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 |
|---|---|---|---|---|
| Rbc depletion of harvest CPT 38212 | not published | not published | $88.76 – $447.36 | 9 |
| Rbc irradiated each unit HCPCS P9038 | $302.84 | $378.55 | $98.42 – $246.06 | 15 |
| Rbc mechanical fragility CPT 85547 | $21.60 | $27.00 | $5.16 – $13.38 | 10 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $496.84 – $727.25 | 7 |
| Rbc osmotic fragility CPT 85555 | $31.22 | $39.02 | $4.48 – $25.36 | 13 |
| Rbc serum pretx incubj drugs CPT 86975 | $364.45 | $455.56 | $17.87 – $408.33 | 15 |
| Rcm img acquisj&i&r 1st les CPT 96931 | $371.20 | $464.00 | $120.64 – $400.01 | 11 |
| Rcm img acquisj&i&r ea addl CPT 96934 | $233.60 | $292.00 | $75.92 – $278.85 | 11 |
| Rcm img acquisj only 1st les CPT 96932 | $268.00 | $335.00 | $87.10 – $295.75 | 11 |
| Rcm img acquisj only ea addl CPT 96935 | $135.20 | $169.00 | $43.94 – $180.34 | 11 |
| Rcm i&r only 1st lesion CPT 96933 | $103.20 | $129.00 | $33.54 – $104.26 | 11 |
| Rcm i&r only ea addl lesion CPT 96936 | $98.40 | $123.00 | $31.98 – $98.51 | 11 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | $5,514.40 | $6,893.00 | $1,792.18 – $5,239.04 | 13 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,514.27 – $4,028.90 | 10 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,356.00 – $3,609.06 | 10 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,405.96 – $3,741.51 | 10 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,468.24 – $3,906.58 | 10 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $1,935.37 – $5,187.83 | 10 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,744.89 – $4,677.65 | 10 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,620.37 – $4,345.58 | 10 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,514.99 – $6,737.94 | 10 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,319.15 – $6,213.40 | 10 |
| Rdctj forehead cntrg only CPT 21137 | $1,862.40 | $2,328.00 | $605.28 – $2,872.13 | 13 |
| Rdctj forehead cntrg&prostc CPT 21138 | $2,275.20 | $2,844.00 | $739.44 – $5,239.04 | 13 |
| Rdctj forehead cntrg&setback CPT 21139 | $2,746.40 | $3,433.00 | $892.58 – $5,239.04 | 13 |
| Realignment of knee CPT 27457 | $4,732.80 | $5,916.00 | $769.08 – $2,256.55 | 11 |
| Realignment of knee CPT 27455 | $4,681.60 | $5,852.00 | $760.76 – $2,295.85 | 11 |
| Realignment of tendons CPT 26437 | $1,564.00 | $1,955.00 | $508.30 – $2,873.50 | 13 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,156.90 – $3,076.94 | 10 |
| Rebuild eardrum structures CPT 69632 | $5,278.40 | $6,598.00 | $857.74 – $5,239.04 | 13 |
| Rebuild eardrum structures CPT 69633 | $5,112.00 | $6,390.00 | $830.70 – $5,239.04 | 13 |
| Rebuild eardrum structures CPT 69636 | $6,771.20 | $8,464.00 | $1,100.32 – $5,239.04 | 13 |
| Rebuild outer ear canal CPT 69310 | $5,337.60 | $6,672.00 | $867.36 – $5,239.04 | 13 |
| Rebuild outer ear canal CPT 69320 | $7,499.20 | $9,374.00 | $1,218.62 – $5,239.04 | 13 |
| Rechanneling of artery CPT 35361 | $7,409.60 | $9,262.00 | $1,204.06 – $3,462.89 | 11 |
| Rechanneling of artery CPT 35306 | not published | not published | $376.62 – $1,006.74 | 10 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,334.24 – $3,561.79 | 10 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,380.99 – $3,691.56 | 10 |
| Rechanneling of artery 35305 CPT 35305 | $5,977.60 | $7,472.00 | $971.36 – $2,791.99 | 11 |
| Rechanneling of artery 35341 CPT 35341 | $6,707.20 | $8,384.00 | $1,089.92 – $3,159.89 | 11 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $6,219.20 | $7,774.00 | $1,010.62 – $2,902.15 | 11 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | $7,086.40 | $8,858.00 | $1,151.54 – $3,310.75 | 11 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $20,617.38 | $25,771.72 | $775.84 – $14,896.05 | 13 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $6,044.80 | $7,556.00 | $982.28 – $2,788.81 | 11 |
| Recipient nephrectomy CPT 50340 | not published | not published | $850.97 – $2,261.40 | 10 |
| Recon, cta for surg plan HCPCS G0288 | $80.80 | $101.00 | $26.26 – $98.33 | 11 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,294.14 – $5,239.04 | 12 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,291.91 – $5,239.04 | 12 |
| Reconst lwr jaw without fixation CPT 21195 | $3,458.40 | $4,323.00 | $1,123.98 – $5,239.04 | 13 |
| Reconst lwr jaw without graft CPT 21193 | $3,136.80 | $3,921.00 | $1,019.46 – $5,239.04 | 13 |
| Reconst major injured chest 32820 CPT 32820 | $3,236.80 | $4,046.00 | $1,051.96 – $3,080.84 | 11 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | $2,510.40 | $3,138.00 | $815.88 – $2,384.34 | 11 |
| Reconstr lwr jaw segment CPT 21198 | $2,764.80 | $3,456.00 | $898.56 – $5,239.04 | 13 |
| Reconstr lwr jaw w/advance CPT 21199 | $2,623.20 | $3,279.00 | $852.54 – $5,239.04 | 13 |
| Reconstruct ankle joint CPT 27702 | $4,768.00 | $5,960.00 | $774.80 – $16,286.62 | 13 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,205.26 – $3,220.94 | 10 |
| Reconstruct cleft foot CPT 28360 | $5,368.00 | $6,710.00 | $872.30 – $6,326.64 | 13 |
| Reconstruct cleft palate CPT 42200 | $2,333.60 | $2,917.00 | $758.42 – $5,239.04 | 13 |
| Reconstruct cleft palate CPT 42205 | $2,433.60 | $3,042.00 | $790.92 – $2,872.13 | 13 |
| Reconstruct cleft palate CPT 42210 | $2,714.40 | $3,393.00 | $882.18 – $5,239.04 | 13 |
| Reconstruct cleft palate CPT 42215 | $1,768.00 | $2,210.00 | $574.60 – $5,239.04 | 13 |
| Reconstruct cleft palate CPT 42220 | $1,454.40 | $1,818.00 | $472.68 – $5,239.04 | 13 |
| Reconstruct cleft palate CPT 42225 | $2,416.00 | $3,020.00 | $785.20 – $5,239.04 | 13 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,885.13 – $5,013.46 | 10 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,049.85 – $5,452.16 | 10 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,203.97 – $5,863.60 | 10 |
| Reconstruct elbow joint CPT 24360 | $4,432.00 | $5,540.00 | $720.20 – $6,326.64 | 13 |
| Reconstruct elbow joint CPT 24361 | $4,953.60 | $6,192.00 | $804.96 – $16,286.62 | 13 |
| Reconstruct elbow joint CPT 24362 | $5,216.00 | $6,520.00 | $847.60 – $11,395.13 | 13 |
| Reconstruct elbow lat ligmnt CPT 24344 | $5,392.00 | $6,740.00 | $876.20 – $6,326.64 | 13 |
| Reconstruct elbow med ligmnt CPT 24346 | $5,409.60 | $6,762.00 | $879.06 – $11,395.13 | 13 |
| Reconstruct extra finger CPT 26587 | $2,558.40 | $3,198.00 | $831.48 – $2,873.50 | 13 |
| Reconstruct finger joint CPT 26545 | $1,769.60 | $2,212.00 | $575.12 – $2,873.50 | 13 |
| Reconstruct finger joint CPT 26548 | $1,900.00 | $2,375.00 | $617.50 – $2,873.50 | 13 |
| Reconstruct head of radius CPT 24365 | $3,145.60 | $3,932.00 | $511.16 – $11,395.13 | 13 |
| Reconstruct head of radius CPT 24366 | $3,361.60 | $4,202.00 | $546.26 – $11,395.13 | 13 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,000.58 – $2,656.41 | 10 |
| Reconstruction knee CPT 27427 | $3,504.00 | $4,380.00 | $569.40 – $6,326.64 | 13 |
| Reconstruction knee CPT 27428 | $5,483.20 | $6,854.00 | $891.02 – $11,395.13 | 13 |
| Reconstruction knee CPT 27429 | $6,166.40 | $7,708.00 | $1,002.04 – $11,395.13 | 13 |
| Reconstruction of anus CPT 46753 | $1,508.80 | $1,886.00 | $490.36 – $2,428.72 | 13 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,368.89 – $3,649.95 | 10 |
| Reconstruction of eyelid CPT 67971 | $3,590.40 | $4,488.00 | $583.44 – $2,066.12 | 13 |
| Reconstruction of eyelid CPT 67973 | $4,622.40 | $5,778.00 | $751.14 – $2,226.69 | 13 |
| Reconstruction of eyelid CPT 67974 | $4,614.40 | $5,768.00 | $749.84 – $3,339.68 | 13 |
| Reconstruction of eyelid CPT 67975 | $3,398.40 | $4,248.00 | $552.24 – $2,066.12 | 13 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,160.52 – $3,088.23 | 10 |
| Reconstruction of hip socket CPT 27122 | $2,710.40 | $3,388.00 | $880.88 – $2,629.01 | 11 |
| Reconstruction of jaw CPT 21245 | $3,007.20 | $3,759.00 | $857.50 – $5,239.04 | 13 |
| Reconstruction of jaw CPT 21246 | $2,163.20 | $2,704.00 | $703.04 – $5,239.04 | 13 |
| Reconstruction of jaw CPT 21248 | $2,562.40 | $3,203.00 | $730.18 – $5,239.04 | 13 |
| Reconstruction of jaw CPT 21249 | $3,512.00 | $4,390.00 | $1,021.81 – $5,239.04 | 13 |
| Reconstruction of jaw joint CPT 21240 | $5,404.80 | $6,756.00 | $878.28 – $5,239.04 | 13 |
| Reconstruction of jaw joint CPT 21242 | $5,113.60 | $6,392.00 | $830.96 – $5,239.04 | 13 |
| Reconstruction of jaw joint CPT 21243 | $8,240.00 | $10,300.00 | $1,339.00 – $16,286.62 | 13 |
| Reconstruction of lower jaw CPT 21244 | $2,542.40 | $3,178.00 | $826.28 – $5,239.04 | 13 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,428.40 – $3,808.42 | 10 |
| Reconstruction of mouth CPT 40840 | $2,063.20 | $2,579.00 | $568.58 – $5,239.04 | 13 |
| Reconstruction of mouth CPT 40842 | $2,240.80 | $2,801.00 | $555.88 – $5,239.04 | 13 |
| Reconstruction of mouth CPT 40843 | $2,923.20 | $3,654.00 | $781.28 – $5,239.04 | 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.