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 |
|---|---|---|---|---|
| Wrist arthroscopy/surgery CPT 29844 | $2,464.00 | $3,080.00 | $456.31 – $2,791.99 | 12 |
| Wrist arthroscopy/surgery CPT 29845 | $2,875.20 | $3,594.00 | $532.72 – $2,791.99 | 12 |
| Wrist arthroscopy/surgery CPT 29846 | $2,576.00 | $3,220.00 | $476.13 – $2,791.99 | 12 |
| Wrist arthroscopy/surgery CPT 29847 | $2,672.00 | $3,340.00 | $493.30 – $6,147.19 | 12 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,007.18 – $3,230.16 | 10 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $856.34 – $2,746.37 | 10 |
| Wrist endoscopy/surgery CPT 29848 | $2,512.00 | $3,140.00 | $468.22 – $1,377.16 | 12 |
| Wrist X-ray CPT 73110 | $262.99 | $328.73 | $7.71 – $128.86 | 14 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $182.44 | $228.05 | $7.39 – $89.40 | 14 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,364.02 – $4,374.56 | 10 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $700.88 – $3,461.67 | 11 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $3,724.80 | $4,656.00 | $669.56 – $1,962.57 | 12 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $615.01 – $4,439.94 | 12 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $572.27 – $3,461.67 | 11 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $13.00 – $1,219.56 | 4 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $769.21 – $4,439.94 | 12 |
| Xe133 xenon 10mci HCPCS A9558 | $146.53 | $183.16 | $49.64 – $276.96 | 8 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $3,059.79 | $3,824.73 | $565.99 – $1,574.05 | 14 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,708.80 | $2,136.00 | $513.38 – $1,574.05 | 12 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $548.40 – $1,462.40 | 10 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $548.40 – $1,462.40 | 10 |
| Xm archive tissue molec anal CPT 88363 | $70.00 | $87.49 | $17.28 – $35.33 | 14 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $1,819.20 | $2,274.00 | $317.36 – $847.36 | 10 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,246.40 | $1,558.00 | $174.07 – $666.36 | 10 |
| X-ray abdomen >=3 views CPT 74021 | $231.94 | $289.92 | $11.83 – $113.65 | 14 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $538.60 | $673.24 | $24.70 – $307.31 | 14 |
| X-ray assay calculus CPT 82370 | $64.28 | $80.35 | $7.51 – $31.50 | 12 |
| X-ray bone length studies CPT 77073 | $336.74 | $420.92 | $11.95 – $165.00 | 14 |
| X-ray bone survey infant CPT 77076 | $275.60 | $344.50 | $30.91 – $135.04 | 14 |
| X-ray consultation CPT 76140 | $38.82 | $48.52 | $2.70 – $25.57 | 7 |
| Xray endovasc thor ao repr CPT 75956 | $2,688.80 | $3,361.00 | $0.01 – $684.57 | 10 |
| Xray endovasc thor ao repr CPT 75957 | $3,518.40 | $4,398.00 | $0.01 – $586.49 | 10 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $399.82 | $499.77 | $15.90 – $195.91 | 14 |
| X-ray exam entire spi 6/> vw CPT 72084 | $597.79 | $747.23 | $18.58 – $292.91 | 14 |
| X-ray exam of arm infant CPT 73092 | $255.23 | $319.03 | $7.10 – $125.06 | 14 |
| X-ray exam of femur 1 CPT 73551 | $190.20 | $237.75 | $7.39 – $93.20 | 14 |
| X-ray exam of jaw joint CPT 70328 | $179.54 | $224.42 | $8.04 – $87.97 | 14 |
| X-ray exam of jaw joint CPT 70332 | $176.80 | $221.00 | $23.82 – $208.00 | 12 |
| X-ray exam of mastoids CPT 70120 | $84.00 | $105.00 | $8.04 – $91.51 | 12 |
| X-ray exam of middle ear CPT 70134 | $114.40 | $143.00 | $15.87 – $471.81 | 12 |
| X-ray exam of penis CPT 74445 | $606.40 | $758.00 | $46.12 – $110.87 | 12 |
| X-ray exam of perineum CPT 74775 | $588.00 | $735.00 | $27.29 – $208.00 | 12 |
| X-ray exam of salivary gland CPT 70380 | $82.40 | $103.00 | $7.42 – $75.76 | 12 |
| X-ray exam of tear duct CPT 70170 | $728.80 | $911.00 | $13.25 – $208.00 | 12 |
| X-ray exam of teeth CPT 70300 | $32.00 | $40.00 | $4.56 – $75.76 | 12 |
| X-ray exam of teeth CPT 70310 | $82.40 | $103.00 | $7.39 – $208.00 | 12 |
| X-ray exam si joints CPT 72200 | $69.60 | $87.00 | $7.71 – $91.51 | 12 |
| X-ray exam thorac spine4/>vw CPT 72074 | $447.36 | $559.20 | $10.89 – $219.21 | 14 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $202.83 | $253.53 | $8.04 – $99.38 | 14 |
| X-ray fallopian tube CPT 74742 | $264.00 | $330.00 | $26.67 – $60.35 | 10 |
| X-ray head for orthodontia CPT 70350 | $41.60 | $52.00 | $7.83 – $75.76 | 12 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $313.45 | $391.81 | $12.28 – $153.59 | 14 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $597.79 | $747.23 | $13.87 – $292.91 | 14 |
| X-ray joint survey 1 view CPT 77077 | $313.45 | $391.81 | $15.10 – $153.59 | 14 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $192.16 | $240.19 | $7.10 – $94.15 | 14 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $514.23 | $642.78 | $9.92 – $251.97 | 14 |
| X-ray male genital tract CPT 74440 | $182.40 | $228.00 | $16.57 – $208.00 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $314.43 | $393.03 | $8.04 – $154.07 | 14 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $28.00 – $34.03 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $180.50 | $225.62 | $8.04 – $88.44 | 14 |
| X-ray of mammary ducts CPT 77054 | $699.68 | $874.60 | $19.58 – $342.84 | 14 |
| X-ray optic foramina CPT 70190 | $76.00 | $95.00 | $9.89 – $75.76 | 12 |
| Xray place dist ext thor ao CPT 75959 | $4,111.20 | $5,139.00 | $0.01 – $337.94 | 10 |
| Xray place prox ext thor ao CPT 75958 | $3,684.00 | $4,605.00 | $0.01 – $390.00 | 10 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $600.00 | $750.00 | $22.73 – $307.31 | 14 |
| X-ray ribs 2 views left CPT 71100 | $443.65 | $554.56 | $9.92 – $217.39 | 14 |
| X-ray sella turcica CPT 70240 | $199.92 | $249.90 | $8.36 – $97.96 | 14 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $355.17 | $443.96 | $22.78 – $471.81 | 14 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $399.82 | $499.77 | $25.41 – $195.91 | 14 |
| X-ray small intestine follow-through study CPT 74248 | $554.12 | $692.64 | $30.62 – $271.51 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $275.60 | $344.50 | $9.63 – $135.04 | 14 |
| X-ray surgical specimen CPT 76098 | $294.03 | $367.53 | $13.87 – $471.81 | 14 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $190.20 | $237.75 | $11.51 – $93.20 | 14 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $63.00 – $63.00 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $83.00 – $83.00 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $178.40 | $223.00 | $25.73 – $153.18 | 12 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $207.48 – $604.55 | 10 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $253.60 | $317.00 | $62.97 – $169.62 | 10 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $2,850.00 – $2,935.50 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | $64.28 | $80.35 | $7.75 – $31.50 | 12 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.42 – $2.46 | 10 |
| Yersinia antibody CPT 86793 | $33.60 | $42.00 | $7.91 – $21.10 | 10 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $110,513.94 | 10 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $71.50 – $687.19 | 5 |
| Ziconotide injection HCPCS J2278 | $17.88 | $22.34 | $6.05 – $16.21 | 12 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.08 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.51 – $3.12 | 6 |
| Zika virus dna/rna amp probe CPT 87662 | $103.20 | $129.00 | $29.38 – $82.10 | 12 |
| Zika virus igm antibody CPT 86794 | $48.57 | $60.71 | $10.11 – $26.96 | 12 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $4.00 | $5.00 | $0.88 – $2.80 | 10 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $91.58 | $114.47 | $1.61 – $8.08 | 8 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.09 – $12.77 | 10 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $34.23 – $53.69 | 7 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $126.00 | $157.50 | $5.73 – $14.28 | 8 |
| Zoster vaccine-live inj CPT 90736 | $204.80 | $256.00 | $221.79 – $319.46 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $115.95 – $309.20 | 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.