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 |
|---|---|---|---|---|
| Sinus/juglr venogram s&i CPT 75860 | $474.40 | $593.00 | $48.98 – $2,448.63 | 15 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $2,321.60 | $2,902.00 | $310.17 – $2,522.98 | 15 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $2,859.20 | $3,574.00 | $535.80 – $4,602.15 | 15 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $2,446.40 | $3,058.00 | $462.98 – $4,602.15 | 15 |
| Sinus X-ray (complete) CPT 70220 | $323.16 | $403.94 | $9.63 – $178.14 | 17 |
| Sinus X-ray (limited) CPT 70210 | $132.95 | $166.18 | $7.71 – $73.29 | 17 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $173.51 – $515.26 | 14 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $70.26 – $218.93 | 14 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $45,263.10 – $180,319.48 | 14 |
| Sirolimus, oral HCPCS J7520 | $13.59 | $16.98 | $1.14 – $9.86 | 9 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $79.46 – $351.47 | 14 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $136.73 – $510.99 | 14 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $72.14 | $90.17 | $13.16 – $44.99 | 9 |
| Skel musc relaxant 3 or more CPT 80370 | $13.60 | $17.00 | $16.19 – $24.10 | 2 |
| Skin and muscle repair face CPT 15845 | $2,522.40 | $3,153.00 | $953.92 – $2,848.09 | 15 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $4.37 – $14.02 | 14 |
| Skin Biopsy CPT 11102 | $393.84 | $492.29 | $34.05 – $217.10 | 17 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,052.80 | $2,566.00 | $604.31 – $1,608.05 | 15 |
| Skin full graft add-on 15241 CPT 15241 | $445.60 | $557.00 | $95.17 – $253.71 | 14 |
| Skin pedicle flap arms/legs CPT 15572 | $2,168.80 | $2,711.00 | $661.68 – $2,848.09 | 15 |
| Skin pedicle flap trunk CPT 15570 | $2,240.00 | $2,800.00 | $650.86 – $1,733.31 | 15 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $460.00 | $575.00 | $96.84 – $261.52 | 14 |
| Skin test unlisted antigen ea CPT 86486 | $48.57 | $60.71 | $2.84 – $26.77 | 17 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,138.35 – $5,703.83 | 14 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,579.85 – $9,529.98 | 14 |
| Skull X-ray (1 to 3 views) CPT 70250 | $221.27 | $276.58 | $8.04 – $121.97 | 17 |
| Skull X-ray (complete) CPT 70260 | $476.48 | $595.60 | $12.45 – $262.66 | 17 |
| Skyla, 13.5 mg HCPCS J7301 | $1,324.80 | $1,656.00 | $420.09 – $2,746.33 | 9 |
| Slco1b1 gene com variants CPT 81328 | $350.40 | $438.00 | $3.50 – $279.70 | 14 |
| Sleep study attended CPT 95807 | $931.20 | $1,164.00 | $54.10 – $519.92 | 15 |
| Sleep Study (Polysomnography) CPT 95810 | $4,175.77 | $5,219.71 | $108.33 – $2,301.89 | 17 |
| Sleep study unattended CPT 95806 | $1,799.19 | $2,248.98 | $40.27 – $991.80 | 17 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $116.14 – $374.34 | 14 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $6.68 – $6.68 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,613.72 – $6,989.35 | 14 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $21.60 | $27.00 | $5.36 – $17.22 | 14 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $39.19 – $140.00 | 14 |
| Slitting of prepuce CPT 54000 | $388.80 | $486.00 | $101.64 – $2,683.16 | 15 |
| Slitting of prepuce CPT 54001 | $5,018.12 | $6,272.64 | $128.28 – $2,766.23 | 17 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $75.20 | $94.00 | $28.65 – $76.34 | 14 |
| Slp eval non-spch gen comm dev CPT 92605 | $211.20 | $264.00 | $81.82 – $206.13 | 14 |
| Slp pure tone screening CPT 92551 | $24.80 | $31.00 | $13.99 – $29.15 | 8 |
| Slp stdy unatnd w/anal CPT 95801 | $770.52 | $963.15 | $37.39 – $424.75 | 17 |
| Slp ther svc non-spch gen CPT 92606 | $186.40 | $233.00 | $69.77 – $164.27 | 14 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,056.02 – $19,539.46 | 14 |
| Small animal inoculation CPT 87003 | $42.40 | $53.00 | $3.50 – $26.94 | 14 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $490.07 | $612.58 | $35.36 – $270.15 | 17 |
| Small bowel endoscopy CPT 44360 | $363.20 | $454.00 | $128.24 – $1,475.78 | 15 |
| Small bowel endoscopy CPT 44364 | $517.60 | $647.00 | $182.25 – $1,475.78 | 15 |
| Small bowel endoscopy CPT 44366 | $608.00 | $760.00 | $213.81 – $1,475.78 | 15 |
| Small bowel endoscopy CPT 44369 | $623.20 | $779.00 | $219.00 – $1,475.78 | 15 |
| Small bowel endoscopy CPT 44376 | $720.00 | $900.00 | $253.42 – $1,475.78 | 15 |
| Small bowel endoscopy CPT 44378 | $975.20 | $1,219.00 | $342.26 – $1,475.78 | 15 |
| Small bowel endoscopy CPT 44382 | $698.40 | $873.00 | $66.35 – $729.38 | 15 |
| Small bowel endoscopy CPT 44384 | $388.00 | $485.00 | $136.93 – $1,475.78 | 15 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $484.80 | $606.00 | $170.79 – $1,475.78 | 15 |
| Small bowel endoscopy 44365 CPT 44365 | $460.00 | $575.00 | $162.46 – $1,475.78 | 15 |
| Small bowel endoscopy/biopsy CPT 44361 | $400.80 | $501.00 | $141.73 – $1,475.78 | 15 |
| Small bowel endoscopy/biopsy CPT 44377 | $756.80 | $946.00 | $265.84 – $1,475.78 | 15 |
| Small bowel endoscopy br/wa CPT 44380 | $447.20 | $559.00 | $51.77 – $729.38 | 15 |
| Small bowel endoscopy br/wa CPT 44381 | $2,381.60 | $2,977.00 | $75.50 – $1,475.78 | 15 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $673.60 | $842.00 | $237.80 – $4,631.05 | 15 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $327.24 | 12 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $38.58 | $48.22 | $3.23 – $21.27 | 16 |
| Smear gram stain CPT 87205 | $38.58 | $48.22 | $2.56 – $21.27 | 16 |
| Smear nasal eosinophil CPT 89190 | $56.44 | $70.54 | $3.50 – $31.11 | 16 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $38.58 | $48.22 | $3.59 – $21.39 | 16 |
| Smear wet mount CPT 87210 | $38.58 | $48.22 | $3.50 – $21.27 | 16 |
| Smn1 gene full gene sequence CPT 81336 | $289.30 | $361.62 | $3.50 – $482.16 | 16 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $177.80 | $222.24 | $3.50 – $296.32 | 16 |
| Smpd1 gene common variants CPT 81330 | $127.86 | $159.82 | $3.50 – $75.20 | 16 |
| Snrpn/ube3a gene CPT 81331 | $127.86 | $159.82 | $3.50 – $81.71 | 16 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $643.47 – $2,073.82 | 14 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $490.49 – $1,580.85 | 14 |
| Socket insert above knee HCPCS L5658 | not published | not published | $262.13 – $876.77 | 14 |
| Socket insert below knee HCPCS L5655 | not published | not published | $158.83 – $546.77 | 14 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $251.69 – $830.66 | 14 |
| Socket insert symes HCPCS L5654 | not published | not published | $212.27 – $757.28 | 14 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $373.79 – $1,265.09 | 14 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $448.55 – $1,518.14 | 14 |
| Sock fracture or equal each HCPCS L3995 | $72.80 | $91.00 | $17.98 – $72.03 | 14 |
| Sock wool above knee HCPCS L8430 | not published | not published | $14.63 – $45.63 | 14 |
| Sodium 24 hour urine CPT 84300 | $33.57 | $41.96 | $3.04 – $18.50 | 16 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $47.84 | $59.79 | $2.09 – $18.04 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $48.00 | $60.00 | $1.04 – $24.57 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $48.00 | $60.00 | $0.51 – $26.46 | 9 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.09 – $1.48 | 6 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $14.84 | $18.55 | $0.40 – $7.40 | 9 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $172.00 | $215.00 | $73.96 – $243.81 | 7 |
| Sodium serum/plasma/whole blood CPT 84295 | $33.57 | $41.96 | $2.89 – $18.50 | 16 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $1.52 | $1.90 | $0.51 – $1.00 | 9 |
| Soft interface below knee se HCPCS L2820 | $196.00 | $245.00 | $48.81 – $156.53 | 14 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $86.28 – $146.86 | 11 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $323.55 | $404.43 | $2.94 – $3,054.39 | 16 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $2.94 – $2,715.01 | 13 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2.94 – $7,466.24 | 13 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $2.94 – $2,375.63 | 13 |
| Solid skin barrier HCPCS A4362 | not published | not published | $2.42 – $6.59 | 14 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $5.20 – $16.66 | 14 |
| Somatosensory testing CPT 95927 | $357.60 | $447.00 | $24.85 – $242.25 | 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.