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 |
|---|---|---|---|---|
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $180.66 – $387.31 | 13 |
| Unlisted px small intestine CPT 44799 | $6,943.45 | $8,679.31 | $729.38 – $8,778.00 | 17 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $180.66 – $387.31 | 13 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $103.29 – $221.44 | 13 |
| Unlisted px tongue flr mouth CPT 41599 | $2,426.09 | $3,032.61 | $180.66 – $3,527.66 | 17 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $180.66 – $387.31 | 13 |
| Unlisted reprod med lab proc CPT 89398 | $70.00 | $87.49 | $2.94 – $89.11 | 17 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $312.61 – $670.20 | 13 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $154.58 – $331.41 | 13 |
| Unlisted special svc px/rprt CPT 99199 | $25.60 | $32.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $41.57 – $89.11 | 13 |
| Unlisted transfusion med px CPT 86999 | $57.14 | $71.42 | $19.06 – $40.85 | 17 |
| Unlisted ultrasound procedure CPT 76999 | $369.60 | $462.00 | $65.72 – $146.86 | 14 |
| Unlisted urinalysis px CPT 81099 | $25.72 | $32.14 | $8.71 – $16.94 | 7 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $480.98 – $1,031.18 | 13 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $312.61 – $670.20 | 13 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $4,538.91 – $9,730.97 | 13 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $4,538.91 – $9,730.97 | 13 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,999.08 | $2,498.85 | $620.33 – $1,316.89 | 16 |
| Upgrade pm system CPT 33214 | $25,144.88 | $31,431.10 | $415.05 – $13,861.12 | 17 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $278.51 | $348.13 | $7.10 – $153.53 | 17 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,426.09 | $3,032.61 | $53.34 – $1,337.38 | 17 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,161.16 | $2,701.44 | $43.57 – $1,191.34 | 17 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $5,408.23 | $6,760.28 | $100.51 – $2,981.28 | 17 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,520.28 | $5,650.34 | $77.96 – $2,491.80 | 17 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,729.83 | $3,412.28 | $64.86 – $1,504.82 | 17 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $333.83 | $417.28 | $8.98 – $184.02 | 17 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $439.62 | $549.52 | $9.95 – $242.34 | 17 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $687.20 | $859.00 | $109.69 – $729.38 | 15 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $914.40 | $1,143.00 | $123.53 – $729.38 | 15 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $857.60 | $1,072.00 | $213.91 – $689.18 | 14 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | $627.20 | $784.00 | $158.52 – $497.76 | 14 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $490.07 | $612.58 | $39.15 – $270.15 | 17 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $490.07 | $612.58 | $35.33 – $270.15 | 17 |
| Uppr gi scope w/submuc inj CPT 43236 | $916.80 | $1,146.00 | $123.53 – $729.38 | 15 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $1,605.60 | $2,007.00 | $579.39 – $4,538.91 | 15 |
| Urea nitrogen CPT 84520 | $33.57 | $41.96 | $2.37 – $18.50 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $33.57 | $41.96 | $3.34 – $18.50 | 16 |
| Urea nitrogen clearance CPT 84545 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Urea nitrogen semi-quant CPT 84525 | $10.40 | $13.00 | $3.08 – $8.21 | 14 |
| Ureteral embolization/occl CPT 50705 | $9,249.60 | $11,562.00 | $159.01 – $3,023.69 | 14 |
| Ureteral reflux study CPT 78740 | $1,098.54 | $1,373.17 | $24.93 – $605.57 | 17 |
| Ureter endoscopy CPT 50970 | $1,875.20 | $2,344.00 | $331.65 – $2,683.16 | 15 |
| Ureter endoscopy & biopsy CPT 50955 | $2,140.80 | $2,676.00 | $315.49 – $3,954.86 | 15 |
| Ureter endoscopy & biopsy CPT 50974 | $2,392.00 | $2,990.00 | $422.71 – $3,954.86 | 15 |
| Ureter endoscopy & catheter CPT 50972 | $1,812.80 | $2,266.00 | $320.46 – $2,683.16 | 15 |
| Ureter endoscopy & treatment CPT 50957 | $2,161.60 | $2,702.00 | $317.07 – $3,954.86 | 15 |
| Ureter endoscopy & treatment CPT 50961 | $1,947.20 | $2,434.00 | $282.65 – $3,954.86 | 15 |
| Ureter endoscopy & treatment CPT 50976 | $2,358.40 | $2,948.00 | $417.03 – $3,954.86 | 15 |
| Ureter endoscopy & treatment CPT 50980 | $1,803.20 | $2,254.00 | $318.42 – $3,954.86 | 15 |
| Ureteroneocystostomy 50780 CPT 50780 | $5,564.80 | $6,956.00 | $999.01 – $2,662.91 | 14 |
| Ureteroureterostomy 50760 CPT 50760 | $5,649.60 | $7,062.00 | $1,010.13 – $2,696.30 | 14 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $574.40 | $718.00 | $14.37 – $209.70 | 17 |
| Urethrlys transvag with scope CPT 53500 | $1,883.20 | $2,354.00 | $673.18 – $2,683.16 | 15 |
| Urethrocystography void s&i CPT 74455 | $462.90 | $578.62 | $14.37 – $255.17 | 17 |
| Uric acid blood CPT 84550 | $33.57 | $41.96 | $2.71 – $18.50 | 16 |
| Uric acid urine CPT 84560 | $33.57 | $41.96 | $3.05 – $18.50 | 16 |
| Urinalysis glass test CPT 81020 | $11.20 | $14.00 | $3.50 – $7.52 | 14 |
| Urinalysis microscopic only CPT 81015 | $25.72 | $32.14 | $2.87 – $14.17 | 16 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $25.72 | $32.14 | $2.04 – $14.17 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $25.72 | $32.14 | $2.94 – $14.17 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $25.72 | $32.14 | $2.12 – $14.17 | 16 |
| Urinary bldr retent nuc study CPT 78730 | $173.60 | $217.00 | $6.92 – $125.62 | 14 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $2.18 – $7.10 | 14 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $4.19 – $13.44 | 14 |
| Urinary reflex study CPT 51792 | $605.60 | $757.00 | $46.21 – $132.69 | 15 |
| Urinary suspensory HCPCS A5105 | not published | not published | $28.42 – $91.15 | 14 |
| Urine Culture Test CPT 87086 | $38.58 | $48.22 | $3.50 – $21.27 | 16 |
| Urine flow measurement 51736 CPT 51736 | $34.40 | $43.00 | $4.87 – $100.28 | 15 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $4.54 – $14.58 | 14 |
| Urine pregnancy test CPT 81025 | $25.72 | $32.14 | $3.50 – $14.17 | 16 |
| Urine screen for bacteria CPT 81007 | $60.00 | $75.00 | $3.50 – $47.97 | 14 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,106.06 – $2,947.70 | 14 |
| Urine specimen collect mult HCPCS P9615 | $18.40 | $23.00 | $1.80 – $22.96 | 14 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $74.95 – $374.67 | 6 |
| Urography, antegrade CPT 74425 | $579.20 | $724.00 | $22.26 – $277.83 | 17 |
| Urography inf drip &/or bolus CPT 74410 | $264.80 | $331.00 | $21.46 – $174.44 | 15 |
| Urokinase 250,000 iu inj HCPCS J3365 | $522.40 | $653.00 | $518.18 – $1,603.80 | 5 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $10.36 – $32.67 | 5 |
| Use 1st target lesion CPT 76982 | $167.20 | $209.00 | $26.03 – $104.20 | 15 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,087.26 – $3,504.11 | 14 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $24.21 | $30.26 | $8.20 – $41.16 | 16 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $253.60 | $317.00 | $148.22 – $517.02 | 14 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,607.87 – $21,460.21 | 12 |
| Vaccine Administration (one shot) CPT 90471 | $75.71 | $94.63 | $13.83 – $55.37 | 17 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $233.60 | $292.00 | $140.08 – $258.64 | 14 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $233.60 | $292.00 | $127.43 – $235.30 | 14 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $255.20 | $319.00 | $135.09 – $249.43 | 14 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $171.20 | $214.00 | $76.06 – $140.45 | 14 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $128.00 | $160.00 | $56.80 – $104.88 | 14 |
| Vaccine dtap < 7 years im CPT 90700 | $116.08 | $145.10 | $28.93 – $63.99 | 10 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $92.00 | $115.00 | $90.37 – $146.12 | 8 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $89.60 | $112.00 | $61.68 – $98.73 | 7 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $152.00 | $190.00 | $141.86 – $177.38 | 6 |
| Vaccine dtap-ipv/hib im CPT 90698 | $262.12 | $327.65 | $88.79 – $150.02 | 10 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $118.96 | $148.70 | $30.12 – $65.58 | 10 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $32.80 | $41.00 | $12.90 – $52.86 | 8 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $77.60 | $97.00 | $71.60 – $95.56 | 8 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $119.20 | $149.00 | $116.82 – $182.65 | 8 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $40.00 | $50.00 | $37.96 – $66.85 | 8 |
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.