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 |
|---|---|---|---|---|
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $410.80 – $1,902.26 | 7 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $684.60 | $855.75 | $49.54 – $198.49 | 10 |
| Graft hand or finger tendon CPT 26416 | $2,196.80 | $2,746.00 | $820.47 – $2,524.18 | 15 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $27.91 – $45.04 | 6 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $391.59 – $1,997.50 | 7 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $3,980.84 | $4,976.04 | $1,348.51 – $2,622.37 | 7 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $11,188.01 | $13,985.01 | $3,789.94 – $7,370.10 | 7 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $76.00 | $95.00 | $4.75 – $65.41 | 8 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $629.84 | $787.29 | $99.05 – $187.89 | 10 |
| Graft repair of spine defect 63710 CPT 63710 | $2,615.20 | $3,269.00 | $956.26 – $2,543.05 | 14 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $277.60 | $347.00 | $63.31 – $162.14 | 10 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $97.60 | $122.00 | $43.87 – $58.50 | 8 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $149.58 – $162.08 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $49.54 – $49.54 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $326.40 | $408.00 | $37.50 – $184.63 | 10 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $2,552.40 | $3,190.49 | $864.62 – $1,681.39 | 7 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $143.32 | $179.14 | $48.55 – $94.41 | 7 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.09 – $89.39 | 6 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.26 – $1.48 | 7 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $135.60 – $373.51 | 3 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,041.31 – $7,797.92 | 14 |
| Great toe with reduction 28495 CPT 28495 | $883.20 | $1,104.00 | $140.87 – $325.23 | 17 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $453.22 – $1,423.07 | 15 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $1,417.60 | $1,772.00 | $461.50 – $2,848.09 | 15 |
| Grfg autol fat lipo ea addl CPT 15772 | $448.00 | $560.00 | $131.96 – $350.04 | 14 |
| Grfg autol soft tiss dir exc CPT 15769 | $1,188.80 | $1,486.00 | $431.39 – $2,848.09 | 15 |
| Ground mileage HCPCS A0425 | not published | not published | $8.27 – $32.00 | 8 |
| Group behave couns 2-10 HCPCS G0473 | $61.15 | $76.43 | $10.54 – $33.71 | 17 |
| Group health education CPT 99078 | $115.20 | $144.00 | $33.42 – $146.91 | 6 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $45.61 | $57.01 | $14.14 – $32.40 | 16 |
| Group train without patient HCPCS G0543 | not published | not published | $9.95 – $19.61 | 13 |
| Growth hormone antibody CPT 86277 | $40.00 | $50.00 | $3.50 – $25.18 | 14 |
| Growth hormone panel CPT 80428 | $168.00 | $210.00 | $3.50 – $106.72 | 14 |
| Growth hormone panel CPT 80430 | $259.20 | $324.00 | $3.50 – $206.93 | 14 |
| Growth stimulation gene 2 CPT 83006 | $151.20 | $189.00 | $3.50 – $120.96 | 14 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $6.99 – $49.69 | 13 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $5.30 – $49.69 | 13 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $4,717.60 | $5,897.00 | $1,683.27 – $4,486.19 | 14 |
| Gstr rstcv oth/thn v-band CPT 43843 | $3,141.60 | $3,927.00 | $1,125.89 – $3,001.28 | 14 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | $3,987.20 | $4,984.00 | $1,446.37 – $3,855.86 | 14 |
| Gstr rstcv px sm int rcnstj CPT 43847 | $4,424.00 | $5,530.00 | $1,581.59 – $4,217.00 | 14 |
| Gstr rstcv px v-banded gstp CPT 43842 | $2,956.00 | $3,695.00 | $1,716.85 – $3,694.51 | 8 |
| Gstrst open wo constj tube CPT 43830 | $3,603.21 | $4,504.01 | $620.34 – $1,986.27 | 17 |
| G-tube reposition CPT 43761 | $621.08 | $776.35 | $91.60 – $342.37 | 17 |
| Gu dilat ureter/urethra s&i CPT 74485 | $231.20 | $289.00 | $36.15 – $1,593.66 | 15 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,999.08 | $2,498.85 | $121.30 – $1,101.99 | 17 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $333.32 – $1,069.01 | 14 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $151.91 | $189.88 | $23.19 – $45.10 | 7 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $97.07 | $121.33 | $32.88 – $63.94 | 7 |
| Guid loc target vol rad tx CPT 77387 | $999.56 | $1,249.44 | $51.28 – $623.47 | 10 |
| Gum graft CPT 41870 | not published | not published | $679.76 – $2,470.59 | 14 |
| Gw stiffened micro access kit HCPCS C1894 | $136.92 | $171.15 | $45.28 – $88.05 | 7 |
| Gynecomastia (males) 19300 CPT 19300 | $2,684.80 | $3,356.00 | $387.22 – $2,979.03 | 15 |
| Hair analysis HCPCS P2031 | $60.80 | $76.00 | $2.97 – $12.87 | 14 |
| Hair removal by electrolysis 17380 CPT 17380 | $184.80 | $231.00 | $83.60 – $1,020.95 | 14 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $908.00 | $1,135.00 | $227.60 – $603.83 | 14 |
| Hair trnspl >15 punch grafts CPT 15776 | $1,244.80 | $1,556.00 | $311.20 – $826.88 | 14 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $25.87 – $83.39 | 14 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $1,236.82 – $4,053.36 | 14 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $1,546.78 – $5,152.80 | 14 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $1,821.07 – $6,202.22 | 14 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $80.08 | $100.10 | $4.61 – $36.93 | 9 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $92.51 | $115.63 | $0.06 – $3.89 | 9 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $128.91 – $415.52 | 14 |
| Hand-held pefr meter a4614 HCPCS A4614 | $67.20 | $84.00 | $16.58 – $53.17 | 14 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $18.57 | $23.21 | $2.90 – $12.23 | 10 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $57.48 – $185.26 | 14 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $939.43 – $3,707.34 | 14 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,141.96 – $3,644.58 | 14 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $495.88 – $1,565.94 | 14 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,182.96 – $3,745.86 | 14 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $113.54 | $141.92 | $21.13 – $62.59 | 16 |
| Hand tendon/muscle transfer CPT 26494 | $1,992.80 | $2,491.00 | $752.67 – $2,524.18 | 15 |
| Hand tendon reconstruction CPT 26500 | $1,561.60 | $1,952.00 | $614.42 – $5,557.54 | 15 |
| Hand tendon reconstruction CPT 26502 | $1,776.80 | $2,221.00 | $674.44 – $2,524.18 | 15 |
| Hand X-ray CPT 73130 | $262.99 | $328.73 | $7.71 – $144.97 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $182.44 | $228.05 | $7.39 – $100.57 | 17 |
| Haptoglobin quantitative CPT 83010 | $64.28 | $80.35 | $3.50 – $35.43 | 16 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $101.04 – $422.64 | 14 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $77.93 – $241.28 | 14 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $71.91 – $230.62 | 14 |
| Harvest allogeneic stem cell CPT 38205 | $217.60 | $272.00 | $75.99 – $204.63 | 14 |
| Harvest auto stem cells CPT 38206 | $216.80 | $271.00 | $74.81 – $1,275.30 | 15 |
| Harvest cultured skin graft 15040 CPT 15040 | $636.80 | $796.00 | $112.25 – $1,423.07 | 15 |
| Harvest eye tissue alograft CPT 68371 | $2,044.80 | $2,556.00 | $370.34 – $1,814.95 | 15 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $844.00 | $1,055.00 | $291.04 – $778.36 | 14 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $77.85 – $729.16 | 14 |
| Harvest vein for bypass 35500 CPT 35500 | $780.00 | $975.00 | $269.32 – $721.28 | 14 |
| Hast w/i&r phys/qhp CPT 94452 | $113.60 | $142.00 | $13.13 – $86.84 | 14 |
| Hast w/oxygen titrate CPT 94453 | $156.00 | $195.00 | $16.78 – $115.90 | 14 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,200.00 | $1,500.00 | $3.50 – $960.00 | 16 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $404.80 | $506.00 | $3.50 – $323.84 | 16 |
| Hba1/hba2 gene fam vrnt CPT 81258 | $751.20 | $939.00 | $3.50 – $600.40 | 14 |
| Hbb full gene sequence CPT 81364 | $649.60 | $812.00 | $3.50 – $519.33 | 16 |
| Hbb gene com variants CPT 81361 | $350.40 | $438.00 | $3.50 – $279.70 | 16 |
| Hbb gene dup/del variants CPT 81363 | $404.80 | $506.00 | $3.50 – $323.84 | 16 |
| Hbb gene known fam variant CPT 81362 | $751.20 | $939.00 | $3.50 – $600.40 | 16 |
| Hb glycosylated a1c home dev CPT 83037 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $367.80 | $459.74 | $85.88 – $242.28 | 17 |
| Hc ea ha check monaural CPT 92594 | $45.60 | $57.00 | $17.40 – $76.00 | 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.