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 |
|---|---|---|---|---|
| Metabolic panel ionized ca CPT 80047 | $68.56 | $85.70 | $8.24 – $55.71 | 13 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $941.64 – $2,396.21 | 10 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $209.60 – $533.39 | 10 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $9.95 – $37.74 | 2 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $1.60 | $2.00 | $0.28 – $1.63 | 10 |
| Methadone injection HCPCS J1230 | $63.80 | $79.75 | $3.16 – $20.91 | 10 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.21 – $0.78 | 6 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $62.40 | $78.00 | $5.51 – $79.23 | 8 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $4.27 | $5.33 | $0.22 – $0.55 | 10 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $282.08 | $352.60 | $0.36 – $2.83 | 10 |
| Methotrexate therapeutic drug level CPT 80204 | $77.60 | $97.00 | $21.59 – $58.33 | 13 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $94.74 – $116.40 | 3 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $11.88 – $58.98 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $40.26 | $50.32 | $1.09 – $32.71 | 13 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $119.60 | $149.49 | $0.87 – $21.29 | 10 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $0.54 – $1.42 | 5 |
| Methylphenidate CPT 80360 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.43 | $3.03 | $0.24 – $0.75 | 10 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $2.14 | $2.67 | $0.11 – $0.94 | 13 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $18.53 | $23.16 | $0.01 – $0.27 | 13 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $74.28 | $92.85 | $0.09 – $1.13 | 10 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $16.12 | $20.14 | $0.03 – $0.08 | 7 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $2.87 | $3.58 | $0.01 – $0.03 | 10 |
| Metyrapone panel CPT 80436 | $228.80 | $286.00 | $54.70 – $141.81 | 10 |
| Mgmt promoter methylation analysis CPT 81287 | $127.86 | $159.82 | $41.55 – $174.50 | 13 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $1.87 | $2.33 | $0.26 – $1.02 | 10 |
| Microalbumin urine screen CPT 82044 | $25.72 | $32.14 | $4.42 – $20.89 | 13 |
| Microbe susceptible mlc CPT 87187 | $80.80 | $101.00 | $17.43 – $56.23 | 13 |
| Microdissection laser CPT 88380 | $264.00 | $330.00 | $32.03 – $87.40 | 13 |
| Microdissection manual CPT 88381 | $523.20 | $654.00 | $20.80 – $110.73 | 13 |
| Microfluid analy tears CPT 83861 | $47.20 | $59.00 | $15.34 – $31.47 | 10 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $2,727.67 – $6,941.13 | 10 |
| Microsatellite instability CPT 81301 | $697.60 | $872.00 | $108.75 – $488.01 | 13 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $511.20 | $639.00 | $166.14 – $487.26 | 11 |
| Microvolt t-wave assess CPT 93025 | $319.20 | $399.00 | $32.24 – $138.56 | 13 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,728.19 – $5,599.51 | 7 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $190.96 | $238.70 | $9.10 – $137.97 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $70.20 | $87.74 | $0.03 – $0.14 | 10 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $17.99 | $22.48 | $0.08 – $0.21 | 10 |
| Middle cerebral artery echo CPT 76821 | $319.80 | $399.75 | $25.48 – $231.06 | 15 |
| Mifepristone 200 mg ta HCPCS S0190 | $85.60 | $107.00 | $27.82 – $140.69 | 7 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $41.08 | $51.35 | $1.39 – $17.04 | 10 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $319.49 – $813.02 | 10 |
| Minocycline hydrochloride HCPCS J2265 | $2.40 | $3.00 | $0.78 – $2.80 | 9 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.46 – $2.41 | 6 |
| Miroderm HCPCS Q4175 | not published | not published | $62.86 – $82.78 | 6 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $66.87 – $85.42 | 10 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | $2.64 | $3.30 | $0.79 – $1.97 | 10 |
| Mitochondrial gene CPT 81440 | $6,648.00 | $8,310.00 | $1,037.09 – $4,653.90 | 13 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $118.81 | $148.51 | $25.60 – $85.84 | 13 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $306.66 – $390.97 | 10 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $56.65 | 10 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | $6,837.60 | $8,547.00 | $2,222.22 – $6,427.34 | 11 |
| Mlh1 gene CPT 81288 | $384.80 | $481.00 | $60.00 – $269.27 | 13 |
| Mlh1 gene dup/delete variant CPT 81294 | $404.80 | $506.00 | $63.15 – $283.38 | 13 |
| Mlh1 gene full seq CPT 81292 | $1,351.20 | $1,689.00 | $210.72 – $945.63 | 13 |
| Mlh1 gene known variants CPT 81293 | $662.40 | $828.00 | $198.60 – $463.42 | 10 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $19.96 – $51.77 | 10 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.65 – $14.09 | 10 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | $5,200.00 | $6,500.00 | $845.00 – $11,395.13 | 13 |
| Mnl appl strs jt radiography CPT 77071 | $97.60 | $122.00 | $31.72 – $103.85 | 13 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $209.60 | $262.00 | $68.12 – $199.49 | 11 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $361.60 | $452.00 | $117.52 – $352.40 | 11 |
| Mnl prep&insj imed rx dev CPT 20702 | $347.20 | $434.00 | $112.84 – $335.38 | 11 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $961.60 | $1,202.00 | $156.26 – $1,417.36 | 13 |
| Mnpj elbow under anes CPT 24300 | $2,094.40 | $2,618.00 | $340.34 – $1,417.36 | 13 |
| Mnpj of tmj w/anesth CPT 21073 | $1,891.20 | $2,364.00 | $225.30 – $1,311.86 | 13 |
| Mnt subs tx for change dx HCPCS G0270 | $72.00 | $90.00 | $23.40 – $65.91 | 11 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $389.65 – $991.56 | 10 |
| Mobilization of colon 44139 CPT 44139 | $298.40 | $373.00 | $96.98 – $279.07 | 11 |
| Modification of contact lens CPT 92325 | $88.80 | $111.00 | $28.86 – $114.16 | 13 |
| Modified maze/limited 33254 CPT 33254 | $3,297.60 | $4,122.00 | $1,071.72 – $3,138.21 | 11 |
| Modified maze/limited /w other op 33257 CPT 33257 | $1,418.40 | $1,773.00 | $460.98 – $1,348.29 | 11 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $76.00 | $95.00 | $7.23 – $39.62 | 13 |
| Molded inner boot HCPCS L2280 | not published | not published | $254.50 – $647.63 | 10 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $1,577.14 – $4,013.36 | 10 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $2,454.53 – $6,246.08 | 10 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $844.12 – $2,148.04 | 10 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $2,608.28 – $6,637.33 | 10 |
| Molecular pathology interpr HCPCS G0452 | $100.00 | $125.00 | $0.03 – $7.38 | 11 |
| Mometasone sinus sinuva HCPCS J7402 | $12.80 | $16.00 | $4.16 – $14.75 | 11 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $175.35 – $446.21 | 10 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $210.68 – $536.11 | 10 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $11,236.72 – $28,594.25 | 10 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $12,408.97 | $15,511.21 | $4,032.91 – $10,082.29 | 7 |
| Monovisc inj per dose HCPCS J7327 | $1,300.00 | $1,625.00 | $422.50 – $1,128.77 | 11 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $28.03 – $192.40 | 9 |
| Mopath procedure level 1 CPT 81400 | $128.00 | $160.00 | $38.38 – $103.88 | 13 |
| Mopath procedure level 3 CPT 81402 | $300.80 | $376.00 | $49.91 – $210.48 | 13 |
| Mopath procedure level 5 CPT 81404 | $550.40 | $688.00 | $85.75 – $384.78 | 13 |
| Mopath procedure level 6 CPT 81405 | $603.20 | $754.00 | $94.02 – $421.92 | 13 |
| Mopath procedure level 7 CPT 81406 | $566.40 | $708.00 | $88.26 – $396.06 | 13 |
| Mopath procedure level 8 CPT 81407 | $1,692.80 | $2,116.00 | $264.04 – $1,184.85 | 13 |
| Mopath procedure level 9 CPT 81408 | $4,000.00 | $5,000.00 | $624.00 – $2,800.18 | 13 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $75.92 | $94.89 | $0.20 – $4.63 | 10 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $72.32 | $90.40 | $0.23 – $6.64 | 10 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $8.01 – $412.72 | 6 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $95.99 | $119.98 | $1.64 – $10.48 | 10 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $491.20 | $614.00 | $26.00 – $211.06 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $328.79 | $410.98 | $35.10 – $318.57 | 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.