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 |
|---|---|---|---|---|
| Lung function test (mbc/mvv) CPT 94200 | $110.99 | $138.73 | $2.36 – $80.19 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $182.10 | $227.62 | $6.24 – $138.56 | 15 |
| Lung perfusion imaging CPT 78580 | $1,018.47 | $1,273.08 | $24.96 – $735.84 | 15 |
| Lung transplant double CPT 32853 | not published | not published | $3,934.93 – $10,485.68 | 10 |
| Lung transplant single CPT 32851 | not published | not published | $2,812.69 – $7,508.06 | 10 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,040.50 – $8,112.02 | 10 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,158.98 – $11,103.34 | 10 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,273.83 – $3,400.53 | 10 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $185.70 – $260.01 | 10 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $35.67 – $51.96 | 10 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $286.34 – $328.32 | 8 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $240.20 – $265.84 | 7 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $306.06 – $778.84 | 10 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $132.00 | $165.00 | $21.69 – $76.37 | 13 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $169.07 – $430.24 | 10 |
| Lyme dis dna dir probe CPT 87475 | $50.40 | $63.00 | $12.03 – $31.19 | 10 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $1,748.00 | $2,185.00 | $568.10 – $1,691.02 | 11 |
| Lymphatics/lymph node imaging CPT 78195 | $1,697.44 | $2,121.80 | $41.08 – $1,226.40 | 15 |
| Lymphocyte culture mixed CPT 86821 | $92.00 | $115.00 | $21.94 – $56.87 | 10 |
| Lymphocyte transformation mitogen CPT 86353 | $123.20 | $154.00 | $29.42 – $89.38 | 13 |
| Lymphocytotoxicity assay CPT 86805 | $379.20 | $474.00 | $100.51 – $265.34 | 10 |
| Lymphocytotoxicity assay CPT 86806 | $120.00 | $150.00 | $28.55 – $74.05 | 10 |
| Lymph vessel x-ray arm/leg CPT 75801 | $919.20 | $1,149.00 | $28.08 – $547.55 | 13 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,340.00 | $2,925.00 | $39.52 – $1,375.76 | 13 |
| Lymph vessel x-ray trunk CPT 75805 | $4,700.00 | $5,875.00 | $31.72 – $2,787.49 | 13 |
| Lymph vessel x-ray trunk CPT 75807 | $4,714.40 | $5,893.00 | $42.90 – $2,787.49 | 13 |
| Lysis intranasal synechia 30560 CPT 30560 | $714.40 | $893.00 | $134.81 – $451.01 | 13 |
| Lysis of labial adhesions CPT 56441 | $408.00 | $510.00 | $132.60 – $2,815.86 | 13 |
| Lysis penil circumic lesion CPT 54162 | $641.60 | $802.00 | $182.41 – $1,814.20 | 13 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $20.24 | 6 |
| Macro exam dissect molec study ea CPT 88387 | $77.60 | $97.00 | $5.98 – $18.32 | 11 |
| Macroscopic exam arthropod CPT 87168 | $38.58 | $48.22 | $2.56 – $31.34 | 13 |
| Macroscopic exam parasite CPT 87169 | $38.58 | $48.22 | $2.59 – $31.34 | 13 |
| Magnesium CPT 83735 | $33.57 | $41.96 | $4.02 – $27.27 | 13 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $69.02 | $86.27 | $0.03 – $0.50 | 10 |
| Magnetic image bone marrow CPT 77084 | $880.80 | $1,101.00 | $50.18 – $214.07 | 13 |
| Makena, 10 mg HCPCS J1726 | $35.20 | $44.00 | $11.44 – $31.03 | 6 |
| Malaria antibody CPT 86750 | $48.57 | $60.71 | $7.91 – $39.46 | 13 |
| Male sling procedure CPT 53440 | $1,900.80 | $2,376.00 | $617.76 – $11,506.37 | 13 |
| Management of liver hemorrhage 47361 CPT 47361 | $7,440.00 | $9,300.00 | $2,418.00 – $7,002.47 | 11 |
| Manipulate finger w/anesth CPT 26340 | $1,675.20 | $2,094.00 | $272.22 – $1,417.36 | 13 |
| Manipulate wrist w/anesthes CPT 25259 | $2,084.80 | $2,606.00 | $338.78 – $1,417.36 | 13 |
| Manipulation of hip joint CPT 27275 | $449.60 | $562.00 | $146.12 – $1,417.36 | 13 |
| Manipulation of spine CPT 22505 | $320.80 | $401.00 | $104.26 – $1,417.36 | 13 |
| Manipulat palm cord post inj CPT 26341 | $521.60 | $652.00 | $70.78 – $212.45 | 13 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $4.80 | $6.00 | $1.56 – $4.37 | 8 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.90 – $6.78 | 5 |
| Man's shoe oxford brace HCPCS L3225 | $188.80 | $236.00 | $47.00 – $119.60 | 11 |
| Manual diff wbc count b-coat CPT 85009 | $11.20 | $14.00 | $3.04 – $7.09 | 10 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $584.80 | $731.00 | $63.96 – $254.18 | 11 |
| Mapping io sentinel lymph node CPT 38900 | $676.80 | $846.00 | $109.98 – $319.54 | 11 |
| Map tachycard site(s) CPT 93609 | $5,064.32 | $6,330.39 | $112.11 – $3,658.97 | 13 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $38.22 – $61.17 | 10 |
| Marker biop eviva buckle ss HCPCS A4648 | $209.60 | $262.00 | $68.12 – $268.10 | 3 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,137.96 – $11,948.90 | 7 |
| Marsupialization liver lesion 47300 CPT 47300 | $2,771.20 | $3,464.00 | $900.64 – $2,662.38 | 11 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $68.19 – $440.78 | 6 |
| Mastectomy form HCPCS L8020 | not published | not published | $142.64 – $363.00 | 10 |
| Mastectomy partial CPT 19301 | $3,208.00 | $4,010.00 | $521.30 – $3,391.30 | 13 |
| Mast mod rad CPT 19307 | $5,886.40 | $7,358.00 | $956.54 – $5,775.54 | 13 |
| Mastoidectomy CPT 69501 | $3,524.80 | $4,406.00 | $572.78 – $5,239.04 | 13 |
| Mastoidectomy complete 69502 CPT 69502 | $4,686.40 | $5,858.00 | $761.54 – $5,239.04 | 13 |
| Mastoids complete CPT 70130 | $272.83 | $341.03 | $11.70 – $197.12 | 15 |
| Mastoid surgery revision CPT 69603 | $6,180.80 | $7,726.00 | $1,004.38 – $5,239.04 | 13 |
| Mastopexy CPT 19316 | $3,820.80 | $4,776.00 | $620.88 – $5,775.54 | 13 |
| Mast radical CPT 19305 | $5,561.60 | $6,952.00 | $903.76 – $2,701.20 | 11 |
| Mast rad urban type CPT 19306 | $5,900.80 | $7,376.00 | $958.88 – $2,867.88 | 11 |
| Mast simple complete CPT 19303 | $4,684.80 | $5,856.00 | $761.28 – $5,775.54 | 13 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $86.35 – $145.86 | 6 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,200.00 – $2,266.00 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.98 – $24.12 | 6 |
| M.avium-intra dna amp prob CPT 87561 | $88.80 | $111.00 | $21.05 – $54.59 | 10 |
| M.avium-intra dna dir prob CPT 87560 | $58.40 | $73.00 | $16.37 – $38.20 | 10 |
| M.avium-intra dna quant CPT 87562 | $108.00 | $135.00 | $25.70 – $66.65 | 10 |
| Maxillofacial fixation CPT 21100 | $2,070.40 | $2,588.00 | $330.79 – $5,239.04 | 13 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $64.28 | $80.35 | $8.68 – $52.23 | 13 |
| Mayo aathr protein s free CPT 85306 | $39.20 | $49.00 | $9.19 – $26.69 | 13 |
| Mayo activated protein c resistance assay CPT 85307 | $39.20 | $49.00 | $9.19 – $27.27 | 13 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $77.60 | $97.00 | $21.59 – $53.97 | 13 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $72.14 | $90.17 | $4.94 – $58.61 | 9 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $126.43 | $158.03 | $11.70 – $102.72 | 10 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $64.28 | $80.35 | $8.87 – $52.23 | 13 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Mayo alpha 1 antitrypsin CPT 82103 | $64.28 | $80.35 | $8.06 – $52.23 | 13 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $66.43 | $83.03 | $9.05 – $53.97 | 13 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $72.14 | $90.17 | $4.94 – $58.61 | 9 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $265.60 | $332.00 | $41.55 – $189.21 | 13 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $206.40 | $258.00 | $41.55 – $142.59 | 13 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $153.56 | $191.95 | $49.91 – $191.82 | 13 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,320.00 | $2,900.00 | $361.92 – $1,624.11 | 13 |
| Mayo androstenedione CPT 82157 | $73.60 | $92.00 | $17.57 – $45.55 | 13 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $64.28 | $80.35 | $8.76 – $52.23 | 13 |
| Mayo antithrombin iii antigen CPT 85301 | $32.85 | $41.06 | $6.49 – $26.69 | 13 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $48.57 | $60.71 | $9.03 – $39.46 | 13 |
| Mayo avwpr vw factor activity CPT 85397 | $95.72 | $119.64 | $18.52 – $77.77 | 13 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $70.40 | $88.00 | $21.05 – $54.55 | 13 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $48.57 | $60.71 | $6.11 – $39.46 | 13 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $325.60 | $407.00 | $49.91 – $225.32 | 13 |
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.