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 |
|---|---|---|---|---|
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $1,531.20 | $1,914.00 | $288.09 – $766.88 | 13 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $192.80 | $241.00 | $44.98 – $120.26 | 11 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $935.20 | $1,169.00 | $158.05 – $421.62 | 11 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $1,188.21 | $1,485.26 | $37.44 – $858.48 | 15 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $355.87 – $599.94 | 9 |
| Hc nm kidney imaging with flow CPT 78701 | $971.71 | $1,214.63 | $17.94 – $702.06 | 15 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,438.59 | $1,798.23 | $35.10 – $1,039.38 | 15 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,528.80 | $3,161.00 | $63.96 – $1,156.16 | 13 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $332.00 | $415.00 | $107.90 – $305.28 | 11 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $629.60 | $787.00 | $62.66 – $614.45 | 13 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $1,099.20 | $1,374.00 | $121.68 – $614.45 | 13 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $1,640.80 | $2,051.00 | $171.60 – $614.45 | 13 |
| Hdr rdncl skn surf brachytx CPT 77767 | $449.60 | $562.00 | $33.80 – $232.90 | 13 |
| Hdr rdncl skn surf brachytx CPT 77768 | $657.60 | $822.00 | $44.72 – $232.90 | 13 |
| Head CT scan (with and without contrast) CPT 70470 | $842.90 | $1,053.62 | $48.62 – $608.99 | 15 |
| Head CT scan (with contrast) CPT 70460 | $758.16 | $947.69 | $43.42 – $547.76 | 15 |
| Head CT scan (without contrast) CPT 70450 | $742.64 | $928.29 | $32.76 – $536.55 | 15 |
| Hearing loss dup/del analys CPT 81431 | $1,359.20 | $1,699.00 | $407.74 – $951.46 | 10 |
| Hearing loss sequence analys CPT 81430 | $3,250.40 | $4,063.00 | $975.00 – $2,275.16 | 10 |
| Heart first pass add-on CPT 78496 | $104.00 | $130.00 | $14.82 – $47.36 | 11 |
| Heart first pass multiple CPT 78483 | $558.40 | $698.00 | $56.68 – $476.70 | 13 |
| Heart image spect CPT 78494 | $1,977.49 | $2,471.86 | $45.76 – $1,428.74 | 15 |
| Heart infarct image CPT 78466 | $436.00 | $545.00 | $27.30 – $355.87 | 13 |
| Heart infarct image (ef) CPT 78468 | $427.20 | $534.00 | $28.34 – $476.70 | 13 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,338.67 – $3,570.11 | 10 |
| Heart tmr w/other procedure 33141 CPT 33141 | $322.40 | $403.00 | $104.78 – $300.43 | 11 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $68.39 – $174.02 | 10 |
| Heavy metal qual any number CPT 83015 | $52.80 | $66.00 | $10.45 – $29.32 | 13 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $190.96 | $238.70 | $5.72 – $137.97 | 15 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $45.65 – $116.16 | 10 |
| Heinz bodies direct CPT 85441 | $31.22 | $39.02 | $2.52 – $25.36 | 13 |
| Heinz bodies induced CPT 85445 | $31.22 | $39.02 | $4.09 – $25.36 | 13 |
| Helicobacter pylori antibody igm CPT 86677 | $48.57 | $60.71 | $10.11 – $39.46 | 13 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $322.15 – $1,887.07 | 6 |
| Hemagglutination inhibition CPT 86280 | $17.60 | $22.00 | $4.91 – $12.74 | 10 |
| Hematocrit CPT 85014 | $33.57 | $41.96 | $2.08 – $27.27 | 13 |
| Hematopoietic nuclear tx CPT 79403 | $445.60 | $557.00 | $61.36 – $201.87 | 13 |
| Hemicrt intrclry algrft prtl CPT 20933 | $1,636.00 | $2,045.00 | $531.70 – $1,622.41 | 11 |
| Hemiepiphyseal arrest CPT 24470 | $3,299.20 | $4,124.00 | $536.12 – $2,873.50 | 13 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $50.30 | $62.87 | $8.13 – $35.87 | 13 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $3,590.02 – $9,135.59 | 10 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $3,400.46 – $8,653.22 | 10 |
| Hemodialysis access study CPT 90940 | $126.40 | $158.00 | $41.08 – $145.83 | 7 |
| Hemodialysis one evaluation CPT 90935 | $1,338.52 | $1,673.15 | $53.30 – $967.08 | 15 |
| Hemodialysis repeated eval CPT 90937 | $235.20 | $294.00 | $76.44 – $245.31 | 11 |
| Hemoglobin CPT 85018 | $33.57 | $41.96 | $2.08 – $27.27 | 13 |
| Hemoglobin copper sulfate CPT 83026 | $8.80 | $11.00 | $2.86 – $5.63 | 10 |
| Hemoglobin fetal qualitative CPT 83033 | $17.60 | $22.00 | $4.80 – $11.20 | 10 |
| Hemoglobin f (fetal) chemical CPT 83030 | $33.57 | $41.96 | $6.44 – $27.27 | 13 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $33.57 | $41.96 | $4.92 – $27.27 | 13 |
| Hemoglobin-oxygen affinity CPT 82820 | $33.57 | $41.96 | $8.00 – $27.27 | 13 |
| Hemoglobin plasma CPT 83051 | $33.57 | $41.96 | $4.39 – $27.27 | 13 |
| Hemoglobin thermolabile CPT 83065 | $18.40 | $23.00 | $5.40 – $12.60 | 10 |
| Hemoglobin urine CPT 83069 | $33.57 | $41.96 | $2.37 – $27.27 | 13 |
| Hemolysin acid CPT 85475 | $22.40 | $28.00 | $5.32 – $13.80 | 10 |
| Hemolysins/agglutinins auto CPT 86940 | $57.14 | $71.42 | $5.26 – $46.42 | 13 |
| Hemolysins and agglutinins incubated CPT 86941 | $57.14 | $71.42 | $7.27 – $46.42 | 13 |
| Hemoperfusion CPT 90997 | $202.40 | $253.00 | $65.78 – $211.46 | 11 |
| Hemophilus influenza antibdy CPT 86684 | $48.57 | $60.71 | $9.50 – $39.46 | 13 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $397.84 – $2,428.72 | 12 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $675.20 | $844.00 | $175.28 – $807.43 | 13 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $947.20 | $1,184.00 | $307.84 – $2,428.72 | 13 |
| Hepagam b im injection HCPCS J1571 | $232.68 | $290.85 | $23.14 – $75.25 | 13 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $65.15 – $82.41 | 9 |
| Heparin assay CPT 85520 | $32.85 | $41.06 | $7.85 – $26.69 | 13 |
| Heparin bolus from bag HCPCS J1644 | $79.60 | $99.50 | $0.03 – $0.23 | 10 |
| Heparin neutralization CPT 85525 | $32.85 | $41.06 | $7.10 – $26.69 | 13 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $3.85 | $4.81 | $0.02 – $0.86 | 10 |
| Heparin-protamine tolerance CPT 85530 | $32.85 | $41.06 | $7.85 – $26.69 | 13 |
| Hepatectomy removal of liver 47120 CPT 47120 | $5,722.40 | $7,153.00 | $1,859.78 – $5,450.33 | 11 |
| Hepatitis a antibody igm CPT 86709 | $48.57 | $60.71 | $6.76 – $39.46 | 13 |
| Hepatitis b core antibody igm CPT 86705 | $48.57 | $60.71 | $7.06 – $39.46 | 13 |
| Hepatitis b core antibody total CPT 86704 | $48.57 | $60.71 | $7.23 – $39.46 | 13 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $468.80 | $586.00 | $133.28 – $229.91 | 11 |
| Hepatitis b surface ag quan CPT 87467 | $38.58 | $48.22 | $7.28 – $31.34 | 13 |
| Hepatitis b surface antibody CPT 86706 | $48.57 | $60.71 | $6.44 – $39.46 | 13 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $210.40 | $263.00 | $68.38 – $225.02 | 11 |
| Hepatitis c antibody CPT 86803 | $48.57 | $60.71 | $8.56 – $39.46 | 13 |
| Hepatitis c rna dir probe CPT 87520 | $63.20 | $79.00 | $18.73 – $43.71 | 10 |
| Hepatitis d quantification CPT 87523 | $86.40 | $108.00 | $21.82 – $85.08 | 13 |
| Hepatitis g dna amp probe CPT 87526 | $99.20 | $124.00 | $23.56 – $54.97 | 10 |
| Hepatitis g dna dir probe CPT 87525 | $60.00 | $75.00 | $17.88 – $41.74 | 10 |
| Hepatitis g dna quant CPT 87527 | $104.80 | $131.00 | $25.06 – $64.96 | 10 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $73.82 – $95.96 | 10 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $193.60 | $242.00 | $62.92 – $225.02 | 11 |
| Hereditary colon ca dsordrs CPT 81435 | $1,276.00 | $1,595.00 | $182.49 – $1,369.15 | 13 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $350.94 – $909.91 | 5 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $421.38 | $526.72 | $136.95 – $1,369.15 | 13 |
| Hered rta do gen seq 15 CPT 81434 | $957.60 | $1,197.00 | $311.22 – $837.13 | 10 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $263.36 – $682.82 | 5 |
| Hernia Repair (Inguinal) CPT 49505 | $2,555.20 | $3,194.00 | $415.22 – $3,125.41 | 13 |
| Herpes simplex 1 ag if CPT 87274 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Herpes simplex 2 ag if CPT 87273 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Herpes simplex type 1 antibody igg CPT 86695 | $48.57 | $60.71 | $7.91 – $39.46 | 13 |
| Herpes simplex type 2 antibody igg CPT 86696 | $48.57 | $60.71 | $11.61 – $39.46 | 13 |
| Herpes simplex virus isolation CPT 87255 | $85.60 | $107.00 | $20.32 – $54.55 | 13 |
| Heterophile antibodies screening CPT 86308 | $48.57 | $60.71 | $4.42 – $39.46 | 13 |
| Heterophile antibodies titer CPT 86309 | $16.80 | $21.00 | $3.88 – $10.06 | 10 |
| Heterophile antibody absrbj CPT 86310 | $19.20 | $24.00 | $4.42 – $11.46 | 10 |
| Hexa gene CPT 81255 | $127.86 | $159.82 | $30.87 – $103.88 | 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.