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 |
|---|---|---|---|---|
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $8.79 – $22.37 | 10 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,105.60 | $1,382.00 | $105.30 – $341.01 | 15 |
| Prostate ca screening; dre HCPCS G0102 | $49.60 | $62.00 | $8.04 – $21.16 | 11 |
| Prostatectomy (turp) CPT 52601 | $1,841.60 | $2,302.00 | $598.52 – $4,502.17 | 13 |
| Prostate laser enucleation CPT 52649 | $2,082.40 | $2,603.00 | $676.78 – $4,502.17 | 13 |
| Prostatic microwave thermotx CPT 53850 | $3,799.20 | $4,749.00 | $324.91 – $3,054.48 | 13 |
| Prostatic rf thermotx CPT 53852 | $3,688.00 | $4,610.00 | $347.61 – $3,054.48 | 13 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $262.40 | $328.00 | $65.44 – $166.53 | 11 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $25.12 – $63.91 | 10 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $12.90 – $32.83 | 10 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $547.89 – $1,394.22 | 10 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $4.00 – $10.17 | 10 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $17.92 | $22.39 | $0.89 – $8.64 | 10 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $39.16 – $99.66 | 10 |
| Protein analysis w/probe CPT 88372 | $37.60 | $47.00 | $12.22 – $35.83 | 11 |
| Protein c activity CPT 85303 | $35.20 | $44.00 | $8.30 – $26.69 | 13 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.01 – $19.59 | 10 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $44.80 | $56.00 | $6.44 – $24.83 | 13 |
| Protein s total CPT 85305 | $32.85 | $41.06 | $6.97 – $26.69 | 13 |
| Protein total 24 hour urine CPT 84156 | $33.57 | $41.96 | $2.20 – $27.27 | 13 |
| Protein total body fluid CPT 84157 | $33.57 | $41.96 | $2.40 – $27.27 | 13 |
| Protein total serum plasma whole blood CPT 84155 | $33.57 | $41.96 | $2.20 – $27.27 | 13 |
| Protein western blot tissue CPT 88371 | $44.80 | $56.00 | $13.39 – $32.60 | 11 |
| Prothrombin complex kcentra HCPCS J7168 | $4.80 | $6.00 | $1.56 – $3.90 | 13 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $32.85 | $41.06 | $2.36 – $26.69 | 13 |
| Proton treatment complex CPT 77525 | not published | not published | $781.28 – $2,233.75 | 11 |
| Proton trmt intermediate CPT 77523 | not published | not published | $196.00 – $2,021.54 | 11 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $618.26 – $1,904.34 | 11 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $174.58 – $1,733.38 | 11 |
| Protoporphyrin rbc screen CPT 84203 | $24.00 | $30.00 | $5.84 – $13.64 | 10 |
| Provide inr test mater/equip HCPCS G0249 | $170.40 | $213.00 | $32.11 – $188.95 | 11 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $1,092.00 | $1,365.00 | $354.90 – $1,052.24 | 11 |
| Prp i/hern init block >5 yr CPT 49507 | $2,873.60 | $3,592.00 | $466.96 – $3,125.41 | 13 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $153.60 | $192.00 | $49.92 – $146.48 | 13 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $61.60 | $77.00 | $20.02 – $74.85 | 11 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,934.40 | $22,418.00 | $314.27 – $5,828.68 | 11 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $403.91 – $1,081.54 | 10 |
| Prq cardiac angio addl art CPT 92921 | $6,251.12 | $7,813.89 | $2,031.61 – $5,079.03 | 7 |
| Prq card revasc mi 1 vsl CPT 92941 | $11,028.95 | $13,786.18 | $465.92 – $7,968.41 | 13 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $17,686.48 | $22,108.10 | $5,748.11 – $14,370.27 | 7 |
| Prq card stent w/angio addl CPT 92929 | $11,028.95 | $13,786.18 | $3,584.41 – $8,961.02 | 7 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $11,028.95 | $13,786.18 | $413.92 – $10,043.45 | 15 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $2,665.60 | $3,332.00 | $433.16 – $6,326.64 | 13 |
| Prq skel fix epcndylr hum fx CPT 24566 | $3,526.40 | $4,408.00 | $573.04 – $1,739.30 | 13 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $3,747.20 | $4,684.00 | $608.92 – $6,326.64 | 13 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $2,292.80 | $2,866.00 | $372.58 – $6,326.64 | 13 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $830.40 | $1,038.00 | $269.88 – $6,326.64 | 13 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $11,028.95 | $13,786.18 | $414.44 – $10,043.45 | 15 |
| Prq trlml c athrc st angiop1 CPT 92933 | $1,430.40 | $1,788.00 | $464.88 – $15,902.86 | 13 |
| Prq trluml c angiop 1art&/br CPT 92920 | $9,271.42 | $11,589.27 | $372.84 – $6,698.60 | 15 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $1,366.40 | $1,708.00 | $444.08 – $10,043.45 | 13 |
| Prq trluml revsc ch occ ant CPT 92943 | $19,807.09 | $24,758.86 | $465.92 – $14,310.62 | 15 |
| Pr removal drug delivery implant CPT 11982 | $287.20 | $359.00 | $43.99 – $353.40 | 15 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $438.40 | $548.00 | $32.08 – $114.16 | 15 |
| Pr removal intrauterine device CPT 58301 | $251.20 | $314.00 | $56.13 – $269.40 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $742.40 | $928.00 | $78.44 – $358.37 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $268.80 | $336.00 | $49.23 – $175.98 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $280.80 | $351.00 | $50.98 – $175.98 | 15 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $247.83 | $309.78 | $39.58 – $179.05 | 15 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $269.60 | $337.00 | $51.94 – $179.05 | 15 |
| Pr robotic surgical system HCPCS S2900 | $668.80 | $836.00 | $217.36 – $1,835.00 | 5 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $2,119.20 | $2,649.00 | $639.80 – $1,702.47 | 13 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $76.00 | $95.00 | $24.70 – $79.11 | 11 |
| Prtl exc bone olecrn process CPT 24147 | $3,070.40 | $3,838.00 | $498.94 – $2,873.50 | 13 |
| Prtl exc bone radial h/n CPT 24145 | $2,915.20 | $3,644.00 | $473.72 – $6,326.64 | 13 |
| Prtl exchange transfuse nb CPT 36456 | $260.00 | $325.00 | $84.50 – $387.17 | 13 |
| Prtl excision bone clavicle CPT 23180 | $3,262.40 | $4,078.00 | $530.14 – $6,326.64 | 13 |
| Prtl excision bone scapula CPT 23182 | $3,240.00 | $4,050.00 | $526.50 – $6,326.64 | 13 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,190.42 | $1,488.02 | $127.40 – $1,375.76 | 15 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $32.00 | $40.00 | $10.40 – $39.75 | 11 |
| PSA (Prostate) Test CPT 84153 | $64.28 | $80.35 | $11.03 – $52.23 | 13 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $4.80 | $6.00 | $1.56 – $5.04 | 11 |
| Psychoanalysis CPT 90845 | $221.60 | $277.00 | $72.02 – $215.67 | 11 |
| Psychoeducation 45 min + HCPCS G0177 | $54.03 | $67.53 | $17.56 – $68.90 | 9 |
| Psychophysiological therapy CPT 90875 | $138.40 | $173.00 | $44.98 – $158.11 | 7 |
| Psychophysiological therapy CPT 90876 | $240.00 | $300.00 | $78.00 – $250.79 | 7 |
| Psychotherapy group therapy CPT 90853 | $695.92 | $869.89 | $20.28 – $167.60 | 15 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $173.76 | $217.20 | $54.60 – $142.30 | 15 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $414.16 | $517.69 | $68.12 – $299.22 | 15 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $456.47 | $570.58 | $101.92 – $333.11 | 15 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $270.40 | $338.00 | $87.88 – $275.78 | 13 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $207.20 | $259.00 | $67.34 – $187.46 | 11 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $211.58 | $264.47 | $68.76 – $428.00 | 7 |
| Psycl/nrpsyc tech 1st CPT 96138 | $80.00 | $100.00 | $26.00 – $353.40 | 13 |
| Psy evaluation of records CPT 90885 | $112.00 | $140.00 | $36.40 – $128.36 | 7 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $103.20 | $129.00 | $21.78 – $114.16 | 13 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $94.40 | $118.00 | $16.80 – $44.23 | 11 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $80.00 | $100.00 | $26.00 – $82.00 | 11 |
| Psytx complex interactive CPT 90785 | $35.20 | $44.00 | $11.44 – $32.37 | 11 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $161.60 | $202.00 | $52.52 – $158.16 | 11 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $204.00 | $255.00 | $66.30 – $200.51 | 11 |
| Psytx pt w/e&m 53+ min CPT 90838 | $268.00 | $335.00 | $87.10 – $265.41 | 11 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $12.00 | $15.00 | $3.90 – $9.80 | 10 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $98.90 | $123.62 | $15.86 – $71.45 | 13 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $98.90 | $123.62 | $8.58 – $71.45 | 13 |
| Pt application of modality traction mechanical CPT 97012 | $98.90 | $123.62 | $8.84 – $71.45 | 13 |
| Pt/caregiver traing home inr CPT 93792 | $137.60 | $172.00 | $44.72 – $162.84 | 11 |
| Pten gene dup/delet variant CPT 81323 | $288.00 | $360.00 | $93.60 – $420.04 | 13 |
| Pten gene full sequence CPT 81321 | $576.00 | $720.00 | $187.20 – $840.06 | 13 |
| Pten gene known fam variant CPT 81322 | $127.86 | $159.82 | $27.96 – $103.88 | 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.