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 |
|---|---|---|---|---|
| Incobotulinumtoxin a HCPCS J0588 | $6.40 | $8.00 | $2.08 – $6.74 | 11 |
| Inc&subq plmt crnl bone grf CPT 61316 | $205.60 | $257.00 | $66.82 – $196.29 | 11 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $10.16 – $10.45 | 6 |
| Induced ab 1+vag supp d&c CPT 59856 | $1,194.40 | $1,493.00 | $388.18 – $1,160.91 | 11 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $502.95 – $1,350.02 | 10 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $1,018.40 | $1,273.00 | $330.98 – $993.75 | 11 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $373.74 – $1,005.75 | 10 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $512.26 – $1,380.92 | 10 |
| Induced abortion d&c CPT 59840 | $614.40 | $768.00 | $193.06 – $2,815.86 | 13 |
| Induced abortion dilat&evac CPT 59841 | $1,489.60 | $1,862.00 | $324.25 – $2,815.86 | 13 |
| Induction of vomiting CPT 99175 | $53.60 | $67.00 | $17.42 – $69.58 | 11 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $140.80 | $176.00 | $21.89 – $159.39 | 13 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $28.50 – $38.05 | 3 |
| Infect ag drug suscept pheno predict CPT 87900 | $323.20 | $404.00 | $43.18 – $202.78 | 13 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $35.20 | $44.00 | $9.00 – $21.01 | 10 |
| Infect ag eia influenza a or b ea CPT 87400 | $38.58 | $48.22 | $8.48 – $31.34 | 13 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $577.60 | $722.00 | $80.32 – $400.49 | 13 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $577.60 | $722.00 | $80.32 – $400.49 | 13 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $286.40 | $358.00 | $43.18 – $200.26 | 13 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $646.40 | $808.00 | $80.32 – $400.49 | 13 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $67.15 | $83.93 | $19.66 – $54.55 | 13 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | $71.20 | $89.00 | $21.17 – $49.41 | 10 |
| Infect ag ia optc obs influenza CPT 87804 | $38.58 | $48.22 | $11.44 – $31.34 | 13 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $30.40 | $38.00 | $7.19 – $18.65 | 10 |
| Infect ag if hep delta agent CPT 87380 | $46.40 | $58.00 | $11.02 – $25.70 | 10 |
| Infect ag if influenza a CPT 87276 | $35.20 | $44.00 | $9.64 – $22.50 | 10 |
| Infect ag if influenza b CPT 87275 | $31.20 | $39.00 | $7.35 – $18.65 | 10 |
| Infect ag if legionella pneumophila CPT 87278 | $38.58 | $48.22 | $9.36 – $31.34 | 13 |
| Infect ag if nos ea CPT 87299 | $38.58 | $48.22 | $9.66 – $31.34 | 13 |
| Infect ag if pneumocystis carinii CPT 87281 | $30.40 | $38.00 | $7.19 – $18.65 | 10 |
| Infect ag if varicella zoster CPT 87290 | $38.58 | $48.22 | $8.05 – $31.34 | 13 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | $107.20 | $134.00 | $32.08 – $74.86 | 10 |
| Infect ag na hep b amp CPT 87516 | $88.80 | $111.00 | $21.05 – $54.59 | 10 |
| Infect ag na herpes simplex quant CPT 87530 | $108.00 | $135.00 | $21.82 – $66.65 | 13 |
| Infect ag na hpv high-risk types CPT 87624 | $77.60 | $97.00 | $21.05 – $54.59 | 13 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $206.40 | $258.00 | $43.18 – $134.13 | 13 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $124.80 | $156.00 | $30.79 – $79.84 | 10 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $29.07 – $116.49 | 9 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $935.20 | $1,169.00 | $130.04 – $648.37 | 13 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,225.60 | $1,532.00 | $152.46 – $760.18 | 13 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $127.86 | $159.82 | $15.64 – $103.88 | 13 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $39.73 | $49.66 | $12.91 – $43.45 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $38.58 | $48.22 | $8.05 – $31.34 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $38.58 | $48.22 | $8.29 – $31.34 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $38.58 | $48.22 | $8.63 – $31.34 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $38.58 | $48.22 | $6.20 – $31.34 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $38.58 | $48.22 | $6.20 – $31.34 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $48.80 | $61.00 | $12.54 – $37.46 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $88.80 | $111.00 | $21.05 – $54.59 | 13 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $88.80 | $111.00 | $21.05 – $54.59 | 13 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $89.60 | $112.00 | $21.82 – $54.59 | 13 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $909.60 | $1,137.00 | $130.04 – $648.37 | 13 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $88.80 | $111.00 | $21.05 – $54.59 | 13 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $87.20 | $109.00 | $21.05 – $54.59 | 13 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $101.60 | $127.00 | $21.82 – $58.35 | 13 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $88.80 | $111.00 | $21.05 – $54.59 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $103.20 | $129.00 | $21.82 – $84.01 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $285.60 | $357.00 | $44.50 – $149.76 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $285.60 | $357.00 | $44.50 – $149.76 | 13 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $88.80 | $111.00 | $21.82 – $54.59 | 13 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $79.20 | $99.00 | $21.05 – $54.59 | 13 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $153.60 | $192.00 | $23.95 – $174.30 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $919.20 | $1,149.00 | $130.04 – $648.37 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $283.20 | $354.00 | $43.18 – $199.57 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $526.40 | $658.00 | $82.05 – $368.21 | 13 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $108.00 | $135.00 | $21.82 – $66.65 | 13 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $108.00 | $135.00 | $21.82 – $66.65 | 13 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $108.00 | $135.00 | $21.82 – $66.65 | 13 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $213.60 | $267.00 | $26.55 – $132.38 | 13 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $288.00 | $360.00 | $44.50 – $199.70 | 13 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $188.28 | $235.34 | $25.07 – $55.72 | 13 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $81.05 | $101.31 | $3.60 – $35.88 | 13 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $153.22 | $191.52 | $2.48 – $40.50 | 13 |
| Influenza dna amp prob addl CPT 87503 | $59.20 | $74.00 | $17.53 – $40.91 | 10 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $76.00 | $95.00 | $24.70 – $103.07 | 10 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $29.60 | $37.00 | $9.62 – $39.65 | 11 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $811.20 | $1,014.00 | $67.02 – $140.50 | 9 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,713.92 – $7,258.51 | 10 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,672.45 – $7,181.77 | 10 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $624.00 | $780.00 | $73.08 – $202.80 | 9 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $820.80 | $1,026.00 | $69.58 – $145.70 | 9 |
| Infuse radioactive materials CPT 77750 | $744.00 | $930.00 | $76.96 – $248.30 | 13 |
| Ingest challenge ea addl 60 min CPT 95079 | $264.80 | $331.00 | $62.80 – $164.14 | 11 |
| Ingest challenge ini 120 min CPT 95076 | $367.20 | $459.00 | $68.16 – $469.91 | 13 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $166.48 | $208.10 | $12.32 – $180.13 | 15 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,179.34 – $3,001.06 | 10 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,007.41 – $2,563.57 | 10 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $43.13 – $69.10 | 9 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $788.32 – $2,006.04 | 10 |
| Initial foot exam pt lops HCPCS G0245 | $117.60 | $147.00 | $36.44 – $96.69 | 11 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $629.60 | $787.00 | $204.62 – $672.40 | 11 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $244.00 | $305.00 | $79.30 – $258.87 | 11 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $333.60 | $417.00 | $108.42 – $354.00 | 11 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $162.40 | $203.00 | $52.78 – $155.57 | 11 |
| Initial observation care CPT 99218 | not published | not published | $159.00 – $159.00 | 2 |
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.