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 |
|---|---|---|---|---|
| Triamcinolone hexacetonl inj HCPCS J3303 | $8.00 | $10.00 | $2.53 – $10.22 | 6 |
| Trichinella antibody CPT 86784 | $48.57 | $60.71 | $3.50 – $26.77 | 16 |
| Trichomonas assay w/optic CPT 87808 | $38.58 | $48.22 | $3.50 – $24.46 | 16 |
| #tricyclicantidprssnt CPT 80337 | $72.14 | $90.17 | $14.16 – $47.52 | 8 |
| Triglycerides CPT 84478 | $33.57 | $41.96 | $3.44 – $18.50 | 16 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.07 – $17.20 | 14 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $0.83 – $2.09 | 7 |
| Trimethobenzamide hcl inj HCPCS J3250 | $51.20 | $64.00 | $29.00 – $151.11 | 7 |
| Trim nail(s) HCPCS G0127 | $58.40 | $73.00 | $6.83 – $46.21 | 15 |
| Trim nondyst nails CPT 11719 | $124.22 | $155.27 | $6.83 – $68.47 | 17 |
| Triptorelin pamoate HCPCS J3315 | $659.20 | $824.00 | $250.60 – $1,226.02 | 14 |
| Trluml dil aq o/f can without st CPT 66174 | $4,704.00 | $5,880.00 | $560.12 – $3,129.63 | 15 |
| Trluml dil aq o/f can w/st CPT 66175 | $4,928.00 | $6,160.00 | $650.02 – $4,014.05 | 15 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $1,146.40 | $1,433.00 | $372.90 – $998.36 | 14 |
| Trml dstrj ios bvn ea addl CPT 64629 | $535.20 | $669.00 | $176.15 – $472.12 | 14 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $2,555.20 | $3,194.00 | $186.62 – $1,067.14 | 17 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $3,744.90 | $4,681.12 | $1,268.58 – $3,128.21 | 10 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $8,746.52 | $10,933.14 | $839.72 – $4,821.51 | 16 |
| Trnscath plc stnt ante carotid art CPT 37218 | $4,017.60 | $5,022.00 | $710.77 – $2,201.16 | 14 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $17,789.00 | $22,236.25 | $180.16 – $9,806.19 | 16 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $14,737.00 | $18,421.24 | $130.04 – $8,123.77 | 16 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $16,987.42 | $21,234.27 | $264.79 – $9,364.31 | 17 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,904.80 | $4,881.00 | $262.28 – $3,084.16 | 17 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $7,024.00 | $8,779.99 | $334.43 – $4,205.42 | 17 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $4,997.75 | $6,247.18 | $200.76 – $2,755.01 | 17 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $7,996.37 | $9,995.46 | $105.95 – $4,408.00 | 17 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,501.77 | $3,127.21 | $293.98 – $2,448.63 | 17 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $2,656.80 | $3,321.00 | $780.44 – $2,848.09 | 15 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $542.40 | $678.00 | $190.65 – $508.27 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,900.80 | $2,376.00 | $603.65 – $1,605.08 | 15 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,460.80 | $3,076.00 | $741.40 – $1,973.03 | 15 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $2,128.80 | $2,661.00 | $641.50 – $1,704.64 | 15 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $1,954.40 | $2,443.00 | $585.70 – $1,558.52 | 15 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $1,534.40 | $1,918.00 | $454.58 – $1,423.07 | 15 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | $615.11 | $768.88 | $3.50 – $1,025.17 | 16 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | $6,480.00 | $8,100.00 | $3.50 – $7,356.10 | 13 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $950.51 – $2,532.39 | 14 |
| Troponin quantitative CPT 84484 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Tr retinal les preterm inf CPT 67229 | $5,792.00 | $7,240.00 | $426.79 – $2,788.17 | 15 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $4,385.60 | $5,482.00 | $347.61 – $3,043.27 | 15 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $75.42 – $108.85 | 5 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $32.00 – $119.06 | 14 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $29.56 – $94.80 | 14 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $101.99 – $286.98 | 14 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $63.12 – $171.38 | 14 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,210.64 | $2,763.30 | $614.63 – $1,456.26 | 17 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,210.64 | $2,763.30 | $774.16 – $1,456.26 | 16 |
| Tte w or without fol w/cont, com HCPCS C8921 | $2,210.64 | $2,763.30 | $774.16 – $1,456.26 | 16 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $1,692.44 | $2,115.54 | $691.78 – $1,317.72 | 16 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $920.80 | $1,151.00 | $333.23 – $4,538.91 | 15 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $7.87 – $25.25 | 14 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $32.79 – $105.17 | 14 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $3.88 – $12.46 | 14 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $33.10 – $106.13 | 14 |
| Tubing (oxygen) per foot HCPCS A4616 | $0.40 | $0.50 | $0.04 – $0.50 | 14 |
| Tubular dressing HCPCS A6457 | not published | not published | $0.79 – $2.54 | 14 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $117.84 – $729.16 | 14 |
| Tvh >250 gms 58290 CPT 58290 | $2,885.60 | $3,607.00 | $1,027.97 – $5,752.87 | 15 |
| Tvh w/mmk 58267 CPT 58267 | $2,665.60 | $3,332.00 | $956.00 – $2,568.91 | 14 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $282.07 – $987.74 | 14 |
| Tx atrial fib pulm vein isol CPT 93656 | $31,985.46 | $39,981.82 | $810.28 – $19,085.17 | 17 |
| Tx closed distal humerus fx CPT 24999 | $1,599.28 | $1,999.09 | $186.62 – $8,778.00 | 17 |
| Tx closed hip disl traumatic without anes CPT 27250 | $905.60 | $1,132.00 | $147.69 – $409.55 | 17 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,684.74 | $4,605.92 | $528.64 – $2,524.18 | 17 |
| Tx closed tib shaft fx without manip CPT 27750 | $1,692.80 | $2,116.00 | $140.04 – $717.79 | 17 |
| Tx contour defects >10.0 cc CPT 11954 | $388.80 | $486.00 | $99.72 – $476.21 | 15 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $262.40 | $328.00 | $64.63 – $476.21 | 15 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | $2,277.60 | $2,847.00 | $820.98 – $2,207.50 | 14 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $2,159.20 | $2,699.00 | $779.07 – $2,094.27 | 14 |
| Tx l/r atrial fib addl CPT 93657 | $9,995.45 | $12,494.31 | $262.54 – $5,509.99 | 16 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $8,117.40 | $10,146.75 | $674.66 – $4,474.72 | 17 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $4,425.18 | $5,531.47 | $461.41 – $2,524.18 | 17 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $6,279.67 | $7,849.58 | $502.63 – $3,461.66 | 17 |
| Tx open nsl fx uncomp CPT 21325 | $1,072.80 | $1,341.00 | $399.24 – $2,522.98 | 15 |
| Tx open nsl sptl fx CPT 21336 | $1,567.20 | $1,959.00 | $572.21 – $2,524.18 | 15 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $1,463.20 | $1,829.00 | $543.48 – $2,524.18 | 15 |
| Tx septic abortion surgical 59830 CPT 59830 | $1,094.40 | $1,368.00 | $403.53 – $1,087.67 | 14 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $523.20 | $654.00 | $178.78 – $418.20 | 17 |
| Tympanic membrane repair CPT 69610 | $1,856.00 | $2,320.00 | $259.18 – $1,152.38 | 15 |
| Tympanolysis transcanal 69450 CPT 69450 | $2,659.20 | $3,324.00 | $488.10 – $2,522.98 | 15 |
| Tympanometry & reflex thresh CPT 92550 | $49.60 | $62.00 | $20.03 – $121.72 | 15 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $966.40 | $1,208.00 | $120.19 – $396.18 | 15 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $6,740.80 | $8,426.00 | $1,253.98 – $4,602.15 | 15 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $6,043.20 | $7,554.00 | $1,138.58 – $4,602.15 | 15 |
| Tyms gene com variants CPT 81346 | $350.40 | $438.00 | $3.50 – $279.70 | 14 |
| Typhoid vaccine oral CPT 90690 | $100.00 | $125.00 | $26.67 – $120.54 | 8 |
| U2af1 gene common variants CPT 81357 | not published | not published | $3.50 – $309.20 | 14 |
| Ua w/micro/comp poc CPT 81000 | $25.72 | $32.14 | $3.38 – $14.17 | 16 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $67.59 – $115.05 | 13 |
| Ue triple control harness HCPCS L6677 | not published | not published | $177.76 – $572.96 | 14 |
| Ugt1a1 gene analy common variants CPT 81350 | $468.00 | $585.00 | $3.50 – $374.40 | 16 |
| Ultrasound bone density measure CPT 76977 | $29.60 | $37.00 | $2.36 – $82.73 | 15 |
| Ultrasound breast complete CPT 76641 | $570.61 | $713.26 | $32.18 – $157.27 | 17 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $427.00 | $533.74 | $29.97 – $117.69 | 17 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $286.28 | $357.85 | $18.16 – $157.81 | 17 |
| Ultrasound dx ophth b-scan CPT 76512 | $158.40 | $198.00 | $15.50 – $91.31 | 15 |
| Ultrasound elastography ea l target les CPT 76983 | $108.00 | $135.00 | $21.40 – $116.47 | 14 |
| Ultrasound elastography parenchyma CPT 76981 | $189.60 | $237.00 | $26.32 – $104.20 | 15 |
| Ultrasound encephalogram CPT 76506 | $494.92 | $618.65 | $27.76 – $272.82 | 17 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $34.00 – $34.00 | 1 |
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.