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 |
|---|---|---|---|---|
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $230.40 | $288.00 | $186.43 – $216.07 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $78.40 | $98.00 | $19.89 – $157.06 | 12 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $76.00 | $95.00 | $79.09 – $157.06 | 9 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $18.40 | $23.00 | $18.71 – $35.31 | 10 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $23.20 | $29.00 | $7.86 – $37.15 | 12 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $20.00 | $25.00 | $18.44 – $29.92 | 6 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $72.80 | $91.00 | $65.96 – $100.57 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $26.40 | $33.00 | $14.88 – $36.61 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $21.60 | $27.00 | $19.73 – $31.93 | 6 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $16.00 | $20.00 | $9.22 – $15.78 | 6 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $28.00 | $35.00 | $24.50 – $36.12 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $72.00 | $90.00 | $64.51 – $95.42 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $30.40 | $38.00 | $30.14 – $79.19 | 9 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $33.60 | $42.00 | $8.39 – $31.10 | 10 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $449.44 | $561.80 | $152.25 – $296.07 | 8 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $177.60 | $222.00 | $168.72 – $214.99 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $156.00 | $195.00 | $151.06 – $188.69 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $235.20 | $294.00 | $144.10 – $603.17 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $222.36 | $277.95 | $20.45 – $106.05 | 8 |
| Vaccine mmrv live subcutaneous CPT 90710 | $288.00 | $360.00 | $221.52 – $637.36 | 6 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $128.80 | $161.00 | $114.77 – $213.55 | 10 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $248.00 | $310.00 | $240.82 – $412.78 | 10 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $236.80 | $296.00 | $256.05 – $417.83 | 10 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $488.52 | $610.65 | $103.10 – $500.64 | 12 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $40.00 | $50.00 | $38.68 – $56.73 | 6 |
| Vaccine rabies im CPT 90675 | $743.32 | $929.15 | $152.60 – $499.25 | 12 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $403.20 | $504.00 | $278.35 – $333.35 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $901.60 | $1,127.00 | $305.42 – $593.93 | 8 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $592.00 | $740.00 | $453.45 – $587.32 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $358.40 | $448.00 | $264.19 – $316.40 | 4 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $129.60 | $162.00 | $107.04 – $156.78 | 6 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $108.00 | $135.00 | $98.82 – $150.02 | 6 |
| Vaccine tdap >=7 years im CPT 90715 | $148.00 | $185.00 | $21.07 – $53.88 | 8 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $35.20 | $44.00 | $26.07 – $41.92 | 6 |
| Vaccine typhoid vicps im CPT 90691 | $126.40 | $158.00 | $101.32 – $157.74 | 6 |
| Vaccine varicella live subcutaneous CPT 90716 | $165.60 | $207.00 | $109.59 – $206.79 | 6 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $186.40 | $233.00 | $140.66 – $232.25 | 6 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 8 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $29.35 – $94.13 | 10 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $280.56 – $899.81 | 10 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $110.11 – $353.14 | 10 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $2,503.35 – $8,028.56 | 10 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $2,488.80 | $3,111.00 | $890.65 – $4,247.82 | 12 |
| Vag hyst incl t/o complex CPT 58291 | $3,129.60 | $3,912.00 | $1,110.39 – $4,247.82 | 12 |
| Vag hyst including t/o CPT 58262 | $2,317.60 | $2,897.00 | $830.76 – $4,247.82 | 12 |
| Vag hyst t/o & repair compl CPT 58292 | $3,294.40 | $4,118.00 | $1,169.84 – $6,363.24 | 12 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $3,056.00 | $3,820.00 | $1,086.80 – $4,247.82 | 12 |
| Vag hyst w/enterocele repair CPT 58270 | $2,227.20 | $2,784.00 | $801.04 – $4,247.82 | 12 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,475.00 – $2,475.00 | 2 |
| Vaginal bx CPT 58999 | $1,067.48 | $1,334.34 | $173.11 – $703.20 | 13 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $5,688.17 | $7,110.21 | $776.14 – $2,787.20 | 12 |
| Vaginal Delivery (full care) CPT 59400 | $4,552.00 | $5,690.00 | $2,106.28 – $5,338.68 | 10 |
| Vaginal hysterectomy CPT 58260 | $2,087.20 | $2,609.00 | $751.29 – $4,247.82 | 12 |
| Vaginectomy partial w/nodes CPT 57109 | $4,252.00 | $5,315.00 | $1,554.40 – $4,163.87 | 12 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $76.95 – $2,623.25 | 10 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,554.40 – $4,163.87 | 10 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $809.08 – $2,173.21 | 10 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | $616.00 | $770.00 | $97.36 – $259.57 | 10 |
| Vagotomy & pylorus repair CPT 43641 | $2,948.00 | $3,685.00 | $1,057.12 – $2,817.22 | 10 |
| Vagotomy & pylorus repair 43640 CPT 43640 | $2,892.00 | $3,615.00 | $1,045.35 – $2,785.20 | 10 |
| Valproic acid total therapeutic drug level CPT 80164 | $66.43 | $83.03 | $8.12 – $32.55 | 12 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,404.32 – $2,202.86 | 10 |
| Valvuloplasty aortic CPT 92986 | $9,995.45 | $12,494.31 | $1,142.79 – $4,906.16 | 14 |
| Valvuloplasty aortic valve CPT 33390 | $4,712.00 | $5,890.00 | $1,656.46 – $4,412.70 | 10 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,962.13 – $5,227.13 | 10 |
| Valvuloplasty mitral CPT 92987 | $2,933.60 | $3,667.00 | $1,178.51 – $9,758.57 | 12 |
| Valvuloplasty pulmonary CPT 92990 | $2,338.40 | $2,923.00 | $943.21 – $9,758.57 | 12 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | $7,556.80 | $9,446.00 | $2,641.41 – $7,063.63 | 10 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | $5,965.60 | $7,457.00 | $2,096.72 – $5,599.29 | 10 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $4.40 | $5.50 | $0.01 – $0.02 | 5 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $1.95 | $2.43 | $0.01 – $0.01 | 5 |
| Vancomycin hcl injection HCPCS J3370 | $186.80 | $233.50 | $0.16 – $2.00 | 8 |
| Vancomycin peak therapeutic drug level CPT 80202 | $66.43 | $83.03 | $8.12 – $32.55 | 12 |
| Vanomycin dna amp probe CPT 87500 | $87.20 | $109.00 | $21.05 – $56.14 | 12 |
| Vantas implant HCPCS J9225 | not published | not published | $4,848.69 – $5,774.91 | 4 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.44 – $1.42 | 10 |
| Varicella zoster antibody igg CPT 86787 | $48.57 | $60.71 | $7.73 – $23.80 | 12 |
| Varicella-zoster immue globin im CPT 90396 | $2,097.60 | $2,622.00 | $239.41 – $3,775.83 | 10 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $30.19 – $96.80 | 10 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $15,451.77 – $26,489.75 | 10 |
| Vasc graft into carpal bone CPT 25430 | $3,588.80 | $4,486.00 | $663.48 – $2,791.99 | 12 |
| Vasectomy CPT 55250 | $892.00 | $1,115.00 | $210.01 – $1,762.74 | 12 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $9.99 | $12.48 | $0.16 – $1.93 | 8 |
| Vbac delivery 59610 CPT 59610 | $4,492.00 | $5,615.00 | $2,188.50 – $5,551.23 | 10 |
| Vbac/include postpartum care 59614 CPT 59614 | $2,285.60 | $2,857.00 | $1,003.51 – $2,538.88 | 10 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $45.85 | $57.31 | $4.35 – $35.30 | 12 |
| Veeg cont 2-12 hrs CPT 95713 | $2,156.63 | $2,695.78 | $456.58 – $1,420.68 | 14 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $875.47 – $2,785.93 | 12 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,124.01 | $1,405.01 | $267.96 – $740.44 | 14 |
| Veeg unmon 12-26 hrs CPT 95714 | $2,156.63 | $2,695.78 | $206.34 – $1,056.75 | 14 |
| Veeg unmon 2-12 hrs CPT 95711 | $1,124.01 | $1,405.01 | $140.90 – $550.76 | 14 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $7,043.20 | $8,804.00 | $1,224.65 – $3,277.71 | 10 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $8,161.60 | $10,202.00 | $1,417.17 – $3,794.54 | 10 |
| Vein byp pop-tibl peroneal CPT 35587 | $6,646.40 | $8,308.00 | $1,134.37 – $3,033.14 | 10 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $8,152.00 | $10,190.00 | $1,409.49 – $3,776.33 | 10 |
| Vein x-ray adrenal gland CPT 75840 | $476.80 | $596.00 | $50.02 – $2,708.42 | 12 |
| Vein x-ray adrenal glands CPT 75842 | $518.40 | $648.00 | $65.47 – $4,651.61 | 12 |
| Vein x-ray eye socket CPT 75880 | $270.40 | $338.00 | $30.91 – $532.02 | 12 |
| Vein x-ray kidney CPT 75831 | $2,573.60 | $3,216.99 | $46.92 – $2,708.42 | 14 |
| Vein x-ray liver CPT 75891 | $470.40 | $588.00 | $47.80 – $2,708.42 | 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.