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 |
|---|---|---|---|---|
| Fuse liver duct & intestine CPT 47802 | not published | not published | $2,833.60 – $4,678.32 | 5 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,634.74 – $7,033.87 | 10 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,459.65 – $3,894.25 | 10 |
| Fuse pancreas cyst and bowel CPT 48540 | $3,209.60 | $4,012.00 | $1,043.12 – $3,047.61 | 11 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | $2,683.20 | $3,354.00 | $872.04 – $2,569.36 | 11 |
| Fuse upper gi structures CPT 47721 | $3,321.60 | $4,152.00 | $1,079.52 – $3,164.44 | 11 |
| Fusion/graft of finger joint CPT 26862 | $1,812.80 | $2,266.00 | $589.16 – $2,873.50 | 13 |
| Fusion/graft of hand joint CPT 26844 | $2,040.80 | $2,551.00 | $663.26 – $6,326.64 | 13 |
| Fusion of ankle joint open CPT 27870 | $5,059.20 | $6,324.00 | $822.12 – $11,395.13 | 13 |
| Fusion of big toe joint CPT 28750 | $3,966.40 | $4,958.00 | $524.27 – $6,326.64 | 13 |
| Fusion of big toe joint CPT 28755 | $2,544.00 | $3,180.00 | $309.07 – $6,326.64 | 13 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,107.33 – $2,956.23 | 10 |
| Fusion of finger jnt add-on CPT 26861 | $255.20 | $319.00 | $82.94 – $240.12 | 11 |
| Fusion of finger joint CPT 26860 | $1,422.40 | $1,778.00 | $462.28 – $2,873.50 | 13 |
| Fusion of finger tendons CPT 26471 | $1,547.20 | $1,934.00 | $502.84 – $2,873.50 | 13 |
| Fusion of finger tendons CPT 26474 | $1,514.40 | $1,893.00 | $492.18 – $1,570.10 | 13 |
| Fusion of foot bones CPT 28730 | $3,656.00 | $4,570.00 | $594.10 – $11,395.13 | 13 |
| Fusion of foot bones CPT 28735 | $3,878.40 | $4,848.00 | $630.24 – $11,395.13 | 13 |
| Fusion of foot bones CPT 28740 | $4,176.00 | $5,220.00 | $560.99 – $6,326.64 | 13 |
| Fusion of hand joint CPT 26843 | $1,844.80 | $2,306.00 | $599.56 – $6,326.64 | 13 |
| Fusion of knee CPT 27580 | not published | not published | $1,315.02 – $3,512.20 | 10 |
| Fusion of knuckle CPT 26850 | $1,733.60 | $2,167.00 | $563.42 – $6,326.64 | 13 |
| Fusion of knuckle joint CPT 26516 | $3,521.60 | $4,402.00 | $572.26 – $2,873.50 | 13 |
| Fusion of knuckle joints CPT 26517 | $4,110.40 | $5,138.00 | $667.94 – $2,873.50 | 13 |
| Fusion of knuckle joints CPT 26518 | $4,164.80 | $5,206.00 | $676.78 – $6,326.64 | 13 |
| Fusion of knuckle with graft CPT 26852 | $1,984.80 | $2,481.00 | $645.06 – $6,326.64 | 13 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,225.60 – $5,935.52 | 10 |
| Fusion of spermatic ducts CPT 54900 | $2,022.40 | $2,528.00 | $657.28 – $1,933.36 | 11 |
| Fusion of spermatic ducts CPT 54901 | $2,672.00 | $3,340.00 | $868.40 – $2,550.28 | 11 |
| Fusion of tendons at wrist CPT 25300 | $3,372.80 | $4,216.00 | $548.08 – $2,873.50 | 13 |
| Fusion of tendons at wrist CPT 25301 | $3,169.60 | $3,962.00 | $515.06 – $2,873.50 | 13 |
| Fusion of thumb CPT 26841 | $3,633.60 | $4,542.00 | $590.46 – $6,326.64 | 13 |
| Fusion of tibiofibular joint CPT 27871 | $3,396.80 | $4,246.00 | $551.98 – $11,395.13 | 13 |
| Fusion of toes CPT 28280 | $2,571.20 | $3,214.00 | $314.17 – $2,873.50 | 13 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,234.53 – $3,289.95 | 10 |
| Fusion of ureter & kidney CPT 50740 | $5,988.80 | $7,486.00 | $973.18 – $2,864.33 | 11 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,040.53 – $2,773.46 | 10 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $164.90 – $384.78 | 9 |
| Fxn gene detc abnor alleles CPT 81284 | $153.56 | $191.95 | $49.91 – $191.82 | 13 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $164.90 – $384.78 | 9 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $111.12 – $259.30 | 9 |
| G0180 home health certification HCPCS G0180 | $116.00 | $145.00 | $37.70 – $128.15 | 11 |
| G6pc gene CPT 81250 | $117.60 | $147.00 | $35.09 – $81.88 | 10 |
| G6pd full gene sequence CPT 81249 | $1,200.00 | $1,500.00 | $187.20 – $840.06 | 13 |
| G6pd gene alys cmn variant CPT 81247 | $350.40 | $438.00 | $54.54 – $244.74 | 13 |
| G6pd known familial variant CPT 81248 | $751.20 | $939.00 | $225.15 – $525.38 | 10 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $221.63 | $277.03 | $52.86 – $180.07 | 10 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $51.09 – $71.51 | 8 |
| Gabapentin non-blood CPT 80355 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1.44 | $1.80 | $0.26 – $1.04 | 10 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $13.75 | $17.18 | $1.49 – $4.05 | 10 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.88 | $1.09 | $0.12 – $0.63 | 10 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $29.72 | $37.15 | $9.66 – $21.47 | 10 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $64.28 | $80.35 | $12.64 – $52.23 | 13 |
| Galactokinase - sendout CPT 82759 | $64.28 | $80.35 | $12.89 – $52.23 | 13 |
| Galactose transferase test CPT 82776 | $64.28 | $80.35 | $7.04 – $52.23 | 13 |
| Galectin-3 CPT 82777 | $88.80 | $111.00 | $26.55 – $70.21 | 13 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,084.88 | $1,356.09 | $21.06 – $783.82 | 15 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,193.36 | $1,491.70 | $25.48 – $862.20 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,614.40 | $2,018.00 | $524.68 – $5,167.04 | 13 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $4.25 | 6 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $372.17 – $868.23 | 7 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $886.76 | 7 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $521.78 – $1,033.20 | 7 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $824.00 – $917.11 | 7 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $1.64 – $2.95 | 4 |
| Galsulfase injection HCPCS J1458 | not published | not published | $475.67 – $601.89 | 7 |
| Gamma globulin > 10 cc inj HCPCS J1560 | $556.00 | $695.00 | $170.40 – $659.44 | 11 |
| Gamma globulin 1 cc inj HCPCS J1460 | $56.00 | $70.00 | $18.20 – $65.94 | 11 |
| Gammaglobulin iga CPT 82784 | $33.57 | $41.96 | $5.58 – $27.27 | 13 |
| Gammaglobulin ige CPT 82785 | $64.28 | $80.35 | $9.88 – $52.23 | 13 |
| Gamma glutamyltransferase CPT 82977 | $33.57 | $41.96 | $4.32 – $27.27 | 13 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.14 – $9.98 | 5 |
| Gammaplex injection HCPCS J1557 | not published | not published | $50.61 – $71.84 | 10 |
| Gamunex-c/gammaked HCPCS J1561 | $171.47 | $214.33 | $7.63 – $50.43 | 13 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $32.01 – $101.02 | 7 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $5,197.41 – $23,588.95 | 4 |
| Gardner vag dna amp probe CPT 87511 | $88.80 | $111.00 | $21.05 – $54.59 | 10 |
| Gardner vag dna quant CPT 87512 | $104.80 | $131.00 | $25.06 – $64.96 | 10 |
| Gastric analy w/ph ea spec CPT 82930 | $33.57 | $41.96 | $4.03 – $27.27 | 13 |
| Gastric emptying imag study CPT 78265 | $1,270.00 | $1,587.49 | $27.56 – $917.57 | 15 |
| Gastric emptying imag study CPT 78266 | $1,664.33 | $2,080.41 | $29.38 – $1,202.48 | 15 |
| Gastric motility studies CPT 91020 | $576.00 | $720.00 | $59.80 – $469.91 | 13 |
| Gastric mucosa imaging CPT 78261 | $555.20 | $694.00 | $24.70 – $355.87 | 13 |
| Gastrin test CPT 82938 | $44.80 | $56.00 | $10.61 – $27.53 | 10 |
| Gastroduodenostomy CPT 43810 | $2,492.80 | $3,116.00 | $810.16 – $2,376.76 | 11 |
| Gastroesophageal reflux study CPT 78262 | $891.56 | $1,114.44 | $25.48 – $644.15 | 15 |
| Gastroesophageal reflux test CPT 91034 | $413.60 | $517.00 | $37.44 – $469.91 | 13 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,939.17 – $5,182.98 | 10 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,354.89 – $6,275.60 | 10 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $3,295.20 | $4,119.00 | $1,070.94 – $3,147.91 | 11 |
| Gastrojejunostomy w/vagotomy CPT 43825 | $3,209.60 | $4,012.00 | $1,043.12 – $3,062.90 | 11 |
| Gastro/jejuno tube, std HCPCS B4087 | $42.40 | $53.00 | $13.78 – $55.17 | 10 |
| Gastroplasty duodenal switch CPT 43845 | $4,780.80 | $5,976.00 | $1,553.76 – $4,569.79 | 11 |
| Gastrostomy open neonatal CPT 43831 | $1,474.40 | $1,843.00 | $479.18 – $1,439.51 | 13 |
| Gated heart multiple CPT 78473 | $1,276.51 | $1,595.63 | $56.42 – $922.27 | 15 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $1.69 – $4.30 | 10 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $1.81 – $4.60 | 10 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $6.40 | $8.00 | $1.49 – $3.78 | 11 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.67 – $1.69 | 10 |
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.