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 |
|---|---|---|---|---|
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $17.48 – $44.50 | 10 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $25.09 – $63.83 | 10 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $77.95 – $198.35 | 10 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $242.11 – $616.11 | 10 |
| Orthovisc inj per dose HCPCS J7324 | $364.80 | $456.00 | $99.65 – $248.02 | 11 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $750.40 | $938.00 | $187.06 – $476.00 | 11 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $539.84 – $1,373.75 | 10 |
| Oscillation chest wall mechanical per session CPT 94669 | $328.62 | $410.77 | $18.31 – $237.43 | 15 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $19.02 – $48.39 | 10 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $13.69 – $34.84 | 10 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $50.98 – $129.73 | 10 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $38.80 – $98.72 | 10 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $5.35 – $13.62 | 10 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $31.96 – $81.33 | 10 |
| Osmolality blood CPT 83930 | $33.57 | $41.96 | $3.97 – $27.27 | 13 |
| Osmolality urine CPT 83935 | $33.57 | $41.96 | $4.09 – $27.27 | 13 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $2,441.60 | $3,052.00 | $293.58 – $2,873.50 | 13 |
| Ostectomy scapula partial CPT 23190 | $2,817.60 | $3,522.00 | $457.86 – $2,873.50 | 13 |
| Osteoart algrft w/surf & b1 CPT 20932 | $1,780.80 | $2,226.00 | $578.76 – $1,768.74 | 11 |
| Osteochondral knee allograft CPT 27415 | $6,753.60 | $8,442.00 | $1,097.46 – $11,395.13 | 13 |
| Osteochondral knee autograft CPT 27416 | $4,822.40 | $6,028.00 | $783.64 – $6,326.64 | 13 |
| Osteochondral talus autogrft CPT 28446 | $6,019.20 | $7,524.00 | $978.12 – $6,326.64 | 13 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $132.00 | $165.00 | $22.40 – $111.67 | 13 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $161.60 | $202.00 | $22.40 – $140.71 | 13 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $192.00 | $240.00 | $22.40 – $168.61 | 13 |
| Osteoplasty humerus CPT 24420 | $5,048.00 | $6,310.00 | $820.30 – $6,326.64 | 13 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | $3,925.60 | $4,907.00 | $1,275.82 – $3,793.55 | 11 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | $879.20 | $1,099.00 | $285.74 – $827.12 | 11 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,404.66 – $3,742.36 | 10 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | $4,100.00 | $5,125.00 | $1,332.50 – $4,055.45 | 11 |
| Osteot humerus w/wo int fixj CPT 24400 | $4,049.60 | $5,062.00 | $658.06 – $6,326.64 | 13 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $989.01 – $2,629.73 | 10 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $3,360.00 | $4,200.00 | $546.00 – $6,326.64 | 13 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $1.65 – $4.20 | 10 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $30.76 – $78.27 | 10 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $1.90 – $4.84 | 10 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $2.50 – $6.34 | 10 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $3.32 – $8.44 | 10 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.21 – $3.06 | 10 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $6.30 – $16.03 | 10 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $5.93 – $15.11 | 10 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,041.31 – $6,323.64 | 10 |
| Other immunoelectrophoresis CPT 86325 | $46.40 | $58.00 | $10.94 – $34.81 | 11 |
| Oth resp proc, group HCPCS G0239 | $200.30 | $250.37 | $8.32 – $144.71 | 15 |
| Oth resp proc, indiv HCPCS G0238 | $97.79 | $122.23 | $6.50 – $70.65 | 13 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $94.40 | $118.00 | $14.92 – $76.00 | 13 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $63.20 | $79.00 | $8.63 – $21.94 | 11 |
| Otoplasty 69300 CPT 69300 | $3,043.20 | $3,804.00 | $426.28 – $2,872.13 | 13 |
| Ot re-evaluation patient/family CPT 97168 | $278.35 | $347.93 | $42.90 – $201.10 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $91.91 | $114.88 | $13.26 – $66.40 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $91.91 | $114.88 | $13.78 – $66.40 | 13 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,358.43 – $3,627.06 | 10 |
| Out of office emerg med serv CPT 99060 | $56.00 | $70.00 | $18.20 – $59.47 | 7 |
| Outrigger HCPCS L1080 | not published | not published | $31.10 – $79.14 | 10 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $86.51 – $220.16 | 10 |
| Ovarian cystectomy 58925 CPT 58925 | $1,884.00 | $2,355.00 | $612.30 – $4,371.83 | 13 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $134.75 – $332.96 | 4 |
| Ovulation tests CPT 84830 | $29.60 | $37.00 | $9.62 – $17.78 | 10 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.64 – $2.60 | 7 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $0.80 | $1.00 | $0.05 – $0.88 | 8 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.86 – $4.01 | 4 |
| Oxytetracycline injection HCPCS J2460 | $1.60 | $2.00 | $0.52 – $1.30 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $75.52 | $94.40 | $0.04 – $1.40 | 10 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $259.31 – $471.85 | 4 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $436.00 | $545.00 | $141.70 – $880.67 | 10 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $82.20 – $191.82 | 9 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.31 – $3.32 | 10 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $4.31 | $5.38 | $0.09 – $2.34 | 10 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $16.80 | $21.00 | $5.46 – $18.58 | 11 |
| Palb2 gene full gene seq CPT 81307 | $649.44 | $811.80 | $169.73 – $710.33 | 13 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $180.81 – $391.76 | 9 |
| Palifermin injection HCPCS J2425 | not published | not published | $12.70 – $41.30 | 10 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $206.22 – $498.22 | 6 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $286.27 – $1,335.00 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $15.20 | $19.00 | $4.94 – $18.61 | 11 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $1,749.60 | $2,187.00 | $568.62 – $1,718.96 | 9 |
| Palonosetron hcl HCPCS J2469 | $23.20 | $29.00 | $0.50 – $27.74 | 8 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $92.79 | $115.98 | $2.52 – $13.88 | 10 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $4,987.70 – $9,676.57 | 6 |
| Pancreatectomy CPT 48146 | $4,616.80 | $5,771.00 | $1,500.46 – $4,392.93 | 11 |
| Pancreatectomy CPT 48152 | not published | not published | $2,509.89 – $6,704.84 | 10 |
| Pancreatectomy CPT 48154 | $7,116.00 | $8,895.00 | $2,312.70 – $6,734.31 | 11 |
| Pancreatectomy 48153 CPT 48153 | $7,609.60 | $9,512.00 | $2,473.12 – $7,220.19 | 11 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $3,836.00 | $4,795.00 | $1,246.70 – $3,661.82 | 11 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,179.56 – $3,144.46 | 10 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $165.60 | $207.00 | $53.82 – $198.43 | 11 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $75.35 | $94.18 | $0.33 – $4.55 | 10 |
| Papaverin hcl injection HCPCS J2440 | $111.44 | $139.30 | $2.28 – $38.87 | 10 |
| Parathormone (pth) intact CPT 83970 | $109.28 | $136.60 | $24.77 – $88.79 | 13 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $3,424.80 | $4,281.00 | $1,113.06 – $3,328.93 | 11 |
| Parathyrd planar w/spect&ct CPT 78072 | $869.60 | $1,087.00 | $44.20 – $476.70 | 13 |
| Parathyroid autotransplantation 60512 CPT 60512 | $598.40 | $748.00 | $194.48 – $566.33 | 11 |
| Parathyroid planar imaging CPT 78070 | $1,019.32 | $1,274.14 | $30.94 – $736.45 | 15 |
| Parathyroid planar img w/tomo spect CPT 78071 | $970.12 | $1,212.65 | $33.80 – $700.91 | 15 |
| Paravaginal defect repair 57284 CPT 57284 | $2,071.20 | $2,589.00 | $673.14 – $4,371.83 | 13 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $12.61 – $32.99 | 9 |
| Parial mast w/lymph removal 19302 CPT 19302 | $4,406.40 | $5,508.00 | $716.04 – $5,775.54 | 13 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.77 – $2.53 | 7 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $153.60 | $192.00 | $14.13 – $175.98 | 13 |
| Parotid duct diversion CPT 42507 | $1,232.00 | $1,540.00 | $400.40 – $5,239.04 | 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.