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 |
|---|---|---|---|---|
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $39.02 – $58.60 | 7 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $19.77 – $40.16 | 8 |
| Non-imaging heart function CPT 78414 | $434.40 | $543.00 | $17.42 – $476.70 | 13 |
| Noninv pace analysis CPT 93724 | $761.60 | $952.00 | $40.90 – $265.61 | 13 |
| Non-molded lacer HCPCS L2320 | not published | not published | $123.64 – $314.61 | 10 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $316.28 – $533.20 | 9 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.03 – $0.07 | 10 |
| Noonan spectrum disorders CPT 81442 | $4,287.20 | $5,359.00 | $668.80 – $3,001.23 | 13 |
| No pt prsnt train add 15 HCPCS G0542 | not published | not published | $23.23 – $37.10 | 9 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $43.13 – $69.10 | 9 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $190.96 | $238.70 | $7.02 – $137.97 | 15 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $719.37 – $1,030.00 | 4 |
| Npm1 gene CPT 81310 | $493.60 | $617.00 | $76.91 – $345.16 | 13 |
| Nps surg dilat eust tube bi CPT 69706 | $8,365.60 | $10,457.00 | $218.01 – $2,718.82 | 11 |
| Nps surg dilat eust tube uni CPT 69705 | $8,123.20 | $10,154.00 | $156.11 – $2,640.04 | 11 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $57.60 | $72.00 | $18.72 – $55.20 | 11 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $11.20 | $14.00 | $3.64 – $10.06 | 11 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $52.80 | $66.00 | $17.16 – $49.32 | 11 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $300.00 | $375.00 | $97.50 – $469.91 | 13 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $225.60 | $282.00 | $71.37 – $188.24 | 11 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | $40.80 | $51.00 | $13.26 – $50.67 | 11 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | $62.40 | $78.00 | $20.28 – $75.06 | 11 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | $22.40 | $28.00 | $7.28 – $28.68 | 11 |
| Nras gene variants exon 2&3 CPT 81311 | $592.00 | $740.00 | $92.29 – $414.14 | 13 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $9,826.76 | $12,283.44 | $840.58 – $7,099.83 | 15 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | $2,759.20 | $3,449.00 | $896.74 – $5,671.59 | 13 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | $2,586.40 | $3,233.00 | $840.58 – $5,671.59 | 13 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | $2,659.20 | $3,324.00 | $864.24 – $5,671.59 | 13 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | $2,828.80 | $3,536.00 | $919.36 – $5,671.59 | 13 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | $3,122.40 | $3,903.00 | $1,014.78 – $5,671.59 | 13 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | $3,380.80 | $4,226.00 | $1,098.76 – $5,671.59 | 13 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | $3,268.80 | $4,086.00 | $1,062.36 – $5,671.59 | 13 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | $3,524.80 | $4,406.00 | $1,145.56 – $5,671.59 | 13 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $2,227.20 | $2,784.00 | $723.84 – $5,671.59 | 13 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | $444.80 | $556.00 | $144.56 – $407.31 | 11 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | $5,326.40 | $6,658.00 | $865.54 – $6,130.69 | 13 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | $4,928.00 | $6,160.00 | $800.80 – $6,130.69 | 13 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $2,356.80 | $2,946.00 | $382.98 – $6,130.69 | 13 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $9,268.80 | $11,586.00 | $161.56 – $6,130.69 | 13 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | $17,432.00 | $21,790.00 | $228.85 – $6,130.69 | 13 |
| Nsl/sins ndsc surg max sins CPT 31295 | $9,142.40 | $11,428.00 | $141.83 – $6,130.69 | 13 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | $6,099.20 | $7,624.00 | $991.12 – $6,130.69 | 13 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $9,068.80 | $11,336.00 | $129.14 – $6,130.69 | 13 |
| Nsl/sins ndsc total CPT 31253 | $2,500.80 | $3,126.00 | $406.38 – $6,130.69 | 13 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $2,227.20 | $2,784.00 | $361.92 – $6,130.69 | 13 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | $3,044.80 | $3,806.00 | $494.78 – $3,265.24 | 13 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $6,218.40 | $7,773.00 | $141.53 – $8,832.12 | 11 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | $6,406.40 | $8,008.00 | $141.53 – $8,832.12 | 11 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | $2,219.20 | $2,774.00 | $360.62 – $1,527.23 | 13 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $145.63 – $218.45 | 7 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $124.39 – $269.50 | 9 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $124.39 – $269.50 | 9 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $124.39 – $269.50 | 9 |
| Ntrk translocation analysis CPT 81194 | $497.56 | $621.94 | $161.70 – $637.33 | 13 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | $65.60 | $82.00 | $21.32 – $69.80 | 11 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | $97.60 | $122.00 | $31.72 – $103.91 | 11 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | $132.00 | $165.00 | $42.90 – $138.64 | 11 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $66.40 | $83.00 | $21.58 – $67.91 | 11 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $32.80 | $41.00 | $10.66 – $34.42 | 11 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | $66.40 | $83.00 | $21.58 – $66.34 | 11 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,442.92 | $1,803.65 | $435.77 – $1,172.37 | 15 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,357.96 | $1,697.44 | $434.97 – $1,103.34 | 15 |
| Nuclear exam of tear flow CPT 78660 | $386.40 | $483.00 | $17.94 – $355.87 | 13 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $95.00 – $95.00 | 2 |
| Nuclear matrix protein 22 CPT 86386 | $44.00 | $55.00 | $13.07 – $30.48 | 10 |
| Nuclear rx intra-arterial CPT 79445 | $1,130.73 | $1,413.41 | $54.65 – $816.95 | 15 |
| Nuclear rx intra-articular CPT 79440 | $297.60 | $372.00 | $30.94 – $198.49 | 13 |
| Nuclear rx intracav admin CPT 79200 | $328.80 | $411.00 | $41.08 – $198.49 | 13 |
| Nuclear rx IV admin CPT 79101 | $652.00 | $815.00 | $35.62 – $471.07 | 15 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,928.09 | $3,660.11 | $61.10 – $2,115.54 | 15 |
| Nuclr rx interstit colloid CPT 79300 | $392.80 | $491.00 | $53.04 – $198.49 | 13 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $233.14 – $593.29 | 10 |
| Nudt15 gene common variants CPT 81306 | $279.71 | $349.63 | $90.90 – $407.93 | 13 |
| Nursing fac care supervision CPT 99379 | $124.80 | $156.00 | $40.56 – $127.29 | 7 |
| Nursing fac care supervision CPT 99380 | $187.20 | $234.00 | $60.84 – $200.53 | 7 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $239.20 | $299.00 | $77.74 – $254.48 | 11 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $149.60 | $187.00 | $48.62 – $158.40 | 11 |
| Nushield 1 square cm HCPCS Q4160 | $316.80 | $396.00 | $92.65 – $609.50 | 8 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,183.65 – $1,309.28 | 8 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $275,782.50 – $283,893.75 | 6 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $75.20 | $94.00 | $24.44 – $91.44 | 11 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,316.42 – $3,515.17 | 10 |
| Observation care discharge CPT 99217 | not published | not published | $116.00 – $116.00 | 2 |
| Observation direct referral from physician office for admission HCPCS G0379 | $103.39 | $129.23 | $32.74 – $627.38 | 15 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $390.40 | $488.00 | $126.88 – $403.68 | 11 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $239.20 | $299.00 | $77.74 – $225.13 | 11 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $303.20 | $379.00 | $98.54 – $308.81 | 11 |
| Observation per hour HCPCS G0378 | $60.71 | $75.88 | $12.07 – $35.10 | 9 |
| Obstetrical care 59410 CPT 59410 | $2,112.80 | $2,641.00 | $686.66 – $2,371.13 | 11 |
| Obstetric panel inc HIV tstg CPT 80081 | $164.00 | $205.00 | $23.36 – $116.46 | 13 |
| Obstetrics panel CPT 80055 | $96.00 | $120.00 | $22.28 – $74.37 | 13 |
| Obtaining screen pap smear HCPCS Q0091 | $80.80 | $101.00 | $16.69 – $43.24 | 13 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $254.62 | $318.27 | $33.80 – $183.96 | 15 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $216.87 | $271.08 | $19.76 – $156.68 | 13 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $624.00 | $780.00 | $202.80 – $2,815.86 | 13 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $336.84 | $421.04 | $62.14 – $243.36 | 13 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $278.35 | $347.93 | $62.14 – $201.10 | 13 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $306.22 | $382.77 | $62.14 – $221.24 | 13 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $101.42 | $126.77 | $17.01 – $62.69 | 13 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $38.60 | $48.25 | $0.02 – $0.90 | 10 |
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.