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 |
|---|---|---|---|---|
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $94.96 | $118.70 | $1.96 – $18.09 | 9 |
| Ortho dvc repair per 15 min HCPCS L4205 | $33.60 | $42.00 | $14.24 – $62.97 | 14 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $630.40 | $788.00 | $157.21 – $506.62 | 14 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $1,092.00 | $1,365.00 | $272.24 – $877.42 | 14 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $698.01 – $2,249.65 | 14 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $386.46 – $1,312.93 | 14 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $147.44 – $475.14 | 14 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $174.85 – $563.58 | 14 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $231.20 | $289.00 | $57.48 – $185.26 | 14 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $147.44 – $475.14 | 14 |
| Orthopantogram CPT 70355 | $44.80 | $56.00 | $7.83 – $68.50 | 15 |
| Orthopedic shoe add rub insl HCPCS L3510 | $70.40 | $88.00 | $17.48 – $56.37 | 14 |
| Orthop traing pfrmd phys/qhp CPT 92065 | $111.20 | $139.00 | $15.50 – $81.82 | 14 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $23.48 – $61.02 | 14 |
| Ortho shoe add full sole HCPCS L3540 | $122.40 | $153.00 | $30.43 – $98.06 | 14 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $19.02 – $61.30 | 14 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $17.48 – $56.37 | 14 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $25.09 – $80.85 | 14 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $77.95 – $251.15 | 14 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $242.11 – $780.48 | 14 |
| Orthovisc inj per dose HCPCS J7324 | $364.80 | $456.00 | $91.84 – $452.09 | 14 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $750.40 | $938.00 | $187.06 – $624.99 | 14 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $539.84 – $1,739.86 | 14 |
| Oscillation chest wall mechanical per session CPT 94669 | $61.60 | $77.00 | $18.31 – $158.23 | 15 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $19.02 – $61.30 | 14 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $13.69 – $44.10 | 14 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $50.98 – $164.30 | 14 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $38.80 – $125.02 | 14 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $5.35 – $17.23 | 14 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $31.96 – $102.99 | 14 |
| Osmolality blood CPT 83930 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Osmolality urine CPT 83935 | $33.57 | $41.96 | $3.50 – $18.50 | 16 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $2,441.60 | $3,052.00 | $293.58 – $2,524.18 | 15 |
| Ostectomy scapula partial CPT 23190 | $2,817.60 | $3,522.00 | $522.65 – $2,524.18 | 15 |
| Osteoart algrft w/surf & b1 CPT 20932 | $1,780.80 | $2,226.00 | $663.63 – $1,768.74 | 14 |
| Osteochondral knee allograft CPT 27415 | $6,753.60 | $8,442.00 | $1,228.93 – $10,009.88 | 15 |
| Osteochondral knee autograft CPT 27416 | $4,822.40 | $6,028.00 | $880.83 – $5,557.54 | 15 |
| Osteochondral talus autogrft CPT 28446 | $6,019.20 | $7,524.00 | $1,097.41 – $5,557.54 | 15 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $132.00 | $165.00 | $19.68 – $111.67 | 15 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $161.60 | $202.00 | $19.68 – $140.71 | 15 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $192.00 | $240.00 | $19.68 – $168.61 | 15 |
| Osteoplasty humerus CPT 24420 | $5,048.00 | $6,310.00 | $952.71 – $5,557.54 | 15 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | $3,925.60 | $4,907.00 | $1,428.77 – $3,793.55 | 14 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | $879.20 | $1,099.00 | $310.84 – $827.12 | 14 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,404.66 – $3,742.36 | 14 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | $4,100.00 | $5,125.00 | $1,522.70 – $4,064.27 | 14 |
| Osteot humerus w/wo int fixj CPT 24400 | $4,049.60 | $5,062.00 | $746.75 – $5,557.54 | 15 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $989.01 – $2,629.73 | 14 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $3,360.00 | $4,200.00 | $613.45 – $5,557.54 | 15 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $1.65 – $5.30 | 14 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $30.76 – $98.77 | 14 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $1.90 – $6.10 | 14 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $2.50 – $8.00 | 14 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $3.32 – $10.64 | 14 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.21 – $3.86 | 14 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $6.30 – $20.21 | 14 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $5.93 – $19.04 | 14 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,041.31 – $6,323.64 | 14 |
| Other immunoelectrophoresis CPT 86325 | $46.40 | $58.00 | $10.94 – $34.81 | 14 |
| Oth resp proc, group HCPCS G0239 | $120.34 | $150.42 | $11.67 – $66.34 | 17 |
| Oth resp proc, indiv HCPCS G0238 | $123.25 | $154.06 | $9.01 – $67.94 | 16 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $94.40 | $118.00 | $36.33 – $71.73 | 16 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $63.20 | $79.00 | $8.63 – $33.74 | 14 |
| Otoplasty 69300 CPT 69300 | $3,043.20 | $3,804.00 | $426.28 – $2,522.98 | 15 |
| Ot re-evaluation patient/family CPT 97168 | $132.00 | $165.00 | $60.26 – $91.92 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $134.89 | $168.61 | $19.17 – $74.36 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $134.89 | $168.61 | $20.06 – $74.36 | 16 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,358.43 – $3,627.06 | 14 |
| Out of office emerg med serv CPT 99060 | $56.00 | $70.00 | $40.90 – $59.47 | 5 |
| Outrigger HCPCS L1080 | not published | not published | $31.10 – $100.86 | 14 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $86.51 – $337.68 | 14 |
| Ovarian cystectomy 58925 CPT 58925 | $1,884.00 | $2,355.00 | $686.35 – $3,840.36 | 15 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $134.75 – $522.72 | 6 |
| Ovulation tests CPT 84830 | $29.60 | $37.00 | $3.50 – $20.32 | 14 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.64 – $3.59 | 7 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1.36 | $1.70 | $0.01 – $1.48 | 9 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.86 – $9.74 | 6 |
| Oxytetracycline injection HCPCS J2460 | $1.60 | $2.00 | $0.84 – $1.30 | 6 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $88.77 | $110.96 | $0.04 – $2.58 | 9 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $259.31 – $471.85 | 7 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $436.00 | $545.00 | $143.15 – $880.67 | 14 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $3.50 – $219.20 | 14 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $67,840.00 | $84,800.00 | $22,980.80 – $44,689.60 | 8 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.31 – $4.18 | 14 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $3.40 | $4.24 | $0.02 – $1.48 | 9 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $26.14 | $32.67 | $4.28 – $39.62 | 16 |
| Palb2 gene full gene seq CPT 81307 | $649.44 | $811.80 | $3.50 – $1,082.40 | 16 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $3.50 – $482.16 | 14 |
| Palifermin injection HCPCS J2425 | not published | not published | $12.70 – $84.47 | 14 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $206.22 – $498.22 | 7 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $286.27 – $1,335.00 | 6 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $15.20 | $19.00 | $4.03 – $45.89 | 16 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $1,749.60 | $2,187.00 | $676.68 – $4,967.53 | 13 |
| Palonosetron hcl HCPCS J2469 | $23.20 | $29.00 | $0.09 – $4.37 | 9 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $113.20 | $141.50 | $11.54 – $62.40 | 9 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $4,636.20 – $9,676.57 | 8 |
| Pancreatectomy CPT 48146 | $4,616.80 | $5,771.00 | $1,645.25 – $4,392.93 | 14 |
| Pancreatectomy CPT 48152 | not published | not published | $2,509.89 – $6,704.84 | 14 |
| Pancreatectomy CPT 48154 | $7,116.00 | $8,895.00 | $2,520.87 – $6,734.31 | 14 |
| Pancreatectomy 48153 CPT 48153 | $7,609.60 | $9,512.00 | $2,701.25 – $7,220.19 | 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.