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 |
|---|---|---|---|---|
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $372.81 | $466.01 | $79.56 – $274.08 | 13 |
| Ocular function screen CPT 99172 | $41.60 | $52.00 | $8.01 – $44.03 | 7 |
| Ocular instrumnt screen bil CPT 99174 | $13.60 | $17.00 | $4.42 – $16.08 | 7 |
| Ocular instrumnt screen bil CPT 99177 | $9.60 | $12.00 | $3.12 – $11.28 | 6 |
| Ocular photodynamic ther CPT 67221 | $696.80 | $871.00 | $187.94 – $502.18 | 13 |
| Ocular reconst transplant CPT 65780 | $3,297.60 | $4,122.00 | $532.03 – $3,339.68 | 13 |
| Ocular reconst transplant CPT 65781 | $6,619.20 | $8,274.00 | $1,075.62 – $4,569.55 | 13 |
| Ocular reconst transplant CPT 65782 | $5,710.40 | $7,138.00 | $927.94 – $3,339.68 | 13 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $62.15 – $253.93 | 9 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $159.71 – $937.85 | 10 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $159.71 – $972.53 | 10 |
| Office consultation CPT 99241 | not published | not published | $52.00 – $52.00 | 2 |
| Office emergency care CPT 99058 | $50.40 | $63.00 | $16.38 – $53.70 | 7 |
| Off/op cnsltj new/est low 30 CPT 99243 | $219.20 | $274.00 | $71.24 – $216.83 | 7 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $328.80 | $411.00 | $106.86 – $348.60 | 7 |
| Off/op consltj new/est hi 55 CPT 99245 | $401.60 | $502.00 | $130.52 – $431.47 | 7 |
| Off/op consltj new/est sf 20 CPT 99242 | $160.00 | $200.00 | $52.00 – $154.97 | 7 |
| Offset knee joint each HCPCS L2390 | not published | not published | $61.52 – $156.56 | 10 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $92.52 – $235.44 | 10 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $11.98 | $14.97 | $0.20 – $0.98 | 10 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.92 – $3.79 | 10 |
| Ol dig e/m svc 11-20 min CPT 99422 | $54.40 | $68.00 | $17.68 – $49.99 | 11 |
| Ol dig e/m svc 21+ min CPT 99423 | $87.20 | $109.00 | $28.34 – $80.11 | 11 |
| Ol dig e/m svc 5-10 min CPT 99421 | $28.00 | $35.00 | $9.10 – $25.31 | 11 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $76.44 | $95.55 | $14.30 – $55.16 | 13 |
| Omental flap extra-abdom 49904 CPT 49904 | $3,446.40 | $4,308.00 | $1,120.08 – $3,275.67 | 11 |
| Omental flap intra-abdom 49905 CPT 49905 | $871.20 | $1,089.00 | $283.14 – $819.09 | 11 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $2,323.80 – $5,034.90 | 9 |
| Onc breast mrna 58 genes CPT 81520 | $5,020.80 | $6,276.00 | $1,506.13 – $3,905.02 | 10 |
| Onc breast mrna 70 genes CPT 81521 | $7,746.40 | $9,683.00 | $2,323.80 – $5,422.56 | 10 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $2,323.80 – $5,422.56 | 9 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | $3,718.08 | $4,647.60 | $1,208.38 – $4,066.65 | 13 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $4,315.80 – $9,350.90 | 9 |
| Oncology colon mrna CPT 81525 | $6,232.00 | $7,790.00 | $1,869.60 – $4,362.69 | 10 |
| Oncology colorectal scr CPT 81528 | $1,018.40 | $1,273.00 | $305.32 – $712.46 | 10 |
| Oncology gynecologic CPT 81535 | $1,159.20 | $1,449.00 | $347.68 – $811.29 | 10 |
| Oncology gynecologic CPT 81536 | $355.20 | $444.00 | $106.54 – $248.60 | 10 |
| Oncology lung CPT 81538 | $5,742.40 | $7,178.00 | $1,722.60 – $4,019.67 | 10 |
| Oncology prostate prob score CPT 81539 | $1,520.00 | $1,900.00 | $237.12 – $1,064.07 | 13 |
| Oncology thyroid CPT 81545 | not published | not published | $3,634.00 – $3,634.00 | 2 |
| Oncology tissue of origin CPT 81504 | not published | not published | $312.00 – $728.05 | 9 |
| Oncology tum unknown origin CPT 81540 | $7,500.00 | $9,375.00 | $1,170.00 – $5,250.34 | 13 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $538.20 – $1,255.89 | 9 |
| Onco (ovar) two proteins CPT 81500 | $250.08 | $312.60 | $81.28 – $364.72 | 13 |
| Oncoprotein dcp CPT 83951 | $161.60 | $202.00 | $28.09 – $100.20 | 13 |
| Oncoprotein her-2/neu CPT 83950 | $161.60 | $202.00 | $28.09 – $100.20 | 13 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,218.00 – $2,842.20 | 9 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $2,075.60 – $5,034.90 | 9 |
| Onc prostate mrna 46 genes CPT 81541 | $7,746.40 | $9,683.00 | $2,323.80 – $5,422.56 | 10 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $2,160.00 – $4,680.00 | 9 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $4,665.60 – $10,108.80 | 9 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $1.28 | $1.60 | $0.39 – $1.04 | 10 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $0.20 | $0.25 | $0.01 – $0.07 | 8 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $18.23 | $22.78 | $0.04 – $0.09 | 10 |
| One-way allow prorated trip HCPCS P9604 | $18.57 | $23.21 | $6.03 – $27.26 | 10 |
| One way chest drain valve HCPCS A7040 | not published | not published | $28.06 – $71.40 | 10 |
| Oocyte identification CPT 89254 | $401.60 | $502.00 | $130.52 – $383.00 | 9 |
| Oophorectomy partial or total 58943 CPT 58943 | $2,901.60 | $3,627.00 | $943.02 – $2,886.65 | 11 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,296.30 – $3,454.46 | 10 |
| Open ablate liver tumor rf CPT 47380 | $3,552.80 | $4,441.00 | $1,154.66 – $3,387.07 | 11 |
| Open aortic tube prosth repair 34830 CPT 34830 | $4,289.60 | $5,362.00 | $1,394.12 – $4,006.06 | 11 |
| Open aortofemor prosth repr CPT 34832 | $4,612.80 | $5,766.00 | $1,499.16 – $4,306.12 | 11 |
| Open aortoiliac prosth repr 34831 CPT 34831 | $1,914.24 | $2,392.80 | $622.13 – $3,785.30 | 13 |
| Open bx/exc inguinofem nodes CPT 38531 | $2,152.00 | $2,690.00 | $349.70 – $3,391.30 | 13 |
| Open bx of lung pleura 32098 CPT 32098 | $1,852.00 | $2,315.00 | $601.90 – $1,755.33 | 11 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | $1,439.20 | $1,799.00 | $195.91 – $525.55 | 11 |
| Open nasoethmoid fx with fixj CPT 21339 | $1,837.60 | $2,297.00 | $597.22 – $5,239.04 | 13 |
| Open nasoethmoid fx without fixj CPT 21338 | $1,616.00 | $2,020.00 | $525.20 – $5,239.04 | 13 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $3,408.00 | $4,260.00 | $553.80 – $3,391.30 | 13 |
| Open skull for drainage 61312 CPT 61312 | $4,872.80 | $6,091.00 | $1,583.66 – $4,723.81 | 11 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $2,180.80 | $2,726.00 | $263.74 – $1,417.36 | 13 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $1,503.20 | $1,879.00 | $488.54 – $4,787.41 | 13 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,253.12 – $3,352.89 | 10 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $650.36 – $1,698.11 | 10 |
| Open tx nose fx w/skele fixj CPT 21330 | $1,376.00 | $1,720.00 | $447.20 – $5,239.04 | 13 |
| Open tx nose & septal fx CPT 21335 | $1,757.60 | $2,197.00 | $571.22 – $2,872.13 | 13 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $1,223.14 – $3,183.88 | 10 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $2,913.60 | $3,642.00 | $473.46 – $6,326.64 | 13 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $3,552.00 | $4,440.00 | $577.20 – $6,326.64 | 13 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $4,822.40 | $6,028.00 | $783.64 – $2,267.39 | 13 |
| Open tx/sternum fracture 21825 CPT 21825 | $1,323.20 | $1,654.00 | $430.04 – $1,308.01 | 11 |
| Open wedge/bx lung infiltr CPT 32096 | $1,953.60 | $2,442.00 | $634.92 – $1,851.21 | 11 |
| Open wedge bx lung nodule 32097 CPT 32097 | $1,955.20 | $2,444.00 | $635.44 – $1,854.36 | 11 |
| Ophthalmic biometry CPT 92136 | $180.80 | $226.00 | $15.21 – $114.16 | 13 |
| Ophthalmic endoscope add-on CPT 66990 | $225.60 | $282.00 | $73.32 – $212.64 | 11 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $430.00 – $519.65 | 5 |
| Ophthalmodynamometry CPT 92260 | $40.80 | $51.00 | $9.87 – $34.76 | 13 |
| Ophth Ultrasound b & quant a CPT 76510 | $301.60 | $377.00 | $25.84 – $147.73 | 13 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $186.40 | $233.00 | $25.48 – $94.18 | 13 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $176.00 | $220.00 | $18.75 – $95.18 | 13 |
| Opioids & opiate analogs 3/4 CPT 80363 | $24.00 | $30.00 | $7.80 – $29.69 | 4 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,097.83 – $2,926.79 | 10 |
| Opn ax/subcla art expos CPT 34715 | $1,464.00 | $1,830.00 | $237.90 – $676.36 | 11 |
| Opn exc/dst ntra-abd CPT 49189 | $4,110.40 | $5,138.00 | $1,335.88 – $4,503.20 | 9 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $3,534.40 | $4,418.00 | $1,148.68 – $3,871.00 | 9 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | $5,073.60 | $6,342.00 | $1,648.92 – $5,551.10 | 9 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $2,957.60 | $3,697.00 | $961.22 – $3,239.60 | 9 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $2,327.20 | $2,909.00 | $756.34 – $2,534.90 | 9 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $1,324.80 | $1,656.00 | $215.28 – $612.87 | 11 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $332.49 – $1,204.53 | 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.