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 |
|---|---|---|---|---|
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $13.89 – $35.35 | 10 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $6.77 – $17.23 | 10 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $7.18 – $18.27 | 10 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $20.47 – $52.10 | 10 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $21.60 | $27.00 | $5.21 – $13.26 | 11 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $5.30 – $13.49 | 10 |
| Foam stability fetal lung CPT 83662 | $48.00 | $60.00 | $11.35 – $29.41 | 10 |
| Folic acid CPT 82746 | $64.28 | $80.35 | $8.82 – $52.23 | 13 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $7.21 | $9.01 | $0.01 – $0.06 | 9 |
| Follow-up angiography CPT 75898 | $4,728.80 | $5,911.00 | $42.96 – $2,787.49 | 15 |
| Followup eval of foot pt lop HCPCS G0246 | $71.20 | $89.00 | $18.40 – $48.41 | 11 |
| Follow-up surgery of eye CPT 66250 | $3,718.40 | $4,648.00 | $499.59 – $2,066.12 | 13 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $24.60 | $30.75 | $1.10 – $12.43 | 13 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.83 – $5.19 | 7 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $120.27 – $306.05 | 10 |
| Foot arch support remov prem HCPCS L3030 | $183.20 | $229.00 | $45.65 – $116.16 | 11 |
| Foot arch supp premold metat HCPCS L3050 | $113.60 | $142.00 | $28.16 – $71.66 | 11 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $179.20 | $224.00 | $44.57 – $113.43 | 11 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $125.56 – $319.50 | 10 |
| Foot insert plastazote or eq HCPCS L3002 | $388.00 | $485.00 | $96.61 – $245.83 | 11 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $79.12 – $201.32 | 10 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $104.23 – $265.25 | 10 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $73.26 – $186.42 | 10 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $104.23 – $265.25 | 10 |
| Foot longitud/metatarsal sup HCPCS L3020 | $476.00 | $595.00 | $118.67 – $301.99 | 11 |
| Foot plas heel stabi pre ots HCPCS L3170 | $122.40 | $153.00 | $30.43 – $77.43 | 11 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $235.29 – $598.74 | 10 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $151.97 – $386.72 | 10 |
| Foot X-ray CPT 73630 | $212.19 | $265.23 | $7.28 – $153.30 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $190.96 | $238.70 | $5.98 – $137.97 | 15 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $590.39 – $1,502.37 | 10 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,510.40 | $1,888.00 | $376.64 – $958.44 | 11 |
| Forearm X-ray (both sides) CPT 73090 | $190.96 | $238.70 | $6.76 – $137.97 | 15 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $2,767.20 | $3,459.00 | $897.38 – $3,242.23 | 13 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $522.10 – $2,023.82 | 6 |
| Forensic cytopathology CPT 88125 | $54.40 | $68.00 | $8.58 – $47.32 | 13 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $595.80 | $744.74 | $51.44 – $430.46 | 15 |
| Formoterol comp unit HCPCS J7640 | $2.40 | $3.00 | $0.78 – $1.52 | 4 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.70 – $14.85 | 7 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $2.40 | $3.00 | $0.12 – $2.57 | 8 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $15.90 – $54.15 | 10 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $10.40 | $13.00 | $0.09 – $2.65 | 10 |
| Fractionation ketosteroids CPT 83593 | $72.00 | $90.00 | $17.10 – $40.91 | 10 |
| Fracture assessment via dxa CPT 77086 | $62.40 | $78.00 | $4.94 – $77.97 | 13 |
| _fragile x methylation-sendout CPT 81244 | $127.86 | $159.82 | $26.93 – $103.88 | 13 |
| Fragmenting of kidney stone CPT 50590 | $3,678.40 | $4,598.00 | $519.67 – $3,054.48 | 13 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $333.62 – $848.95 | 10 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $345.39 – $878.92 | 10 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $416.41 – $1,059.67 | 10 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $436.56 – $1,110.93 | 10 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $1,433.30 – $5,395.43 | 10 |
| Freeing of bowel adhesion 44005 CPT 44005 | $2,684.00 | $3,355.00 | $872.30 – $2,553.49 | 11 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $1,880.84 – $4,949.09 | 10 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $1,433.30 – $5,442.09 | 10 |
| Free omental flap microvasc CPT 49906 | $4,726.40 | $5,908.00 | $1,536.08 – $5,994.27 | 11 |
| Free/remove chest lining 32320 CPT 32320 | $3,890.40 | $4,863.00 | $1,264.38 – $3,712.01 | 11 |
| Free skin flap microvasc CPT 15757 | not published | not published | $1,433.30 – $5,416.73 | 10 |
| Frenectomy 41115 CPT 41115 | $2,356.14 | $2,945.17 | $131.88 – $1,702.31 | 15 |
| Frenotomy 40806 CPT 40806 | $243.20 | $304.00 | $27.16 – $451.01 | 13 |
| Frenulotomy of penis CPT 54164 | $482.40 | $603.00 | $156.78 – $1,814.20 | 13 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $302.84 | $378.55 | $62.96 – $246.06 | 15 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $302.84 | $378.55 | $74.65 – $246.06 | 15 |
| Fresh frozen plasma thawing ea un CPT 86927 | $164.99 | $206.23 | $6.76 – $175.35 | 15 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $7.38 – $73.05 | 10 |
| Frozen blood freeze/thaw CPT 86932 | $144.00 | $180.00 | $34.76 – $111.15 | 12 |
| Frozen blood prep CPT 86930 | $156.80 | $196.00 | $50.96 – $175.35 | 12 |
| Frozen blood thaw CPT 86931 | $126.40 | $158.00 | $41.08 – $175.35 | 12 |
| Frozen cell preparation CPT 88241 | $24.80 | $31.00 | $8.06 – $16.93 | 10 |
| Frozen plasma, pooled, sd HCPCS P9023 | $302.84 | $378.55 | $54.94 – $246.06 | 15 |
| Fructosamine glycated protein CPT 82985 | $64.28 | $80.35 | $13.78 – $52.23 | 13 |
| Ft arch suprt premold longit HCPCS L3040 | $113.60 | $142.00 | $28.16 – $71.66 | 11 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $516.80 | $646.00 | $120.42 – $322.27 | 11 |
| Fth/gft fr trnk each addl CPT 15201 | $358.40 | $448.00 | $67.36 – $179.91 | 11 |
| Ft insert ucb berkeley shell HCPCS L3000 | $753.60 | $942.00 | $187.90 – $478.15 | 11 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $892.42 – $2,082.46 | 9 |
| Ftl cgen abnor five anal CPT 81512 | $139.20 | $174.00 | $41.71 – $97.33 | 10 |
| Ftl cgen abnor four anal CPT 81511 | $307.20 | $384.00 | $49.91 – $214.91 | 13 |
| Ftl cgen abnor three anal CPT 81510 | $111.20 | $139.00 | $33.32 – $77.77 | 10 |
| Ftl cgen abnor two proteins CPT 81508 | $127.86 | $159.82 | $32.58 – $103.88 | 13 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $232.99 – $592.89 | 10 |
| Full field erg w/i&r CPT 92273 | $266.40 | $333.00 | $26.00 – $275.78 | 13 |
| Full mouth x-ray of teeth CPT 70320 | $242.99 | $303.73 | $8.58 – $214.07 | 15 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $32.71 – $83.23 | 10 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $254.62 | $318.27 | $9.10 – $183.96 | 15 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,475.20 | $3,094.00 | $767.84 – $2,041.16 | 13 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,894.40 | $2,368.00 | $550.68 – $1,620.01 | 13 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $331.20 | $414.00 | $61.09 – $163.08 | 11 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,292.00 | $2,865.00 | $657.04 – $1,620.01 | 15 |
| Functional brain mapping CPT 96020 | $682.40 | $853.00 | $90.14 – $379.08 | 11 |
| Fundus photography with i&r 92250 CPT 92250 | $200.42 | $250.52 | $14.32 – $144.80 | 15 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,019.93 – $2,595.42 | 10 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $3.74 | $4.67 | $0.02 – $0.27 | 9 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $71.60 | $89.50 | $0.44 – $1.63 | 8 |
| Fuse bile ducts and bowel 47785 CPT 47785 | $7,967.20 | $9,959.00 | $2,589.34 – $7,525.55 | 11 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,207.99 – $3,220.33 | 10 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,212.81 – $3,239.60 | 10 |
| Fuse esophagus & stomach CPT 43320 | $3,421.60 | $4,277.00 | $1,112.02 – $3,259.98 | 11 |
| Fuse gallbladder & bowel CPT 47740 | $3,220.80 | $4,026.00 | $1,046.76 – $3,068.38 | 11 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,290.72 – $3,444.26 | 10 |
| Fuse/graft added joint CPT 26863 | $563.20 | $704.00 | $183.04 – $535.64 | 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.