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 |
|---|---|---|---|---|
| Tcd vasoreactivity study CPT 93890 | not published | not published | $91.20 – $1,108.05 | 6 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $129.94 – $729.16 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $110.00 | $137.50 | $3.50 – $75.17 | 16 |
| T cells absolute cd 4 count CPT 86361 | $110.00 | $137.50 | $3.50 – $60.64 | 16 |
| T cells total count CPT 86359 | $110.00 | $137.50 | $3.50 – $60.64 | 16 |
| Tcranial magn stim tx deli CPT 90868 | $312.00 | $390.00 | $39.40 – $387.56 | 15 |
| Tcranial magn stim tx plan CPT 90867 | $513.60 | $642.00 | $114.09 – $604.55 | 15 |
| Tcran magn stim redetemine CPT 90869 | $635.20 | $794.00 | $91.27 – $552.16 | 15 |
| Tdh sdrl/ventr pnxr CPT 61105 | $1,087.20 | $1,359.00 | $408.15 – $1,084.22 | 14 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $5,030.40 | $6,288.00 | $874.16 – $2,341.06 | 14 |
| Team conf without pat by hc pro CPT 99368 | $67.20 | $84.00 | $42.62 – $83.75 | 8 |
| Team conf without pat by phys CPT 99367 | $102.40 | $128.00 | $65.70 – $127.29 | 8 |
| Team conf w/pat by hc prof CPT 99366 | $78.40 | $98.00 | $49.96 – $95.88 | 8 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $204.06 – $347.34 | 13 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,886.08 | $2,357.59 | $770.93 – $1,317.72 | 16 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $1,692.44 | $2,115.54 | $691.78 – $1,317.72 | 16 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $27.58 – $88.43 | 14 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.34 – $23.37 | 14 |
| Telehealth original site facility fee HCPCS Q3014 | $61.60 | $77.00 | $11.76 – $70.53 | 10 |
| Telethx isodose plan cplx CPT 77307 | $3,998.20 | $4,997.74 | $121.67 – $2,204.00 | 17 |
| Telethx isodose plan simple CPT 77306 | $1,899.13 | $2,373.91 | $67.04 – $1,046.89 | 17 |
| Temozolomide HCPCS J8700 | not published | not published | $0.23 – $5.53 | 7 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $9.77 – $35.02 | 14 |
| Temperature gradient studies CPT 93740 | $19.20 | $24.00 | $2.82 – $260.96 | 15 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,418.00 – $2,418.00 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $77.60 | $97.00 | $30.32 – $108.17 | 14 |
| Tendon lengthening CPT 26476 | $1,493.60 | $1,867.00 | $574.42 – $2,524.18 | 15 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $1,428.00 | $1,785.00 | $528.98 – $2,524.18 | 15 |
| Tendon shortening CPT 26477 | $1,460.80 | $1,826.00 | $562.96 – $2,524.18 | 15 |
| Tendon transfer with graft CPT 26492 | $2,200.80 | $2,751.00 | $828.64 – $2,524.18 | 15 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $268.32 | $335.39 | $10.56 – $483.13 | 16 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $514.57 – $7,472.28 | 6 |
| Tenodesis biceps tdn at elbw CPT 24340 | $3,020.80 | $3,776.00 | $550.80 – $5,557.54 | 15 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,436.00 | $1,795.00 | $539.54 – $2,524.18 | 15 |
| Tenolysis triceps CPT 24332 | $3,012.80 | $3,766.00 | $560.22 – $2,524.18 | 15 |
| Tenoplasty elbow to sho 1 CPT 24320 | $1,919.20 | $2,399.00 | $704.38 – $5,557.54 | 15 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,266.40 | $1,583.00 | $472.64 – $1,253.64 | 15 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $652.83 – $1,730.29 | 14 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $2,243.20 | $2,804.00 | $271.17 – $2,524.18 | 15 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $3,995.28 | $4,994.10 | $222.81 – $2,202.40 | 17 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $1,914.43 – $6,170.13 | 14 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $7.58 – $33.76 | 14 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $77.88 | $97.35 | $0.12 – $3.66 | 9 |
| Teriparatide injection HCPCS J3110 | $65.60 | $82.00 | $9.82 – $207.81 | 7 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $2,450.10 – $7,896.66 | 14 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $1,892.11 – $6,098.19 | 14 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $823.21 – $2,685.82 | 14 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $592.81 – $1,892.42 | 14 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $882.46 – $2,862.82 | 14 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $244.43 – $809.26 | 14 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $260.65 – $740.80 | 14 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $202.65 – $675.60 | 14 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $121.88 – $393.82 | 14 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $401.75 – $1,304.08 | 14 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $3.50 – $296.32 | 14 |
| Test for chlorohydrocarbons CPT 82441 | $32.15 | $40.18 | $3.50 – $17.72 | 16 |
| Test for porphobilinogen CPT 84106 | $33.57 | $41.96 | $3.49 – $18.50 | 16 |
| Test for urine cystines CPT 82615 | $23.20 | $29.00 | $3.50 – $15.28 | 14 |
| Testicular imaging w/vasc flow CPT 78761 | $459.20 | $574.00 | $31.24 – $365.37 | 15 |
| Testosterone pellet 75 mg HCPCS S0189 | $102.40 | $128.00 | $105.13 – $323.88 | 6 |
| Testosterone response panel CPT 80414 | $129.60 | $162.00 | $3.50 – $82.62 | 14 |
| Testosterone undecanoate 1mg HCPCS J3145 | $2.40 | $3.00 | $1.65 – $6.21 | 14 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $70.00 | $87.49 | $2.94 – $99.07 | 17 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $155.90 – $656.80 | 14 |
| Test socket above knee HCPCS L5624 | not published | not published | $217.69 – $771.15 | 14 |
| Test socket below knee HCPCS L5620 | not published | not published | $169.48 – $572.61 | 14 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $303.02 – $1,236.26 | 14 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $291.95 – $1,220.82 | 14 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $218.37 – $771.44 | 14 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $208.72 – $892.51 | 14 |
| Test socket symes HCPCS L5618 | not published | not published | $178.10 – $645.38 | 14 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $144.27 – $594.05 | 14 |
| Test stress cardiovascular tracing only CPT 93017 | $1,202.37 | $1,502.96 | $33.67 – $662.81 | 17 |
| Test urine for lactose CPT 83633 | $23.20 | $29.00 | $3.50 – $18.00 | 14 |
| Test urine for porphyrins CPT 84119 | $27.20 | $34.00 | $3.50 – $21.38 | 14 |
| Test urine urobilinogen CPT 84578 | $9.60 | $12.00 | $2.68 – $7.15 | 14 |
| Tetanus ig im CPT 90389 | $624.00 | $780.00 | $216.09 – $786.79 | 8 |
| Tetanus immune globulin inj HCPCS J1670 | $634.40 | $793.00 | $122.23 – $1,834.51 | 16 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $32.37 | $40.46 | $3.50 – $59.85 | 16 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $3.50 – $219.20 | 14 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $729.16 | $911.44 | $3.50 – $1,215.25 | 16 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,802.82 | $3,503.52 | $3.50 – $4,671.36 | 16 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $792.10 | $990.12 | $3.50 – $956.66 | 16 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | $419.20 | $524.00 | $167.91 – $285.81 | 12 |
| Thawing cryopresrved embryo CPT 89352 | $419.20 | $524.00 | $167.91 – $285.81 | 13 |
| Thawing cryopresrved oocyte CPT 89356 | $419.20 | $524.00 | $167.91 – $285.81 | 12 |
| Thawing cryopresrved sperm CPT 89353 | $419.20 | $524.00 | $52.35 – $89.11 | 12 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $46.70 – $729.16 | 14 |
| Theophylline therapeutic drug level CPT 80198 | $66.43 | $83.03 | $3.50 – $36.62 | 16 |
| Therapeutic procd strg endur HCPCS G0237 | $123.25 | $154.06 | $10.19 – $67.94 | 16 |
| Therapy activation ipnss CPT 93150 | $228.80 | $286.00 | $38.27 – $133.33 | 14 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | not published | not published | $60.40 – $111.25 | 3 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $113.54 | $141.92 | $30.99 – $62.59 | 16 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $113.54 | $141.92 | $26.03 – $62.59 | 16 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $83.20 | $104.00 | $26.28 – $43.29 | 16 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $72.00 | $90.00 | $25.34 – $41.83 | 14 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $283.20 | $354.00 | $116.51 – $319.07 | 15 |
| Ther fx nasal inf turbinate CPT 30930 | $291.20 | $364.00 | $107.05 – $2,522.98 | 15 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $524.80 | $656.00 | $92.81 – $230.96 | 15 |
| Ther/proph/diag inj ia CPT 96373 | $444.49 | $555.61 | $17.16 – $245.02 | 17 |
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.