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 |
|---|---|---|---|---|
| Dipyridamole injection HCPCS J1245 | not published | not published | $1.13 – $12.77 | 7 |
| Direct advanced life support CPT 99288 | $236.00 | $295.00 | $154.46 – $301.56 | 6 |
| Dir nsl mucous membrane test CPT 95065 | $76.80 | $96.00 | $25.84 – $67.24 | 15 |
| Disability dlco CPT 94727 | $256.20 | $320.25 | $10.92 – $141.23 | 17 |
| Disaccharidases CPT 82657 | $64.28 | $80.35 | $3.50 – $35.47 | 16 |
| Disarticulation sho sec clsr CPT 23921 | $2,300.80 | $2,876.00 | $429.57 – $1,423.07 | 15 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,007.45 – $2,678.41 | 14 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | $3,636.00 | $4,545.00 | $1,302.31 – $3,465.03 | 14 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $173.45 – $462.93 | 14 |
| Discography cerv/thor spine CPT 72285 | $375.20 | $469.00 | $51.70 – $1,519.18 | 15 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $38.84 – $124.56 | 14 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $114.18 – $413.81 | 14 |
| Dise eval slp do brth flx dx CPT 42975 | $288.80 | $361.00 | $87.44 – $1,341.57 | 15 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,312.06 – $3,501.47 | 14 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $86.25 – $232.96 | 13 |
| Dissolve clot heart vessel CPT 92975 | $813.60 | $1,017.00 | $320.93 – $842.74 | 14 |
| Dist revas ligation hemo CPT 36838 | $5,588.80 | $6,986.00 | $971.90 – $4,205.42 | 15 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $991.34 – $2,649.47 | 14 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $1,943.20 | $2,429.00 | $709.37 – $4,602.15 | 15 |
| Division of fallopian tube 58605 CPT 58605 | $832.00 | $1,040.00 | $302.22 – $813.13 | 14 |
| #d/lmeth-l-methamphetamine CPT 80374 | $72.14 | $90.17 | $13.16 – $44.99 | 9 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $730.40 | $913.00 | $249.62 – $666.87 | 14 |
| Dmd dup/delet analysis CPT 81161 | $267.84 | $334.80 | $3.50 – $446.40 | 16 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $3.50 – $439.73 | 14 |
| Dmpk gene detc abnor allele CPT 81234 | $153.56 | $191.95 | $3.50 – $219.20 | 16 |
| Dna antibody native/double stranded CPT 86225 | $48.57 | $60.71 | $3.50 – $26.77 | 16 |
| Dna gardnerella CPT 87510 | $50.40 | $63.00 | $3.50 – $32.08 | 16 |
| Dna probe chlamydia CPT 87490 | $57.60 | $72.00 | $3.50 – $36.40 | 16 |
| Dna probe gc CPT 87590 | $58.40 | $73.00 | $3.50 – $43.01 | 16 |
| Dna trichomonas CPT 87660 | $50.40 | $63.00 | $3.50 – $32.08 | 16 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $67.00 | $83.75 | $7.58 – $21.95 | 9 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $6.30 | $7.87 | $0.67 – $1.68 | 9 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $46.13 – $78.52 | 11 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $4.51 – $23.55 | 6 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $59.12 – $180.58 | 7 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $98.00 – $98.00 | 1 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $155.00 – $155.00 | 1 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $219.00 – $219.00 | 1 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $313.00 – $313.00 | 1 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $88.00 – $88.00 | 1 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $128.00 – $128.00 | 1 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $222.00 – $222.00 | 1 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $299.00 – $299.00 | 1 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $352.00 – $352.00 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $9.28 | $11.60 | $0.11 – $2.26 | 9 |
| Doppler echo complete CPT 93320 | $558.00 | $697.50 | $16.28 – $307.60 | 16 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,431.97 | $5,539.96 | $62.51 – $2,443.12 | 16 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,113.08 | $1,391.35 | $19.13 – $613.59 | 17 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $232.92 | $291.14 | $10.60 – $128.39 | 17 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.81 – $2.38 | 6 |
| Dornase alfa non-comp unit HCPCS J7639 | $49.84 | $62.30 | $15.91 – $168.37 | 9 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $11,360.81 – $37,819.31 | 14 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $47.18 – $155.97 | 14 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $229.19 – $752.90 | 14 |
| Double transfer toe-hand CPT 26554 | not published | not published | $786.83 – $9,012.73 | 14 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $155.44 | $194.30 | $0.43 – $8.29 | 9 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $498.99 | $623.73 | $102.73 – $262.46 | 16 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.12 | $1.40 | $0.02 – $0.12 | 8 |
| Dpyd gene common variants CPT 81232 | $350.40 | $438.00 | $3.50 – $279.70 | 16 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $11.97 – $38.38 | 14 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $513.60 | $642.00 | $109.34 – $547.36 | 17 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,124.80 | $1,406.00 | $129.67 – $547.36 | 17 |
| Drainage external ear complex 69005 CPT 69005 | $3,016.11 | $3,770.13 | $145.92 – $1,662.63 | 17 |
| Drainage external ear simple 69000 CPT 69000 | $916.80 | $1,146.00 | $113.20 – $547.36 | 17 |
| Drainage lymph node lesion 38300 CPT 38300 | $796.80 | $996.00 | $187.39 – $2,226.56 | 15 |
| Drainage lymph node lesion 38305 CPT 38305 | $1,189.60 | $1,487.00 | $440.11 – $2,226.56 | 15 |
| Drainage mouth roof lesion CPT 42000 | $423.12 | $528.89 | $98.99 – $264.36 | 17 |
| Drainage of abdomen CPT 48000 | $4,616.80 | $5,771.00 | $1,641.97 – $4,379.76 | 14 |
| Drainage of arm bursa 23931 CPT 23931 | $3,030.67 | $3,788.33 | $145.91 – $1,670.65 | 17 |
| Drainage of bladder abscess CPT 51080 | $1,028.80 | $1,286.00 | $373.43 – $2,226.56 | 15 |
| Drainage of bone lesion CPT 26992 | not published | not published | $786.83 – $2,415.58 | 14 |
| Drainage of bone lesion CPT 27303 | $3,153.60 | $3,942.00 | $580.26 – $1,542.33 | 14 |
| Drainage of eye CPT 65800 | $5,027.33 | $6,284.16 | $80.65 – $2,771.31 | 17 |
| Drainage of eye CPT 65810 | $2,302.40 | $2,878.00 | $416.84 – $1,774.32 | 15 |
| Drainage of eye CPT 65815 | $3,172.80 | $3,966.00 | $429.02 – $1,774.32 | 15 |
| Drainage of forearm bursa CPT 25031 | $1,726.40 | $2,158.00 | $337.89 – $1,245.06 | 15 |
| Drainage of kidney lesion CPT 50390 | $1,578.89 | $1,973.61 | $84.67 – $870.36 | 17 |
| Drainage of mouth lesion CPT 41005 | $535.20 | $669.00 | $107.20 – $281.64 | 15 |
| Drainage of mouth lesion CPT 41006 | $852.80 | $1,066.00 | $214.36 – $1,152.38 | 15 |
| Drainage of mouth lesion CPT 41007 | $836.80 | $1,046.00 | $205.55 – $1,152.38 | 15 |
| Drainage of mouth lesion CPT 41008 | $6,696.00 | $8,369.99 | $238.62 – $3,691.17 | 17 |
| Drainage of mouth lesion CPT 41009 | $1,022.40 | $1,278.00 | $261.77 – $691.92 | 15 |
| Drainage of mouth lesion CPT 41015 | $1,008.80 | $1,261.00 | $275.95 – $726.39 | 15 |
| Drainage of mouth lesion CPT 41016 | $1,124.80 | $1,406.00 | $313.77 – $4,602.15 | 15 |
| Drainage of mouth lesion CPT 41017 | $1,122.40 | $1,403.00 | $311.55 – $2,522.98 | 15 |
| Drainage of mouth lesion CPT 41018 | $1,265.60 | $1,582.00 | $364.95 – $1,152.38 | 15 |
| Drainage of nose lesion int 30000 CPT 30000 | $770.52 | $963.15 | $110.48 – $424.75 | 17 |
| Drainage of nose lesion sept 30020 CPT 30020 | $621.60 | $777.00 | $110.93 – $399.49 | 15 |
| Drainage of pelvis bursa CPT 26991 | $1,741.60 | $2,177.00 | $472.92 – $1,282.21 | 15 |
| Drainage of pelvis lesion 26990 CPT 26990 | $1,605.60 | $2,007.00 | $609.36 – $2,524.18 | 15 |
| Drainage of prostate abscess CPT 52700 | $1,112.80 | $1,391.00 | $403.09 – $2,683.16 | 15 |
| Drainage of prostate abscess CPT 55720 | $1,140.80 | $1,426.00 | $411.30 – $2,683.16 | 15 |
| Drainage of prostate abscess CPT 55725 | $1,496.80 | $1,871.00 | $542.31 – $2,683.16 | 15 |
| Drainage of rectal abscess CPT 45005 | $712.80 | $891.00 | $149.37 – $917.28 | 15 |
| Drainage of rectal abscess 45020 CPT 45020 | $1,409.60 | $1,762.00 | $514.50 – $2,133.47 | 15 |
| Drainage of salivary gland CPT 42305 | $1,061.60 | $1,327.00 | $393.13 – $2,522.98 | 15 |
| Drainage of salivary gland CPT 42320 | $629.60 | $787.00 | $162.54 – $434.44 | 15 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,218.58 – $3,244.77 | 14 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,484.21 – $3,957.75 | 14 |
| Drainage of throat abscess CPT 42725 | $1,998.40 | $2,498.00 | $721.43 – $4,602.15 | 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.