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 |
|---|---|---|---|---|
| Intestinal stricturoplasty CPT 44615 | $2,645.60 | $3,307.00 | $859.82 – $2,508.41 | 11 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $5,691.70 – $6,851.51 | 4 |
| Int hrhc lig 1 hroid without img CPT 46945 | $824.80 | $1,031.00 | $268.06 – $2,428.72 | 13 |
| Int hrhc lig 2+hroid without img CPT 46946 | $932.00 | $1,165.00 | $302.90 – $2,428.72 | 13 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $788.32 – $2,006.04 | 10 |
| Intra-atrial pacing CPT 93610 | $798.78 | $998.47 | $55.84 – $6,720.19 | 15 |
| Intra-atrial recording CPT 93602 | $1,198.18 | $1,497.72 | $45.51 – $6,720.19 | 15 |
| Intracard echo interv w/s&i CPT 93662 | $2,075.12 | $2,593.90 | $64.30 – $1,499.27 | 13 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,289.61 – $3,420.65 | 10 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,179.13 – $3,146.88 | 10 |
| Intracranial complete study CPT 93886 | $588.00 | $735.00 | $36.14 – $214.07 | 13 |
| Intracranial limited study CPT 93888 | $353.60 | $442.00 | $21.32 – $94.18 | 13 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,933.89 – $5,181.52 | 10 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,513.95 – $9,430.85 | 10 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,424.08 – $6,465.97 | 10 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,808.56 – $10,161.72 | 10 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,868.76 – $4,982.21 | 10 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,098.66 – $8,266.86 | 10 |
| Intranasal biopsy 30100 CPT 30100 | $346.40 | $433.00 | $62.16 – $1,311.86 | 13 |
| Intranasal reconstruction CPT 30620 | $1,571.20 | $1,964.00 | $510.64 – $5,239.04 | 13 |
| Intraop colon lavage add-on CPT 44701 | $416.80 | $521.00 | $135.46 – $390.64 | 11 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $4,144.80 | $5,181.00 | $297.70 – $889.54 | 11 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $317.27 – $475.91 | 7 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $392.80 | $491.00 | $97.42 – $451.01 | 13 |
| Intrapul surf admin endo tube CPT 94610 | $328.62 | $410.77 | $40.56 – $237.43 | 15 |
| Intrauterine transfusion ftl CPT 36460 | $872.00 | $1,090.00 | $283.40 – $816.20 | 13 |
| Intraventricular pacing CPT 93612 | $5,001.29 | $6,251.61 | $66.36 – $6,720.19 | 15 |
| Intrinsic factor antibody CPT 86340 | $48.57 | $60.71 | $9.05 – $39.46 | 13 |
| Intrm oph exam est patient CPT 92012 | $183.20 | $229.00 | $45.85 – $120.69 | 13 |
| Intro cath dialysis circuit CPT 36901 | $1,689.60 | $2,112.00 | $147.68 – $1,375.76 | 15 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,778.14 | $10,972.67 | $210.14 – $6,342.20 | 15 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $20,206.84 | $25,258.55 | $275.23 – $14,599.44 | 15 |
| Intro catheter aorta CPT 36200 | $2,867.20 | $3,584.00 | $119.59 – $1,122.50 | 13 |
| Intro cath svc/ivc CPT 36010 | $2,568.00 | $3,210.00 | $93.70 – $1,238.04 | 13 |
| Intro long gi tube CPT 44500 | $1,589.51 | $1,986.88 | $16.38 – $1,148.42 | 15 |
| Intro long gi tube w/mult fluo CPT 74340 | $667.60 | $834.49 | $20.80 – $482.34 | 13 |
| Intro windpipe wire/tube CPT 31730 | $2,885.60 | $3,607.00 | $130.59 – $1,527.23 | 13 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,836.80 | $3,546.00 | $76.83 – $1,038.15 | 13 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $538.09 | $672.61 | $61.35 – $388.77 | 13 |
| Intubation endotracheal emergency procedure CPT 31500 | $921.30 | $1,151.62 | $117.00 – $665.64 | 15 |
| Io anal gast n-stim init CPT 95980 | $98.40 | $123.00 | $31.98 – $102.70 | 11 |
| Io anal gast n-stim subsq CPT 95981 | $76.80 | $96.00 | $15.76 – $52.60 | 13 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $1,796.00 | $2,245.00 | $293.79 – $2,170.20 | 7 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $208.58 – $494.36 | 9 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $320.36 – $365.25 | 4 |
| Io ga n-stim subsq w/reprog CPT 95982 | $121.60 | $152.00 | $32.40 – $84.11 | 13 |
| Ionm in operatng room 15 min CPT 95940 | $130.55 | $163.18 | $23.92 – $94.32 | 13 |
| Ionm remote/>1 pt or per hr CPT 95941 | $232.00 | $290.00 | $75.40 – $289.28 | 4 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $10.59 | $13.23 | $0.24 – $1.07 | 10 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $13.44 | $16.79 | $0.14 – $0.88 | 10 |
| Io radiation tx management CPT 77469 | $593.60 | $742.00 | $192.92 – $618.58 | 11 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $6,770.13 – $11,413.29 | 9 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $6,770.13 – $11,413.29 | 10 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.39 – $0.68 | 2 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $188.80 | $236.00 | $61.36 – $224.14 | 11 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $208.80 | $261.00 | $67.86 – $260.46 | 7 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $303.20 | $379.00 | $98.54 – $378.79 | 7 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $365.60 | $457.00 | $118.82 – $456.02 | 7 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $136.00 | $170.00 | $44.20 – $169.13 | 7 |
| Ipratropium bromide comp HCPCS J7645 | $2.40 | $3.00 | $0.02 – $2.17 | 4 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.20 | $1.50 | $0.18 – $0.45 | 10 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $6.40 | $8.00 | $1.61 – $6.64 | 8 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $57.35 – $80.63 | 10 |
| Iron CPT 83540 | $33.57 | $41.96 | $3.88 – $27.27 | 13 |
| Iron binding capacity CPT 83550 | $33.57 | $41.96 | $5.24 – $27.27 | 13 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $33.72 | $42.15 | $6.24 – $24.36 | 13 |
| Iron stain peripheral blood CPT 85536 | $17.60 | $22.00 | $4.13 – $10.06 | 10 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.72 | $2.14 | $0.11 – $0.57 | 10 |
| Irradiation of blood product each unit reference CPT 86945 | $164.99 | $206.23 | $13.52 – $134.05 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $149.00 | $186.24 | $15.34 – $107.65 | 15 |
| Irrigation sphenoid sinus CPT 31002 | $936.00 | $1,170.00 | $152.10 – $1,311.86 | 13 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.12 – $5.41 | 10 |
| Irrigation tray HCPCS A4320 | not published | not published | $3.31 – $8.42 | 10 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $132.00 | $165.00 | $22.82 – $61.61 | 13 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $69.87 – $99.45 | 10 |
| Island pedicle flap graft CPT 15740 | $2,468.80 | $3,086.00 | $759.29 – $2,021.42 | 13 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $157.11 – $971.20 | 9 |
| Ivc venogram s&i CPT 75825 | $4,880.91 | $6,101.13 | $41.86 – $3,526.45 | 15 |
| IV Fluids (each additional hour) CPT 96361 | $115.72 | $144.65 | $9.62 – $83.61 | 15 |
| IV Fluids (first hour) CPT 96360 | $522.12 | $652.65 | $27.80 – $377.23 | 15 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $101.34 – $149.00 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $171.60 | $214.50 | $14.82 – $123.98 | 13 |
| IV inj ra drug dx study CPT 78808 | $731.22 | $914.02 | $26.26 – $528.30 | 15 |
| IV Medicine Infusion (additional drug) CPT 96367 | $171.60 | $214.50 | $21.58 – $123.98 | 15 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $115.72 | $144.65 | $15.34 – $83.61 | 15 |
| IV Medicine Infusion (first hour) CPT 96365 | $522.12 | $652.65 | $48.88 – $377.23 | 15 |
| IV njx tst vasc flo flap/grf CPT 15860 | $268.00 | $335.00 | $87.10 – $353.40 | 13 |
| IV Push Injection (each additional drug) CPT 96375 | $115.72 | $144.65 | $13.00 – $83.61 | 15 |
| IV Push Injection (first drug) CPT 96374 | $522.12 | $652.65 | $31.22 – $377.23 | 15 |
| Ivp w/nephrotomography CPT 74415 | $476.28 | $595.35 | $17.94 – $344.11 | 15 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $476.28 | $595.35 | $16.64 – $344.11 | 15 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $105.59 – $166.50 | 10 |
| Jak2 targeted sequence analysis CPT 81279 | $370.40 | $463.00 | $57.78 – $227.47 | 13 |
| Jaw arthroscopy/surgery CPT 29800 | $2,595.20 | $3,244.00 | $421.72 – $2,873.50 | 13 |
| Jaw arthroscopy/surgery CPT 29804 | $3,110.40 | $3,888.00 | $505.44 – $2,873.50 | 13 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $216.54 | $270.67 | $8.58 – $156.45 | 15 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $254.62 | $318.27 | $9.88 – $183.96 | 15 |
| Jejunstmy tube plcmt CPT 44372 | $604.80 | $756.00 | $196.56 – $1,680.02 | 13 |
| John cunningham antibody CPT 86711 | $48.57 | $60.71 | $10.13 – $39.46 | 13 |
| J-tube placement CPT 44015 | $348.80 | $436.00 | $113.36 – $326.40 | 11 |
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.