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 |
|---|---|---|---|---|
| Prep renal graft/venous CPT 50327 | $532.00 | $665.00 | $172.90 – $500.43 | 11 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $7,207.37 – $10,825.04 | 7 |
| Prep skin to 100cm2 other CPT 15004 | $987.20 | $1,234.00 | $234.24 – $620.84 | 13 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $859.20 | $1,074.00 | $195.60 – $1,620.01 | 13 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $177.60 | $222.00 | $39.02 – $105.07 | 11 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $138.56 – $233.59 | 9 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $189.79 – $507.13 | 10 |
| Pressure velocity wire add ves CPT 93572 | $1,526.80 | $1,908.49 | $42.64 – $1,103.11 | 13 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $252.80 – $643.31 | 10 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $164.99 | $206.23 | $14.56 – $175.35 | 15 |
| Pretreat rbc absorption reference CPT 86978 | $312.80 | $391.00 | $19.84 – $134.05 | 15 |
| Pretreat rbc density gradient separation reference CPT 86972 | $164.99 | $206.23 | $14.56 – $175.35 | 15 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $164.99 | $206.23 | $14.56 – $134.05 | 15 |
| Pretreat rbc w enzyme reference CPT 86971 | $164.99 | $206.23 | $13.16 – $175.35 | 15 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $362.40 | $453.00 | $117.78 – $419.07 | 13 |
| Preventive counseling group CPT 99411 | $35.20 | $44.00 | $11.22 – $17.48 | 7 |
| Preventive counseling group CPT 99412 | $44.80 | $56.00 | $14.56 – $29.26 | 7 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $69.60 | $87.00 | $22.62 – $55.68 | 7 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $116.00 | $145.00 | $37.70 – $114.20 | 7 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $160.00 | $200.00 | $52.00 – $168.81 | 7 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $204.80 | $256.00 | $66.56 – $225.74 | 7 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $304.00 | $380.00 | $98.80 – $315.80 | 11 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $894.78 | $1,118.47 | $75.25 – $1,434.92 | 15 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $543.20 | $679.00 | $149.18 – $1,434.92 | 13 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $579.32 | $724.14 | $93.19 – $418.55 | 15 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $3,336.80 | $4,171.00 | $1,084.46 – $3,180.29 | 11 |
| Prgrmg dev eval impltbl sys CPT 93260 | $162.40 | $203.00 | $20.80 – $81.22 | 13 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $140.80 | $176.00 | $21.58 – $93.56 | 15 |
| Prgrmg dev eval scrms ip CPT 93285 | $150.61 | $188.26 | $19.50 – $108.81 | 15 |
| Prgrmg eval implantable dfb CPT 93282 | $168.80 | $211.00 | $23.14 – $93.56 | 15 |
| Prgrmg eval implantable dfb CPT 93283 | $243.60 | $304.49 | $25.22 – $176.00 | 15 |
| Prgrmg eval implantable dfb CPT 93284 | $226.40 | $283.00 | $27.04 – $101.81 | 15 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,389.58 | $5,486.97 | $47.35 – $3,171.47 | 13 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $362.40 | $453.00 | $117.78 – $336.33 | 11 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $246.40 | $308.00 | $80.08 – $251.94 | 11 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $181.60 | $227.00 | $59.02 – $167.73 | 11 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $217.60 | $272.00 | $70.72 – $229.70 | 11 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $145.60 | $182.00 | $47.32 – $152.65 | 11 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $89.60 | $112.00 | $29.12 – $95.45 | 11 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $10,152.94 | $12,691.17 | $373.95 – $15,902.86 | 15 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $10,152.94 | $12,691.17 | $140.95 – $7,335.50 | 13 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $45.34 – $98.04 | 10 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $516.00 | $645.00 | $142.07 – $353.83 | 15 |
| Pr incision & drainage abscess simple/single CPT 10060 | $437.15 | $546.43 | $96.98 – $315.84 | 15 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $437.15 | $546.43 | $102.70 – $315.84 | 15 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $697.94 | $872.42 | $95.72 – $504.26 | 15 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $512.80 | $641.00 | $114.13 – $369.85 | 13 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $378.40 | $473.00 | $114.13 – $272.16 | 13 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $440.49 | $550.61 | $10.89 – $318.25 | 13 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $2,921.60 | $3,652.00 | $474.76 – $1,729.42 | 13 |
| Probe nasolacrimal duct CPT 68810 | $851.20 | $1,064.00 | $115.53 – $362.48 | 13 |
| Probe nasolacrimal duct CPT 68811 | $729.60 | $912.00 | $118.56 – $2,066.12 | 13 |
| Probe nasolacrimal duct CPT 68815 | $1,910.40 | $2,388.00 | $200.00 – $2,066.12 | 13 |
| Probe nl duct w/balloon CPT 68816 | $3,817.60 | $4,772.00 | $141.47 – $2,066.12 | 13 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $330.40 | $413.00 | $66.06 – $284.34 | 11 |
| Procalcitonin CPT 84145 | $55.20 | $69.00 | $16.33 – $44.69 | 13 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $74.50 – $148.52 | 6 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $79.40 | $99.25 | $0.49 – $3.64 | 10 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.03 – $0.78 | 6 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $4,636.80 | $5,796.00 | $1,506.96 – $4,336.99 | 11 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $4,544.80 | $5,681.00 | $1,477.06 – $4,299.36 | 11 |
| Proctosigmoidoscopy ablate CPT 45320 | $488.80 | $611.00 | $92.45 – $2,428.72 | 13 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $496.80 | $621.00 | $99.12 – $1,044.22 | 13 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $2,326.40 | $2,908.00 | $76.30 – $1,044.22 | 13 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $302.40 | $378.00 | $43.45 – $807.43 | 13 |
| Proctosigmoidoscopy removal CPT 45308 | $444.80 | $556.00 | $74.25 – $2,428.72 | 13 |
| Proctosigmoidoscopy removal CPT 45309 | $460.00 | $575.00 | $78.96 – $1,044.22 | 13 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $501.60 | $627.00 | $93.09 – $1,044.22 | 13 |
| Proctosigmoidoscopy volvul CPT 45321 | $252.80 | $316.00 | $82.16 – $2,428.72 | 13 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $396.80 | $496.00 | $65.26 – $1,044.22 | 13 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $5,484.42 | $6,855.52 | $88.38 – $3,962.49 | 15 |
| Proctosigmoidoscopy w/stent CPT 45327 | $286.40 | $358.00 | $93.08 – $5,271.93 | 13 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $108.67 – $146.68 | 6 |
| Progesterone CPT 84144 | $55.00 | $68.75 | $12.52 – $44.69 | 13 |
| Prolactin CPT 84146 | $55.00 | $68.75 | $11.63 – $44.69 | 13 |
| Prolng clin staff svc 1st hr CPT 99415 | $36.80 | $46.00 | $11.96 – $39.22 | 11 |
| Prolng clin staff svc ea add CPT 99416 | $17.60 | $22.00 | $5.72 – $18.32 | 11 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $74.40 | $93.00 | $24.18 – $92.86 | 6 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $61.60 | $77.00 | $20.02 – $73.42 | 6 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $195.00 – $195.00 | 2 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $138.00 – $138.00 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $329.72 – $495.22 | 7 |
| Prolong home eval add 15m HCPCS G0318 | $59.20 | $74.00 | $19.24 – $71.76 | 11 |
| Prolong service without contact CPT 99358 | $233.60 | $292.00 | $75.92 – $250.52 | 7 |
| Prolong serv without contact add CPT 99359 | $113.60 | $142.00 | $36.92 – $121.60 | 7 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.04 – $1.56 | 6 |
| Promethazine hcl injection HCPCS J2550 | $4.00 | $5.00 | $1.30 – $4.67 | 8 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $2,598.40 | $3,248.00 | $193.77 – $522.18 | 13 |
| Proph rta dtchmnt pc CPT 67145 | $2,616.00 | $3,270.00 | $193.77 – $819.07 | 13 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | $4,262.40 | $5,328.00 | $692.64 – $11,395.13 | 13 |
| Prophylactic tx radius CPT 25490 | $3,531.20 | $4,414.00 | $573.82 – $6,326.64 | 13 |
| Prophylactic tx radius&ulna CPT 25492 | $4,451.20 | $5,564.00 | $723.32 – $2,873.50 | 13 |
| Prophylactic tx ulna CPT 25491 | $3,632.00 | $4,540.00 | $590.20 – $11,395.13 | 13 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $9.39 | $11.73 | $0.01 – $0.09 | 10 |
| _propoxygc/msur CPT 80367 | $72.14 | $90.17 | $11.70 – $58.61 | 10 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $12.80 | $16.00 | $4.16 – $11.06 | 6 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $45.07 – $114.69 | 10 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $78.17 – $198.94 | 10 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $13.94 – $35.48 | 10 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $5.51 – $14.03 | 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.