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 |
|---|---|---|---|---|
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $2.51 – $6.38 | 10 |
| Gba gene CPT 81251 | $127.86 | $159.82 | $28.35 – $103.88 | 13 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $41.95 – $90.88 | 10 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $49.73 – $107.74 | 10 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $58.22 – $126.15 | 9 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $31.12 – $67.42 | 10 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $35.53 – $76.99 | 10 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $40.91 – $88.63 | 10 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $55.51 – $120.26 | 10 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $66.18 – $143.39 | 10 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $78.40 – $169.86 | 10 |
| Gefitinib oral HCPCS J8565 | not published | not published | $65.53 – $162.64 | 6 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $37.84 – $96.29 | 10 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $1.29 – $3.28 | 10 |
| Gel-one HCPCS J7326 | $1,056.00 | $1,320.00 | $343.20 – $744.52 | 11 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1.60 | $2.00 | $0.52 – $0.75 | 7 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $16.00 | $20.00 | $3.26 – $22.11 | 8 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $216.05 – $294.16 | 10 |
| General health panel CPT 80050 | $70.40 | $88.00 | $22.28 – $55.71 | 10 |
| Generator emblem MRI sicd subq HCPCS C1722 | $25,453.33 | $31,816.66 | $8,272.33 – $20,680.83 | 7 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $81.49 – $118.92 | 5 |
| Genetic tstg severe inh cond CPT 81443 | $4,897.60 | $6,122.00 | $763.95 – $3,428.21 | 13 |
| Genioplasty augmentation CPT 21120 | $1,643.20 | $2,054.00 | $453.22 – $5,239.04 | 13 |
| Geniop sldg augmentation CPT 21123 | $2,196.80 | $2,746.00 | $713.96 – $2,872.13 | 13 |
| Geniop sldg osteot 1 CPT 21121 | $1,696.80 | $2,121.00 | $488.60 – $2,872.13 | 13 |
| Geniop sldg osteot 2/> CPT 21122 | $1,895.20 | $2,369.00 | $615.94 – $5,239.04 | 13 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,402.59 – $3,272.93 | 9 |
| Genome sequence analysis CPT 81425 | $4,829.96 | $6,037.44 | $1,569.73 – $7,044.15 | 13 |
| Genome sequence analysis CPT 81426 | $2,601.56 | $3,251.94 | $845.50 – $3,794.18 | 13 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $77.44 | $96.80 | $0.30 – $2.47 | 10 |
| Gentamicin peak therapeutic drug level CPT 80170 | $66.43 | $83.03 | $9.83 – $53.97 | 13 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.13 – $12.20 | 10 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,040.80 | $1,301.00 | $61.62 – $469.91 | 13 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $127.72 – $338.27 | 10 |
| Ghs abscess perianal iandd CPT 46050 | $1,063.70 | $1,329.62 | $91.50 – $807.43 | 15 |
| Ghs abscess postoperative iandd complex CPT 10180 | $5,319.69 | $6,649.61 | $159.46 – $3,843.47 | 15 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $33.57 | $41.96 | $5.89 – $27.27 | 13 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $64.28 | $80.35 | $10.27 – $52.23 | 13 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $204.80 | $256.00 | $41.55 – $143.18 | 13 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $114.40 | $143.00 | $16.79 – $114.16 | 13 |
| Ghs antibodies (torch) igm CPT 86694 | $48.57 | $60.71 | $8.63 – $39.46 | 13 |
| Ghs aspiration bladder - needle CPT 51100 | $415.07 | $518.83 | $34.98 – $299.88 | 15 |
| Ghs bladder cath - complex-foley CPT 51703 | $344.00 | $430.00 | $68.67 – $194.54 | 15 |
| Ghs bleeding time (ivy) CPT 85002 | $32.85 | $41.06 | $2.89 – $26.69 | 13 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $552.00 | $690.00 | $49.48 – $613.31 | 13 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,581.76 | $1,977.20 | $76.61 – $2,787.49 | 15 |
| Ghs change cysto/gastrost CPT 43762 | $695.93 | $869.91 | $32.97 – $502.81 | 15 |
| Ghs chemo >8 hrs CPT 96416 | $269.60 | $337.00 | $87.62 – $295.75 | 13 |
| Ghs chemo infusion >8 hrs CPT 96425 | $316.80 | $396.00 | $102.96 – $389.51 | 13 |
| Ghs chemo IV push, ea addtl CPT 96411 | $171.60 | $214.50 | $35.62 – $127.01 | 15 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $88.80 | $111.00 | $21.05 – $54.59 | 13 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $797.42 | $996.77 | $212.45 – $626.97 | 15 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,849.60 | $2,312.00 | $212.45 – $775.90 | 15 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,299.20 | $2,874.00 | $226.18 – $1,417.36 | 15 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $2,036.80 | $2,546.00 | $212.45 – $1,100.02 | 13 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,627.20 | $3,284.00 | $426.92 – $1,417.36 | 15 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,972.00 | $2,465.00 | $640.90 – $1,901.61 | 13 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $1,635.20 | $2,044.00 | $212.45 – $625.10 | 15 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,347.20 | $2,934.00 | $381.42 – $1,582.24 | 15 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,683.20 | $3,354.00 | $436.02 – $1,417.36 | 15 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $2,564.80 | $3,206.00 | $212.45 – $939.50 | 15 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $815.20 | $1,019.00 | $212.45 – $636.60 | 15 |
| Ghs community re-entry 15 minutes CPT 97537 | $91.91 | $114.88 | $19.76 – $66.40 | 13 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $243.20 | $304.00 | $32.87 – $353.40 | 15 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $198.40 | $248.00 | $26.33 – $114.16 | 15 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $294.40 | $368.00 | $36.85 – $353.40 | 15 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $339.20 | $424.00 | $45.48 – $149.59 | 15 |
| Ghs cricothyroidotomy CPT 31605 | $1,328.05 | $1,660.06 | $205.66 – $959.51 | 15 |
| Ghs cutdown placement age 1 and over CPT 36425 | $100.80 | $126.00 | $32.76 – $353.40 | 13 |
| Ghs cutdown placement under 1 yr CPT 36420 | $118.40 | $148.00 | $38.48 – $114.16 | 13 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $48.57 | $60.71 | $9.13 – $39.46 | 13 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,817.60 | $2,272.00 | $212.45 – $691.80 | 15 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,412.28 | $1,765.35 | $87.10 – $1,020.37 | 15 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $254.17 | $317.71 | $29.66 – $235.20 | 15 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,274.85 | $1,593.56 | $93.28 – $921.08 | 15 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $516.80 | $645.99 | $138.56 – $406.33 | 15 |
| Ghs electrostagmgraphy CPT 92537 | $92.80 | $116.00 | $6.76 – $138.56 | 13 |
| Ghs elect torsion swing CPT 92546 | $242.40 | $303.00 | $11.18 – $138.56 | 13 |
| Ghs elect vertical elct CPT 92547 | $18.40 | $23.00 | $4.65 – $17.60 | 11 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $380.00 | $475.00 | $64.50 – $353.83 | 13 |
| Ghs excision ingrown nail CPT 11765 | $416.00 | $520.00 | $51.98 – $353.83 | 15 |
| Ghs eye exam CPT 92002 | $174.40 | $218.00 | $41.75 – $114.13 | 13 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,272.00 | $1,590.00 | $104.15 – $480.45 | 15 |
| Ghs fat & muscle CPT 89160 | $56.44 | $70.54 | $2.91 – $45.85 | 13 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,342.40 | $2,928.00 | $286.93 – $1,434.92 | 15 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,162.40 | $1,453.00 | $223.64 – $2,534.69 | 13 |
| Ghs fb removal - incisional CPT 10121 | $1,318.68 | $1,648.35 | $165.86 – $1,434.92 | 15 |
| Ghs fb removal - non-incisional CPT 20520 | $579.32 | $724.14 | $134.26 – $1,434.92 | 15 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $48.57 | $60.71 | $4.19 – $39.46 | 13 |
| Ghs fish cytogen CPT 88271 | $127.86 | $159.82 | $17.68 – $103.88 | 13 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $127.86 | $159.82 | $38.74 – $103.88 | 13 |
| Ghs flow volume loop CPT 94375 | $89.60 | $112.00 | $12.48 – $275.78 | 13 |
| Ghs gastric intub aspiration lavage CPT 43753 | $193.81 | $242.26 | $18.20 – $275.78 | 15 |
| Ghs hcv amplificaiton CPT 87521 | $88.80 | $111.00 | $21.05 – $54.59 | 13 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $64.28 | $80.35 | $11.40 – $52.23 | 13 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $48.57 | $60.71 | $9.29 – $39.46 | 13 |
| Ghs hgb stability-thal CPT 83068 | $33.57 | $41.96 | $5.68 – $27.27 | 13 |
| Ghs histoplasma antigen CPT 87385 | $38.58 | $48.22 | $7.95 – $31.34 | 13 |
| Ghs HIV antibody CPT 86703 | $48.57 | $60.71 | $8.23 – $39.46 | 13 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $212.80 | $266.00 | $46.19 – $148.61 | 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.