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 |
|---|---|---|---|---|
| Pedicle enel/ntroral 15576 CPT 15576 | $1,969.60 | $2,462.00 | $589.13 – $1,620.01 | 13 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $793.04 – $2,018.07 | 10 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $936.29 – $2,382.58 | 10 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $741.88 – $1,887.86 | 10 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $402.93 – $1,025.35 | 10 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $195.77 – $461.25 | 4 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $889.25 – $1,149.25 | 3 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $10,221.50 – $33,515.90 | 10 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $861.57 | $1,076.96 | $15.02 – $61.32 | 13 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $529.17 | $661.46 | $79.60 – $382.32 | 13 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $562.51 | $703.13 | $117.00 – $406.41 | 13 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $233.69 – $427.23 | 10 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $351.20 | $439.00 | $20.48 – $112.90 | 13 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $152.20 – $262.57 | 10 |
| Peginesatide injection HCPCS J0890 | not published | not published | $12.97 – $15.93 | 3 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,113.42 – $1,277.52 | 5 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $5,974.00 | $7,467.50 | $1,029.60 – $4,382.40 | 13 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.60 – $264.82 | 8 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $292.75 – $744.95 | 10 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $253.87 – $646.04 | 10 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $188.88 – $480.64 | 10 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $139.18 – $354.16 | 10 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $189.74 – $482.83 | 10 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $260.85 – $663.79 | 10 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $842.90 | $1,053.62 | $46.80 – $608.99 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $758.16 | $947.69 | $45.76 – $547.76 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $683.83 | $854.78 | $42.64 – $494.06 | 15 |
| Pelvic exenteration CPT 45126 | $6,904.00 | $8,630.00 | $2,243.80 – $6,514.36 | 11 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $833.98 – $2,122.25 | 10 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,811.72 | $2,264.65 | $84.24 – $1,308.97 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $1,185.72 | $1,482.14 | $66.56 – $856.68 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $1,101.36 | $1,376.70 | $61.10 – $795.73 | 15 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $2,616.80 | $3,271.00 | $850.46 – $6,326.64 | 13 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $900.37 – $2,347.98 | 10 |
| Pelvic Ultrasound (complete) CPT 76856 | $306.26 | $382.82 | $26.26 – $221.27 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $247.20 | $308.99 | $18.20 – $178.60 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $254.62 | $318.27 | $7.02 – $183.96 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $254.62 | $318.27 | $9.36 – $183.96 | 15 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $83.25 – $211.85 | 10 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $61.60 | $77.00 | $20.02 – $72.45 | 11 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $80.00 | $100.00 | $3.77 – $85.68 | 11 |
| Pemivibart infusion HCPCS M0224 | $618.13 | $772.66 | $200.89 – $672.60 | 12 |
| Peng benzathine/procaine inj HCPCS J0558 | $16.80 | $21.00 | $5.46 – $22.85 | 11 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $64.70 | $80.87 | $0.09 – $30.77 | 13 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $70.28 | $87.85 | $0.15 – $0.93 | 10 |
| Penicillin g procaine inj HCPCS J2510 | $46.40 | $58.00 | $12.29 – $49.55 | 10 |
| Penile injection CPT 54235 | $220.80 | $276.00 | $67.14 – $178.13 | 11 |
| Penile vascular study CPT 93980 | $284.00 | $355.00 | $43.68 – $135.64 | 13 |
| Penile vascular study CPT 93981 | $169.60 | $212.00 | $17.16 – $94.18 | 13 |
| Penile venous occlusion CPT 37790 | $1,226.40 | $1,533.00 | $398.58 – $3,054.48 | 13 |
| Penis plastic surgery CPT 54360 | $1,820.80 | $2,276.00 | $591.76 – $3,054.48 | 13 |
| Penis study CPT 54240 | $262.85 | $328.56 | $29.38 – $275.78 | 15 |
| Pentamidine non-comp unit HCPCS J2545 | $141.60 | $177.00 | $46.02 – $135.18 | 8 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.30 – $15.27 | 3 |
| Pentazocine injection HCPCS J3070 | $128.80 | $161.00 | $33.58 – $164.13 | 5 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $8.60 – $55.65 | 6 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,447.89 – $2,955.10 | 10 |
| Perc cryo ablate renal tum CPT 50593 | $21,107.20 | $26,384.00 | $410.84 – $9,220.40 | 15 |
| Perc d-e cor revasc chro add HCPCS C9608 | $17,414.93 | $21,768.66 | $5,659.85 – $14,149.63 | 7 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $16,078.86 | $20,098.57 | $5,225.63 – $26,809.52 | 14 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $11,028.95 | $13,786.18 | $3,584.41 – $8,961.02 | 7 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $17,414.93 | $21,768.66 | $5,659.85 – $16,931.55 | 14 |
| Perc d-e cor stent ather s HCPCS C9602 | $16,078.86 | $20,098.57 | $5,225.63 – $26,809.52 | 14 |
| Perc drug-el cor stent bran HCPCS C9601 | $12,958.26 | $16,197.82 | $4,211.43 – $10,528.58 | 7 |
| Perc drug-el cor stent sing HCPCS C9600 | $19,156.46 | $23,945.57 | $6,225.85 – $16,931.55 | 14 |
| Perc rf ablate renal tumor CPT 50592 | $15,611.20 | $19,514.00 | $307.42 – $5,167.04 | 13 |
| Percut ablate liver rf CPT 47382 | $10,753.60 | $13,442.00 | $660.71 – $7,487.65 | 15 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $279.69 – $728.36 | 10 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $320.72 | $400.90 | $40.04 – $231.72 | 10 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $560.80 | $701.00 | $155.67 – $410.40 | 13 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $6,040.80 | $7,551.00 | $1,963.26 – $5,673.46 | 11 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,327.60 | $4,159.49 | $188.76 – $2,404.19 | 15 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $2,013.60 | $2,517.00 | $654.42 – $1,905.75 | 11 |
| Peri-implt capslc brst compl CPT 19371 | $3,896.00 | $4,870.00 | $633.10 – $3,391.30 | 13 |
| Perineoplasty rpr per nonob CPT 56810 | $667.20 | $834.00 | $216.84 – $2,815.86 | 13 |
| Peripheral vascular rehab CPT 93668 | $33.60 | $42.00 | $10.92 – $33.80 | 11 |
| Peri-proc device eval icd CPT 93287 | $109.60 | $137.00 | $12.62 – $42.70 | 13 |
| Peri-proc device eval pm CPT 93286 | $91.20 | $114.00 | $11.44 – $42.55 | 13 |
| Peritoneal cath sub q resv per CPT 49419 | $1,072.80 | $1,341.00 | $348.66 – $4,787.41 | 13 |
| Peritoneogram rs&i CPT 74190 | $1,080.95 | $1,351.18 | $17.94 – $780.98 | 15 |
| Perit-vens shunt pat tst CPT 78291 | $547.20 | $684.00 | $29.90 – $355.87 | 13 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $15.71 – $74.50 | 6 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $9.82 – $24.97 | 10 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,051.00 – $2,674.48 | 10 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.47 – $3.17 | 6 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $7.51 – $9.24 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | $4,081.60 | $5,102.00 | $663.26 – $1,941.50 | 11 |
| Perq clsr tcat l atr apndge CPT 33340 | $1,937.60 | $2,422.00 | $629.72 – $1,788.91 | 11 |
| Perq dev breast 1st mr guide CPT 19287 | $3,793.60 | $4,742.00 | $113.20 – $623.11 | 13 |
| Perq dev breast 1st strtctc CPT 19283 | $1,337.60 | $1,672.00 | $89.21 – $623.11 | 15 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $6,456.00 | $8,070.00 | $1,014.70 – $8,189.47 | 13 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $4,390.40 | $5,488.00 | $630.76 – $8,189.47 | 13 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $22,483.66 | $28,104.57 | $757.34 – $16,244.44 | 15 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $36,382.85 | $45,478.56 | $642.50 – $26,286.61 | 15 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $22,483.66 | $28,104.57 | $665.62 – $16,244.44 | 15 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $22,483.66 | $28,104.57 | $506.40 – $16,244.44 | 15 |
| Perq p-art revsc each addl CPT 33904 | $22,483.66 | $28,104.57 | $253.76 – $16,244.44 | 13 |
| Perq plmt bile duct stent CPT 47538 | $10,412.00 | $13,015.00 | $208.88 – $6,539.95 | 15 |
| Perq plmt bile duct stent CPT 47539 | $11,495.20 | $14,369.00 | $376.37 – $5,167.04 | 13 |
| Perq plmt bile duct stent CPT 47540 | $11,729.60 | $14,662.00 | $389.71 – $5,167.04 | 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.