UnityPoint Health - Trinity Moline
2701 17th St, Rock Island, IL · UnityPoint Health · · NPI 1316047632
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 |
|---|---|---|---|---|
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $54,907.20 | $68,634.00 | $594.53 – $14,324.91 | 17 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $3.50 – $219.20 | 14 |
| Atomic absorption CPT 82190 | $40.00 | $50.00 | $3.50 – $25.44 | 14 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $10.44 | $13.05 | $0.02 – $1.48 | 9 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $727.37 – $1,945.68 | 14 |
| Attach bladder/urethra simple 51840 CPT 51840 | $1,712.00 | $2,140.00 | $626.04 – $1,678.22 | 14 |
| Attach ocular implant CPT 65140 | $4,280.00 | $5,350.00 | $825.63 – $2,933.69 | 15 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $135.20 | $169.00 | $65.95 – $140.83 | 14 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $3.50 – $219.20 | 14 |
| Atxn1 gene detc abnor allele CPT 81178 | $153.56 | $191.95 | $3.50 – $219.20 | 16 |
| Atxn2 gene detc abnor allele CPT 81179 | $153.56 | $191.95 | $3.50 – $219.20 | 16 |
| Atxn3 gene detc abnor allele CPT 81180 | $153.56 | $191.95 | $3.50 – $219.20 | 16 |
| Atxn7 gene detc abnor allele CPT 81181 | $153.56 | $191.95 | $3.50 – $219.20 | 16 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $3.50 – $219.20 | 14 |
| Aud brainstem implt programg CPT 92640 | $255.20 | $319.00 | $86.76 – $226.02 | 15 |
| Audiometry air + bone CPT 92553 | $85.60 | $107.00 | $42.67 – $121.72 | 15 |
| Audit/dast 15-30 min CPT 99408 | $64.80 | $81.00 | $37.20 – $75.26 | 8 |
| Audit/dast over 30 min CPT 99409 | $125.60 | $157.00 | $72.06 – $150.86 | 8 |
| Auditor evoke potent limit CPT 92586 | not published | not published | $171.00 – $171.00 | 1 |
| Auditory function + 15 min CPT 92621 | $50.40 | $63.00 | $17.38 – $44.95 | 14 |
| Auditory function 60 min CPT 92620 | $210.40 | $263.00 | $73.62 – $191.05 | 15 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $26.68 – $150.97 | 3 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $24.93 – $177.17 | 3 |
| Augmentation cheek bone CPT 21270 | $4,988.80 | $6,236.00 | $672.42 – $4,602.15 | 15 |
| Augmentation lower jaw bone CPT 21125 | $6,948.80 | $8,686.00 | $616.77 – $4,602.15 | 15 |
| Augmentation lower jaw bone CPT 21127 | $9,877.60 | $12,347.00 | $712.06 – $5,796.61 | 15 |
| Augmentation of facial bones CPT 21208 | $4,208.80 | $5,261.00 | $679.06 – $4,602.15 | 15 |
| Augment injectable kit 3.0cc HCPCS C1734 | $7,836.88 | $9,796.09 | $2,654.74 – $5,162.54 | 7 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $9,995.45 | $12,494.31 | $190.83 – $5,509.99 | 16 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $19,675.53 | $24,594.41 | $451.41 – $10,846.13 | 17 |
| Autgrft implnt knee w/scope CPT 29866 | $5,163.20 | $6,454.00 | $946.79 – $5,557.54 | 15 |
| Autochondrocyte implant knee CPT 27412 | $8,123.20 | $10,154.00 | $1,470.87 – $5,557.54 | 15 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,681.60 | $2,102.00 | $3.50 – $1,345.04 | 16 |
| Autologous blood op salvage CPT 86891 | $786.52 | $983.15 | $79.34 – $1,362.48 | 17 |
| Autologous blood process CPT 86890 | $164.99 | $206.23 | $56.17 – $285.81 | 17 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $82.97 – $2,657.00 | 13 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $152.81 – $3,050.92 | 14 |
| Automated diff wbc count CPT 85004 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Autonomic nrv adrenrg inervj CPT 95922 | $215.20 | $269.00 | $38.69 – $126.31 | 15 |
| Autonomic nrv parasym inervj CPT 95921 | $191.20 | $239.00 | $37.95 – $121.72 | 15 |
| Autonomic nrv syst funj test CPT 95923 | $358.40 | $448.00 | $40.63 – $126.31 | 15 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $323.73 – $900.67 | 5 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $313.26 – $989.12 | 5 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $334.21 – $1,078.93 | 5 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $187.89 – $788.08 | 5 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $187.89 – $788.08 | 5 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $187.89 – $670.14 | 5 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $219.31 – $759.95 | 5 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $229.79 – $837.67 | 5 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $187.89 – $671.49 | 5 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $172.18 – $671.49 | 5 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $240.26 – $700.96 | 5 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $94.28 – $299.85 | 14 |
| Av fistula revision CPT 36833 | $1,979.20 | $2,474.00 | $689.69 – $4,205.42 | 15 |
| Av fuse uppr arm basilic CPT 36819 | $1,786.40 | $2,233.00 | $622.34 – $4,205.42 | 15 |
| Av fuse uppr arm cephalic CPT 36818 | $1,689.60 | $2,112.00 | $589.09 – $4,205.42 | 15 |
| Av fusion direct any site CPT 36821 | $1,622.40 | $2,028.00 | $563.94 – $2,448.63 | 15 |
| Av fusion/forearm vein 36820 CPT 36820 | $3,563.20 | $4,454.00 | $623.64 – $4,205.42 | 15 |
| Avul nail plate addl CPT 11732 | $255.23 | $319.03 | $15.39 – $140.69 | 16 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $374.60 | $468.24 | $49.32 – $206.49 | 17 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $50.83 – $86.52 | 11 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $489,136.91 – $852,922.36 | 13 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $141.35 – $364.99 | 14 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $3,414.40 | $4,268.00 | $620.95 – $4,538.91 | 15 |
| Azacitidine injection HCPCS J9025 | $4.80 | $6.00 | $0.05 – $1.69 | 9 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.12 | $1.39 | $0.22 – $49.18 | 9 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $78.64 – $748.44 | 14 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $79.92 | $99.90 | $2.18 – $18.79 | 9 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $27.20 | $34.00 | $0.04 – $72.68 | 9 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $12.28 | $15.35 | $0.52 – $2.48 | 9 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $261.60 | $327.00 | $165.27 – $600.00 | 14 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $45.94 – $206.74 | 7 |
| Baclofen eval charges CPT 97750 | $63.20 | $79.00 | $29.91 – $52.19 | 14 |
| Bacterial meningitis antigen CPT 86403 | $48.57 | $60.71 | $3.50 – $26.77 | 16 |
| Bacterial vaginosis pcr CPT 87801 | $176.80 | $221.00 | $3.50 – $112.32 | 16 |
| Bactericidal level serum CPT 87197 | $38.40 | $48.00 | $3.50 – $24.03 | 14 |
| #bac vag cand-c. albicans naa CPT 87481 | $88.80 | $111.00 | $3.50 – $56.14 | 16 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $16.00 | $20.00 | $3.93 – $14.83 | 14 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $91.22 | $114.02 | $28.93 – $51.93 | 16 |
| Balloon dilate urtrl strix CPT 50706 | $4,632.00 | $5,790.00 | $161.17 – $1,403.19 | 14 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,041.54 – $2,779.77 | 14 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $569.65 | $712.06 | $54.93 – $314.02 | 17 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $490.07 | $612.58 | $45.16 – $270.15 | 17 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $434.76 | $543.44 | $26.35 – $239.66 | 17 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.17 – $0.78 | 8 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $1.44 – $5.42 | 14 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $6.88 – $22.06 | 14 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $4.33 – $13.87 | 14 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $3.43 – $10.99 | 14 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $6.11 – $19.58 | 14 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $452.00 | $565.00 | $163.19 – $2,473.55 | 15 |
| Bartonella dna pcr-sendout CPT 87471 | $88.80 | $111.00 | $3.50 – $56.14 | 16 |
| Bartonella dna quant CPT 87472 | $108.00 | $135.00 | $3.50 – $68.54 | 14 |
| Basic vestibular evaluation CPT 92540 | $238.40 | $298.00 | $25.55 – $153.31 | 15 |
| Basiliximab HCPCS J0480 | not published | not published | $3,780.94 – $14,494.61 | 14 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $353.21 – $1,358.40 | 14 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $150.02 – $558.22 | 14 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $898.48 – $2,895.82 | 14 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $779.33 – $2,511.68 | 14 |
| Bausch health Ultrasound surg HCPCS V2788 | not published | not published | $1,028.50 – $1,378.48 | 3 |
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.