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 |
|---|---|---|---|---|
| Apply of finger splint 29131 CPT 29131 | $254.40 | $318.00 | $31.38 – $82.97 | 13 |
| Apply rem fixation device CPT 20660 | $580.00 | $725.00 | $188.50 – $1,417.36 | 13 |
| Apply rigid leg cast 29445 CPT 29445 | $646.40 | $808.00 | $89.47 – $239.24 | 13 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $1,413.50 – $3,777.97 | 10 |
| Apply short leg castambul type 29425 CPT 29425 | $374.40 | $468.00 | $49.50 – $253.79 | 15 |
| Apply srs headframe add-on CPT 61800 | $719.20 | $899.00 | $126.54 – $339.86 | 11 |
| Apply surf ldr radionuclide CPT 77789 | $243.20 | $304.00 | $36.66 – $117.62 | 13 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | $64.00 | $80.00 | $20.80 – $52.87 | 11 |
| App mltpln uni xtrnl fix 1st CPT 20696 | $2,937.60 | $3,672.00 | $954.72 – $16,286.62 | 13 |
| App mltpln uni xtrnl fix xch CPT 20697 | $4,927.20 | $6,159.00 | $1,417.36 – $4,205.55 | 13 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,818.35 – $2,731.06 | 7 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,818.35 – $2,731.06 | 7 |
| App topical fluoride varnish CPT 99188 | $27.20 | $34.00 | $8.84 – $26.84 | 6 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.71 – $2.79 | 10 |
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $2.65 – $3.83 | 4 |
| #aptt mix-1:1 incubated CPT 87532 | $88.80 | $111.00 | $21.05 – $54.59 | 13 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $76.00 | $95.00 | $7.23 – $39.62 | 13 |
| Aqmbf pet rest & rx stress CPT 78434 | not published | not published | $26.88 – $56.51 | 10 |
| Aquaporin-4 antibody cba each CPT 86052 | $48.57 | $60.71 | $7.23 – $39.46 | 13 |
| Aquaporin-4 antibody elisa CPT 86051 | $48.57 | $60.71 | $6.92 – $39.46 | 13 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $98.90 | $123.62 | $22.62 – $71.45 | 13 |
| Aquatic exercise - group charge CPT 97150 | $90.52 | $113.14 | $10.92 – $65.39 | 13 |
| Aqueous shunt eye w/graft CPT 66180 | $5,656.00 | $7,070.00 | $919.10 – $4,569.55 | 13 |
| Aqueous shunt eye without graft CPT 66179 | $5,356.80 | $6,696.00 | $870.48 – $4,569.55 | 13 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $18.03 – $1,575.00 | 5 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $24.34 – $61.93 | 10 |
| Arch supp att to shoe metata HCPCS L3080 | $76.80 | $96.00 | $19.02 – $48.39 | 11 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $19.02 – $48.39 | 10 |
| Arformoterol non-comp unit HCPCS J7605 | $3.08 | $3.84 | $0.69 – $2.42 | 10 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $0.59 – $4.08 | 5 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $1.34 – $4.02 | 5 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $0.85 – $3.50 | 4 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $0.59 – $3.96 | 9 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.34 – $2.28 | 9 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $0.75 – $0.95 | 8 |
| Ar gene charac alleles CPT 81204 | $153.56 | $191.95 | $49.91 – $191.82 | 13 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $180.81 – $421.92 | 9 |
| Ar gene known famil variant CPT 81174 | not published | not published | $111.12 – $259.30 | 9 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $4.00 | $5.00 | $1.30 – $4.04 | 11 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.41 – $0.91 | 4 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $848.72 | $1,060.90 | $44.46 – $613.20 | 15 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $683.83 | $854.78 | $38.48 – $494.06 | 15 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $247.20 | $308.99 | $18.20 – $178.60 | 15 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $4.79 – $78.98 | 10 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $148.83 – $574.75 | 6 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $228.87 – $2,853.10 | 6 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | $9,028.80 | $11,286.00 | $1,467.18 – $4,216.10 | 11 |
| Art byp aortofemoral 35647 CPT 35647 | $7,550.40 | $9,438.00 | $1,226.94 – $3,526.38 | 11 |
| Art byp aortoiliac 35637 CPT 35637 | $4,039.20 | $5,049.00 | $1,312.74 – $3,770.13 | 11 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | $7,764.80 | $9,706.00 | $1,261.78 – $3,625.68 | 11 |
| Art bypass aortobifemoral 35646 CPT 35646 | $4,188.00 | $5,235.00 | $1,361.10 – $3,877.35 | 11 |
| Art bypass aortobi-iliac 35638 CPT 35638 | $4,256.00 | $5,320.00 | $1,383.20 – $3,944.60 | 11 |
| Art bypass axillary-femoral 35621 CPT 35621 | $5,352.00 | $6,690.00 | $869.70 – $2,496.06 | 11 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | $3,342.40 | $4,178.00 | $1,086.28 – $3,102.20 | 11 |
| Art bypass carotid-subclavian 35606 CPT 35606 | $5,724.80 | $7,156.00 | $930.28 – $2,678.38 | 11 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,196.80 – $3,185.57 | 10 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | $6,216.00 | $7,770.00 | $1,010.10 – $2,933.44 | 11 |
| Art bypass femoral-femoral 35661 CPT 35661 | $5,291.20 | $6,614.00 | $859.82 – $2,466.36 | 11 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $5,273.60 | $6,592.00 | $856.96 – $2,441.13 | 11 |
| Art bypass iliofemoral 35665 CPT 35665 | $5,729.60 | $7,162.00 | $931.06 – $2,675.57 | 11 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $891.64 – $2,383.57 | 10 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $870.13 – $2,325.88 | 10 |
| Art byp grft aor/carot/innom CPT 35526 | not published | not published | $1,486.37 – $3,967.13 | 10 |
| Art byp grft aorcel/aormesen CPT 35531 | $9,489.60 | $11,862.00 | $1,542.06 – $4,429.93 | 11 |
| Art byp grft aortbifemoral 35540 CPT 35540 | $11,902.40 | $14,878.00 | $1,934.14 – $5,544.99 | 11 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $1,982.89 – $5,302.62 | 10 |
| Art byp grft aortofemoral CPT 35539 | not published | not published | $1,860.81 – $4,977.12 | 10 |
| Art byp grft aortoiliac CPT 35537 | not published | not published | $1,769.92 – $4,734.49 | 10 |
| Art byp grft aortorenal CPT 35560 | $8,297.60 | $10,372.00 | $1,348.36 – $3,875.39 | 11 |
| Art byp grft axillary-axilry CPT 35518 | not published | not published | $972.39 – $2,597.82 | 10 |
| Art byp grft axill-brachial CPT 35522 | not published | not published | $995.51 – $2,661.02 | 10 |
| Art byp grft axill/fem/fem CPT 35533 | not published | not published | $1,281.71 – $3,427.99 | 10 |
| Art byp grft axill-femoral CPT 35521 | $5,971.20 | $7,464.00 | $970.32 – $2,796.39 | 11 |
| Art byp grft brachial-brchl CPT 35525 | $5,540.80 | $6,926.00 | $900.38 – $2,579.88 | 11 |
| Art byp grft brchl-ulnr-rdl CPT 35523 | not published | not published | $1,047.59 – $2,800.33 | 10 |
| Art byp grft carotid-brchial CPT 35510 | not published | not published | $1,045.96 – $2,797.15 | 10 |
| Art byp grft carotid-vertbrl CPT 35508 | not published | not published | $1,132.56 – $3,025.51 | 10 |
| Art byp grft contral carotid CPT 35509 | not published | not published | $1,200.21 – $3,208.57 | 10 |
| Art byp grft fem-femoral 35558 CPT 35558 | $6,004.80 | $7,506.00 | $975.78 – $2,823.68 | 11 |
| Art byp grft fem-popliteal 35556 CPT 35556 | $6,835.20 | $8,544.00 | $1,110.72 – $3,168.74 | 11 |
| Art byp grft hepatorenal CPT 35535 | not published | not published | $1,616.71 – $4,323.87 | 10 |
| Art byp grft ilioiliac CPT 35563 | not published | not published | $1,127.32 – $3,013.45 | 10 |
| Art byp grft ipsilat carotid CPT 35501 | not published | not published | $1,239.94 – $3,316.74 | 10 |
| Art byp grft splenorenal CPT 35536 | not published | not published | $1,437.01 – $3,841.81 | 10 |
| Art byp grft subclav-axilary CPT 35516 | not published | not published | $1,038.22 – $2,775.61 | 10 |
| Art byp grft subclav-brchial CPT 35512 | $5,868.80 | $7,336.00 | $953.68 – $2,742.67 | 11 |
| Art byp grft subclav-carotid CPT 35506 | not published | not published | $1,084.05 – $2,896.95 | 10 |
| Art byp grft subclav-subclav CPT 35511 | not published | not published | $953.41 – $2,548.88 | 10 |
| Art byp grft subclav-vertbrl CPT 35515 | not published | not published | $1,132.56 – $3,025.51 | 10 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,038.17 – $2,775.05 | 10 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | $6,467.20 | $8,084.00 | $1,050.92 – $3,010.11 | 11 |
| Art byp tibial-tib/peroneal CPT 35570 | not published | not published | $1,253.84 – $3,352.86 | 10 |
| Arterial blood draw/perc 36620 CPT 36620 | $334.56 | $418.20 | $37.18 – $241.72 | 13 |
| Artery by graft; iliofemoral 35565 CPT 35565 | $6,387.20 | $7,984.00 | $1,037.92 – $2,988.54 | 11 |
| Artery to vein shunt CPT 36835 | $1,171.20 | $1,464.00 | $380.64 – $2,787.49 | 13 |
| Artery transpose/endovas taa CPT 33889 | $3,854.40 | $4,818.00 | $626.34 – $1,804.23 | 11 |
| Artery-vein nonautograft CPT 36830 | $1,629.60 | $2,037.00 | $529.62 – $4,787.41 | 13 |
| Artery xray each vessel 7577426 CPT 75774 | $2,298.27 | $2,872.83 | $27.30 – $1,660.50 | 13 |
| Artery xray of abdomen 75726-26 CPT 75726 | $6,520.51 | $8,150.63 | $56.16 – $4,787.41 | 15 |
| Artery x-rays adrenal gland CPT 75731 | $476.80 | $596.00 | $43.68 – $2,787.49 | 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.