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 |
|---|---|---|---|---|
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,675.89 | $4,594.86 | $174.20 – $2,655.83 | 15 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,806.51 | $2,258.13 | $383.84 – $1,305.20 | 15 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,297.12 | $1,621.40 | $152.64 – $937.17 | 15 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $512.80 | $641.00 | $94.69 – $623.11 | 15 |
| Ghs immun0electrophoresis CPT 86320 | $110.00 | $137.50 | $10.94 – $79.48 | 13 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $471.20 | $589.00 | $99.18 – $315.84 | 15 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $520.00 | $650.00 | $109.73 – $265.45 | 15 |
| Ghs inf midline insertion CPT 36140 | $1,505.88 | $1,882.35 | $76.43 – $1,088.00 | 13 |
| Ghs inhibitor screen CPT 85335 | $32.85 | $41.06 | $7.72 – $26.69 | 13 |
| Ghs init tx 1st degree burn CPT 16000 | $180.80 | $226.00 | $40.75 – $175.98 | 15 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $520.80 | $651.00 | $161.85 – $788.46 | 13 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,220.80 | $1,526.00 | $109.38 – $788.46 | 13 |
| Ghs inj tendon origin/insertion CPT 20551 | $278.40 | $348.00 | $34.89 – $261.43 | 13 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $625.60 | $782.00 | $55.95 – $148.11 | 11 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,259.20 | $1,574.00 | $119.11 – $788.46 | 13 |
| Ghs insertion of needle - bone CPT 36680 | $313.93 | $392.41 | $48.36 – $353.40 | 15 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $943.20 | $1,179.00 | $216.14 – $673.64 | 15 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,230.48 | $1,538.09 | $251.43 – $889.02 | 15 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,192.00 | $1,490.00 | $290.81 – $1,620.01 | 13 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $237.75 | $297.18 | $17.43 – $193.17 | 10 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $716.36 | $895.45 | $120.07 – $517.57 | 15 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $115.72 | $144.65 | $14.04 – $83.61 | 15 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,257.60 | $1,572.00 | $88.01 – $559.20 | 15 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $1,208.93 | $1,511.16 | $137.97 – $873.45 | 15 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $617.60 | $772.00 | $78.44 – $353.83 | 15 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $619.20 | $774.00 | $78.44 – $353.83 | 15 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $667.20 | $834.00 | $78.44 – $353.83 | 15 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $750.40 | $938.00 | $78.44 – $376.22 | 15 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $738.40 | $923.00 | $78.44 – $365.90 | 15 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $875.20 | $1,094.00 | $78.44 – $399.83 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $932.37 | $1,165.46 | $185.41 – $673.64 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $932.37 | $1,165.46 | $193.56 – $673.64 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $932.37 | $1,165.46 | $198.13 – $673.64 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $995.20 | $1,244.00 | $243.87 – $673.64 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,190.40 | $1,488.00 | $269.02 – $718.89 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,188.80 | $1,486.00 | $280.57 – $733.07 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,397.60 | $1,747.00 | $344.22 – $913.88 | 13 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,304.00 | $1,630.00 | $310.75 – $1,620.01 | 13 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,485.60 | $1,857.00 | $353.83 – $996.82 | 13 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $33.57 | $41.96 | $5.16 – $27.27 | 13 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $14.90 – $20.59 | 2 |
| Ghs mbp CPT 83873 | $64.28 | $80.35 | $10.32 – $52.23 | 13 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $400.41 | $500.51 | $21.93 – $289.29 | 13 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $400.41 | $500.51 | $61.36 – $289.29 | 13 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $400.41 | $500.51 | $56.42 – $289.29 | 13 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $163.80 | $204.75 | $7.28 – $118.35 | 13 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $160.17 | $200.21 | $46.28 – $125.93 | 13 |
| Ghs musc test done w/n test comp CPT 95886 | $269.78 | $337.22 | $33.80 – $194.91 | 13 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $233.79 | $292.23 | $13.78 – $168.91 | 13 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $184.80 | $231.00 | $27.82 – $129.95 | 13 |
| Ghs myocardial strain img spckl track CPT 93356 | $416.85 | $521.06 | $10.72 – $301.17 | 13 |
| Ghs nailbed repair/nail removal CPT 11760 | $478.40 | $598.00 | $78.44 – $542.11 | 15 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,090.24 | $1,362.79 | $22.38 – $788.46 | 15 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,384.70 | $1,730.87 | $53.25 – $1,000.44 | 15 |
| Ghs nerve block axillary nerve CPT 64417 | $989.11 | $1,236.38 | $58.77 – $788.46 | 15 |
| Ghs nerve block brachial plexus CPT 64415 | $1,657.03 | $2,071.28 | $63.73 – $1,197.20 | 15 |
| Ghs nerve block celiac plexus CPT 64530 | $529.60 | $662.00 | $85.96 – $788.46 | 13 |
| Ghs nerve block interscaline CPT 64510 | $684.80 | $856.00 | $69.29 – $788.46 | 13 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,051.20 | $1,314.00 | $77.19 – $788.46 | 13 |
| Ghs nerve block sciatic nerve CPT 64445 | $619.20 | $774.00 | $65.34 – $613.31 | 13 |
| Ghs nerve block suprascapular CPT 64418 | $521.60 | $652.00 | $50.20 – $613.31 | 13 |
| Ghs ng placement w fluoro guidance CPT 43752 | $763.85 | $954.81 | $33.80 – $551.88 | 15 |
| Ghs o2 saturation CPT 82810 | $33.57 | $41.96 | $5.86 – $27.27 | 13 |
| Ghs o2 uptake rest & exercise CPT 94680 | $118.40 | $148.00 | $9.36 – $138.56 | 13 |
| Ghs o2 uptake rest & indirect CPT 94690 | $108.80 | $136.00 | $3.12 – $52.60 | 13 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $28.80 | $36.00 | $9.36 – $47.21 | 11 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,869.76 | $2,337.19 | $30.09 – $1,350.90 | 15 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,613.06 | $4,516.32 | $160.96 – $2,610.43 | 15 |
| Ghs optokenetic CPT 92544 | $50.40 | $63.00 | $2.80 – $138.56 | 13 |
| Ghs oscillating trac CPT 92545 | $46.40 | $58.00 | $2.83 – $275.78 | 13 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $89.36 | $111.70 | $20.93 – $64.56 | 15 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $100.80 | $126.00 | $18.43 – $51.60 | 15 |
| Ghs ot dds rom CPT 95851 | $48.00 | $60.00 | $7.10 – $18.67 | 11 |
| Ghs ot group caregiver training CPT 97552 | $76.64 | $95.79 | $9.95 – $55.37 | 13 |
| Ghs ot prosthetic training/15 min CPT 97761 | $90.04 | $112.54 | $24.96 – $65.05 | 13 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $113.60 | $142.00 | $29.87 – $91.60 | 13 |
| Ghs ot work hardening-additional hours CPT 97546 | $68.00 | $85.00 | $22.10 – $99.35 | 7 |
| Ghs pacing - transcutaneous CPT 92953 | $830.53 | $1,038.16 | $0.77 – $600.06 | 15 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $478.40 | $598.00 | $54.36 – $145.83 | 11 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $662.84 | $828.54 | $46.82 – $478.90 | 13 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $55.20 | $69.00 | $17.94 – $49.54 | 11 |
| Ghs peritonsillar abscess i andd CPT 42700 | $695.93 | $869.91 | $123.28 – $502.81 | 15 |
| Ghs phenylketonurid CPT 84030 | $33.57 | $41.96 | $3.30 – $27.27 | 13 |
| Ghs picc line insert < 5 CPT 36568 | $1,262.28 | $1,577.85 | $83.17 – $1,375.76 | 15 |
| Ghs plngl fx pm cl CPT 26725 | $832.80 | $1,041.00 | $212.45 – $626.97 | 15 |
| Ghs plt ct-manual CPT 85032 | $33.57 | $41.96 | $2.59 – $27.27 | 13 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,924.00 | $2,405.00 | $93.08 – $901.02 | 13 |
| Ghs pos nystagmus CPT 92542 | $73.60 | $92.00 | $2.82 – $114.16 | 13 |
| Ghs ppd (tb intradermal) CPT 86580 | $48.57 | $60.71 | $5.72 – $35.09 | 15 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $33.57 | $41.96 | $5.80 – $27.27 | 13 |
| Ghs protein, misc fluid CPT 84160 | $33.57 | $41.96 | $3.37 – $27.27 | 13 |
| Ghs protoporphyrins fract CPT 84202 | $64.28 | $80.35 | $8.61 – $52.23 | 13 |
| Ghs pr without cont pulse ox CPT 94625 | $151.23 | $189.03 | $16.08 – $109.26 | 15 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $31.20 | $39.00 | $7.35 – $19.06 | 10 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $170.40 | $213.00 | $55.38 – $249.00 | 7 |
| Ghs quinidine CPT 80194 | $66.43 | $83.03 | $8.76 – $53.97 | 13 |
| Ghs refill of implantable pump CPT 95990 | $189.60 | $237.00 | $61.62 – $293.75 | 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.