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 |
|---|---|---|---|---|
| Initial observation care CPT 99219 | not published | not published | $215.00 – $215.00 | 2 |
| Initial observation care CPT 99220 | not published | not published | $291.00 – $291.00 | 2 |
| Init nb em per day non-fac CPT 99461 | $167.20 | $209.00 | $54.34 – $118.36 | 11 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $296.00 | $370.00 | $96.20 – $289.92 | 7 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $35.24 – $92.38 | 12 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.87 – $7.65 | 9 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $8.00 | $10.00 | $2.60 – $8.85 | 11 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.22 – $0.25 | 8 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $0.84 | $1.04 | $0.05 – $0.28 | 10 |
| Inj acetaminophen -fresenius HCPCS J0134 | $0.90 | $1.12 | $0.05 – $0.17 | 10 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $0.90 | $1.12 | $0.01 – $0.05 | 10 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,479.53 – $5,323.91 | 6 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $86.53 – $96.31 | 7 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.51 – $12.98 | 7 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,235.61 – $72,945.71 | 8 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $7.77 | 10 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.52 – $40.92 | 8 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $795.86 – $999.44 | 8 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $321.18 – $367.70 | 8 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.46 – $1.88 | 10 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $4.52 – $4.52 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.45 – $7.22 | 10 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $133.74 – $150.79 | 8 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $43.45 – $78.76 | 10 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.11 – $10.14 | 7 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $125.00 – $138.13 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $10.11 | $12.63 | $3.28 – $19.01 | 13 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,445.58 – $4,353.69 | 5 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.86 – $2.01 | 7 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.86 – $4.02 | 10 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $46.63 – $54.42 | 7 |
| Inj. asceniv HCPCS J1554 | not published | not published | $496.68 – $638.83 | 10 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $52.60 – $66.24 | 10 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $30.88 – $36.39 | 8 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $107.44 – $121.79 | 8 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $75.41 – $98.82 | 10 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.27 – $45.45 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $306.70 | $383.37 | $64.74 – $221.59 | 13 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $40.02 – $60.69 | 5 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,800,000.00 – $3,098,221.00 | 7 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.87 – $51.82 | 10 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $203.01 – $268.07 | 10 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $7.32 | $9.15 | $0.03 – $0.18 | 10 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $26.26 – $29.58 | 7 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $4.91 – $53.13 | 8 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $3.10 – $53.13 | 8 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.57 – $4.34 | 6 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $74.50 – $76.74 | 3 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $425.40 – $486.25 | 8 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,701.62 – $1,945.01 | 8 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $308.81 – $422.81 | 10 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $429.23 – $1,092.27 | 10 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.42 – $1.71 | 8 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.48 – $0.54 | 7 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $63.40 – $243.76 | 10 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.51 – $1.64 | 6 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $23.92 – $284.20 | 8 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.25 – $1.60 | 6 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $24.44 | $30.54 | $0.93 – $3.84 | 13 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $0.97 – $1.15 | 8 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.65 – $7.33 | 6 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $5.04 – $6.85 | 6 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.26 – $2.82 | 10 |
| Inj ceftolozane tazobactam HCPCS J0695 | $19.70 | $24.62 | $2.06 – $9.58 | 13 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $103.72 – $115.85 | 4 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $14.96 – $19.59 | 10 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $88.24 – $340.70 | 10 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $88.14 – $103.27 | 8 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.75 – $3.53 | 7 |
| Inj, clindamycin (baxter) HCPCS J0737 | $43.56 | $54.45 | $1.98 – $15.01 | 10 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $769.60 | $962.00 | $36.13 – $312.23 | 13 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $88.81 – $133.75 | 5 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,043.55 – $2,891.38 | 10 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $520.29 – $579.09 | 7 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.14 – $18.05 | 6 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.49 – $20.70 | 10 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $5.61 – $5.78 | 3 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $3.76 – $10.35 | 8 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.80 – $3.35 | 10 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $6.70 | $8.37 | $0.79 – $2.30 | 13 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $4.29 – $4.84 | 8 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.07 – $0.07 | 4 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.06 – $0.08 | 6 |
| Inj daptomycin (xellia) HCPCS J0873 | $0.55 | $0.68 | $0.01 – $0.04 | 13 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.99 – $3.58 | 8 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.78 – $2.06 | 6 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,200,000.00 – $3,490,800.50 | 7 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $28.09 – $28.91 | 6 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.25 – $0.25 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $828.00 | $1,035.00 | $130.16 – $346.81 | 11 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $53.52 – $55.09 | 6 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $6.56 | $8.20 | $2.13 – $5.16 | 13 |
| Inj dupuytren cord w/enzyme CPT 20527 | $416.00 | $520.00 | $58.93 – $261.43 | 13 |
| Inj, durolane 1 mg HCPCS J7318 | $16.00 | $20.00 | $5.20 – $756.70 | 11 |
| Inj dx for sinogram CPT 20501 | $344.68 | $430.84 | $32.85 – $249.03 | 13 |
| Inject for sacroiliac joint HCPCS G0259 | $1,323.20 | $1,654.00 | $230.40 – $1,692.77 | 4 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,044.80 | $1,306.00 | $75.01 – $613.31 | 13 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,072.00 | $1,340.00 | $61.25 – $382.82 | 13 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $48.74 – $63.55 | 10 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $396.75 – $576.55 | 10 |
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.