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 |
|---|---|---|---|---|
| Fibrinogen test CPT 85370 | $32.85 | $41.06 | $7.46 – $26.69 | 13 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $50.40 | $63.00 | $5.36 – $26.69 | 13 |
| Fibrinolytic antiplasmin CPT 85410 | $32.85 | $41.06 | $4.63 – $26.69 | 13 |
| Fibrinolytic plasmin CPT 85400 | $20.00 | $25.00 | $4.63 – $11.99 | 10 |
| Fibrinolytic plasminogen CPT 85415 | $34.40 | $43.00 | $10.06 – $26.74 | 13 |
| Fibrinolytic plasminogen CPT 85421 | $25.60 | $32.00 | $6.11 – $15.84 | 10 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $32.85 | $41.06 | $3.92 – $26.69 | 13 |
| Fibula bone graft microvasc CPT 20955 | $6,131.20 | $7,664.00 | $1,992.64 – $5,834.77 | 11 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1.32 | $1.64 | $0.28 – $0.88 | 13 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1.60 | $2.00 | $0.52 – $1.28 | 11 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1.70 | $2.12 | $0.25 – $1.16 | 13 |
| Filleted finger/toe flap CPT 14350 | $1,725.60 | $2,157.00 | $560.82 – $1,645.76 | 13 |
| Filtered speech hearing test CPT 92571 | $56.80 | $71.00 | $18.46 – $71.89 | 13 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $18.29 – $46.55 | 10 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $2,916.40 | $3,645.50 | $39.55 – $98.87 | 7 |
| Filter vena cava fem denali HCPCS C1880 | $4,501.40 | $5,626.75 | $593.20 – $1,482.99 | 7 |
| Fimbrioplasty 58760 CPT 58760 | $4,092.80 | $5,116.00 | $665.08 – $1,972.95 | 11 |
| Finasteride, 5 mg HCPCS S0138 | $1.80 | $2.25 | $0.15 – $1.46 | 10 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $726.40 | $908.00 | $80.26 – $623.11 | 13 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $413.60 | $517.00 | $46.74 – $251.25 | 13 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $128.80 | $161.00 | $38.73 – $103.09 | 11 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $347.76 | $434.69 | $45.05 – $251.25 | 13 |
| Fine needle asp without image guide 10021 CPT 10021 | $579.60 | $724.49 | $49.41 – $418.76 | 15 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $201.73 – $513.36 | 10 |
| Finger tendon transfer CPT 26497 | $2,152.80 | $2,691.00 | $699.66 – $2,873.50 | 13 |
| Finger tendon transfer CPT 26498 | $2,832.80 | $3,541.00 | $920.66 – $2,873.50 | 13 |
| Finger X-ray (both hands) CPT 73140 | $190.96 | $238.70 | $4.42 – $137.97 | 15 |
| Fistula repair & colostomy CPT 57307 | $2,642.40 | $3,303.00 | $858.78 – $2,608.61 | 11 |
| Fistula repair transperine 57308 CPT 57308 | $1,652.00 | $2,065.00 | $536.90 – $1,607.83 | 11 |
| Fit aphakia spectcl monofocl CPT 92352 | $90.40 | $113.00 | $29.38 – $60.78 | 12 |
| Fit aphakia spectcl multifoc CPT 92353 | $104.80 | $131.00 | $34.06 – $60.78 | 12 |
| Fitg c-lens keratoconus 1st CPT 92072 | $270.40 | $338.00 | $86.17 – $227.58 | 11 |
| Fitg spect low vis 1system CPT 92354 | $126.40 | $158.00 | $24.81 – $41.08 | 12 |
| Fitg spect lw vis cmpnd lens CPT 92355 | $64.80 | $81.00 | $21.06 – $50.13 | 12 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $41.90 – $64.08 | 6 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $33.30 – $49.89 | 6 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $47.50 – $71.73 | 6 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $174.40 | $218.00 | $42.14 – $178.16 | 13 |
| Fixation of ankle joint CPT 27860 | $844.80 | $1,056.00 | $137.28 – $2,873.50 | 13 |
| Fixation of knee joint CPT 27570 | $740.80 | $926.00 | $120.38 – $1,417.36 | 13 |
| Fixation of shoulder blade CPT 23400 | $4,782.40 | $5,978.00 | $777.14 – $6,326.64 | 13 |
| Fix g/colon tube w/device CPT 49460 | $1,776.80 | $2,221.00 | $45.08 – $830.32 | 15 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $3,257.60 | $4,072.00 | $529.36 – $2,873.50 | 13 |
| Flebogamma injection HCPCS J1572 | $49.60 | $62.00 | $16.12 – $58.55 | 10 |
| Flecainide (tambocor)-sendout CPT 80181 | $66.43 | $83.03 | $11.18 – $53.97 | 13 |
| Fl exam g/colon tube w contrast CPT 49465 | $496.03 | $620.03 | $27.29 – $358.38 | 15 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $1,370.82 – $3,488.34 | 10 |
| Flex foot system HCPCS L5980 | not published | not published | $2,470.91 – $6,287.78 | 10 |
| Flexible keel foot HCPCS L5972 | not published | not published | $233.58 – $594.40 | 10 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $110.78 – $281.92 | 10 |
| Flexible Sigmoidoscopy CPT 45330 | $427.20 | $534.00 | $50.95 – $807.43 | 13 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $227.26 – $578.31 | 10 |
| Flexor-plasty elbow CPT 24330 | $3,528.00 | $4,410.00 | $573.30 – $6,326.64 | 13 |
| Flexor-plasty elbw w/advmnt CPT 24331 | $3,865.60 | $4,832.00 | $628.16 – $6,326.64 | 13 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $91.70 – $233.35 | 10 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $1,999.68 – $5,088.62 | 10 |
| Floor of mouth biopsy 41108 CPT 41108 | $381.60 | $477.00 | $83.13 – $1,434.92 | 13 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,273.76 – $2,800.00 | 7 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $399.00 – $3,895.50 | 7 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $651.67 – $704.78 | 7 |
| Flow cytometry interp 16 or more CPT 88189 | $204.00 | $255.00 | $66.30 – $203.39 | 11 |
| Flow cytometry marker each additional CPT 88185 | $96.80 | $121.00 | $20.08 – $50.57 | 13 |
| Flow cytometry one marker technical component CPT 88184 | $328.79 | $410.98 | $51.48 – $318.57 | 15 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $180.00 – $185.40 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $83.49 – $143.35 | 6 |
| #flow interp 9 - 15 markers CPT 88188 | $155.20 | $194.00 | $50.44 – $163.40 | 11 |
| Floxuridine injection HCPCS J9200 | not published | not published | $62.48 – $4,838.65 | 10 |
| Flt3 gene CPT 81245 | $331.20 | $414.00 | $51.64 – $231.73 | 13 |
| Flt3 gene analysis CPT 81246 | $166.40 | $208.00 | $41.55 – $116.20 | 13 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $72.82 | $91.02 | $2.45 – $29.33 | 10 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $59.53 – $226.16 | 10 |
| Fluidotherapy charges pt CPT 97022 | $98.90 | $123.62 | $11.44 – $71.45 | 13 |
| Fluid pressure muscle 20950 CPT 20950 | $1,516.45 | $1,895.56 | $79.60 – $1,095.63 | 15 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | $17.60 | $22.00 | $5.72 – $16.89 | 4 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $488.70 – $638.23 | 10 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $316.27 – $25,234.22 | 10 |
| Fluorescein angioscopy i&r CPT 92230 | $242.40 | $303.00 | $28.86 – $469.91 | 13 |
| Fluorescein angrph mltiframe CPT 92235 | $325.60 | $407.00 | $36.14 – $275.78 | 13 |
| Fluorescein&icg angiography CPT 92242 | $596.00 | $745.00 | $37.70 – $275.78 | 13 |
| Fluorescent antibody titer dna CPT 86256 | $48.57 | $60.71 | $7.23 – $35.09 | 13 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $498.62 – $523.56 | 7 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $498.67 – $4,615.00 | 8 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $496.03 | $620.03 | $19.24 – $358.38 | 13 |
| Fluoroguide needle placement CPT 77002 | $496.03 | $620.03 | $16.12 – $358.38 | 13 |
| Fluoro polarize fetal lung CPT 83663 | $48.00 | $60.00 | $11.35 – $29.41 | 10 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $530.45 | $663.06 | $11.96 – $383.25 | 15 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $74.95 | $93.68 | $1.56 – $54.07 | 10 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $91.60 | $114.50 | $8.32 – $66.18 | 10 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $500.00 – $556.50 | 7 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $1.57 – $35.94 | 6 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,866.58 – $3,300.00 | 7 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | $20.80 | $26.00 | $6.76 – $28.76 | 5 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $72.80 | $91.00 | $16.77 – $44.66 | 7 |
| Fmri brain by phys/psych CPT 70555 | $2,100.80 | $2,626.00 | $78.00 – $262.80 | 13 |
| Fmri brain by tech CPT 70554 | $1,156.80 | $1,446.00 | $92.91 – $224.10 | 13 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,145.60 | $1,432.00 | $97.91 – $623.11 | 15 |
| Fna bx w/ct gdn ea addl CPT 10010 | $692.00 | $865.00 | $65.04 – $251.25 | 13 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $623.11 – $1,050.46 | 10 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $435.98 – $536.18 | 2 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $6.80 – $33.44 | 6 |
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.