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 |
|---|---|---|---|---|
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $25.89 – $44.06 | 11 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.25 – $1.78 | 3 |
| Inj disk cerv-thor ea lev CPT 62291 | $828.00 | $1,035.00 | $130.16 – $481.18 | 14 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $49.32 – $83.95 | 11 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $3.89 – $6.63 | 11 |
| Inj dupuytren cord w/enzyme CPT 20527 | $768.58 | $960.72 | $58.93 – $423.68 | 17 |
| Inj, durolane 1 mg HCPCS J7318 | $16.00 | $20.00 | $6.28 – $756.70 | 14 |
| Inj dx for sinogram CPT 20501 | $393.03 | $491.28 | $32.85 – $242.94 | 16 |
| Inject for sacroiliac joint HCPCS G0259 | $1,323.20 | $1,654.00 | $230.40 – $1,692.77 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,376.05 | $1,720.06 | $75.01 – $758.55 | 17 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,072.00 | $1,340.00 | $61.25 – $397.64 | 16 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $48.74 – $158.42 | 14 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $396.75 – $1,394.39 | 14 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.62 – $31.69 | 11 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $779.24 – $779.24 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $1,420.72 | $1,775.90 | $50.79 – $391.59 | 17 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $148.35 – $479.00 | 5 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $0.13 – $8.91 | 6 |
| Injection, daratumumab 10 mg HCPCS J9145 | $113.28 | $141.59 | $38.31 – $204.34 | 16 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.47 – $0.47 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.33 – $2.35 | 7 |
| Injection during cath supravalvular aortography CPT 93567 | $2,498.88 | $3,123.59 | $32.10 – $1,377.50 | 16 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $17.71 – $71.96 | 14 |
| Injection epidural blood patch or clot CPT 62273 | $1,675.94 | $2,094.92 | $103.07 – $923.86 | 17 |
| Injection estrone per 1 mg HCPCS J1435 | $0.80 | $1.00 | $0.03 – $0.50 | 7 |
| Injection eye drug CPT 67028 | $504.00 | $630.00 | $83.20 – $258.04 | 15 |
| Injection, famotidine, 20 mg HCPCS S0028 | $71.56 | $89.45 | $0.90 – $42.40 | 8 |
| Injection for arthrography wrist (both sides) CPT 25246 | $910.40 | $1,138.00 | $65.66 – $339.11 | 16 |
| Injection for bladder x-ray CPT 51600 | $636.61 | $795.76 | $39.10 – $357.23 | 16 |
| Injection for hip x-ray CPT 27095 | $1,432.00 | $1,790.00 | $73.04 – $527.26 | 14 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $752.00 | $940.00 | $45.05 – $279.81 | 16 |
| Injection for spleen x-ray CPT 38200 | $341.60 | $427.00 | $117.44 – $313.07 | 14 |
| Injection for tear sac x-ray CPT 68850 | $392.00 | $490.00 | $46.85 – $124.47 | 14 |
| Injection for ureter x-ray CPT 50684 | $614.28 | $767.85 | $45.85 – $338.62 | 16 |
| Injection for ureter x-ray CPT 50690 | $268.80 | $336.00 | $63.66 – $207.15 | 14 |
| Injection, fosphenytoin sodi HCPCS S0078 | $126.20 | $157.75 | $26.50 – $142.20 | 9 |
| Injection, fulvestrant HCPCS J9395 | $119.20 | $149.00 | $0.40 – $40.63 | 16 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $57.50 – $1,965.92 | 14 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $411.74 – $411.74 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $19.54 | $24.42 | $6.60 – $40.15 | 16 |
| Injection into brain canal CPT 61026 | $261.60 | $327.00 | $98.38 – $538.76 | 15 |
| Injection into brain canal CPT 61055 | $304.00 | $380.00 | $103.81 – $278.49 | 15 |
| Injection into hemorrhoid(s) CPT 46500 | $731.20 | $914.00 | $166.00 – $709.27 | 15 |
| Injection into spinal artery CPT 62294 | $2,231.20 | $2,789.00 | $692.61 – $2,199.58 | 15 |
| Injection into vocal cord CPT 31513 | $323.20 | $404.00 | $117.99 – $314.93 | 15 |
| Injection intraop add-on CPT 48400 | not published | not published | $92.03 – $245.68 | 14 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.95 – $2.94 | 13 |
| Injection jaw joint x-ray CPT 21116 | $964.80 | $1,206.00 | $40.23 – $362.75 | 14 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.18 – $5.23 | 6 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.39 – $19.28 | 14 |
| Injection of HIV prep drug HCPCS G0012 | $33.60 | $42.00 | $13.03 – $103.38 | 15 |
| Injection of sinus tract CPT 20500 | $282.40 | $353.00 | $82.16 – $1,152.38 | 15 |
| Injection,onabotulinumtoxina HCPCS J0585 | $11.04 | $13.80 | $1.04 – $21.24 | 16 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $97.70 – $371.40 | 7 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.58 – $4.75 | 13 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $2.09 – $5.94 | 6 |
| Injection px peyronie ds CPT 54200 | $275.20 | $344.00 | $80.06 – $229.85 | 15 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $699.68 | $874.60 | $28.85 – $385.70 | 17 |
| Injection, renflexis HCPCS Q5104 | $121.87 | $152.33 | $7.54 – $122.48 | 16 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.28 – $106.27 | 14 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $3,594.50 | $4,493.12 | $158.72 – $1,183.94 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,006.34 | $1,257.92 | $57.96 – $554.74 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $2,134.95 | $2,668.68 | $37.70 – $588.44 | 17 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,351.88 | $4,189.84 | $101.33 – $923.86 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,199.46 | $1,499.32 | $53.91 – $330.60 | 16 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,690.63 | $3,363.28 | $95.94 – $741.60 | 17 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,199.46 | $1,499.32 | $46.23 – $330.60 | 16 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,664.76 | $3,330.94 | $82.54 – $734.47 | 17 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,510.00 | $1,887.49 | $97.63 – $832.38 | 17 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,510.00 | $1,887.49 | $90.27 – $832.38 | 17 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $119.87 – $468.13 | 14 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $517.24 | $646.54 | $35.19 – $285.12 | 17 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $517.24 | $646.54 | $33.02 – $285.12 | 17 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $517.24 | $646.54 | $37.55 – $285.12 | 17 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $92.20 | $115.24 | $5.88 – $50.82 | 10 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $16.00 – $56.43 | 6 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $4.00 | $5.00 | $3.04 – $8.91 | 5 |
| Injection treatment of eye CPT 66020 | $955.20 | $1,194.00 | $118.46 – $1,774.32 | 15 |
| Injection treatment of eye CPT 66030 | $852.80 | $1,066.00 | $100.23 – $1,774.32 | 15 |
| Injection treatment of nerve CPT 64605 | $3,219.20 | $4,024.00 | $365.75 – $1,519.18 | 15 |
| Injection treatment of nerve CPT 64610 | $3,731.20 | $4,664.00 | $418.25 – $1,519.18 | 15 |
| Injection treatment of nerve CPT 64681 | $1,368.00 | $1,710.00 | $201.28 – $702.50 | 15 |
| Injection treatment of nose CPT 30200 | $273.60 | $342.00 | $54.47 – $396.18 | 15 |
| Inject sacroiliac joint CPT 27096 | $801.60 | $1,002.00 | $75.78 – $288.04 | 14 |
| Inject/treat eye socket CPT 67500 | $366.40 | $458.00 | $58.84 – $232.56 | 15 |
| Inject/treat eye socket CPT 67505 | $414.40 | $518.00 | $65.04 – $232.56 | 15 |
| Inject/treat eye socket CPT 67515 | $342.40 | $428.00 | $42.42 – $232.56 | 15 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $29.47 – $50.16 | 11 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $39.00 – $66.38 | 11 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $31.71 – $53.98 | 11 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $19.85 – $102.05 | 14 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $358.74 – $1,271.31 | 14 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.98 – $167.92 | 14 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,510.00 | $1,887.49 | $88.79 – $832.38 | 17 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,510.00 | $1,887.49 | $71.11 – $832.38 | 17 |
| Inj, epinephrine (belcher) HCPCS J0173 | $12.90 | $16.12 | $1.14 – $3.30 | 9 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.02 – $3.56 | 6 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $16.12 – $27.44 | 11 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $3.36 – $11.20 | 5 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $479.00 | 5 |
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.