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 |
|---|---|---|---|---|
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $357.68 – $910.18 | 10 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $301.28 – $766.65 | 10 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $900.79 – $2,292.24 | 10 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $766.57 – $1,950.73 | 10 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $273.38 – $695.68 | 10 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,077.50 – $2,741.92 | 10 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $668.54 – $1,701.26 | 10 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $155.92 – $542.96 | 8 |
| Postpartum Care Only CPT 59430 | $501.60 | $627.00 | $154.67 – $415.71 | 11 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $1,837.60 | $2,297.00 | $597.22 – $1,743.22 | 11 |
| Potassium 24 hour urine CPT 84133 | $33.57 | $41.96 | $2.84 – $27.27 | 13 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $15.57 | $19.46 | $0.03 – $0.21 | 10 |
| Potassium hydroxide preps HCPCS Q0112 | $12.00 | $15.00 | $3.90 – $15.16 | 10 |
| Potassium serum/plasma/whole blood CPT 84132 | $33.57 | $41.96 | $2.86 – $27.27 | 13 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $1.44 – $3.65 | 10 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $2.46 – $6.27 | 10 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $3.84 – $9.78 | 10 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $3.04 – $7.74 | 10 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $1.45 – $3.68 | 10 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $2.50 – $6.36 | 10 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $2.51 – $6.37 | 10 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $82.20 – $191.82 | 9 |
| Pq biliary strict dil s&i CPT 74363 | $1,489.25 | $1,861.56 | $33.54 – $1,075.98 | 13 |
| Pq dr cath chg w cont s&i CPT 75984 | $685.58 | $856.97 | $27.56 – $495.33 | 13 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $16,062.40 | $20,078.00 | $421.64 – $10,147.20 | 15 |
| Pq thr inj ext pse CPT 36002 | $764.80 | $956.00 | $82.86 – $547.55 | 15 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,095.20 | $2,619.00 | $182.70 – $680.94 | 11 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,452.80 | $5,566.00 | $387.12 – $2,873.50 | 13 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,407.20 | $5,509.00 | $364.70 – $2,873.50 | 13 |
| Pralatrexate injection HCPCS J9307 | $402.40 | $503.00 | $130.78 – $447.14 | 11 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $86.70 – $123.08 | 6 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $5,813.74 | $7,267.17 | $530.92 – $4,200.42 | 15 |
| Pr application of long arm splint CPT 29105 | $396.80 | $496.00 | $36.81 – $183.64 | 15 |
| Pr application splint static short arm CPT 29125 | $312.00 | $390.00 | $36.55 – $183.64 | 15 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $78.48 | $98.09 | $3.99 – $56.70 | 15 |
| Pr biopsy skin punch single lesion CPT 11104 | $308.00 | $385.00 | $42.21 – $353.83 | 13 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $5,227.20 | $6,534.00 | $548.59 – $11,395.13 | 13 |
| Pr correction hammertoe CPT 28285 | $2,688.00 | $3,360.00 | $357.81 – $2,873.50 | 13 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $71.08 | $88.84 | $8.84 – $51.35 | 13 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $695.20 | $869.00 | $192.83 – $567.80 | 13 |
| Prcrd drg 6+yr without anomly CPT 33017 | $620.42 | $775.52 | $196.56 – $487.80 | 13 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $2,228.80 | $2,786.00 | $139.80 – $3,054.48 | 13 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $148.00 | $185.00 | $48.10 – $156.83 | 11 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $209.60 | $262.00 | $68.12 – $221.61 | 11 |
| Prealbumin CPT 84134 | $64.28 | $80.35 | $8.75 – $52.23 | 13 |
| Pr ecg 12 lead report only CPT 93010 | $19.20 | $24.00 | $6.24 – $19.53 | 11 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $60.00 | $75.00 | $16.90 – $51.42 | 11 |
| Prednisolone acetate inj HCPCS J2650 | $1.20 | $1.50 | $0.39 – $0.76 | 4 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.80 | $1.00 | $0.02 – $0.48 | 10 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.92 | $1.15 | $0.01 – $0.01 | 8 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $135.79 – $345.57 | 10 |
| Pregabalin - sendout CPT 80366 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $502.40 | $628.00 | $163.28 – $1,680.02 | 13 |
| Pregnancy associated plasma protein-a CPT 84163 | $64.28 | $80.35 | $12.48 – $52.23 | 13 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $270.40 | $338.00 | $33.28 – $175.56 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $270.40 | $338.00 | $36.40 – $175.56 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $254.62 | $318.27 | $23.66 – $183.96 | 15 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $243.20 | $304.00 | $79.04 – $231.81 | 7 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $1,136.00 | $1,420.00 | $369.20 – $1,005.30 | 11 |
| Prenatal Care Only (7+ visits) CPT 59426 | $2,024.80 | $2,531.00 | $658.06 – $1,844.69 | 11 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $146.89 – $318.65 | 8 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $98.28 – $542.96 | 8 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $527.44 – $792.19 | 8 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,438.26 – $3,659.96 | 10 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $1,682.11 – $4,280.51 | 10 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,300.30 – $3,308.90 | 10 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $1,561.24 – $3,972.90 | 10 |
| Preparation for bladder xray CPT 51605 | $203.20 | $254.00 | $34.73 – $92.78 | 11 |
| Preparation palate mold CPT 42280 | $441.60 | $552.00 | $98.98 – $451.01 | 13 |
| Prepare donor heart CPT 33944 | not published | not published | $273.56 – $3,519.10 | 10 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $273.56 – $5,083.10 | 10 |
| Prepare donor intestine CPT 44715 | not published | not published | $858.71 – $2,490.26 | 6 |
| Prepare donor lung double CPT 32856 | not published | not published | $273.56 – $4,838.62 | 10 |
| Prepare donor lung single CPT 32855 | not published | not published | $227.97 – $3,999.98 | 10 |
| Prepare embryo for transfer CPT 89255 | $565.60 | $707.00 | $53.11 – $540.00 | 9 |
| Prepare fecal microbiota CPT 44705 | $277.60 | $347.00 | $90.22 – $230.90 | 7 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,505.80 – $4,015.68 | 10 |
| Prepare penis study CPT 54230 | $249.60 | $312.00 | $72.58 – $192.34 | 11 |
| Prepare sperm duct x-ray CPT 55300 | $472.00 | $590.00 | $153.40 – $446.31 | 11 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,351.90 – $3,440.19 | 10 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,219.12 – $3,102.29 | 10 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,034.71 – $2,633.06 | 10 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,101.54 – $2,803.10 | 10 |
| Prep cadaver renal allograft CPT 50323 | $476.00 | $595.00 | $135.50 – $518.05 | 11 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $65.15 – $624.98 | 10 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $330.56 – $881.20 | 10 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $235.88 – $629.59 | 10 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $572.45 – $4,189.46 | 10 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $330.11 – $881.60 | 10 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $434.10 – $4,094.72 | 10 |
| Prep donor liver/venous CPT 47146 | not published | not published | $282.70 – $754.40 | 10 |
| Prep donor liver whole CPT 47143 | not published | not published | $445.60 – $4,347.51 | 10 |
| Prep donor pancreas CPT 48551 | not published | not published | $235.29 – $3,419.76 | 10 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $202.90 – $541.93 | 10 |
| Prep donor renal graft CPT 50325 | $415.20 | $519.00 | $134.94 – $466.67 | 11 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $7,207.37 – $10,825.04 | 7 |
| Prepj tum cav iort prtl mast CPT 19294 | $404.00 | $505.00 | $131.30 – $380.38 | 11 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $1,011.34 – $1,518.97 | 7 |
| Prep renal graft/arterial CPT 50328 | $466.40 | $583.00 | $151.58 – $438.81 | 11 |
| Prep renal graft/ureteral CPT 50329 | $444.80 | $556.00 | $144.56 – $416.21 | 11 |
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.