UnityPoint Health - Jones Regional Medical Center
1795 Highway 64 Est, Anamosa, IA · UnityPoint Health · · NPI 1164514741
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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66720 | $2,283.20 | $2,854.00 | $369.68 – $992.88 | 9 |
| Destruction ciliary body CPT 66740 | $2,177.60 | $2,722.00 | $352.32 – $945.92 | 9 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $605.60 | $757.00 | $129.27 – $344.79 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $1,024.80 | $1,281.00 | $116.86 – $311.51 | 9 |
| Destruction les conjunctiva CPT 68135 | $782.40 | $978.00 | $135.26 – $360.88 | 9 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $513.60 | $642.00 | $125.08 – $331.97 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $605.60 | $757.00 | $153.03 – $405.37 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $507.20 | $634.00 | $119.45 – $316.46 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $578.40 | $723.00 | $139.77 – $371.00 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $332.00 | $415.00 | $97.84 – $259.70 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $544.80 | $681.00 | $158.60 – $417.93 | 9 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $388.80 | $486.00 | $89.50 – $238.10 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | $1,743.20 | $2,179.00 | $629.30 – $1,677.45 | 9 |
| Destruction vag lesions complex 57065 CPT 57065 | $547.20 | $684.00 | $166.67 – $449.10 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | $347.20 | $434.00 | $103.63 – $278.38 | 9 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $311.20 | $389.00 | $88.43 – $233.25 | 9 |
| Detect agent nos dna dir CPT 87797 | $67.15 | $83.93 | $18.02 – $74.45 | 13 |
| Detect agnt mult dna direc CPT 87800 | $109.60 | $137.00 | $26.20 – $74.45 | 13 |
| Determination venous press CPT 93770 | $18.40 | $23.00 | $1.12 – $20.88 | 6 |
| Determine refractive state CPT 92015 | not published | not published | $33.90 – $51.76 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $56.80 | $71.00 | $18.14 – $26.81 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | $307.20 | $384.00 | $111.75 – $299.96 | 9 |
| Device ablt adv novasure HCPCS C1886 | $465.60 | $582.00 | $211.27 – $516.23 | 13 |
| Device intraute mirena HCPCS J7298 | $1,544.80 | $1,931.00 | $1,053.84 – $1,214.63 | 4 |
| Dev interrog remote 1/2/mlt CPT 93295 | $115.20 | $144.00 | $33.09 – $126.64 | 9 |
| Devise bowel pouch CPT 44316 | $3,464.00 | $4,330.00 | $1,238.33 – $3,301.32 | 9 |
| Devlopment test interpt&rep HCPCS G0451 | $49.60 | $62.00 | $10.19 – $26.81 | 9 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $137.60 | $172.00 | $46.68 – $137.23 | 9 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $111.84 | $139.80 | $8.68 – $124.00 | 13 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $110.68 – $151.93 | 4 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.15 – $1.18 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.40 | $0.50 | $0.04 – $0.09 | 13 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $18.67 | $23.33 | $0.09 – $8.36 | 13 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $205.24 – $279.86 | 6 |
| Dexamethasone panel CPT 80420 | $324.00 | $405.00 | $77.28 – $172.31 | 13 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.58 – $0.88 | 3 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $259.20 | $324.00 | $80.96 – $265.12 | 6 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $37.73 – $95.85 | 6 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $14.52 – $30.84 | 3 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.78 – $3.41 | 6 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $24.00 | $30.00 | $0.85 – $26.61 | 13 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $6.40 | $8.00 | $5.68 – $7.98 | 4 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $5.60 | $7.00 | $1.68 – $2.71 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $48.00 | $60.00 | $3.36 – $53.22 | 13 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $56.00 | $70.00 | $13.34 – $60.98 | 13 |
| Diabetes (HbA1c) Test CPT 83036 | $33.57 | $41.96 | $5.83 – $37.22 | 13 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $36.00 | $45.00 | $8.33 – $21.94 | 8 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $132.94 – $338.29 | 6 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $21.32 – $57.53 | 6 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $21.32 – $57.53 | 6 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $21.32 – $57.53 | 6 |
| Diab manage trn ind/group HCPCS G0109 | $64.95 | $81.18 | $14.44 – $72.01 | 13 |
| Diab shoe for density insert HCPCS A5500 | $178.40 | $223.00 | $44.32 – $112.80 | 6 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $21.32 – $57.53 | 6 |
| Diag bronchoscope/catheter CPT 31643 | $448.00 | $560.00 | $152.76 – $408.60 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | $807.20 | $1,009.00 | $292.53 – $778.01 | 9 |
| Diagnostic anoscopy CPT 46601 | $355.20 | $444.00 | $75.71 – $225.20 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | $496.80 | $621.00 | $111.48 – $298.66 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $399.12 | $498.89 | $37.28 – $131.52 | 13 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $382.40 | $478.00 | $63.77 – $138.70 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $382.40 | $478.00 | $51.86 – $122.60 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $212.80 | $266.00 | $44.98 – $119.49 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $300.80 | $376.00 | $62.16 – $164.75 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $525.07 | $656.33 | $43.57 – $582.16 | 13 |
| Diagnostic Mammogram (one breast) CPT 77065 | $423.32 | $529.14 | $35.36 – $469.35 | 13 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,852.80 | $6,066.00 | $174.92 – $468.04 | 9 |
| Dialysis one evaluation CPT 90945 | $192.00 | $240.00 | $78.81 – $205.11 | 9 |
| Dialysis repeated eval CPT 90947 | $280.00 | $350.00 | $111.79 – $293.05 | 9 |
| Dialysis training complete CPT 90989 | $789.60 | $987.00 | $565.40 – $985.35 | 6 |
| Dialysis training incompl CPT 90993 | $172.00 | $215.00 | $103.20 – $214.60 | 6 |
| Diathermy eg microwave CPT 97024 | $13.60 | $17.00 | $6.52 – $10.89 | 9 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.11 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $90.79 | $113.48 | $5.45 – $100.66 | 13 |
| Dicyclomine injection HCPCS J0500 | $132.40 | $165.50 | $12.86 – $146.80 | 13 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.23 – $0.24 | 3 |
| Diffusing capacity CPT 94729 | $297.85 | $372.31 | $8.07 – $330.24 | 13 |
| Digital analysis of eeg CPT 95957 | $605.60 | $757.00 | $92.55 – $243.96 | 9 |
| Digit nerve surgery add-on CPT 64778 | $450.40 | $563.00 | $158.34 – $421.99 | 9 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $137.60 | $172.00 | $4.88 – $80.05 | 13 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $3,284.24 – $6,210.67 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $66.43 | $83.03 | $7.97 – $73.65 | 13 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $117.60 | $147.00 | $47.11 – $85.75 | 6 |
| Dilate biliary duct/ampulla CPT 47542 | $1,924.05 | $2,405.06 | $120.69 – $2,133.29 | 13 |
| Dilate esophagus CPT 43453 | $2,142.40 | $2,678.00 | $77.80 – $207.52 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | $620.45 | $775.56 | $71.53 – $191.09 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $631.50 – $1,076.17 | 6 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $315.70 – $538.10 | 6 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $899.10 – $1,531.55 | 6 |
| Dilate tear duct opening CPT 68801 | $454.40 | $568.00 | $71.71 – $196.18 | 9 |
| Dilate urethra stricture CPT 53600 | $212.00 | $265.00 | $57.45 – $152.14 | 9 |
| Dilate urethra stricture CPT 53601 | $200.80 | $251.00 | $48.09 – $127.81 | 9 |
| Dilate urethra stricture CPT 53605 | $164.00 | $205.00 | $57.35 – $153.06 | 9 |
| Dilate urethra stricture CPT 53621 | $344.80 | $431.00 | $64.64 – $172.20 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | $174.40 | $218.00 | $37.44 – $100.04 | 9 |
| Dilation of anal sphincter CPT 45905 | $416.80 | $521.00 | $153.25 – $408.34 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | $172.80 | $216.00 | $43.07 – $115.54 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | $476.80 | $596.00 | $174.00 – $463.59 | 9 |
| Dilation of salivary duct CPT 42660 | $296.80 | $371.00 | $71.40 – $203.84 | 9 |
| Dilation of urethra CPT 53661 | $172.00 | $215.00 | $36.29 – $96.94 | 9 |
| Dilation of urethra CPT 53665 | $97.60 | $122.00 | $33.74 – $90.90 | 9 |
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.