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 |
|---|---|---|---|---|
| All tstg perq&iq drugs/biol CPT 95018 | $64.80 | $81.00 | $6.45 – $30.54 | 15 |
| All tstg perq&iq w/venoms CPT 95017 | $25.60 | $32.00 | $3.30 – $19.06 | 15 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $9.62 | $12.02 | $3.26 – $16.07 | 16 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $158.40 | $198.00 | $3.50 – $103.06 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Alprostadil for injection HCPCS J0270 | $10.40 | $13.00 | $2.86 – $30.12 | 7 |
| Alprostadil urethral suppos HCPCS J0275 | $67.20 | $84.00 | $67.34 – $80.05 | 3 |
| Als 1 HCPCS A0426 | not published | not published | $288.05 – $1,312.00 | 8 |
| Als1-emergency HCPCS A0427 | not published | not published | $456.08 – $1,600.00 | 8 |
| Als 2 HCPCS A0433 | not published | not published | $660.11 – $2,182.00 | 7 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $211.08 | $263.85 | $6.23 – $294.42 | 16 |
| Alt/sgpt CPT 84460 | $33.57 | $41.96 | $3.18 – $18.50 | 16 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.39 – $7.48 | 13 |
| Aluminum - quest CPT 82108 | $64.00 | $80.00 | $3.50 – $40.77 | 16 |
| Alveoloplasty each quadrant CPT 41874 | $968.80 | $1,211.00 | $227.23 – $2,522.98 | 15 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $431.84 | $539.79 | $36.07 – $238.05 | 17 |
| Amantadine (symmetrel)-sendout CPT 80375 | $126.43 | $158.03 | $13.16 – $78.86 | 9 |
| Ambl bp mntr w/software CPT 93784 | $251.20 | $314.00 | $41.38 – $108.91 | 14 |
| Ambl bp mntr w/sw a/r CPT 93788 | $127.20 | $159.00 | $4.87 – $100.28 | 15 |
| Ambl bp mntr w/sw i&r CPT 93790 | $42.40 | $53.00 | $16.57 – $43.63 | 14 |
| Amifostine HCPCS J0207 | not published | not published | $536.94 – $3,207.54 | 7 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $1.60 | $2.00 | $0.60 – $3.21 | 7 |
| Amines vaginal fluid qual CPT 82120 | $12.00 | $15.00 | $3.50 – $9.58 | 14 |
| Amino acid screen, urine CPT 82128 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Amino acid single qual CPT 82127 | $36.00 | $45.00 | $3.50 – $22.69 | 14 |
| Amino acids quant 2-5 CPT 82136 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $8.61 | $10.76 | $1.30 – $5.67 | 8 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.70 – $5.55 | 14 |
| Aminolevulinic acid delta CPT 82135 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Aminolevulinic acid hcl top HCPCS J7308 | $386.40 | $483.00 | $370.24 – $1,316.99 | 14 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $96.44 | $120.55 | $4.51 – $53.16 | 9 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $25.11 | $31.38 | $0.49 – $11.49 | 9 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $14.65 | $18.31 | $0.33 – $2.79 | 9 |
| Amitriptyline (elavil) -sendout CPT 80335 | $72.14 | $90.17 | $13.16 – $44.99 | 9 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $2.24 – $3.12 | 6 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $33.52 | $41.89 | $11.35 – $66.17 | 16 |
| Ammonia CPT 82140 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $543.20 – $980.00 | 5 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,176.16 | $1,470.20 | $69.37 – $677.40 | 17 |
| Amniocentesis therapeutic CPT 59001 | $431.20 | $539.00 | $152.87 – $410.09 | 15 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $125.04 – $1,038.80 | 7 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $178.56 – $2,385.00 | 6 |
| Amniotic fluid scan CPT 82143 | $19.20 | $24.00 | $3.50 – $14.96 | 14 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $1,612.80 – $2,204.80 | 6 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $14.33 – $548.65 | 7 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $2,785.15 | $3,481.43 | $613.78 – $2,524.18 | 17 |
| Amphetamine confirm urine -sendout CPT 80324 | $72.14 | $90.17 | $13.16 – $44.99 | 9 |
| Amphetamines 5 or more CPT 80326 | $72.14 | $90.17 | $11.00 – $47.52 | 8 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $16.00 – $89.69 | 6 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $12.40 – $155.75 | 7 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $7.73 – $37.42 | 14 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $101.70 | $127.12 | $21.26 – $90.29 | 16 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $73.04 | $91.30 | $0.17 – $3.09 | 9 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $74.79 | $93.48 | $0.14 – $7.28 | 9 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $210.40 | $263.00 | $3.50 – $597.09 | 16 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $1,064.00 | $1,330.00 | $382.24 – $2,524.18 | 15 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $3,494.40 | $4,368.00 | $625.27 – $1,670.19 | 14 |
| Amputate hand at wrist CPT 25922 | $3,086.40 | $3,858.00 | $582.67 – $1,556.72 | 15 |
| Amputate hand at wrist CPT 25920 | not published | not published | $657.58 – $1,754.51 | 14 |
| Amputate leg at thigh CPT 27591 | not published | not published | $865.74 – $2,300.62 | 14 |
| Amputate leg at thigh CPT 27592 | $3,305.60 | $4,132.00 | $592.50 – $1,569.22 | 14 |
| Amputate lower leg at knee CPT 27598 | $3,480.00 | $4,350.00 | $612.67 – $1,626.89 | 14 |
| Amputate metacarpal bone 26910 CPT 26910 | $1,804.80 | $2,256.00 | $683.32 – $2,524.18 | 15 |
| Amputate thigh through femur 27590 CPT 27590 | $3,880.00 | $4,850.00 | $682.50 – $1,829.30 | 14 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $836.13 – $2,222.77 | 14 |
| Amputation follow-up surgery CPT 24925 | $2,785.60 | $3,482.00 | $517.89 – $2,524.18 | 15 |
| Amputation follow-up surgery CPT 25907 | $3,016.00 | $3,770.00 | $558.07 – $2,524.18 | 15 |
| Amputation follow-up surgery CPT 25909 | $3,368.00 | $4,210.00 | $620.57 – $5,557.54 | 15 |
| Amputation follow-up surgery CPT 25929 | $2,934.40 | $3,668.00 | $544.16 – $1,445.89 | 15 |
| Amputation follow-up surgery CPT 25931 | $3,766.40 | $4,708.00 | $711.64 – $2,524.18 | 15 |
| Amputation follow-up surgery CPT 27594 | $2,504.00 | $3,130.00 | $448.91 – $2,524.18 | 15 |
| Amputation follow-up surgery CPT 27884 | $2,801.60 | $3,502.00 | $511.38 – $2,524.18 | 15 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $697.65 – $1,854.47 | 14 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $642.05 – $1,714.02 | 14 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $4,444.80 | $5,556.00 | $784.28 – $2,097.55 | 14 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $3,206.40 | $4,008.00 | $571.48 – $1,525.92 | 14 |
| Amputation of foot at ankle CPT 27889 | $3,144.00 | $3,930.00 | $565.43 – $5,557.54 | 15 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $499.08 – $1,332.50 | 14 |
| Amputation of forearm CPT 25900 | not published | not published | $652.72 – $1,726.79 | 14 |
| Amputation of forearm CPT 25905 | not published | not published | $634.50 – $1,687.44 | 14 |
| Amputation of forearm CPT 25915 | not published | not published | $1,044.16 – $2,777.28 | 14 |
| Amputation of hand CPT 25927 | not published | not published | $769.83 – $2,068.70 | 14 |
| Amputation of leg at hip CPT 27290 | $4,000.80 | $5,001.00 | $1,447.59 – $3,852.38 | 14 |
| Amputation of leg at hip CPT 27295 | $6,192.00 | $7,740.00 | $1,115.90 – $2,991.11 | 14 |
| Amputation of lower leg CPT 27882 | $2,916.80 | $3,646.00 | $517.23 – $1,381.58 | 14 |
| Amputation of lower leg CPT 27881 | not published | not published | $728.27 – $1,975.84 | 14 |
| Amputation of midtarsal 28800 CPT 28800 | $2,681.60 | $3,352.00 | $482.50 – $1,285.25 | 14 |
| Amputation of upper arm CPT 24900 | not published | not published | $689.91 – $1,772.32 | 14 |
| Amputation of upper arm CPT 24920 | not published | not published | $662.16 – $1,759.65 | 14 |
| Amputation thru metatarsal CPT 28805 | $3,622.40 | $4,528.00 | $641.65 – $2,524.18 | 15 |
| Amputation toe interphalangeal joint CPT 28825 | $3,998.20 | $4,997.74 | $157.41 – $2,524.18 | 17 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $3,598.37 | $4,497.96 | $161.39 – $2,524.18 | 17 |
| Amylase CPT 82150 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Anabolic steroid 1 or 2 CPT 80327 | $72.14 | $90.17 | $13.16 – $44.99 | 9 |
| Anabolic steroid 3 or more CPT 80328 | $27.20 | $34.00 | $24.80 – $33.73 | 2 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $54.82 – $93.32 | 11 |
| Ana ds-dna CPT 86226 | $48.57 | $60.71 | $3.50 – $26.77 | 16 |
| Analgesics non-opioid 3-5 CPT 80330 | $12.00 | $15.00 | $6.75 – $23.70 | 2 |
| Analgesics non-opioid 6/more CPT 80331 | $12.00 | $15.00 | $11.46 – $23.90 | 2 |
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.