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 |
|---|---|---|---|---|
| Patten bottom HCPCS L2370 | not published | not published | $192.37 – $616.96 | 14 |
| Pca3/klk3 antigen CPT 81313 | $510.40 | $638.00 | $3.50 – $408.08 | 16 |
| Pcv21 vaccine im CPT 90684 | $530.40 | $663.00 | $179.67 – $524.63 | 16 |
| Pdgfra gene CPT 81314 | $659.20 | $824.00 | $3.50 – $527.22 | 16 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $13.69 – $44.10 | 14 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $456.00 | $570.00 | $154.58 – $531.34 | 15 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $2,216.80 | $2,771.00 | $652.83 – $1,775.82 | 15 |
| Ped crit care age 2-5 init CPT 99475 | $1,016.80 | $1,271.00 | $508.18 – $1,075.58 | 14 |
| Ped crit care age 2-5 subsq CPT 99476 | $622.40 | $778.00 | $307.54 – $647.49 | 14 |
| Ped crit care transport CPT 99466 | $434.40 | $543.00 | $210.61 – $449.61 | 14 |
| Ped crit care transport addl CPT 99467 | $217.60 | $272.00 | $105.69 – $225.62 | 14 |
| Ped critical care initial CPT 99471 | $1,446.40 | $1,808.00 | $702.97 – $1,515.82 | 14 |
| Ped critical care subsq CPT 99472 | $724.00 | $905.00 | $360.94 – $765.41 | 14 |
| Ped home apnea mntr att only CPT 94775 | $100.00 | $125.00 | $15.10 – $260.96 | 14 |
| Ped home apnea mntr dl&alys CPT 94776 | $472.00 | $590.00 | $121.72 – $555.75 | 14 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $3,306.68 – $10,940.16 | 14 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $967.84 – $3,103.98 | 14 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,969.60 | $2,462.00 | $589.13 – $1,563.74 | 15 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $793.04 – $2,555.92 | 14 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $936.29 – $3,017.63 | 14 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $741.88 – $2,391.02 | 14 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $402.93 – $1,298.59 | 14 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $195.77 – $1,039.23 | 6 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $889.25 – $2,641.07 | 5 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $10,221.50 – $79,272.12 | 14 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $861.57 | $1,076.96 | $3.84 – $368.78 | 16 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $79.60 – $421.32 | 14 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $360.00 | $450.00 | $25.56 – $474.64 | 16 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $215.37 – $1,041.58 | 14 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $351.20 | $439.00 | $40.10 – $445.56 | 16 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $140.26 – $623.70 | 14 |
| Peginesatide injection HCPCS J0890 | not published | not published | $12.97 – $32.34 | 5 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,113.42 – $3,058.09 | 6 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $1,029.60 – $10,765.51 | 14 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $216.46 – $368.44 | 11 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $292.75 – $912.61 | 14 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $250.43 – $646.04 | 14 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $188.88 – $605.74 | 14 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $139.18 – $446.35 | 14 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $187.79 – $482.83 | 14 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $260.85 – $836.58 | 14 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,113.60 | $2,642.00 | $53.20 – $1,165.12 | 17 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,088.38 | $2,610.47 | $50.66 – $1,151.22 | 17 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,870.02 | $2,337.52 | $47.51 – $1,030.85 | 17 |
| Pelvic exenteration CPT 45126 | $6,904.00 | $8,630.00 | $2,428.98 – $6,514.36 | 14 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $833.98 – $2,196.26 | 14 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,520.28 | $5,650.34 | $96.27 – $2,491.80 | 17 |
| Pelvic MRI (with contrast) CPT 72196 | $3,826.41 | $4,783.01 | $75.45 – $2,109.31 | 17 |
| Pelvic MRI (without contrast) CPT 72195 | $2,729.83 | $3,412.28 | $63.91 – $1,504.82 | 17 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $2,616.80 | $3,271.00 | $953.32 – $5,557.54 | 15 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $900.37 – $2,347.98 | 14 |
| Pelvic Ultrasound (complete) CPT 76856 | $503.67 | $629.58 | $30.15 – $277.64 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | $375.57 | $469.46 | $21.78 – $207.03 | 17 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $262.99 | $328.73 | $7.71 – $144.97 | 17 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $361.99 | $452.48 | $11.19 – $199.54 | 17 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $83.25 – $266.77 | 14 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $90.03 | $112.53 | $11.23 – $186.34 | 16 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $80.00 | $100.00 | $1.54 – $57.62 | 16 |
| Pemivibart infusion HCPCS M0224 | $679.43 | $849.28 | $277.71 – $751.38 | 16 |
| Peng benzathine/procaine inj HCPCS J0558 | $16.80 | $21.00 | $7.33 – $48.47 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $81.25 | $101.56 | $0.61 – $62.52 | 16 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $17.44 | $21.80 | $0.11 – $2.55 | 9 |
| Penicillin g procaine inj HCPCS J2510 | $46.40 | $58.00 | $12.29 – $132.25 | 14 |
| Penile injection CPT 54235 | $220.80 | $276.00 | $67.14 – $180.45 | 14 |
| Penile vascular study CPT 93980 | $284.00 | $355.00 | $51.24 – $143.36 | 17 |
| Penile vascular study CPT 93981 | $169.60 | $212.00 | $19.40 – $104.20 | 15 |
| Penile venous occlusion CPT 37790 | $1,226.40 | $1,533.00 | $440.59 – $2,683.16 | 15 |
| Penis plastic surgery CPT 54360 | $1,820.80 | $2,276.00 | $653.95 – $2,683.16 | 15 |
| Penis study CPT 54240 | $256.80 | $321.00 | $39.28 – $242.25 | 15 |
| Pentamidine non-comp unit HCPCS J2545 | $161.04 | $201.30 | $47.26 – $297.09 | 9 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.30 – $47.52 | 5 |
| Pentazocine injection HCPCS J3070 | $128.80 | $161.00 | $33.58 – $364.42 | 6 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $8.60 – $75.97 | 7 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,391.26 – $8,692.83 | 14 |
| Perc cryo ablate renal tum CPT 50593 | $21,107.20 | $26,384.00 | $410.84 – $8,099.52 | 17 |
| Perc d-e cor revasc chro add HCPCS C9608 | $19,333.93 | $24,167.41 | $6,549.37 – $12,736.23 | 7 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $19,819.15 | $24,773.93 | $8,101.08 – $29,949.51 | 17 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $17,851.12 | $22,313.89 | $6,047.06 – $11,759.42 | 7 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $19,561.01 | $24,451.26 | $7,995.56 – $18,914.62 | 17 |
| Perc d-e cor stent ather br HCPCS C9603 | $17,851.12 | $22,313.89 | $6,047.06 – $11,759.42 | 7 |
| Perc d-e cor stent ather s HCPCS C9602 | $19,819.15 | $24,773.93 | $8,101.08 – $29,949.51 | 17 |
| Perc drug-el cor stent bran HCPCS C9601 | $17,851.12 | $22,313.89 | $6,047.06 – $11,759.42 | 7 |
| Perc drug-el cor stent sing HCPCS C9600 | $19,561.01 | $24,451.26 | $7,995.56 – $18,914.62 | 17 |
| Perc rf ablate renal tumor CPT 50592 | $15,611.20 | $19,514.00 | $307.42 – $4,666.38 | 17 |
| Percut ablate liver rf CPT 47382 | $10,753.60 | $13,442.00 | $660.71 – $4,994.88 | 17 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $279.69 – $2,634.99 | 14 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $217.49 | $271.86 | $41.79 – $111.62 | 10 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $4,010.81 | $5,013.51 | $186.32 – $2,210.96 | 16 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $6,040.80 | $7,551.00 | $2,123.49 – $5,673.46 | 14 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,622.64 | $4,528.29 | $201.55 – $1,996.98 | 17 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $2,013.60 | $2,517.00 | $717.65 – $1,905.75 | 14 |
| Peri-implt capslc brst compl CPT 19371 | $3,896.00 | $4,870.00 | $640.91 – $2,979.03 | 15 |
| Perineoplasty rpr per nonob CPT 56810 | $667.20 | $834.00 | $243.77 – $2,473.55 | 15 |
| Peripheral vascular rehab CPT 93668 | $33.60 | $42.00 | $12.85 – $33.80 | 14 |
| Peri-proc device eval icd CPT 93287 | $109.60 | $137.00 | $20.02 – $87.80 | 14 |
| Peri-proc device eval pm CPT 93286 | $91.20 | $114.00 | $13.40 – $75.58 | 14 |
| Peritoneal cath sub q resv per CPT 49419 | $1,072.80 | $1,341.00 | $365.18 – $4,205.42 | 15 |
| Peritoneogram rs&i CPT 74190 | $813.60 | $1,017.00 | $20.10 – $426.56 | 15 |
| Perit-vens shunt pat tst CPT 78291 | $608.46 | $760.57 | $38.51 – $393.74 | 17 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $15.71 – $150.00 | 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.