrin degrade semiquant CPT 85378 | $32.85 | $41.06 | $5.83 – $26.69 | 13 |
| Fibrin degradj d-dimer CPT 85380 | $33.57 | $41.96 | $6.11 – $27.27 | 13 |
| Fibrinogen activity CPT 85384 | $32.85 | $41.06 | $5.83 – $26.69 | 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.