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 |
|---|---|---|---|---|
| Ligation upper jaw artery CPT 30920 | $2,101.60 | $2,627.00 | $683.02 – $2,787.49 | 13 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $1,728.00 | $2,160.00 | $218.54 – $2,787.49 | 13 |
| Lig/band angioaccess av fistula CPT 37607 | $6,883.19 | $8,603.98 | $297.44 – $4,973.10 | 15 |
| Lig&div&compl strpg saph vn CPT 37735 | $2,827.20 | $3,534.00 | $459.42 – $2,787.49 | 13 |
| Liletta, 52 mg HCPCS J7297 | $1,477.23 | $1,846.53 | $58.93 – $931.73 | 10 |
| Limb exercise test CPT 95875 | $290.40 | $363.00 | $43.16 – $139.91 | 13 |
| Limb nerve surgery add-on CPT 64783 | $536.80 | $671.00 | $174.46 – $503.37 | 11 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $26.72 – $67.99 | 10 |
| Limited autopsy CPT 88036 | not published | not published | $93.94 – $601.77 | 6 |
| Limited autopsy CPT 88037 | not published | not published | $83.47 – $487.86 | 6 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $69.62 – $177.18 | 10 |
| Limited visual field xm CPT 92081 | $79.20 | $99.00 | $12.74 – $52.60 | 13 |
| Lincomycin injection HCPCS J2010 | $10.40 | $13.00 | $3.38 – $15.46 | 8 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $44.56 | $55.69 | $0.84 – $3.47 | 10 |
| Lipase CPT 83690 | $33.57 | $41.96 | $4.13 – $27.27 | 13 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $1,204.80 | $1,506.00 | $317.76 – $2,872.13 | 13 |
| Lipoprotein blood high res frac & quant CPT 83701 | $86.42 | $108.02 | $20.32 – $70.21 | 13 |
| Lipoprotein blood quant CPT 83704 | $86.42 | $108.02 | $20.51 – $70.21 | 13 |
| Lipoprotein direct measurement hdl CPT 83718 | $33.57 | $41.96 | $4.91 – $27.27 | 13 |
| Lipoprotein direct measurement ldl CPT 83721 | $33.57 | $41.96 | $6.30 – $27.27 | 13 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $20.51 – $49.10 | 9 |
| Lip surgery procedure CPT 40799 | $480.36 | $600.45 | $156.12 – $390.29 | 14 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $496,390.21 – $622,881.01 | 9 |
| Listeria monocytogenes CPT 86723 | $33.60 | $42.00 | $7.91 – $20.52 | 10 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $96.64 – $245.92 | 10 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $38.77 – $98.66 | 10 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $302.46 – $769.68 | 10 |
| Lithium therapeutic drug level CPT 80178 | $66.43 | $83.03 | $3.97 – $53.97 | 13 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,186.57 | $2,733.21 | $108.68 – $1,579.80 | 13 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,034.53 – $2,740.74 | 10 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,227.23 – $3,278.29 | 10 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $2,970.40 | $3,713.00 | $965.38 – $2,839.85 | 11 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $756.00 | $945.00 | $176.19 – $999.76 | 10 |
| Liver elastography 91200 CPT 91200 | $80.80 | $101.00 | $9.60 – $138.56 | 13 |
| Liver Function Test CPT 80076 | $68.56 | $85.70 | $4.90 – $55.71 | 13 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,248.81 – $3,382.94 | 10 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $85.00 – $85.00 | 2 |
| Liver imaging CPT 78201 | $417.60 | $522.00 | $16.38 – $476.70 | 13 |
| Liver imaging (3d) CPT 78205 | not published | not published | $61.00 – $61.00 | 2 |
| Liver imag w/vasclr flow CPT 78202 | $446.40 | $558.00 | $18.72 – $476.70 | 13 |
| Liver/spleen imag static only CPT 78215 | $869.28 | $1,086.60 | $18.20 – $628.05 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,081.28 | $1,351.59 | $21.58 – $781.22 | 15 |
| Lmtd oph exam general anes CPT 92019 | $155.20 | $194.00 | $50.44 – $2,066.12 | 13 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $3,280.00 | $4,100.00 | $426.83 – $2,873.50 | 13 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $1,701.44 – $4,329.68 | 10 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.05 | $1.31 | $0.34 – $1.89 | 10 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $12.99 – $121.49 | 6 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $206.41 – $260.82 | 10 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $67.55 – $171.91 | 10 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $0.40 – $0.57 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $73.10 | $91.37 | $0.09 – $1.57 | 10 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $46.63 – $96.54 | 10 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $46.63 – $118.65 | 10 |
| Loudness balance test CPT 92562 | $93.60 | $117.00 | $30.42 – $275.78 | 13 |
| Low back disk surgery CPT 63030 | $4,667.20 | $5,834.00 | $758.42 – $6,326.64 | 13 |
| Low cost skin substitute app HCPCS C5271 | $1,208.58 | $1,510.72 | $392.79 – $981.97 | 12 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,818.35 – $2,731.06 | 7 |
| Low cost skin substitute app HCPCS C5275 | $1,208.58 | $1,510.72 | $392.79 – $981.97 | 12 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $608.49 – $913.91 | 7 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $564.62 | $705.77 | $30.68 – $407.94 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $842.90 | $1,053.62 | $53.04 – $608.99 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $827.51 | $1,034.38 | $46.80 – $597.87 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $685.79 | $857.23 | $41.60 – $495.48 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,789.64 | $2,237.04 | $87.88 – $1,293.01 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,200.46 | $1,500.57 | $68.64 – $867.33 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,084.23 | $1,355.28 | $56.94 – $783.35 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $254.62 | $318.27 | $9.10 – $183.96 | 15 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $254.62 | $318.27 | $11.18 – $183.96 | 15 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $254.62 | $318.27 | $12.74 – $183.96 | 15 |
| Lower jaw bone graft CPT 21215 | $10,059.20 | $12,574.00 | $728.45 – $5,239.04 | 13 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $190.96 | $238.70 | $7.02 – $137.97 | 15 |
| Low frequency non-thermal Ultrasound CPT 97610 | $728.00 | $910.00 | $16.63 – $236.60 | 11 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.00 – $112.30 | 4 |
| Lsh uterus 250 g or less CPT 58541 | $1,818.40 | $2,273.00 | $590.98 – $9,220.40 | 13 |
| Lsh uterus above 250 g CPT 58543 | $2,100.00 | $2,625.00 | $682.50 – $9,220.40 | 13 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $2,068.80 | $2,586.00 | $672.36 – $9,220.40 | 13 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $2,262.40 | $2,828.00 | $735.28 – $9,220.40 | 13 |
| Lso corset front HCPCS L0972 | not published | not published | $58.81 – $149.67 | 10 |
| Lso flex no ri stays pre ots HCPCS L0628 | $164.80 | $206.00 | $50.18 – $103.89 | 11 |
| Lso full corset HCPCS L0976 | not published | not published | $100.13 – $254.81 | 10 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $96.86 – $246.47 | 10 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $788.90 – $2,007.51 | 10 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $712.41 – $1,475.06 | 10 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $96.86 – $200.54 | 10 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $601.58 – $1,530.87 | 10 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $989.53 – $2,518.09 | 10 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $171.51 – $436.45 | 10 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $171.51 – $355.12 | 10 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $625.90 – $1,592.73 | 10 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $712.41 – $1,812.88 | 10 |
| L/s ratio fetal lung CPT 83661 | $55.20 | $69.00 | $13.19 – $34.22 | 10 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.12 – $2.83 | 10 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $35.75 – $90.99 | 10 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $43.64 – $111.06 | 10 |
| Lumbar diskogram s&i CPT 72295 | $318.40 | $398.00 | $34.06 – $1,729.42 | 13 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $44.32 – $112.80 | 10 |
| Lumbar sling HCPCS L1090 | not published | not published | $52.03 – $132.39 | 10 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $3,842.40 | $4,803.00 | $1,248.78 – $16,286.62 | 13 |
| Lumizyme injection HCPCS J0221 | $216.00 | $270.00 | $70.20 – $256.46 | 11 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $321.56 | $401.94 | $9.33 – $275.78 | 15 |
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.