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 |
|---|---|---|---|---|
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.18 – $0.50 | 6 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.22 – $0.50 | 8 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $13.33 | $16.66 | $0.21 – $7.35 | 10 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $72.43 – $248.42 | 14 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $77.72 – $302.90 | 14 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $29.05 – $105.50 | 14 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $1.54 – $4.96 | 14 |
| Home health care supervision CPT 99374 | $124.80 | $156.00 | $75.30 – $127.29 | 8 |
| Home health care supervision CPT 99375 | $215.20 | $269.00 | $119.70 – $200.53 | 8 |
| Home health care supervision HCPCS G0181 | $236.00 | $295.00 | $96.27 – $252.23 | 14 |
| Home health re-certification physician g0179 HCPCS G0179 | $88.80 | $111.00 | $38.33 – $100.10 | 14 |
| Home/res vst est high mdm 60 CPT 99350 | $338.40 | $423.00 | $169.17 – $360.55 | 14 |
| Home/res vst est mod mdm 40 CPT 99349 | $233.60 | $292.00 | $116.43 – $247.53 | 14 |
| Home/res vst est sf mdm 20 CPT 99347 | $98.40 | $123.00 | $41.81 – $93.43 | 14 |
| Home/res vst new high mdm 75 CPT 99345 | $398.40 | $498.00 | $184.13 – $392.68 | 14 |
| Home/res vst new low mdm 30 CPT 99342 | $145.60 | $182.00 | $72.72 – $153.64 | 14 |
| Home/res vst new mod mdm 60 CPT 99344 | $327.20 | $409.00 | $130.64 – $303.51 | 14 |
| Home/res vst new sf mdm 15 CPT 99341 | $98.40 | $123.00 | $45.64 – $96.71 | 14 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $36.36 – $177.22 | 14 |
| Home sleep test/type 3 porta HCPCS G0399 | $456.00 | $570.00 | $39.46 – $127.67 | 14 |
| Home sleep test/type 4 porta HCPCS G0400 | $456.00 | $570.00 | $36.36 – $127.67 | 14 |
| Home vent mgmt supervision CPT 94005 | $204.80 | $256.00 | $161.94 – $236.10 | 8 |
| Home visit est patient 99348 CPT 99348 | $151.20 | $189.00 | $70.67 – $149.60 | 14 |
| Home visit new patient CPT 99343 | not published | not published | $203.00 – $203.00 | 1 |
| Homocysteine CPT 83090 | $55.00 | $68.75 | $3.50 – $30.32 | 16 |
| Homogenization tissue CPT 87176 | $38.58 | $48.22 | $3.50 – $21.27 | 16 |
| Homovanillic acid (hva) CPT 83150 | $56.00 | $70.00 | $3.50 – $35.86 | 16 |
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $34.67 – $92.10 | 14 |
| Hopd covid-19 spec collect HCPCS C9803 | not published | not published | $52.99 – $52.99 | 1 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $69.59 | $86.98 | $28.44 – $49.69 | 16 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $177.80 | $222.24 | $72.67 – $154.28 | 16 |
| Hopd mntl hlt, grp HCPCS C7903 | $139.78 | $174.72 | $29.19 – $92.08 | 16 |
| Ho post-op hip abduction HCPCS L1686 | $2,464.56 | $3,080.70 | $512.69 – $1,806.37 | 16 |
| Hospice care supervision CPT 99377 | $124.80 | $156.00 | $75.30 – $127.29 | 8 |
| Hospice care supervision CPT 99378 | $239.20 | $299.00 | $119.70 – $200.53 | 8 |
| Hpa-15 genotyping CPT 81112 | $244.80 | $306.00 | $3.50 – $195.55 | 16 |
| Hpa-1 genotyping CPT 81105 | $244.80 | $306.00 | $3.50 – $195.55 | 16 |
| Hpa-2 genotyping CPT 81106 | $244.80 | $306.00 | $3.50 – $195.55 | 16 |
| Hpa-3 genotyping CPT 81107 | $244.80 | $306.00 | $3.50 – $195.55 | 16 |
| Hpa-4 genotyping CPT 81108 | $244.80 | $306.00 | $3.50 – $195.55 | 16 |
| Hpa-5 genotyping CPT 81109 | $244.80 | $306.00 | $3.50 – $195.55 | 16 |
| Hpa-6 genotyping CPT 81110 | $244.80 | $306.00 | $3.50 – $195.55 | 16 |
| Hpa-9 genotyping CPT 81111 | $244.80 | $306.00 | $3.50 – $195.55 | 16 |
| Hpv combo assay ca screen HCPCS G0476 | $70.40 | $88.00 | $3.50 – $56.14 | 16 |
| Hpv low-risk types CPT 87623 | $77.60 | $97.00 | $3.50 – $56.14 | 14 |
| Hpv types 16 & 18 only CPT 87625 | $81.60 | $102.00 | $3.50 – $64.88 | 16 |
| H pylori ag ia CPT 87339 | $35.20 | $44.00 | $3.50 – $25.60 | 14 |
| H pylori (c-13) blood CPT 83009 | $169.60 | $212.00 | $3.50 – $107.78 | 14 |
| H pylori (c-13) breath CPT 83013 | $291.41 | $364.26 | $3.50 – $160.64 | 16 |
| H pylori drug admin CPT 83014 | $20.00 | $25.00 | $3.50 – $12.58 | 14 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,481.60 | $1,852.00 | $3.50 – $2,086.32 | 16 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $263.36 – $1,003.80 | 6 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,276.00 | $1,595.00 | $3.50 – $935.84 | 16 |
| Hrdtry perph neurphy panel CPT 81448 | $1,170.40 | $1,463.00 | $3.50 – $935.84 | 16 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,792.42 – $3,050.92 | 12 |
| Hsv dna dir probe CPT 87528 | $50.40 | $63.00 | $3.50 – $32.08 | 14 |
| Htt gene charac alleles CPT 81274 | not published | not published | $3.50 – $439.73 | 14 |
| Htt gene detc abnor alleles CPT 81271 | $153.56 | $191.95 | $3.50 – $219.20 | 16 |
| Human epididymis protein 4 (he4) CPT 86305 | $52.80 | $66.00 | $3.50 – $33.30 | 16 |
| Human ig IV CPT 90283 | not published | not published | $53.90 – $83.45 | 7 |
| Human ig sc CPT 90284 | not published | not published | $14.22 – $17.69 | 7 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.19 – $2.02 | 11 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $52.00 | $65.00 | $29.09 – $167.06 | 7 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.42 – $1.60 | 7 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $1.07 | $1.33 | $0.25 – $1.48 | 9 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $94.00 | $117.50 | $0.39 – $18.47 | 9 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $15.89 – $50.98 | 14 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $11.72 – $37.60 | 14 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $5.51 – $17.68 | 14 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $18.40 | $23.00 | $4.56 – $14.64 | 14 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $8.54 – $27.38 | 14 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.36 – $3.31 | 6 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $104.32 | $130.40 | $0.01 – $60.23 | 9 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $5.04 – $6.90 | 6 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $5.07 – $16.26 | 14 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $27.38 – $87.82 | 14 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $16.58 – $53.17 | 14 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $11.33 – $36.32 | 14 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $4.78 – $15.34 | 14 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $3.27 – $10.45 | 14 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $36.35 | $45.43 | $0.01 – $0.14 | 8 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $56.50 – $179.56 | 7 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $4.05 – $12.92 | 4 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.01 | 12 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.48 – $2.88 | 7 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $60.83 | $76.03 | $0.61 – $44.07 | 9 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $1.28 | $1.60 | $0.01 – $1.48 | 9 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $55.00 | $68.75 | $3.50 – $30.32 | 16 |
| Hymenotomy CPT 56442 | $117.60 | $147.00 | $42.82 – $2,473.55 | 15 |
| Hymovis injection 1 mg HCPCS J7322 | $28.00 | $35.00 | $16.39 – $56.01 | 14 |
| Hyoid myotomy & suspension CPT 21685 | $2,443.20 | $3,054.00 | $885.39 – $4,602.15 | 15 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $28.33 – $106.39 | 7 |
| Hyperbaric oxygen therapy CPT 99183 | $1,733.20 | $2,166.49 | $95.28 – $955.42 | 16 |
| #hypersens-actinomyces ab CPT 86602 | $48.57 | $60.71 | $3.50 – $26.77 | 16 |
| Hyperthermia ext gen deep CPT 77605 | $1,683.20 | $2,104.00 | $88.32 – $679.85 | 15 |
| Hyperthermia ext gen supfc CPT 77600 | $1,002.40 | $1,253.00 | $66.15 – $257.69 | 15 |
| Hyperthermia gen intrcv prb CPT 77620 | $1,173.60 | $1,467.00 | $72.91 – $566.83 | 15 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | $1,803.20 | $2,254.00 | $64.38 – $566.83 | 15 |
| Hyperthermia ntrstl prb>5 CPT 77615 | $1,995.20 | $2,494.00 | $90.68 – $566.83 | 15 |
| Hypnotherapy CPT 90880 | $244.80 | $306.00 | $80.44 – $213.64 | 14 |
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.