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 |
|---|---|---|---|---|
| Lat retinacular release open CPT 27425 | $2,209.60 | $2,762.00 | $359.06 – $2,873.50 | 13 |
| Lavage cannulation maxillary sinus CPT 31000 | $888.00 | $1,110.00 | $100.25 – $267.73 | 13 |
| Lavh >250 gms 58553 CPT 58553 | $2,820.80 | $3,526.00 | $916.76 – $9,220.40 | 13 |
| Lb with mastopexy 15839 CPT 15839 | $2,174.40 | $2,718.00 | $664.08 – $2,534.69 | 13 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $3,151.89 | $3,939.86 | $1,024.36 – $2,560.91 | 7 |
| Lead capillary CPT 83655 | $32.15 | $40.18 | $7.27 – $26.12 | 13 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $999.06 | $1,248.82 | $324.69 – $811.73 | 7 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $204.57 – $520.57 | 10 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $7,808.51 | $9,760.63 | $2,537.76 – $6,344.41 | 7 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,208.79 – $5,239.04 | 12 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,240.61 – $5,239.04 | 12 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,544.36 – $4,110.39 | 10 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,278.96 – $5,239.04 | 12 |
| Lefort ii anterior intrusion CPT 21150 | $4,098.40 | $5,123.00 | $1,331.98 – $5,239.04 | 13 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $5.60 | $7.00 | $1.22 – $3.11 | 11 |
| Left compres band <3"/yd HCPCS A6448 | $4.00 | $5.00 | $0.80 – $2.04 | 11 |
| Left compres band >=5"/yd HCPCS A6450 | $10.40 | $13.00 | $1.22 – $3.38 | 11 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $589.60 | $737.00 | $33.85 – $277.31 | 15 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $758.16 | $947.69 | $44.46 – $547.76 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $683.83 | $854.78 | $41.60 – $494.06 | 15 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,004.74 – $2,556.76 | 10 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $869.92 – $2,213.69 | 10 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $699.16 – $1,779.15 | 10 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $910.54 – $2,317.07 | 10 |
| Legion pneumo dna dir prob CPT 87540 | $50.40 | $63.00 | $12.03 – $31.19 | 10 |
| Legion pneumo dna quant CPT 87542 | $104.80 | $131.00 | $25.06 – $64.96 | 10 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $939.37 – $2,390.43 | 10 |
| Leg vein fusion 34530 CPT 34530 | $4,569.60 | $5,712.00 | $742.56 – $2,787.49 | 13 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $416.80 | $521.00 | $24.96 – $277.31 | 15 |
| Leishmania antibody CPT 86717 | $48.57 | $60.71 | $7.35 – $39.46 | 13 |
| Lengthening of hand tendon CPT 26478 | $1,560.80 | $1,951.00 | $507.26 – $2,873.50 | 13 |
| Lengthening of palate CPT 42227 | $2,042.40 | $2,553.00 | $663.78 – $5,239.04 | 13 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $2,182.40 | $2,728.00 | $709.28 – $5,239.04 | 13 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,060.76 – $2,822.20 | 10 |
| Lengthening of thigh tendon CPT 27393 | $2,502.40 | $3,128.00 | $406.64 – $6,326.64 | 13 |
| Lengthening of thigh tendons CPT 27394 | $1,608.00 | $2,010.00 | $522.60 – $6,326.64 | 13 |
| Lengthening of thigh tendons CPT 27395 | $2,164.00 | $2,705.00 | $703.30 – $2,873.50 | 13 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $960.80 – $2,556.83 | 10 |
| Lengthen metacarpal/finger CPT 26568 | $2,229.60 | $2,787.00 | $724.62 – $6,326.64 | 13 |
| Lengthen radius or ulna CPT 25391 | $4,900.80 | $6,126.00 | $796.38 – $11,395.13 | 13 |
| Lengthen radius & ulna CPT 25393 | $5,558.40 | $6,948.00 | $903.24 – $6,326.64 | 13 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | not published | not published | $415.70 – $557.13 | 4 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | not published | $71.27 – $272.06 | 10 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $71.27 – $272.06 | 10 |
| Lepirudin HCPCS J1945 | not published | not published | $183.90 – $793.54 | 4 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $9.60 | $12.00 | $3.12 – $5.81 | 8 |
| Leukacyte transfusion CPT 86950 | $89.60 | $112.00 | $29.12 – $175.35 | 12 |
| Leukocyte phagocytosis CPT 86344 | $23.20 | $29.00 | $6.23 – $14.54 | 10 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,259.20 | $1,574.00 | $158.53 – $409.24 | 11 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $1,714.40 | $2,143.00 | $557.18 – $2,033.99 | 11 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,684.00 – $7,361.90 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | $48.00 | $60.00 | $4.65 – $58.82 | 7 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $461.86 | 10 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.38 – $81.93 | 10 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $74.45 – $125.51 | 9 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $98.00 – $165.21 | 9 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $165.24 – $278.57 | 9 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $252.89 – $426.32 | 9 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $357.69 – $603.01 | 9 |
| Levalbuterol comp unit HCPCS J7615 | $2.40 | $3.00 | $0.05 – $2.45 | 5 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.22 – $0.40 | 7 |
| Levalbuterol non-comp unit HCPCS J7614 | $1.60 | $2.00 | $0.05 – $0.71 | 10 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $1.60 | $1.99 | $0.02 – $0.06 | 10 |
| Levetiracetam therapeutic drug level CPT 80177 | $66.43 | $83.03 | $7.95 – $53.97 | 13 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $71.37 | $89.21 | $0.25 – $1.03 | 10 |
| Levonorgestrel implant sys HCPCS J7306 | $933.60 | $1,167.00 | $303.42 – $1,194.94 | 5 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $24.64 | $30.79 | $5.67 – $13.72 | 10 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $7,023.30 | $8,779.12 | $0.03 – $5,074.33 | 15 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.04 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $7.09 | $8.86 | $0.01 – $0.01 | 9 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.04 | $0.05 | $0.01 – $0.03 | 12 |
| Lidocaine therapeutic drug level CPT 80176 | $66.43 | $83.03 | $8.81 – $53.97 | 13 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $118.47 – $301.47 | 10 |
| Lift heel adj small gl60404sm HCPCS L3332 | $177.60 | $222.00 | $44.11 – $112.26 | 11 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $22.81 – $58.05 | 10 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $338.51 – $861.41 | 10 |
| Ligate esophagus veins CPT 43400 | $3,728.00 | $4,660.00 | $1,211.60 – $3,549.44 | 11 |
| Ligate leg veins open CPT 37761 | $2,646.40 | $3,308.00 | $430.04 – $2,787.49 | 13 |
| Ligate leg veins radical 37760 CPT 37760 | $3,043.20 | $3,804.00 | $494.52 – $2,787.49 | 13 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $192.80 | $241.00 | $62.66 – $179.70 | 11 |
| Ligate/staple esophagus CPT 43405 | $3,550.40 | $4,438.00 | $1,153.88 – $3,378.06 | 11 |
| Ligate/strip long leg vein CPT 37722 | $2,300.80 | $2,876.00 | $373.88 – $2,787.49 | 13 |
| Ligate/strip short leg vein CPT 37718 | $2,052.80 | $2,566.00 | $333.58 – $2,787.49 | 13 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $919.20 | $1,149.00 | $298.74 – $2,815.86 | 13 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,521.60 | $1,902.00 | $179.29 – $1,434.92 | 13 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,146.33 – $3,056.51 | 10 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $1,193.60 | $1,492.00 | $193.96 – $2,787.49 | 13 |
| Ligation external carotid artery 37600 CPT 37600 | $1,824.00 | $2,280.00 | $592.80 – $2,787.49 | 13 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,796.00 | $2,245.00 | $583.70 – $2,787.49 | 13 |
| Ligation internal jugular vein 37565 CPT 37565 | $3,564.80 | $4,456.00 | $579.28 – $2,787.49 | 13 |
| Ligation major artery chest CPT 37616 | $2,701.60 | $3,377.00 | $878.02 – $2,613.99 | 11 |
| Ligation/major artery/extremity 37618 CPT 37618 | $948.80 | $1,186.00 | $308.36 – $917.83 | 11 |
| Ligation major artery neck CPT 37615 | $1,288.80 | $1,611.00 | $418.86 – $2,787.49 | 13 |
| Ligation nasal sinus artery CPT 30915 | $1,448.80 | $1,811.00 | $470.86 – $2,787.49 | 13 |
| Ligation of abdomen artery 37617 CPT 37617 | $3,266.40 | $4,083.00 | $1,061.58 – $3,077.42 | 11 |
| Ligation of femoral vein CPT 37650 | $2,232.00 | $2,790.00 | $362.70 – $2,787.49 | 13 |
| Ligation of inf vena cava CPT 37619 | $4,990.57 | $6,238.21 | $1,373.58 – $4,787.41 | 15 |
| Ligation of neck artery CPT 37606 | $1,693.60 | $2,117.00 | $550.42 – $2,787.49 | 13 |
| Ligation of salivary duct CPT 42665 | $844.80 | $1,056.00 | $198.33 – $2,872.13 | 13 |
| Ligation of shunt CPT 49428 | $1,056.80 | $1,321.00 | $343.46 – $1,009.76 | 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.