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 |
|---|---|---|---|---|
| Hysteroscopy remove fb CPT 58562 | $558.40 | $698.00 | $181.48 – $2,815.86 | 13 |
| Hysteroscopy remove myoma CPT 58561 | $971.20 | $1,214.00 | $315.64 – $4,371.83 | 13 |
| Hysteroscopy resect septum CPT 58560 | $790.40 | $988.00 | $256.88 – $4,371.83 | 13 |
| Hysterotomy abdominal 59100 CPT 59100 | $2,051.20 | $2,564.00 | $666.64 – $4,371.83 | 13 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $212.00 | $265.00 | $68.90 – $238.53 | 5 |
| I-123 iobenguane diag HCPCS A9582 | $5,375.72 | $6,719.64 | $1,747.11 – $7,662.62 | 13 |
| I-123 ioflupane diag HCPCS A9584 | $5,196.20 | $6,495.25 | $1,388.02 – $4,221.91 | 13 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $268.80 | $335.99 | $87.36 – $218.39 | 10 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $42.75 – $208.07 | 4 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $124.52 – $492.80 | 3 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $886.96 – $2,347.38 | 4 |
| I131 iodide cap, rx HCPCS A9517 | $74.31 | $92.88 | $23.13 – $60.37 | 13 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $6.68 – $26.42 | 9 |
| I131 max 100uci HCPCS A9531 | not published | not published | $2.56 – $16.48 | 3 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $84.39 – $593.84 | 3 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $65.40 – $187.46 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | $34.40 | $43.00 | $8.05 – $18.78 | 10 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $88.80 | $111.00 | $21.05 – $54.59 | 13 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $48.57 | $60.71 | $12.48 – $39.46 | 13 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $91.20 | $114.00 | $15.78 – $74.48 | 13 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $136.00 | $170.00 | $22.22 – $172.64 | 8 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $2,350.62 | $2,938.27 | $763.95 – $2,570.99 | 13 |
| Ibuprofen injection HCPCS J1741 | $367.44 | $459.30 | $2.39 – $288.90 | 10 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $159.51 – $326.43 | 9 |
| Icatibant injection HCPCS J1744 | not published | not published | $95.99 – $397.62 | 8 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $28,432.21 | $35,540.26 | $9,240.47 – $23,101.17 | 7 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $39,130.48 | $48,913.10 | $12,717.41 – $31,793.52 | 7 |
| Icd crtp serena MRI HCPCS C2621 | $13,828.78 | $17,285.97 | $4,494.35 – $11,235.88 | 7 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $7,861.60 | $9,827.00 | $2,555.02 – $6,387.55 | 7 |
| Icg angiography i&r uni/bi CPT 92240 | $456.00 | $570.00 | $39.00 – $275.78 | 13 |
| Icut allergy test-delayed CPT 95028 | $37.60 | $47.00 | $10.78 – $34.76 | 13 |
| Icut allergy test drug/bug CPT 95024 | $24.00 | $30.00 | $0.77 – $52.60 | 13 |
| Icut allergy titrate-airborn CPT 95027 | $14.40 | $18.00 | $4.02 – $21.69 | 13 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $2,286.40 | $2,858.00 | $743.08 – $2,237.77 | 11 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $1,120.80 | $1,401.00 | $348.53 – $2,872.13 | 13 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $42.61 – $66.00 | 7 |
| I&d/bursa/foot 28001 CPT 28001 | $699.20 | $874.00 | $88.32 – $1,434.92 | 13 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $503,454.53 – $630,097.39 | 9 |
| Identify sperm tissue CPT 89264 | $157.60 | $197.00 | $51.22 – $79.77 | 9 |
| Idet 1 or more levels CPT 22527 | not published | not published | $289.40 – $492.04 | 6 |
| Idet single level CPT 22526 | not published | not published | $630.80 – $1,043.13 | 6 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $2,910.40 | $3,638.00 | $472.94 – $2,873.50 | 13 |
| Idh1 common variants CPT 81120 | $387.20 | $484.00 | $60.29 – $270.57 | 13 |
| Idh2 common variants CPT 81121 | $592.00 | $740.00 | $92.29 – $414.14 | 13 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $1,077.60 | $1,347.00 | $350.22 – $2,428.72 | 13 |
| I&d lacrimal gland CPT 68400 | $1,435.20 | $1,794.00 | $118.75 – $857.76 | 13 |
| I&d lacrimal sac CPT 68420 | $1,619.20 | $2,024.00 | $150.14 – $2,066.12 | 13 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $491.62 – $1,092.86 | 9 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $1,745.60 | $2,182.00 | $194.33 – $2,534.69 | 13 |
| Idursulfase injection HCPCS J1743 | not published | not published | $542.57 – $705.79 | 10 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $789.60 | $987.00 | $256.62 – $2,534.69 | 13 |
| I&d vag hemtma obst/postpart CPT 57022 | $2,190.83 | $2,738.53 | $142.74 – $2,534.69 | 15 |
| Ifnl3 gene CPT 81283 | $147.20 | $184.00 | $44.02 – $102.74 | 10 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $25.72 – $53.33 | 7 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $124.39 – $269.50 | 9 |
| Igh gene rearrang dir probe CPT 81262 | $137.60 | $172.00 | $41.13 – $95.98 | 10 |
| Igh gene rearrange amp meth CPT 81261 | $444.80 | $556.00 | $61.77 – $308.01 | 13 |
| Igh@ var region somatic mutation analy CPT 81263 | $660.80 | $826.00 | $91.89 – $458.17 | 13 |
| Igk rearrangeabn clonal pop CPT 81264 | $345.60 | $432.00 | $53.89 – $241.83 | 13 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $292.13 | $365.16 | $16.90 – $211.06 | 13 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $328.79 | $410.98 | $23.14 – $318.57 | 15 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $292.13 | $365.16 | $30.16 – $211.06 | 15 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | $23.20 | $29.00 | $7.54 – $30.32 | 5 |
| Ikbkap gene CPT 81260 | $127.86 | $159.82 | $23.59 – $103.88 | 13 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $2,568.80 | $3,211.00 | $834.86 – $2,445.87 | 11 |
| Iliac bone graft microvasc CPT 20956 | $6,512.80 | $8,141.00 | $2,116.66 – $6,235.13 | 11 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,358.77 | $2,948.46 | $11.48 – $1,704.21 | 13 |
| Iliac revasc add-on 37222 CPT 37222 | $8,969.01 | $11,211.26 | $158.47 – $6,480.11 | 13 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $142.97 – $190.67 | 7 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $2.30 – $125.62 | 5 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | $2,181.60 | $2,727.00 | $709.02 – $2,081.18 | 11 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $55.51 – $65.57 | 8 |
| Img rta detcj/mntr ds staff CPT 92227 | $32.00 | $40.00 | $10.40 – $52.60 | 13 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $71.20 | $89.00 | $8.58 – $34.76 | 13 |
| Img rta detc/mntr ds poc aly CPT 92229 | $120.00 | $150.00 | $39.00 – $95.21 | 11 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $5.06 – $50.44 | 6 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $5.09 – $122.90 | 6 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $5.06 – $163.50 | 6 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $58.54 – $148.97 | 10 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $332.80 | $416.00 | $82.92 – $211.02 | 11 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $178.40 | $223.00 | $8.72 – $71.25 | 13 |
| Immobilizer shldr sling med HCPCS L3660 | $125.26 | $156.57 | $40.71 – $149.01 | 13 |
| Immt breast prosthesis 19340 CPT 19340 | $4,883.20 | $6,104.00 | $681.16 – $5,775.54 | 13 |
| Immune complex assay CPT 86332 | $61.60 | $77.00 | $14.62 – $39.46 | 13 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $142.62 | $178.27 | $8.13 – $50.19 | 13 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $40.24 – $102.05 | 10 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $81.60 | $102.00 | $26.52 – $58.47 | 11 |
| Immune globulin ig human im use 90281 CPT 90281 | $92.00 | $115.00 | $29.90 – $110.66 | 6 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $52.80 | $66.00 | $12.49 – $39.46 | 13 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $52.80 | $66.00 | $12.49 – $39.46 | 13 |
| Immunoassay tumor qual CPT 86294 | $56.80 | $71.00 | $15.34 – $35.81 | 10 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $48.57 | $60.71 | $7.19 – $39.46 | 13 |
| Immunodiffusion nes CPT 86329 | $48.57 | $60.71 | $8.43 – $39.46 | 13 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $13.31 – $41.89 | 5 |
| Immunofixation electrophoresis serum CPT 86334 | $48.57 | $60.71 | $10.94 – $35.09 | 13 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $292.13 | $365.16 | $17.16 – $211.06 | 13 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $292.13 | $365.16 | $25.74 – $211.06 | 15 |
| Immunoglobulin assay CPT 86023 | $48.57 | $60.71 | $7.48 – $39.46 | 13 |
| Immunotherapy 2/> injections CPT 95125 | $40.00 | $50.00 | $5.09 – $36.01 | 7 |
| Impedence cardiogram CPT 93701 | $55.20 | $69.00 | $17.11 – $114.16 | 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.