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 |
|---|---|---|---|---|
| Biopsy of penis 54100 CPT 54100 | $492.00 | $615.00 | $110.63 – $1,260.48 | 15 |
| Biopsy of prostate CPT 55700 | $2,598.82 | $3,248.52 | $116.75 – $1,593.66 | 17 |
| Biopsy of prostate CPT 55705 | $670.40 | $838.00 | $240.38 – $2,683.16 | 15 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $740.00 | $925.00 | $273.33 – $2,133.47 | 15 |
| Biopsy of sacroiliac joint CPT 27050 | $1,972.80 | $2,466.00 | $371.58 – $1,245.06 | 15 |
| Biopsy of salivary gland 42400 CPT 42400 | $640.48 | $800.60 | $48.12 – $547.36 | 17 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $742.40 | $928.00 | $205.65 – $1,152.38 | 15 |
| Biopsy of stomach CPT 43605 | $2,057.60 | $2,572.00 | $742.57 – $1,963.09 | 14 |
| Biopsy of tear gland CPT 68510 | $2,246.40 | $2,808.00 | $258.96 – $1,814.95 | 15 |
| Biopsy of tear sac CPT 68525 | $1,316.80 | $1,646.00 | $231.87 – $1,814.95 | 15 |
| Biopsy of testis CPT 54500 | $374.40 | $468.00 | $67.48 – $2,226.56 | 15 |
| Biopsy of testis CPT 54505 | $1,057.60 | $1,322.00 | $190.74 – $2,683.16 | 15 |
| Biopsy of toe joint lining CPT 28054 | $1,872.00 | $2,340.00 | $217.66 – $2,524.18 | 15 |
| Biopsy of upper nose/throat CPT 42804 | $484.80 | $606.00 | $111.13 – $2,522.98 | 15 |
| Biopsy of urethra CPT 53200 | $395.20 | $494.00 | $127.93 – $1,593.66 | 15 |
| Biopsy of wrist joint CPT 25100 | $1,704.00 | $2,130.00 | $321.12 – $2,524.18 | 15 |
| Biopsy oocyte polar body CPT 89291 | $1,571.20 | $1,964.00 | $3.50 – $285.81 | 13 |
| Biopsy oocyte polar body <=5 CPT 89290 | $1,571.20 | $1,964.00 | $3.50 – $285.81 | 13 |
| Biopsy/removal lymph nodes CPT 38525 | $2,140.80 | $2,676.00 | $391.26 – $2,979.03 | 15 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $2,284.80 | $2,856.00 | $418.94 – $2,979.03 | 15 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,659.20 | $3,324.00 | $113.76 – $1,260.48 | 17 |
| Biopsy roof of mouth CPT 42100 | $364.80 | $456.00 | $100.40 – $1,152.38 | 15 |
| Biopsy skin incisional single lesion CPT 11106 | $701.03 | $876.28 | $50.83 – $476.21 | 17 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,549.33 | $3,186.66 | $140.61 – $1,405.32 | 17 |
| Biopsy thigh soft tissues CPT 27324 | $1,974.40 | $2,468.00 | $371.84 – $2,226.56 | 15 |
| Biopsy tongue anterior two-thirds CPT 41100 | $431.20 | $539.00 | $97.62 – $396.18 | 15 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $392.00 | $490.00 | $131.30 – $2,473.55 | 15 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $392.00 | $490.00 | $81.66 – $396.18 | 15 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $1,032.00 | $1,290.00 | $379.52 – $5,557.54 | 15 |
| Biopsy vrt bdy open thoracic CPT 20250 | $951.20 | $1,189.00 | $346.13 – $2,524.18 | 15 |
| Biospy of bladder CPT 53899 | $1,399.37 | $1,749.21 | $189.21 – $8,778.00 | 17 |
| Biotinidase - quest CPT 82261 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $133.66 – $445.54 | 7 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $550.64 – $1,468.91 | 5 |
| Bis xtracell fluid analysis CPT 93702 | $292.80 | $366.00 | $104.54 – $284.49 | 15 |
| Bivalirudin HCPCS J0583 | $0.76 | $0.95 | $0.15 – $1.48 | 9 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $372.20 – $1,010.58 | 14 |
| Bk back check HCPCS L5686 | not published | not published | $32.98 – $111.17 | 14 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $477.77 – $1,881.66 | 14 |
| Bk fork strap HCPCS L5684 | not published | not published | $31.90 – $92.43 | 14 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $26.76 – $76.26 | 14 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $317.59 – $1,065.76 | 14 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $216.98 – $695.90 | 14 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $61.20 – $220.58 | 14 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $162.48 – $521.10 | 14 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $1,557.81 – $5,174.91 | 14 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $184.60 – $689.57 | 14 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $402.77 – $1,200.99 | 14 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $200.02 – $584.51 | 14 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $59.72 – $241.02 | 14 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $42.48 – $118.08 | 14 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $33.44 – $286.28 | 7 |
| Bladder Catheter Insertion (simple) CPT 51702 | $319.80 | $399.74 | $22.52 – $176.29 | 17 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $713.28 | $891.59 | $26.94 – $393.19 | 17 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $6.15 – $19.94 | 14 |
| Bld exchange truj oth thn nb CPT 36455 | $309.60 | $387.00 | $107.55 – $340.11 | 15 |
| Bld prd mix CPT 86965 | $164.99 | $206.23 | $18.46 – $285.81 | 17 |
| Bld push tfuj 2 yr/< CPT 36440 | $131.20 | $164.00 | $45.13 – $340.11 | 15 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $188.59 | $235.73 | $23.59 – $94.45 | 9 |
| Blepharoplasty lower 15820 CPT 15820 | $2,835.20 | $3,544.00 | $466.25 – $1,423.07 | 15 |
| Blepharoplasty upper 15822 CPT 15822 | $2,236.80 | $2,796.00 | $358.39 – $1,423.07 | 15 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $3,041.60 | $3,802.00 | $497.01 – $1,423.07 | 15 |
| Blepharp lwr eyelid fat pad CPT 15821 | $3,033.60 | $3,792.00 | $496.65 – $1,423.07 | 15 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $138.27 – $457.50 | 14 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $11,112.34 – $18,914.62 | 12 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $519.92 – $884.97 | 12 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $17,148.30 – $29,188.59 | 12 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $17,148.30 – $29,188.59 | 12 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,554.27 – $16,262.59 | 12 |
| Blink reflex test CPT 95933 | $178.40 | $223.00 | $28.39 – $74.72 | 15 |
| Blm gene CPT 81209 | $127.86 | $159.82 | $3.50 – $70.48 | 16 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $7,530.62 | $9,413.27 | $139.15 – $270.60 | 7 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $1,601.02 | $2,001.27 | $542.34 – $1,054.67 | 7 |
| Bln dil 900ml preperitnl HCPCS C1727 | $7,556.52 | $9,445.64 | $2,559.77 – $4,977.85 | 7 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $4,819.90 | $6,024.87 | $1,632.74 – $3,175.11 | 7 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $34.40 | $43.00 | $8.55 – $27.42 | 14 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $332.80 | $416.00 | $70.63 – $692.61 | 15 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $6,590.21 | $8,237.76 | $66.01 – $3,632.85 | 17 |
| Block paracervical nrv CPT 64435 | $483.20 | $604.00 | $38.88 – $538.76 | 15 |
| Block plantar digital nerve CPT 64455 | $243.20 | $304.00 | $30.61 – $229.65 | 15 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,571.14 | $1,963.92 | $55.18 – $866.09 | 16 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,253.80 | $1,567.25 | $47.68 – $691.16 | 16 |
| Blood clot lysis time CPT 85175 | $40.80 | $51.00 | $3.50 – $32.59 | 14 |
| Blood clot retraction CPT 85170 | $32.80 | $41.00 | $3.50 – $26.08 | 14 |
| Blood Clotting (PT/INR) Test CPT 85610 | $32.85 | $41.06 | $3.50 – $18.11 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $32.85 | $41.06 | $3.50 – $18.11 | 16 |
| Blood component/product noc HCPCS P9099 | not published | not published | $38.06 – $78.29 | 13 |
| Blood Count (CBC) Test CPT 85025 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Blood count spun microhematocrit CPT 85013 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Blood Culture Test CPT 87040 | $38.58 | $48.22 | $3.50 – $21.27 | 16 |
| Blood draw capillary 36416 CPT 36416 | $19.76 | $24.70 | $3.00 – $10.00 | 10 |
| Blood Draw (Venipuncture) CPT 36415 | $19.76 | $24.70 | $3.00 – $14.54 | 16 |
| Blood gases o2 saturation direct measurement CPT 82805 | $291.41 | $364.26 | $3.50 – $160.64 | 16 |
| Blood gases ph venous CPT 82800 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $65.48 – $134.67 | 13 |
| Blood mucoprotein HCPCS P2038 | $10.40 | $13.00 | $2.97 – $12.87 | 14 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
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.