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 |
|---|---|---|---|---|
| Ingest challenge ea addl 60 min CPT 95079 | $264.80 | $331.00 | $62.80 – $164.14 | 14 |
| Ingest challenge ini 120 min CPT 95076 | $367.20 | $459.00 | $68.16 – $412.79 | 15 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $226.11 | $282.63 | $12.32 – $158.23 | 17 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,179.34 – $4,006.86 | 14 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,007.41 – $2,848.37 | 14 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $43.13 – $81.78 | 13 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $788.32 – $2,540.77 | 14 |
| Initial foot exam pt lops HCPCS G0245 | $117.60 | $147.00 | $36.44 – $113.79 | 14 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $629.60 | $787.00 | $308.09 – $656.82 | 14 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $244.00 | $305.00 | $121.92 – $258.87 | 14 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $333.60 | $417.00 | $166.67 – $354.00 | 14 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $162.40 | $203.00 | $73.33 – $155.57 | 14 |
| Initial observation care CPT 99218 | not published | not published | $159.00 – $159.00 | 1 |
| Initial observation care CPT 99219 | not published | not published | $215.00 – $215.00 | 1 |
| Initial observation care CPT 99220 | not published | not published | $291.00 – $291.00 | 1 |
| Init nb em per day non-fac CPT 99461 | $167.20 | $209.00 | $55.52 – $118.36 | 14 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $296.00 | $370.00 | $175.57 – $289.92 | 8 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $35.24 – $92.38 | 15 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.67 – $9.65 | 12 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $8.00 | $10.00 | $5.53 – $21.56 | 14 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.20 – $0.35 | 11 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $0.84 | $1.04 | $0.01 – $1.48 | 9 |
| Inj acetaminophen -fresenius HCPCS J0134 | $0.86 | $1.07 | $0.01 – $1.48 | 9 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $0.90 | $1.12 | $0.01 – $0.05 | 9 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,479.53 – $5,323.91 | 4 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $86.22 – $146.76 | 11 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.00 – $17.02 | 11 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $59,625.19 – $101,489.68 | 11 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.62 – $20.11 | 14 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $33.45 – $56.94 | 11 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $795.86 – $1,390.53 | 11 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $300.55 – $511.58 | 11 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.46 – $4.84 | 14 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $4.52 – $4.52 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.27 – $7.27 | 13 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.25 – $209.80 | 11 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $40.04 – $247.82 | 14 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.08 – $15.46 | 11 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $123.66 – $374.22 | 12 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $16.97 – $54.56 | 14 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,445.58 – $4,353.69 | 3 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.80 – $3.07 | 11 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.86 – $9.92 | 14 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $46.63 – $82.93 | 11 |
| Inj. asceniv HCPCS J1554 | not published | not published | $466.71 – $1,621.53 | 14 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $51.98 – $162.16 | 14 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $29.74 – $50.62 | 11 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $99.54 – $169.43 | 11 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $118.88 | $148.59 | $40.27 – $243.60 | 16 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.27 – $152.24 | 4 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $199.20 | $249.00 | $31.91 – $561.89 | 16 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $40.02 – $112.50 | 6 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,773,645.47 – $4,721,098.67 | 11 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $37.44 – $134.04 | 14 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $199.62 – $693.55 | 14 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $14.32 | $17.90 | $0.03 – $0.18 | 9 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $24.64 – $41.94 | 11 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $18.86 | $23.57 | $4.62 – $29.08 | 16 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $3.10 – $26.40 | 13 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.57 – $19.07 | 6 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $74.50 – $223.05 | 4 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $397.46 – $676.52 | 11 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,589.83 – $2,706.09 | 11 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $308.81 – $1,058.63 | 14 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $429.23 – $1,383.44 | 14 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.42 – $2.49 | 11 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.48 – $0.82 | 11 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $58.42 – $243.76 | 13 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.51 – $2.55 | 7 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $23.92 – $415.52 | 12 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.25 – $3.98 | 6 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $73.24 | $91.55 | $0.06 – $1.46 | 16 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $36.32 | $45.40 | $0.94 – $1.84 | 16 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.65 – $18.03 | 6 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $5.04 – $17.55 | 6 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.26 – $6.27 | 14 |
| Inj ceftolozane tazobactam HCPCS J0695 | $14.44 | $18.05 | $4.89 – $22.57 | 16 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $103.72 – $310.39 | 5 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $14.96 – $50.76 | 14 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $81.32 – $814.31 | 14 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | $141.24 | $176.55 | $47.85 – $143.68 | 16 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.71 – $4.61 | 11 |
| Inj, clindamycin (baxter) HCPCS J0737 | $74.64 | $93.30 | $0.30 – $3.26 | 9 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $769.60 | $962.00 | $36.13 – $314.11 | 16 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $88.81 – $251.95 | 6 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $981.49 – $2,891.38 | 14 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $518.42 – $882.42 | 11 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.14 – $47.55 | 6 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.49 – $50.13 | 14 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $4.10 – $5.61 | 4 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $3.76 – $14.40 | 11 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $3.85 | $4.81 | $0.14 – $13.01 | 16 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $7.11 | $8.88 | $0.79 – $4.10 | 16 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.96 – $6.74 | 11 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.07 – $0.07 | 2 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.06 – $1.48 | 6 |
| Inj daptomycin (xellia) HCPCS J0873 | $0.39 | $0.48 | $0.01 – $0.07 | 16 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.92 – $4.97 | 11 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.78 – $6.33 | 6 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,125,097.59 – $5,319,315.04 | 11 |
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.