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 |
|---|---|---|---|---|
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,863.47 | $2,329.33 | $34.12 – $913.10 | 14 |
| Storage/year embryo(s) CPT 89342 | $236.00 | $295.00 | $161.15 – $252.79 | 9 |
| Storage/year oocyte(s) CPT 89346 | $236.00 | $295.00 | $161.15 – $252.79 | 9 |
| Storage/year reprod tissue CPT 89344 | $220.00 | $275.00 | $161.15 – $252.79 | 9 |
| Storage/year sperm/semen CPT 89343 | $236.00 | $295.00 | $161.15 – $252.79 | 9 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $1,170.40 | $1,463.00 | $411.36 – $1,104.71 | 10 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $76.54 – $245.49 | 10 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $7.37 – $45.89 | 6 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $2.30 – $7.38 | 10 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $185.36 | $231.69 | $16.01 – $135.78 | 14 |
| Strapping of chest CPT 29200 | $82.40 | $103.00 | $16.60 – $135.78 | 12 |
| Strapping of elbow or wrist 29260 CPT 29260 | $185.36 | $231.69 | $17.19 – $90.82 | 14 |
| Strapping of hand or finger CPT 29280 | $185.36 | $231.69 | $17.93 – $90.82 | 14 |
| Strapping of hip CPT 29520 | $176.00 | $220.00 | $17.05 – $110.92 | 12 |
| Strapping of knee CPT 29530 | $185.36 | $231.69 | $16.75 – $110.92 | 14 |
| Strapping of toes 29550 CPT 29550 | $185.36 | $231.69 | $10.15 – $90.82 | 14 |
| Strep a ag ia CPT 87430 | $38.58 | $48.22 | $10.09 – $26.90 | 12 |
| Strep a dna dir probe CPT 87650 | $50.40 | $63.00 | $12.03 – $32.08 | 10 |
| Strep a dna quant CPT 87652 | $104.80 | $131.00 | $25.06 – $66.82 | 10 |
| Strep b assay w/optic CPT 87802 | $32.00 | $40.00 | $7.64 – $20.37 | 10 |
| Strep b dna amp probe CPT 87653 | $87.20 | $109.00 | $21.05 – $56.14 | 12 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $90.10 – $110.58 | 4 |
| Streptokinase antibody CPT 86590 | $25.60 | $32.00 | $7.60 – $20.26 | 10 |
| Streptomycin injection HCPCS J3000 | $73.60 | $92.00 | $17.74 – $42.27 | 6 |
| Streptozocin injection HCPCS J9320 | not published | not published | $215.02 – $553.78 | 6 |
| Stress test pulmonary CPT 94618 | $193.12 | $241.40 | $11.07 – $110.92 | 14 |
| Stress tte complete CPT 93351 | $2,549.81 | $3,187.26 | $75.66 – $1,249.41 | 14 |
| Str markers spec anal addl CPT 81266 | $610.40 | $763.00 | $128.02 – $487.70 | 12 |
| Str markers specimen anal CPT 81265 | $483.20 | $604.00 | $97.89 – $372.91 | 12 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $264.80 | $331.00 | $97.48 – $595.92 | 12 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $717.60 | $897.00 | $351.48 – $766.40 | 10 |
| Subq njx filling matrl 1cc/< CPT 11950 | $194.40 | $243.00 | $46.37 – $170.99 | 12 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $353.60 | $442.00 | $90.85 – $526.74 | 12 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $224.80 | $281.00 | $109.81 – $239.10 | 10 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $216.00 | $270.00 | $105.69 – $230.40 | 10 |
| Subsequent repair of nerve CPT 64872 | $288.80 | $361.00 | $101.59 – $270.14 | 10 |
| Subtalar arthro w/deb CPT 29906 | $3,296.00 | $4,120.00 | $605.13 – $2,791.99 | 12 |
| Subtalar arthro w/exc CPT 29905 | $2,641.60 | $3,302.00 | $476.95 – $6,147.19 | 12 |
| Subtalar arthro w/fb rmvl CPT 29904 | $3,132.80 | $3,916.00 | $579.87 – $2,791.99 | 12 |
| Subtalar arthro w/fusion CPT 29907 | $4,308.80 | $5,386.00 | $790.20 – $11,071.91 | 12 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,240.24 – $3,304.47 | 10 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $15.04 | $18.79 | $0.72 – $1.04 | 8 |
| Suction lipectomy head&neck CPT 15876 | $575.20 | $719.00 | $545.40 – $5,400.66 | 9 |
| Suction lipectomy lwr extrem CPT 15879 | $6,080.00 | $7,600.00 | $1,137.84 – $5,400.66 | 9 |
| Suction lipectomy trunk CPT 15877 | $2,272.00 | $2,840.00 | $1,317.50 – $5,400.66 | 9 |
| Suction lipectomy upr extrem CPT 15878 | $4,544.00 | $5,680.00 | $598.87 – $2,840.00 | 9 |
| Suction socket HCPCS L6686 | not published | not published | $353.50 – $1,133.73 | 10 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $261.06 – $837.25 | 10 |
| Sugars multiple quant CPT 84379 | $66.24 | $82.79 | $6.92 – $32.45 | 12 |
| Sugars single quant CPT 84378 | $64.28 | $80.35 | $6.92 – $31.50 | 12 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $161.68 | $202.10 | $0.57 – $1.11 | 5 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.56 | $0.70 | $0.01 – $0.06 | 7 |
| Sulfonylurea screen qn-sendout CPT 80377 | $72.14 | $90.17 | $13.16 – $44.99 | 8 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $448.80 | $561.00 | $0.78 – $62.75 | 8 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $1.70 – $5.41 | 10 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $44.80 | $56.00 | $2.97 – $39.70 | 12 |
| Supply of digital device HCPCS G0552 | not published | not published | $121.19 – $190.11 | 8 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $13.15 – $40.30 | 10 |
| Support clav 29.6-40.5in med HCPCS L3650 | $156.00 | $195.00 | $38.72 – $124.18 | 10 |
| Supprelin la implant HCPCS J9226 | $51,408.00 | $64,260.00 | $34,803.97 – $72,896.63 | 10 |
| Suprv interfacilty transport CPT 99485 | $139.20 | $174.00 | $135.15 – $173.69 | 6 |
| Suprv interfac trnsport addl CPT 99486 | $120.80 | $151.00 | $118.07 – $150.86 | 6 |
| Surg dx exam anorectal CPT 45990 | $264.00 | $330.00 | $94.70 – $2,359.83 | 12 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,955.20 | $2,444.00 | $707.87 – $1,903.68 | 10 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $1,957.60 | $2,447.00 | $708.07 – $1,904.21 | 10 |
| Surgery for urethra pouch CPT 53240 | $1,068.00 | $1,335.00 | $387.17 – $2,967.84 | 12 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,008.18 – $2,690.65 | 10 |
| Surgery to stop leg growth CPT 27475 | $3,256.00 | $4,070.00 | $600.60 – $6,147.19 | 12 |
| Surgery to stop leg growth CPT 27477 | $3,604.80 | $4,506.00 | $662.78 – $6,147.19 | 12 |
| Surgery to stop leg growth CPT 27479 | $4,521.60 | $5,652.00 | $825.59 – $6,147.19 | 12 |
| Surgery to stop leg growth CPT 27485 | $3,299.20 | $4,124.00 | $608.25 – $6,147.19 | 12 |
| Surgical exposure prostate 55860 CPT 55860 | $2,212.00 | $2,765.00 | $791.33 – $4,374.46 | 12 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,147.16 – $3,061.89 | 10 |
| Surgical opening esophagus CPT 43352 | not published | not published | $929.07 – $2,478.47 | 10 |
| Surgical opening of stomach CPT 43510 | $2,320.80 | $2,901.00 | $806.77 – $2,227.72 | 12 |
| Surgical opening of stomach 43500 CPT 43500 | $1,925.60 | $2,407.00 | $694.17 – $1,846.33 | 10 |
| Surgical opening of throat CPT 42955 | $1,870.40 | $2,338.00 | $677.29 – $1,821.64 | 12 |
| Surgical pathology level 1 gross examination only CPT 88300 | $98.56 | $123.20 | $3.92 – $48.29 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $98.56 | $123.20 | $6.12 – $48.29 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $98.56 | $123.20 | $10.22 – $48.29 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $164.00 | $205.00 | $28.96 – $64.27 | 14 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $647.20 | $809.00 | $74.02 – $309.54 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $942.40 | $1,178.00 | $130.73 – $702.95 | 14 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $3,304.80 | $4,131.00 | $1,180.75 – $3,160.73 | 10 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $3,736.80 | $4,671.00 | $1,334.32 – $3,558.02 | 10 |
| Surgical revision intestine CPT 44680 | $2,607.20 | $3,259.00 | $943.08 – $2,512.86 | 10 |
| Surgical trays HCPCS A4550 | $45.60 | $57.00 | $11.59 – $57.75 | 6 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $90.00 – $160.92 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $1,352.80 | $1,691.00 | $384.28 – $2,359.83 | 12 |
| Susceptibility agar dilution per agent CPT 87181 | $38.58 | $48.22 | $2.85 – $18.90 | 12 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $38.58 | $48.22 | $2.85 – $18.90 | 12 |
| Susceptibility mic per plate CPT 87186 | $38.58 | $48.22 | $5.19 – $18.90 | 12 |
| Suscept studies macrobroth dilution ea CPT 87188 | $38.58 | $48.22 | $3.98 – $18.90 | 12 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $889.29 – $2,379.25 | 10 |
| Suspension of testis CPT 54620 | $1,510.40 | $1,888.00 | $270.87 – $2,967.84 | 12 |
| Suspension of uterus CPT 58410 | not published | not published | $729.49 – $1,960.87 | 10 |
| Suspension of uterus 58400 CPT 58400 | $1,136.00 | $1,420.00 | $415.70 – $1,121.08 | 10 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $75.73 – $242.88 | 10 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $2,600.80 | $3,251.00 | $925.03 – $2,468.82 | 10 |
| Suture bile duct injury 47900 CPT 47900 | $3,346.40 | $4,183.00 | $1,207.18 – $3,220.92 | 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.