UnityPoint Health - Trinity Bettendorf
4500 Utica Ridge Road, Bettendorf, IA · UnityPoint Health · · NPI 1124110820
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 |
|---|---|---|---|---|
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $406.40 | $508.00 | $34.15 – $208.00 | 12 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $259.20 | $324.00 | $21.05 – $91.51 | 12 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $813.23 | $1,016.53 | $21.05 – $398.48 | 14 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $555.09 | $693.86 | $19.13 – $271.99 | 14 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $624.00 | $779.99 | $20.60 – $305.76 | 14 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $624.00 | $779.99 | $20.90 – $305.76 | 14 |
| Scan proc cranial extra CPT 61782 | $434.40 | $543.00 | $154.40 – $411.81 | 10 |
| Scan proc cranial intra 61781 CPT 61781 | $552.80 | $691.00 | $197.96 – $528.28 | 10 |
| Scan proc spinal CPT 61783 | $552.80 | $691.00 | $196.63 – $523.91 | 10 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $2,673.59 – $8,574.53 | 10 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,860.00 | $3,575.00 | $107.03 – $1,394.21 | 14 |
| Scope plantar fasciotomy CPT 29893 | $3,185.60 | $3,982.00 | $406.88 – $2,791.99 | 12 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | not published | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | $36.80 | $46.00 | $9.07 – $46.18 | 10 |
| Scr c/v cyto,autosys and md HCPCS G0141 | $55.20 | $69.00 | $22.73 – $57.51 | 10 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | $64.00 | $80.00 | $19.16 – $83.04 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $88.00 | $110.00 | $26.38 – $114.32 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $55.00 | $68.75 | $15.89 – $42.38 | 12 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $54.40 | $68.00 | $16.23 – $70.33 | 10 |
| Screen cerv/vag thin layer HCPCS G0123 | $55.00 | $68.75 | $12.16 – $36.23 | 12 |
| Screen c/v thin layer by md HCPCS G0124 | $55.20 | $69.00 | $22.73 – $57.51 | 10 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $813.60 | $1,017.00 | $82.56 – $784.53 | 12 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $813.60 | $1,017.00 | $82.41 – $784.53 | 12 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $64.28 | $80.35 | $10.83 – $42.34 | 12 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $110.00 | $137.50 | $16.96 – $72.46 | 12 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $110.00 | $137.50 | $27.81 – $74.16 | 12 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $48.80 | $61.00 | $14.45 – $62.61 | 10 |
| Screening Mammogram CPT 77067 | $396.94 | $496.17 | $33.44 – $194.50 | 12 |
| Screening pap smear by phys HCPCS P3001 | $55.20 | $69.00 | $22.73 – $57.51 | 10 |
| Screening prostate cancer PSA HCPCS G0103 | $64.28 | $80.35 | $11.59 – $42.34 | 12 |
| Screen pap by tech w md supv HCPCS P3000 | $36.80 | $46.00 | $9.07 – $46.18 | 10 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $6.40 | $8.00 | $5.29 – $7.38 | 6 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $950.86 | $1,188.57 | $322.10 – $626.38 | 5 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $706.48 | $883.09 | $27.94 – $346.17 | 14 |
| Sc ther infusion reset pump CPT 96371 | $158.40 | $198.00 | $50.65 – $140.30 | 12 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $2,005.60 | $2,507.00 | $731.93 – $1,945.66 | 10 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $6,203.97 | $7,754.96 | $210.25 – $3,039.94 | 12 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $365.86 | $457.32 | $4.86 – $179.27 | 12 |
| Sedimentation rate erythrocyte automated CPT 85652 | $33.57 | $41.96 | $1.62 – $16.45 | 12 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,374.44 – $2,420.54 | 3 |
| Segmentectomy 32484 CPT 32484 | $3,491.20 | $4,364.00 | $1,237.61 – $3,301.37 | 10 |
| Select picture audiometry CPT 92583 | $105.60 | $132.00 | $51.11 – $132.52 | 12 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.55 – $1.76 | 10 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $138.78 | $173.47 | $30.36 – $68.00 | 12 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $8.04 – $17.09 | 10 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $12.55 – $26.69 | 10 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $60.18 | $75.22 | $20.00 – $33.80 | 8 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $20.00 | $25.00 | $14.70 – $25.27 | 6 |
| Semen analysis HCPCS G0027 | $13.60 | $17.00 | $6.50 – $16.90 | 10 |
| Semen analysis presence/motility CPT 89321 | $56.44 | $70.54 | $7.23 – $27.65 | 12 |
| Semen analysis w/count CPT 89310 | $56.44 | $70.54 | $8.61 – $27.65 | 12 |
| Sensorimotor examination CPT 92060 | $132.00 | $165.00 | $24.07 – $63.34 | 12 |
| Sensorineural acuity lvl tst CPT 92575 | $137.60 | $172.00 | $33.78 – $171.78 | 12 |
| Separate eyelid adhesions CPT 68340 | $2,857.60 | $3,572.00 | $355.68 – $2,007.51 | 12 |
| Sept9 promoter methylation analysis CPT 81327 | $384.00 | $480.00 | $115.20 – $307.20 | 10 |
| Sequestrectomy olecrn proces CPT 24138 | $3,342.40 | $4,178.00 | $625.23 – $6,147.19 | 12 |
| Sequestrectomy radial h/n CPT 24136 | $3,104.00 | $3,880.00 | $574.15 – $2,791.99 | 12 |
| Sequestrectomy shft/dstl hum CPT 24134 | $3,673.60 | $4,592.00 | $676.00 – $6,147.19 | 12 |
| Serial casting application 97139app CPT 97139 | not published | not published | $20.46 – $28.46 | 2 |
| Serial tonometry CPT 92100 | $169.60 | $212.00 | $29.48 – $77.58 | 10 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.80 – $3.12 | 4 |
| Serpina1 gene CPT 81332 | $127.86 | $159.82 | $26.19 – $69.84 | 12 |
| Sertraline (zoloft) - sendout CPT 80332 | $126.43 | $158.03 | $13.16 – $78.86 | 8 |
| Set radiation therapy field CPT 77280 | $1,219.65 | $1,524.56 | $34.90 – $597.63 | 14 |
| Set radiation therapy field CPT 77285 | $3,321.39 | $4,151.73 | $52.57 – $1,627.48 | 14 |
| Set radiation therapy field CPT 77290 | $3,321.39 | $4,151.73 | $76.75 – $1,627.48 | 14 |
| Set-up cardiovert-defibrill CPT 93745 | $218.40 | $273.00 | $37.96 – $258.07 | 11 |
| Set up port xray equipment HCPCS Q0092 | $49.60 | $62.00 | $23.48 – $60.24 | 10 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.01 | 2 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.05 | 2 |
| Sever cranial nerve CPT 64771 | $1,500.80 | $1,876.00 | $548.04 – $1,680.36 | 12 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $914.59 – $2,933.23 | 10 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,079.82 – $3,463.12 | 10 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,025.00 – $3,287.30 | 10 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $914.59 – $2,933.23 | 10 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,079.82 – $3,463.12 | 10 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,079.82 – $3,463.12 | 10 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $914.59 – $2,933.23 | 10 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,025.00 – $3,287.30 | 10 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $460.60 – $1,477.22 | 10 |
| Sex chromatin identification CPT 88130 | $45.60 | $57.00 | $17.98 – $28.77 | 10 |
| Sex chromatin identification CPT 88140 | $20.80 | $26.00 | $7.99 – $12.78 | 10 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,243.55 – $9,875.78 | 10 |
| Sex transformation m to f CPT 55970 | not published | not published | $3,817.29 – $9,354.82 | 10 |
| Sf3b1 gene common variants CPT 81347 | $185.52 | $231.90 | $81.17 – $309.20 | 12 |
| Sgmdsc w/band ligation CPT 45350 | $1,523.20 | $1,904.00 | $90.08 – $1,014.60 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $284.00 | $355.00 | $40.94 – $170.99 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $337.60 | $422.00 | $56.70 – $170.99 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $390.40 | $488.00 | $67.30 – $343.80 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $456.00 | $570.00 | $86.54 – $343.80 | 12 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $258.40 | $323.00 | $34.15 – $170.99 | 12 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $510.44 | $638.05 | $44.34 – $250.12 | 14 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $354.40 | $443.00 | $55.95 – $170.99 | 12 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $380.00 | $475.00 | $63.03 – $343.80 | 12 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $244.80 | $306.00 | $30.63 – $343.80 | 12 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $298.40 | $373.00 | $46.54 – $170.99 | 12 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $344.80 | $431.00 | $54.05 – $170.99 | 12 |
| Sheath above knee HCPCS L8410 | not published | not published | $12.68 – $40.69 | 10 |
| Sheath below knee HCPCS L8400 | not published | not published | $10.97 – $35.17 | 10 |
| Sheath upper limb HCPCS L8415 | not published | not published | $14.57 – $46.70 | 10 |
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.