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 |
|---|---|---|---|---|
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | $3,875.20 | $4,844.00 | $629.72 – $5,239.04 | 13 |
| Pt-focused hlth risk assmt CPT 96160 | $120.00 | $150.00 | $2.66 – $6.99 | 11 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $57.60 | $72.00 | $18.72 – $59.05 | 11 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $861.29 – $2,191.75 | 10 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $99.20 | $124.00 | $27.04 – $70.70 | 13 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $55.20 | $69.00 | $9.88 – $39.88 | 13 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $56.80 | $71.00 | $18.46 – $46.28 | 11 |
| Pt wheelchair management each 15 minutes CPT 97542 | $91.91 | $114.88 | $19.24 – $66.40 | 13 |
| Pul art balloon repr percut CPT 92997 | $22,513.93 | $28,142.41 | $452.66 – $16,266.31 | 15 |
| Pul art balloon repr percut CPT 92998 | $22,513.93 | $28,142.41 | $226.46 – $16,266.31 | 13 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $3,300.00 – $7,150.00 | 9 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,571.28 – $9,535.10 | 10 |
| Pulmonary decortication partial 32225 CPT 32225 | $4,844.80 | $6,056.00 | $787.28 – $2,024.11 | 13 |
| Pulmonary vent imaging CPT 78579 | $1,178.88 | $1,473.59 | $13.78 – $851.74 | 15 |
| Pulse ox continuous overnight monitoring CPT 94762 | $350.80 | $438.50 | $17.94 – $253.45 | 15 |
| Pulse ox multiple CPT 94761 | $454.38 | $567.97 | $3.40 – $328.29 | 13 |
| Pulse ox single CPT 94760 | $55.20 | $69.00 | $2.08 – $39.88 | 13 |
| Punc of shunt for asp or inj CPT 61070 | $682.29 | $852.86 | $45.50 – $613.31 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $75.20 | $94.00 | $13.60 – $114.16 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $437.15 | $546.43 | $87.69 – $353.83 | 15 |
| Puncture/clear windpipe 31612 CPT 31612 | $212.80 | $266.00 | $43.17 – $2,872.13 | 13 |
| Puncture spinal lumbar diagnostic CPT 62270 | $695.93 | $869.91 | $56.30 – $613.31 | 15 |
| Puraply 1 sq cm HCPCS Q4195 | $140.80 | $176.00 | $45.76 – $169.95 | 6 |
| Puraply xt 1 sq cm HCPCS Q4197 | $172.80 | $216.00 | $56.16 – $165.77 | 7 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $371.20 | $464.00 | $44.15 – $118.03 | 11 |
| Pvb thoracic cont infusion CPT 64463 | $992.00 | $1,240.00 | $74.46 – $613.31 | 13 |
| Pvb thoracic single inj site CPT 64461 | $659.20 | $824.00 | $70.78 – $613.31 | 13 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $411.23 – $1,046.46 | 10 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $9,741.62 – $24,789.65 | 10 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,088.00 – $3,542.97 | 5 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $888.31 – $2,367.51 | 10 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $858.69 – $2,288.04 | 10 |
| Pyelotomy w/removal calculus CPT 50130 | $5,219.20 | $6,524.00 | $848.12 – $2,485.99 | 11 |
| Pyloroplasty 43800 CPT 43800 | $2,285.60 | $2,857.00 | $742.82 – $2,176.84 | 11 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $10.09 – $19.27 | 7 |
| Pyruvate CPT 84210 | $64.28 | $80.35 | $8.69 – $52.23 | 13 |
| Pyruvate kinase CPT 84220 | $33.57 | $41.96 | $5.66 – $27.27 | 13 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $168.32 – $428.34 | 10 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $5.46 – $28.36 | 10 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,046.31 | $2,557.88 | $23.66 – $1,478.45 | 15 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,697.44 | $2,121.80 | $20.80 – $1,226.40 | 15 |
| Quest t3 uptake CPT 84479 | $55.00 | $68.75 | $3.88 – $44.69 | 13 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $352.21 – $896.27 | 10 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.26 – $522.69 | 9 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $422.40 | $528.00 | $137.28 – $623.63 | 10 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.15 – $378.79 | 10 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $553.16 | $691.44 | $51.53 – $289.91 | 13 |
| Rabies vaccine id CPT 90676 | $340.80 | $426.00 | $110.76 – $351.64 | 9 |
| Radial keratotomy CPT 65771 | not published | not published | $1,208.60 – $1,945.24 | 6 |
| Radiation handling CPT 77790 | $170.40 | $213.00 | $13.50 – $74.08 | 11 |
| Radiation physics consult CPT 77336 | $297.06 | $371.32 | $52.00 – $214.62 | 15 |
| Radiation therapy dose plan CPT 77300 | $636.55 | $795.68 | $25.22 – $459.90 | 15 |
| Radiation therapy management CPT 77431 | $199.20 | $249.00 | $64.74 – $208.28 | 11 |
| Radiation treatment aid(s) CPT 77332 | $318.28 | $397.84 | $14.91 – $229.95 | 15 |
| Radiation treatment aid(s) CPT 77333 | $255.20 | $319.00 | $16.92 – $117.59 | 13 |
| Radiation treatment aid(s) CPT 77334 | $848.72 | $1,060.90 | $47.58 – $613.20 | 15 |
| Radiation treatment delivery CPT 77401 | $74.40 | $93.00 | $24.18 – $96.98 | 13 |
| Radiation treatment delivery CPT 77402 | $318.28 | $397.84 | $96.98 – $258.60 | 15 |
| Radiation treatment delivery CPT 77412 | $594.11 | $742.63 | $193.08 – $482.71 | 15 |
| Radiation tx management x5 CPT 77427 | $354.40 | $443.00 | $115.18 – $369.85 | 11 |
| Radical abdominal hysterectomy 58210 CPT 58210 | $4,511.20 | $5,639.00 | $1,466.14 – $4,369.40 | 11 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,343.18 – $3,571.48 | 10 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,722.39 – $4,582.04 | 10 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,573.07 – $4,184.24 | 10 |
| Radical resection of elbow CPT 24149 | $5,788.80 | $7,236.00 | $940.68 – $6,326.64 | 13 |
| Radical resection sternum 21630 CPT 21630 | $2,982.40 | $3,728.00 | $969.28 – $3,128.09 | 11 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $2,582.40 | $3,228.00 | $839.28 – $2,534.69 | 13 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $7,052.80 | $8,816.00 | $1,146.08 – $3,391.66 | 13 |
| Radiesse injection HCPCS Q2026 | $239.20 | $299.00 | $77.74 – $350.09 | 8 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $3,175.69 – $8,081.24 | 10 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $509.09 – $1,295.49 | 10 |
| Radiology port images(s) CPT 77417 | $84.88 | $106.09 | $9.36 – $61.32 | 13 |
| Radiotherapy dose plan imrt CPT 77301 | $5,327.20 | $6,659.00 | $269.62 – $3,848.90 | 15 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $149.68 – $180.37 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,525.88 | $1,907.34 | $29.38 – $1,156.16 | 15 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,525.88 | $1,907.34 | $38.22 – $1,156.16 | 15 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,595.64 | $3,244.54 | $50.70 – $1,875.34 | 15 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,525.88 | $1,907.34 | $37.44 – $1,156.16 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | $443.21 | $554.01 | $23.14 – $355.87 | 15 |
| Radphm quant measure sgl area add-on CPT 78835 | $220.80 | $276.00 | $13.78 – $41.12 | 11 |
| Rad rescj tum dstl/shft hum CPT 24150 | $7,628.80 | $9,536.00 | $1,239.68 – $6,326.64 | 13 |
| Rad rescj tum shoulder<5 cm CPT 23077 | $5,532.80 | $6,916.00 | $899.08 – $2,663.89 | 13 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | $6,504.00 | $8,130.00 | $1,056.90 – $3,131.00 | 13 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | $5,102.40 | $6,378.00 | $829.14 – $2,534.69 | 13 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | $3,620.80 | $4,526.00 | $588.38 – $2,534.69 | 13 |
| Rad resect abd tumor 5 cm/> CPT 22905 | $3,262.40 | $4,078.00 | $1,060.28 – $3,128.46 | 13 |
| Rad resect hand tumor < 3 cm CPT 26117 | $1,830.40 | $2,288.00 | $594.88 – $2,534.69 | 13 |
| Rad resect hand tumor 3 cm/> CPT 26118 | $2,593.60 | $3,242.00 | $842.92 – $2,534.69 | 13 |
| Rad resection tum radial h/n CPT 24152 | $6,625.60 | $8,282.00 | $1,076.66 – $6,326.64 | 13 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $2,348.00 | $2,935.00 | $763.10 – $2,534.69 | 13 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $76.80 | $96.00 | $24.96 – $91.32 | 11 |
| Range of motion measurements CPT 95852 | $41.60 | $52.00 | $5.18 – $13.52 | 11 |
| Ranibizumab injection HCPCS J2778 | $462.40 | $578.00 | $90.41 – $456.46 | 11 |
| Rapid desensitization CPT 95180 | $424.00 | $530.00 | $94.70 – $353.40 | 13 |
| Rapid Strep Test CPT 87880 | $38.58 | $48.22 | $11.44 – $31.34 | 13 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $577.36 | $721.69 | $185.85 – $449.61 | 13 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $220.32 – $288.30 | 10 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $420.05 – $1,086.64 | 6 |
| Rbc count only automated CPT 85041 | $33.57 | $41.96 | $1.81 – $27.27 | 13 |
| Rbc deglycerolized each unit HCPCS P9039 | $302.84 | $378.55 | $98.42 – $976.04 | 15 |
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.