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 |
|---|---|---|---|---|
| Brach/thor cath 2nd CPT 36216 | $2,798.75 | $3,498.43 | $235.75 – $1,665.64 | 16 |
| Brach/thor cath 3rd CPT 36217 | $4,598.40 | $5,748.00 | $290.01 – $2,807.44 | 16 |
| Brach/thor cath addl CPT 36218 | $953.94 | $1,192.42 | $45.52 – $525.86 | 16 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $49.74 – $84.66 | 12 |
| Brachy source i-125 injection HCPCS C2638 | $242.45 | $303.06 | $34.82 – $159.71 | 16 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $135.88 | $169.85 | $33.00 – $89.51 | 16 |
| Brachy source palladium HCPCS C2640 | $116.35 | $145.43 | $47.56 – $111.50 | 16 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $135.88 | $169.85 | $55.54 – $127.63 | 16 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $16,435.99 – $27,976.16 | 12 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $90.77 – $154.50 | 12 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $321.85 – $547.82 | 12 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $101.39 – $172.58 | 12 |
| Brachytx isodose complex CPT 77318 | $2,405.72 | $3,007.14 | $142.39 – $1,326.15 | 17 |
| Brachytx isodose intermed CPT 77317 | $1,641.97 | $2,052.46 | $90.06 – $905.13 | 17 |
| Brachytx isodose plan simple CPT 77316 | $1,041.28 | $1,301.60 | $68.76 – $574.01 | 17 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $816.23 – $1,389.33 | 12 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | not published | not published | $153.07 – $260.54 | 12 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | not published | not published | $65.22 – $111.01 | 12 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | not published | not published | $530.63 – $903.20 | 12 |
| Braf gene CPT 81210 | $351.20 | $439.00 | $3.50 – $280.64 | 16 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $3,582.59 – $9,569.79 | 14 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $3,920.88 – $10,462.65 | 14 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $2,902.58 – $7,751.57 | 14 |
| Brain biopsy w/ct/mr guide CPT 61751 | $3,243.20 | $4,054.00 | $1,198.86 – $3,195.85 | 14 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,052.74 – $2,805.85 | 14 |
| Brain flow imaging only CPT 78610 | $401.60 | $502.00 | $12.81 – $418.75 | 15 |
| Brain image < 4 views CPT 78600 | $408.80 | $511.00 | $18.96 – $312.61 | 15 |
| Brain image 4+ views CPT 78605 | $433.60 | $542.00 | $23.20 – $418.75 | 15 |
| Brain image w/flow < 4 views CPT 78601 | $999.56 | $1,249.44 | $21.81 – $551.00 | 17 |
| Brain image w/flow 4 + views CPT 78606 | $1,145.12 | $1,431.39 | $27.64 – $631.24 | 17 |
| Brain imaging (3d) CPT 78607 | not published | not published | $108.00 – $108.00 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,768.19 | $4,710.23 | $64.56 – $2,077.21 | 17 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,501.33 | $4,376.66 | $52.25 – $1,930.11 | 17 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,969.52 | $3,711.89 | $52.25 – $1,636.94 | 17 |
| Brain MRI (with and without contrast) CPT 70553 | $4,776.48 | $5,970.59 | $100.21 – $2,633.03 | 17 |
| Brain MRI (with contrast) CPT 70552 | $3,501.33 | $4,376.66 | $77.96 – $1,930.11 | 17 |
| Brain MRI (without contrast) CPT 70551 | $2,034.04 | $2,542.54 | $64.56 – $1,121.26 | 17 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $24.22 – $81.78 | 14 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $3.50 – $748.80 | 14 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $3.50 – $934.77 | 14 |
| Brca1 dna gene analy known fam var CPT 81215 | $751.20 | $939.00 | $3.50 – $600.40 | 16 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $3.50 – $482.16 | 14 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $3.50 – $452.61 | 14 |
| Brca2 dna gene analy full seq analy CPT 81216 | $1,408.80 | $1,761.00 | $3.50 – $296.19 | 16 |
| Brca2 dna gene analy known fam var CPT 81217 | $751.20 | $939.00 | $3.50 – $600.40 | 14 |
| Brca2 gene full dup/del alys CPT 81167 | $271.57 | $339.46 | $3.50 – $452.61 | 16 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $880.00 | $1,100.00 | $3.50 – $704.00 | 14 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,980.80 | $4,976.00 | $3.50 – $2,919.81 | 16 |
| Breast augmentation 19325 CPT 19325 | $3,200.00 | $4,000.00 | $554.46 – $7,444.34 | 15 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $7,858.58 | $9,823.22 | $138.08 – $2,166.02 | 17 |
| Breastbone (Sternum) X-ray CPT 71120 | $262.99 | $328.73 | $8.68 – $144.97 | 17 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $75.17 – $242.34 | 14 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $213.52 – $675.12 | 14 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $213.52 – $675.12 | 14 |
| Breast punct aspir cyst, bil CPT 19000 | $672.51 | $840.63 | $38.10 – $547.36 | 17 |
| Breast reconstruction CPT 19366 | not published | not published | $2,518.00 – $2,518.00 | 1 |
| Breast reconstruction 19357 CPT 19357 | $7,422.40 | $9,278.00 | $1,042.51 – $13,535.24 | 15 |
| Breast reconstruction tram flap 19367 CPT 19367 | $8,814.40 | $11,018.00 | $1,582.39 – $4,204.49 | 14 |
| Breast reconstr w/lat flap 19361 CPT 19361 | $7,782.40 | $9,728.00 | $1,392.85 – $3,701.97 | 14 |
| Breast reduction CPT 19318 | $5,428.80 | $6,786.00 | $980.01 – $5,073.44 | 15 |
| Breath hydrogen test 91065 CPT 91065 | $173.60 | $217.00 | $8.68 – $153.31 | 15 |
| Breathing response hypoxia CPT 94450 | $163.20 | $204.00 | $18.25 – $136.90 | 15 |
| Breath recording infant CPT 94772 | $610.40 | $763.00 | $45.40 – $884.97 | 14 |
| Breath test analysis c-14 CPT 78268 | $339.66 | $424.57 | $56.65 – $187.24 | 16 |
| Breath tst attain/anal c-14 CPT 78267 | $22.40 | $28.00 | $6.64 – $17.70 | 14 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $360.25 | $450.31 | $63.64 – $718.83 | 16 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $449,440.00 – $783,552.00 | 13 |
| Brief alcohol misuse counsel HCPCS G0443 | $60.80 | $76.00 | $27.68 – $71.96 | 15 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | $27.20 | $34.00 | $11.63 – $30.60 | 14 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | $48.80 | $61.00 | $23.11 – $60.06 | 14 |
| Brief comunicaj tech-bsd svc CPT 98016 | $30.40 | $38.00 | $13.53 – $14.87 | 12 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.41 – $1.09 | 7 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $517.60 | $647.00 | $127.88 – $340.66 | 15 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $304.00 | $380.00 | $59.91 – $180.90 | 14 |
| Bronch ebus samplng 1/2 node CPT 31652 | $2,686.40 | $3,358.00 | $197.58 – $2,868.30 | 15 |
| Bronch ebus samplng 3/> node CPT 31653 | $2,804.00 | $3,505.00 | $218.77 – $2,868.30 | 15 |
| Bronchial allergy tests CPT 95070 | $96.80 | $121.00 | $30.86 – $412.79 | 15 |
| Bronchial brush biopsy CPT 31717 | $673.60 | $842.00 | $95.45 – $380.50 | 15 |
| Bronchial challenge CPT 94070 | $462.90 | $578.62 | $25.31 – $255.17 | 17 |
| Bronchial valve addl insert CPT 31651 | $190.40 | $238.00 | $67.80 – $181.87 | 14 |
| Bronchial valve init insert CPT 31647 | $534.40 | $668.00 | $184.15 – $5,385.41 | 15 |
| Bronchial valve remov addl CPT 31649 | $174.40 | $218.00 | $62.09 – $1,341.57 | 15 |
| Bronchial valve remov init CPT 31648 | $507.20 | $634.00 | $176.65 – $2,868.30 | 15 |
| Bronchoscopy bronch stents CPT 31636 | $556.00 | $695.00 | $194.03 – $5,385.41 | 15 |
| Bronchoscopy clear airways 31645 CPT 31645 | $4,057.96 | $5,072.44 | $131.85 – $2,236.95 | 17 |
| Bronchoscopy dilate/fx repr CPT 31630 | $501.60 | $627.00 | $176.55 – $2,868.30 | 15 |
| Bronchoscopy dilate w/stent CPT 31631 | $573.60 | $717.00 | $201.73 – $5,385.41 | 15 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $160.80 | $201.00 | $43.65 – $117.50 | 14 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $905.60 | $1,132.00 | $157.80 – $2,868.30 | 15 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $200.80 | $251.00 | $56.43 – $150.60 | 14 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $1,115.20 | $1,394.00 | $167.38 – $2,868.30 | 15 |
| Bronchoscopy revise stent CPT 31638 | $630.40 | $788.00 | $220.17 – $5,385.41 | 15 |
| Bronchoscopy stent add-on CPT 31637 | $197.60 | $247.00 | $67.94 – $181.87 | 14 |
| Bronchoscopy treat blockage CPT 31641 | $649.60 | $812.00 | $225.88 – $2,868.30 | 15 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $850.40 | $1,063.00 | $139.73 – $1,341.57 | 15 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $704.80 | $881.00 | $156.70 – $1,341.57 | 15 |
| Bronchoscopy w/markers CPT 31626 | $2,046.40 | $2,558.00 | $176.39 – $5,385.41 | 15 |
| Bronchoscopy w/tumor excise CPT 31640 | $636.00 | $795.00 | $220.61 – $2,868.30 | 15 |
| Bronch thermoplsty 1 lobe CPT 31660 | $500.00 | $625.00 | $170.15 – $5,385.41 | 15 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $530.40 | $663.00 | $180.00 – $5,385.41 | 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.