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 |
|---|---|---|---|---|
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $835.10 | $1,043.87 | $77.51 – $603.36 | 15 |
| Perq skel fix rad/uln dislc CPT 25671 | $2,609.60 | $3,262.00 | $424.06 – $2,873.50 | 13 |
| Perq skel fix ulnar styld fx CPT 25651 | $2,398.40 | $2,998.00 | $389.74 – $2,873.50 | 13 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $161.00 – $1,467.09 | 3 |
| Perq transcath closure each CPT 93592 | $893.60 | $1,117.00 | $290.42 – $913.51 | 11 |
| Perq transcath closure pda CPT 93582 | not published | not published | $565.09 – $15,902.86 | 12 |
| Perq transcath cls aortic CPT 93591 | $2,031.20 | $2,539.00 | $660.14 – $15,902.86 | 13 |
| Perq transcath cls mitral CPT 93590 | $2,449.60 | $3,062.00 | $796.12 – $15,902.86 | 13 |
| Perq transcath septal reduxn CPT 93583 | $1,604.00 | $2,005.00 | $521.30 – $1,664.31 | 11 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $496.19 – $1,328.29 | 10 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $2,222.40 | $2,778.00 | $251.66 – $2,873.50 | 13 |
| Perq tx malar fracture CPT 21355 | $2,113.60 | $2,642.00 | $298.26 – $2,872.13 | 13 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $1,726.40 | $2,158.00 | $403.08 – $5,239.04 | 13 |
| Perq tx nasoethmoid fx CPT 21340 | $1,848.00 | $2,310.00 | $600.60 – $2,872.13 | 13 |
| Pertussis ag if CPT 87265 | $38.58 | $48.22 | $7.19 – $31.34 | 13 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $17.60 | $22.00 | $5.72 – $20.06 | 11 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $62.99 – $87.17 | 10 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $141.60 | $177.00 | $35.30 – $89.83 | 11 |
| Pessary reusable rub anytype HCPCS A4561 | $57.60 | $72.00 | $14.19 – $36.11 | 11 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,740.80 | $3,426.00 | $70.46 – $1,291.76 | 13 |
| Pet CT whole body initial CPT 78816 | $2,739.20 | $3,424.00 | $70.98 – $1,291.76 | 13 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,752.80 | $3,441.00 | $55.64 – $1,291.76 | 13 |
| Pet image full body CPT 78813 | $2,796.00 | $3,495.00 | $79.56 – $1,291.76 | 13 |
| Pet image ltd area CPT 78811 | $2,519.20 | $3,149.00 | $61.88 – $1,156.16 | 13 |
| Pet image skull-thigh CPT 78812 | $2,776.00 | $3,470.00 | $71.76 – $1,291.76 | 13 |
| Pet image w/ct lmtd CPT 78814 | $2,804.80 | $3,506.00 | $86.32 – $1,291.76 | 13 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $399.44 – $599.94 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $0.01 – $171.56 | 6 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $3,069.81 | $3,837.26 | $997.69 – $2,494.22 | 7 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $60.80 | $76.00 | $19.76 – $54.24 | 11 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $89.60 | $112.00 | $29.12 – $76.28 | 11 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $31.20 | $39.00 | $10.14 – $27.90 | 11 |
| Phalangectomy ea toe 28150 CPT 28150 | $1,053.60 | $1,317.00 | $258.06 – $2,873.50 | 13 |
| Pharmacologic management w/psytx CPT 90863 | $97.36 | $121.70 | $19.24 – $79.11 | 10 |
| Ph body fluid CPT 83986 | $33.57 | $41.96 | $3.12 – $27.27 | 13 |
| Phencyclidine (pcp) CPT 83992 | $43.20 | $54.00 | $10.45 – $26.12 | 10 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $108.67 | $135.83 | $3.27 – $32.77 | 10 |
| Phenobarbital therapeutic drug level CPT 80184 | $66.43 | $83.03 | $9.18 – $53.97 | 13 |
| Phentolaine mesylate inj HCPCS J2760 | $853.96 | $1,067.45 | $75.95 – $458.33 | 13 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.16 | $0.19 | $0.01 – $0.01 | 8 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.84 – $119.55 | 8 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $36.12 | $45.15 | $0.05 – $0.52 | 10 |
| Phenytoin total therapeutic drug level CPT 80185 | $66.43 | $83.03 | $7.95 – $53.97 | 13 |
| Phlebotomy therapeutic CPT 99195 | $212.00 | $265.00 | $35.64 – $166.95 | 15 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $2,361.60 | $2,952.00 | $232.80 – $2,787.49 | 13 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $2,803.20 | $3,504.00 | $286.69 – $2,787.49 | 13 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $40.92 – $127.39 | 5 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $61.53 – $188.54 | 5 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $20.60 – $67.91 | 5 |
| Phosphorus CPT 84100 | $33.57 | $41.96 | $2.84 – $27.27 | 13 |
| Phosphorus 24 hour urine CPT 84105 | $33.57 | $41.96 | $3.47 – $27.27 | 13 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $245.60 | $307.00 | $52.60 – $275.94 | 13 |
| Photochemotherapy puva CPT 96912 | $210.40 | $263.00 | $52.60 – $234.73 | 13 |
| Photochemotherapy uv-a or b CPT 96913 | $304.80 | $381.00 | $99.06 – $355.60 | 13 |
| Photodynamic tx addl 15 min CPT 96571 | $59.20 | $74.00 | $19.24 – $60.03 | 11 |
| Photodynmc tx 30 min add-on CPT 96570 | $124.00 | $155.00 | $40.30 – $120.46 | 11 |
| Photo patch test CPT 95052 | $18.40 | $23.00 | $4.87 – $52.60 | 13 |
| Photopheresis CPT 36522 | $4,664.80 | $5,831.00 | $87.17 – $4,149.29 | 13 |
| Photosensitivity tests CPT 95056 | $137.60 | $172.00 | $44.72 – $121.26 | 13 |
| Phys blood bank serv authrj CPT 86079 | $97.60 | $122.00 | $29.85 – $79.77 | 13 |
| Phys blood bank serv reactj CPT 86078 | $97.60 | $122.00 | $30.04 – $93.39 | 11 |
| Phys blood bank serv xmatch CPT 86077 | $97.60 | $122.00 | $24.34 – $66.44 | 11 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $241.36 | $301.69 | $60.84 – $174.38 | 13 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $199.46 | $249.32 | $60.84 – $154.74 | 13 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $219.40 | $274.25 | $60.84 – $158.52 | 13 |
| Physical Therapy Re-Evaluation CPT 97164 | $199.46 | $249.32 | $41.86 – $144.11 | 13 |
| Physician standby services CPT 99360 | $145.60 | $182.00 | $47.32 – $138.72 | 7 |
| Phys review of motion tests CPT 96004 | $252.80 | $316.00 | $82.16 – $257.58 | 11 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $109.35 | $136.68 | $0.43 – $2.85 | 10 |
| Pierce earlobes 69090 CPT 69090 | $75.20 | $94.00 | $24.44 – $93.26 | 7 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $332.44 – $580.30 | 7 |
| Pik3ca gene trgt seq alys CPT 81309 | $263.84 | $329.80 | $85.75 – $288.57 | 13 |
| Pild/placebo control clin tr HCPCS G0276 | $840.80 | $1,051.00 | $273.26 – $875.11 | 11 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $443.02 – $1,127.37 | 10 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,435.20 | $1,794.00 | $413.20 – $1,093.79 | 13 |
| Pin finger dislocation CPT 26776 | $1,097.60 | $1,372.00 | $356.72 – $2,873.50 | 13 |
| Pin finger fracture each CPT 26756 | $5,897.15 | $7,371.43 | $336.70 – $4,260.69 | 15 |
| Pin hand dislocation CPT 26676 | $1,243.20 | $1,554.00 | $404.04 – $2,873.50 | 13 |
| Pin knuckle dislocation CPT 26706 | $1,086.40 | $1,358.00 | $353.08 – $2,873.50 | 13 |
| Pin service 60m per month HCPCS G0023 | $151.20 | $189.00 | $45.34 – $138.11 | 11 |
| Pinworm exam CPT 87172 | $38.58 | $48.22 | $3.64 – $31.34 | 13 |
| Pinworm examinations HCPCS Q0113 | $8.80 | $11.00 | $2.86 – $11.10 | 10 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $40.10 | $50.12 | $0.13 – $1.18 | 10 |
| Pituitary evaluation panel CPT 80418 | $1,453.60 | $1,817.00 | $347.69 – $901.43 | 10 |
| Place breast cath for rad CPT 19297 | $232.80 | $291.00 | $75.66 – $217.41 | 11 |
| Place breast rad tube/caths CPT 19298 | $4,883.20 | $6,104.00 | $294.09 – $5,775.54 | 13 |
| Place cath intracranial art CPT 36228 | $6,400.00 | $8,000.00 | $212.36 – $1,040.00 | 11 |
| Place cath xtrnl carotid CPT 36227 | $3,476.40 | $4,345.50 | $103.20 – $2,511.70 | 13 |
| Place cecostomy tube perc CPT 49442 | $2,170.40 | $2,713.00 | $186.57 – $1,044.22 | 13 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,360.12 – $2,042.83 | 7 |
| Place duod/jej tube perc CPT 49441 | $2,588.00 | $3,235.00 | $214.44 – $1,709.68 | 15 |
| Place endorectal app HCPCS C9725 | not published | not published | $807.43 – $1,361.19 | 9 |
| Place gastrostomy tube open 43832 CPT 43832 | $2,553.60 | $3,192.00 | $829.92 – $2,450.75 | 11 |
| Place gastrostomy tube perc CPT 49440 | $2,289.60 | $2,862.00 | $182.35 – $1,680.02 | 15 |
| Placement bile duct support CPT 47801 | $2,732.00 | $3,415.00 | $887.90 – $2,611.15 | 11 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,209.60 | $1,512.00 | $88.76 – $1,434.92 | 15 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $682.29 | $852.86 | $44.46 – $492.95 | 13 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,228.80 | $2,786.00 | $75.66 – $623.11 | 15 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,352.00 | $5,440.00 | $182.85 – $2,392.47 | 15 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $385.57 | $481.96 | $57.20 – $313.27 | 7 |
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.