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 |
|---|---|---|---|---|
| Svc venogram s&i CPT 75827 | $1,799.19 | $2,248.98 | $47.95 – $1,336.74 | 14 |
| Swallowing Evaluation (Bedside) CPT 92610 | $331.89 | $414.86 | $65.97 – $171.31 | 12 |
| Swallowing Therapy Session CPT 92526 | $200.88 | $251.10 | $78.93 – $132.33 | 12 |
| Sweat collection by iontophoresis CPT 89230 | $70.00 | $87.49 | $1.27 – $45.98 | 14 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $1,259.71 – $4,040.05 | 10 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $1,825.15 – $5,853.49 | 10 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $154.45 – $495.33 | 10 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $195.84 – $628.06 | 10 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $150.78 – $483.55 | 10 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $345.18 – $1,107.04 | 10 |
| Sympathectomy cervical CPT 64802 | $3,934.40 | $4,918.00 | $738.77 – $1,966.75 | 12 |
| Sympathectomy digital artery CPT 64820 | $1,808.80 | $2,261.00 | $691.78 – $1,842.28 | 12 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $698.35 – $1,856.75 | 10 |
| Sympathectomy supfc palmar CPT 64823 | $3,880.00 | $4,850.00 | $713.61 – $2,791.99 | 12 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $942.67 – $2,511.78 | 10 |
| Synch audio-only est high 40 CPT 98015 | $265.60 | $332.00 | $178.90 – $178.90 | 2 |
| Synch audio-only est low 20 CPT 98013 | $160.80 | $201.00 | $81.90 – $81.90 | 2 |
| Synch audio-only est mod 30 CPT 98014 | $192.00 | $240.00 | $121.20 – $121.20 | 2 |
| Synch audio-only est sf 10 CPT 98012 | $83.20 | $104.00 | $45.00 – $45.00 | 2 |
| Synch audio-only new high 60 CPT 98011 | $367.20 | $459.00 | $219.60 – $219.60 | 2 |
| Synch audio-only new low 30 CPT 98009 | $189.60 | $237.00 | $106.00 – $106.00 | 2 |
| Synch audio-only new mod 45 CPT 98010 | $289.60 | $362.00 | $167.10 – $167.10 | 2 |
| Synch audio-only new sf 15 CPT 98008 | $133.60 | $167.00 | $61.10 – $61.10 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | $32.36 | $40.44 | $8.43 – $20.18 | 8 |
| Synthetic sentence id test CPT 92576 | $80.80 | $101.00 | $33.78 – $99.11 | 12 |
| Synvisc or synvisc-one HCPCS J7325 | $50.04 | $62.54 | $8.82 – $24.52 | 12 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $48.57 | $60.71 | $2.64 – $23.80 | 12 |
| System cardiomems hosp electronics HCPCS C2624 | $55,040.00 | $68,800.00 | $18,644.80 – $36,257.60 | 5 |
| System pacing micra av HCPCS C1786 | $22,814.76 | $28,518.45 | $7,728.50 – $15,029.22 | 5 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,400.00 | $9,250.00 | $2,506.75 – $4,874.75 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $55.00 | $68.75 | $10.16 – $27.10 | 12 |
| T3 (triiodothyronine) total CPT 84480 | $55.00 | $68.75 | $8.51 – $26.95 | 12 |
| T4 (thyroxine) free CPT 84439 | $55.00 | $68.75 | $5.41 – $26.95 | 12 |
| T4 (thyroxine) total CPT 84436 | $55.00 | $68.75 | $4.12 – $26.95 | 12 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.53 – $0.72 | 6 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $1.77 | $2.21 | $0.60 – $1.81 | 8 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $1.90 | $2.37 | $0.08 – $0.24 | 8 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $207.39 – $419.57 | 10 |
| Tacrolimus therapeutic drug level CPT 80197 | $66.43 | $83.03 | $8.24 – $32.55 | 12 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.33 – $22.52 | 10 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | $5,380.00 | $6,725.00 | $1,939.58 – $5,196.36 | 10 |
| Tah rad dissect for debulk 58953 CPT 58953 | $4,964.80 | $6,206.00 | $1,792.63 – $4,804.11 | 10 |
| Tah w/mmk 58152 CPT 58152 | $3,129.60 | $3,912.00 | $1,105.84 – $2,968.87 | 10 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $333.83 | $417.28 | $7.71 – $163.57 | 14 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $62.55 – $117.68 | 10 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $67.61 – $115.83 | 8 |
| Talymed HCPCS Q4127 | not published | not published | $67.32 – $149.58 | 6 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.19 – $3.87 | 6 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,783.66 | $2,229.57 | $68.72 – $873.99 | 12 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,465.36 | $1,831.70 | $54.56 – $718.03 | 12 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.27 – $0.78 | 6 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,519.20 | $1,899.00 | $319.00 – $1,215.25 | 12 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,839.20 | $7,299.00 | $1,226.23 – $4,671.36 | 12 |
| Target gsa panel organ neop CPT 81445 | $1,196.00 | $1,495.00 | $251.12 – $956.66 | 12 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $2,470.00 | $3,087.50 | $815.37 – $2,507.99 | 12 |
| Tas congenital car anomal CPT 33741 | $1,882.40 | $2,353.00 | $642.50 – $1,720.01 | 10 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $520.00 | $650.00 | $116.63 – $526.74 | 12 |
| Tavr perq femoral CPT 33361 | $23,489.32 | $29,361.65 | $1,035.38 – $11,509.77 | 12 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1.57 | $1.96 | $0.04 – $0.47 | 12 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $82.20 – $219.20 | 10 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $35.56 – $76.23 | 10 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.98 – $19.09 | 10 |
| Tbs techl calculation only CPT 77091 | not published | not published | $24.07 – $75.76 | 12 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.51 – $75.76 | 12 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $200.00 | $250.00 | $48.13 – $160.00 | 12 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $153.60 | $192.00 | $37.19 – $99.17 | 12 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $500.00 – $1,162.82 | 4 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $2,793.54 | 10 |
| Tc-99m bicisate HCPCS A9557 | $1,857.88 | $2,322.34 | $554.75 – $1,223.87 | 12 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,038.38 – $1,863.13 | 3 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $138.18 – $163.94 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $63.98 – $164.79 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,500.83 | $4,376.03 | $1,040.32 – $2,306.17 | 12 |
| Tc-99m exametazime diag HCPCS A9521 | $1,880.08 | $2,350.09 | $636.87 – $1,713.97 | 12 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $525.76 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $362.34 | $452.92 | $106.48 – $238.69 | 8 |
| Tc-99m maa HCPCS A9540 | $460.04 | $575.04 | $30.00 – $225.42 | 8 |
| Tc-99m mebrofenin HCPCS A9537 | $285.08 | $356.34 | $8.05 – $139.69 | 8 |
| Tc-99m medronate HCPCS A9503 | $78.16 | $97.69 | $13.00 – $51.48 | 8 |
| Tc-99m mertiatide HCPCS A9562 | $966.40 | $1,208.00 | $253.91 – $883.24 | 8 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $8.00 | $10.00 | $2.71 – $16.00 | 12 |
| Tc-99m oxidronate HCPCS A9561 | $239.79 | $299.73 | $50.16 – $121.26 | 8 |
| Tc-99m pentetate dtpa HCPCS A9539 | $230.91 | $288.63 | $31.44 – $113.14 | 6 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $92.80 | $116.00 | $20.97 – $108.55 | 4 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $15.99 | $19.98 | $1.26 – $10.53 | 8 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $254.00 | $317.49 | $17.30 – $124.46 | 8 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $577.26 | $721.57 | $160.28 – $450.58 | 8 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $627.00 | $783.74 | $192.81 – $683.34 | 8 |
| Tc-99m sulfur colloid HCPCS A9541 | $334.40 | $418.00 | $80.29 – $304.80 | 8 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $606.56 | $758.20 | $97.21 – $368.42 | 8 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $443.98 – $754.20 | 4 |
| Tca peel dermal 15789 CPT 15789 | $1,324.80 | $1,656.00 | $374.71 – $993.70 | 12 |
| Tcd emboli detect w/inj CPT 93893 | $764.80 | $956.00 | $53.89 – $142.22 | 12 |
| Tcd emboli detect without inj CPT 93892 | $666.40 | $833.00 | $53.59 – $141.44 | 12 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $91.20 – $133.92 | 5 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $148.20 – $644.93 | 10 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $110.00 | $137.50 | $28.19 – $75.17 | 12 |
| T cells absolute cd 4 count CPT 86361 | $110.00 | $137.50 | $16.07 – $53.90 | 12 |
| T cells total count CPT 86359 | $110.00 | $137.50 | $22.64 – $60.37 | 12 |
| Tcranial magn stim tx deli CPT 90868 | $312.00 | $390.00 | $39.40 – $387.56 | 12 |
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.