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 |
|---|---|---|---|---|
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.71 – $20.80 | 7 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $779.24 – $779.24 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $385.60 | $482.00 | $50.79 – $261.43 | 13 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $148.35 – $164.80 | 4 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $0.13 – $4.65 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $64.38 – $80.32 | 10 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.47 – $0.47 | 2 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.33 – $1.74 | 7 |
| Injection during cath supravalvular aortography CPT 93567 | $553.68 | $692.09 | $32.10 – $400.03 | 13 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $19.21 – $28.36 | 10 |
| Injection epidural blood patch or clot CPT 62273 | $695.93 | $869.91 | $103.07 – $613.31 | 15 |
| Injection estrone per 1 mg HCPCS J1435 | $0.80 | $1.00 | $0.03 – $0.41 | 5 |
| Injection eye drug CPT 67028 | $616.09 | $770.11 | $81.90 – $445.12 | 15 |
| Injection, famotidine, 20 mg HCPCS S0028 | $71.44 | $89.30 | $0.90 – $52.71 | 8 |
| Injection for arthrography wrist (both sides) CPT 25246 | $910.40 | $1,138.00 | $65.66 – $382.82 | 13 |
| Injection for bladder x-ray CPT 51600 | $625.64 | $782.05 | $39.10 – $452.02 | 13 |
| Injection for hip x-ray CPT 27095 | $1,432.00 | $1,790.00 | $73.04 – $407.67 | 13 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $752.00 | $940.00 | $45.05 – $251.44 | 13 |
| Injection for spleen x-ray CPT 38200 | $341.60 | $427.00 | $111.02 – $313.07 | 11 |
| Injection for tear sac x-ray CPT 68850 | $392.00 | $490.00 | $46.85 – $124.47 | 11 |
| Injection for ureter x-ray CPT 50684 | $576.00 | $720.00 | $45.85 – $122.59 | 11 |
| Injection for ureter x-ray CPT 50690 | $410.28 | $512.84 | $63.66 – $296.42 | 13 |
| Injection, fosphenytoin sodi HCPCS S0078 | $146.00 | $182.50 | $26.50 – $118.63 | 10 |
| Injection, fulvestrant HCPCS J9395 | $119.20 | $149.00 | $6.90 – $122.27 | 11 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $57.50 – $1,965.92 | 9 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $411.74 – $411.74 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $19.52 | $24.40 | $6.34 – $15.35 | 13 |
| Injection into brain canal CPT 61026 | $261.60 | $327.00 | $85.02 – $613.31 | 13 |
| Injection into brain canal CPT 61055 | $682.29 | $852.86 | $98.80 – $492.95 | 15 |
| Injection into hemorrhoid(s) CPT 46500 | $731.20 | $914.00 | $166.00 – $807.43 | 13 |
| Injection into spinal artery CPT 62294 | $2,231.20 | $2,789.00 | $725.14 – $2,199.58 | 13 |
| Injection into vocal cord CPT 31513 | $323.20 | $404.00 | $105.04 – $343.90 | 13 |
| Injection intraop add-on CPT 48400 | not published | not published | $92.03 – $245.68 | 10 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.95 – $1.06 | 8 |
| Injection jaw joint x-ray CPT 21116 | $964.80 | $1,206.00 | $40.23 – $156.78 | 11 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.18 – $1.99 | 6 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $7.46 | 10 |
| Injection of HIV prep drug HCPCS G0012 | $33.60 | $42.00 | $10.92 – $106.26 | 13 |
| Injection of sinus tract CPT 20500 | $282.40 | $353.00 | $82.16 – $1,311.86 | 13 |
| Injection,onabotulinumtoxina HCPCS J0585 | $9.60 | $12.00 | $3.12 – $8.23 | 11 |
| Injection, pentamidine iseth HCPCS S0080 | $226.32 | $282.90 | $73.55 – $183.89 | 10 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.58 – $1.78 | 8 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $2.09 – $3.12 | 4 |
| Injection px peyronie ds CPT 54200 | $275.20 | $344.00 | $80.06 – $215.39 | 13 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $408.00 | $510.00 | $28.85 – $355.87 | 15 |
| Injection, renflexis HCPCS Q5104 | $121.95 | $152.43 | $5.04 – $27.85 | 13 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.28 – $43.56 | 10 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,713.48 | $3,391.84 | $92.82 – $1,102.35 | 15 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,286.31 | $1,607.88 | $57.96 – $929.35 | 15 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $420.78 | $525.97 | $37.70 – $613.31 | 15 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,164.80 | $1,456.00 | $101.33 – $788.46 | 15 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $475.20 | $594.00 | $53.91 – $143.44 | 11 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,415.32 | $1,769.14 | $95.94 – $1,022.56 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,065.11 | $1,331.38 | $46.23 – $384.77 | 13 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,845.22 | $3,556.52 | $82.54 – $1,027.83 | 15 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $637.60 | $797.00 | $97.63 – $613.31 | 13 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $629.60 | $787.00 | $90.27 – $613.31 | 15 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $119.87 – $193.63 | 10 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $393.99 | $492.48 | $35.19 – $284.65 | 15 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $513.56 | $641.95 | $33.02 – $371.05 | 15 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $158.40 | $198.00 | $37.55 – $261.43 | 13 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $115.72 | $144.65 | $5.88 – $94.02 | 10 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $16.00 – $24.88 | 4 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $4.00 | $5.00 | $1.30 – $3.57 | 4 |
| Injection treatment of eye CPT 66020 | $955.20 | $1,194.00 | $118.46 – $2,019.86 | 13 |
| Injection treatment of eye CPT 66030 | $852.80 | $1,066.00 | $100.23 – $2,019.86 | 13 |
| Injection treatment of nerve CPT 64605 | $3,219.20 | $4,024.00 | $365.75 – $1,729.42 | 13 |
| Injection treatment of nerve CPT 64610 | $3,731.20 | $4,664.00 | $418.25 – $1,729.42 | 13 |
| Injection treatment of nerve CPT 64681 | $1,368.00 | $1,710.00 | $201.28 – $788.46 | 13 |
| Injection treatment of nose CPT 30200 | $273.60 | $342.00 | $54.47 – $451.01 | 13 |
| Inject sacroiliac joint CPT 27096 | $801.60 | $1,002.00 | $75.78 – $201.32 | 11 |
| Inject/treat eye socket CPT 67500 | $366.40 | $458.00 | $58.84 – $264.74 | 13 |
| Inject/treat eye socket CPT 67505 | $414.40 | $518.00 | $65.04 – $264.74 | 13 |
| Inject/treat eye socket CPT 67515 | $342.40 | $428.00 | $42.42 – $264.74 | 13 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.98 – $32.92 | 6 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $39.14 – $43.56 | 7 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $51.22 | $64.02 | $16.65 – $40.27 | 13 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.54 – $38.58 | 10 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $366.67 – $488.35 | 10 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.98 – $66.04 | 10 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $406.40 | $508.00 | $88.79 – $613.31 | 13 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $461.96 | $577.45 | $71.11 – $788.46 | 15 |
| Inj, epinephrine (belcher) HCPCS J0173 | $10.76 | $13.45 | $1.14 – $5.41 | 10 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.02 – $1.48 | 6 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $16.65 – $18.01 | 7 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $3.36 – $4.13 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $183.31 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $179.14 – $232.88 | 10 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $15.06 – $21.43 | 10 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,200,000.00 – $2,448,600.00 | 7 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $8.99 – $11.85 | 10 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $34.72 – $46.92 | 10 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $62.05 – $106.71 | 2 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $19.33 – $24.94 | 10 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $115.40 – $171.37 | 10 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.03 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.10 – $1.43 | 10 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.15 – $9.81 | 9 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.93 – $3.30 | 8 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $139.13 – $241.51 | 6 |
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.