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 |
|---|---|---|---|---|
| Blood smear microscopic w manual differential wbc count CPT 85007 | $33.57 | $41.96 | $2.28 – $16.45 | 12 |
| Blood split unit HCPCS P9011 | $302.84 | $378.55 | $93.67 – $226.88 | 14 |
| Blood thymol turbidity HCPCS P2033 | $10.40 | $13.00 | $2.97 – $12.87 | 10 |
| Blood Transfusion CPT 36430 | $418.32 | $522.90 | $37.65 – $376.19 | 14 |
| Blood typing abo CPT 86900 | $57.14 | $71.42 | $1.79 – $190.15 | 14 |
| Blood typing ag donor ea ag CPT 86902 | $57.14 | $71.42 | $3.81 – $530.66 | 14 |
| Blood typing antigen system CPT 86911 | not published | not published | $12.57 – $28.15 | 6 |
| Blood typing paternity test CPT 86910 | not published | not published | $14.53 – $73.71 | 6 |
| Blood typing patient serum CPT 86904 | $57.14 | $71.42 | $5.36 – $87.63 | 14 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $57.14 | $71.42 | $2.30 – $530.66 | 14 |
| Blood typing rh (d) CPT 86901 | $57.14 | $71.42 | $1.79 – $57.90 | 14 |
| Blood typing rh phenotype complete reference CPT 86906 | $57.14 | $71.42 | $4.65 – $57.90 | 14 |
| Blood volume CPT 78122 | $226.40 | $283.00 | $18.99 – $463.18 | 12 |
| Bls-emergency HCPCS A0429 | not published | not published | $384.07 – $771.99 | 6 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,010.88 – $3,242.02 | 10 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $208.64 | $260.80 | $8.36 – $102.23 | 14 |
| Bone biopsy open superficial CPT 20240 | $7,606.25 | $9,507.81 | $127.10 – $3,727.06 | 14 |
| Bone Density Scan (DEXA) CPT 77080 | $417.29 | $521.61 | $8.68 – $204.47 | 14 |
| Bone filler cerament 10cc HCPCS C1602 | $9,310.72 | $11,638.40 | $3,154.01 – $6,133.44 | 6 |
| Bone imaging (3d) CPT 78320 | not published | not published | $93.00 – $93.00 | 2 |
| Bone imaging multiple areas CPT 78305 | $1,534.24 | $1,917.80 | $36.00 – $751.78 | 14 |
| Bone/joint imaging ltd area CPT 78300 | $459.97 | $574.96 | $27.00 – $345.78 | 14 |
| Bone marrow;aspiration only 38220 CPT 38220 | $3,071.43 | $3,839.28 | $61.26 – $1,505.00 | 14 |
| Bone marrow aspir bone grfg CPT 20939 | $339.20 | $424.00 | $60.27 – $160.09 | 10 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $6,142.85 | $7,678.56 | $63.26 – $1,505.00 | 14 |
| Bone marrow harvest allogen CPT 38230 | $505.60 | $632.00 | $178.34 – $1,410.60 | 12 |
| Bone marrow harvest autolog CPT 38232 | $496.80 | $621.00 | $167.85 – $4,031.59 | 12 |
| Bone marrow imaging body CPT 78104 | $544.00 | $680.00 | $33.70 – $345.78 | 12 |
| Bone marrow imaging ltd CPT 78102 | $384.00 | $480.00 | $23.11 – $345.78 | 12 |
| Bone marrow imaging mult CPT 78103 | $790.92 | $988.64 | $27.95 – $387.55 | 14 |
| Bone marrow interpretation CPT 85097 | $786.52 | $983.15 | $29.26 – $702.95 | 14 |
| Bone mineral dual photon CPT 78351 | not published | not published | $9.01 – $32.16 | 6 |
| Bone mineral single photon CPT 78350 | not published | not published | $13.95 – $24.81 | 6 |
| Bone/skin graft great toe CPT 20973 | $14,824.00 | $18,530.00 | $2,659.82 – $7,080.93 | 12 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,041.31 – $6,725.49 | 10 |
| Bone/skin graft metatarsal CPT 20972 | $7,016.80 | $8,771.00 | $2,519.45 – $6,705.53 | 12 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,041.31 – $6,498.09 | 10 |
| Bone survey-lead poisoning CPT 77074 | $599.73 | $749.66 | $19.25 – $293.87 | 14 |
| Boot cast sandal rocker med HCPCS L3265 | $37.60 | $47.00 | $7.85 – $44.55 | 6 |
| Boot heel care softcare one sz HCPCS E0191 | $24.00 | $30.00 | $0.61 – $3.12 | 6 |
| Boot j walker l HCPCS L4386 | $380.80 | $476.00 | $94.84 – $304.18 | 10 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $96.80 – $310.43 | 10 |
| Boot softgait shrt m HCPCS L4387 | $380.80 | $476.00 | $25.20 – $304.18 | 12 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $624.00 | $780.00 | $155.62 – $499.10 | 10 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $624.00 | $780.00 | $31.20 – $499.10 | 12 |
| Borrelia antibody CPT 86619 | $33.60 | $42.00 | $8.03 – $21.41 | 10 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $48.57 | $60.71 | $10.22 – $27.25 | 12 |
| Borrelia miyamotoi amp prb CPT 87478 | $67.15 | $83.93 | $21.05 – $56.14 | 12 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $60.00 | $75.00 | $0.27 – $2.73 | 8 |
| (both sides) donor search management CPT 38204 | not published | not published | $184.66 – $324.98 | 6 |
| (both sides) smear without diff wbc count CPT 85008 | $33.57 | $41.96 | $2.06 – $16.45 | 12 |
| Botulism ig IV CPT 90288 | not published | not published | $51,570.00 – $64,749.00 | 3 |
| Bowel imaging CPT 78290 | $1,065.53 | $1,331.91 | $29.23 – $522.11 | 14 |
| Bpg axillary-pop/-tibial CPT 35623 | $6,392.00 | $7,990.00 | $1,119.38 – $2,991.35 | 10 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $845.14 – $2,256.45 | 10 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,535.17 – $4,105.57 | 10 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,679.27 – $4,504.39 | 10 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,502.50 – $4,017.90 | 10 |
| Bpg pop-tibl/-prnl artery CPT 35671 | $5,481.60 | $6,852.00 | $959.12 – $2,583.22 | 10 |
| Bpg splenorenal CPT 35636 | $7,761.60 | $9,702.00 | $1,356.41 – $3,626.42 | 10 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $938.16 – $2,507.19 | 10 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $808.11 – $2,160.31 | 10 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $87.77 – $281.49 | 10 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $289.18 – $927.44 | 10 |
| Brace afo lg left 6607 HCPCS L1930 | $623.20 | $779.00 | $155.40 – $498.40 | 10 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $311.54 – $999.14 | 10 |
| Brace afo spiral prefab HCPCS L1951 | $184.81 | $231.01 | $80.85 – $1,611.04 | 12 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $271.20 | $339.00 | $67.59 – $216.78 | 10 |
| Brace ank air stirrup univ HCPCS L4350 | $201.60 | $252.00 | $50.24 – $161.12 | 10 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $37.78 – $121.17 | 10 |
| Brace ankle stablizing lg HCPCS L1902 | $190.40 | $238.00 | $47.35 – $151.86 | 10 |
| Brace back epic lo 627 HCPCS L0642 | $821.52 | $1,026.90 | $245.87 – $509.05 | 12 |
| Brace back epic lso 637 HCPCS L0650 | $1,916.88 | $2,396.10 | $649.34 – $1,409.41 | 12 |
| Brace back epic tslo 456 HCPCS L0457 | $1,916.88 | $2,396.10 | $594.89 – $1,231.57 | 12 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $245.87 – $788.53 | 10 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $889.07 – $2,851.36 | 10 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,059.70 – $3,398.59 | 10 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $614.05 – $1,271.40 | 10 |
| Brace cust back lso HCPCS L0631 | not published | not published | $614.05 – $1,969.34 | 10 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $547.93 – $1,757.28 | 10 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $202.48 – $649.38 | 10 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $52.80 – $169.34 | 10 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,042.77 – $3,344.30 | 10 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $459.39 – $1,014.94 | 10 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $341.71 – $1,095.89 | 10 |
| Brace knee hing pat open med HCPCS L1820 | $299.20 | $374.00 | $74.61 – $239.26 | 10 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $1,916.88 | $2,396.10 | $341.71 – $939.27 | 12 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $459.39 – $1,473.33 | 10 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $225.60 | $282.00 | $56.26 – $180.42 | 10 |
| Brace m arm board HCPCS L3809 | $545.60 | $682.00 | $136.10 – $436.46 | 10 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $86.40 | $108.00 | $26.75 – $69.60 | 12 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $712.41 – $2,284.78 | 10 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $594.89 – $1,907.89 | 10 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $545.60 | $682.00 | $136.10 – $436.46 | 10 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $109.97 – $229.07 | 10 |
| Brace wrist classic lft sm HCPCS L3908 | $134.40 | $168.00 | $33.49 – $107.38 | 10 |
| Brachioplasty 15836 CPT 15836 | $3,694.40 | $4,618.00 | $716.96 – $2,462.80 | 12 |
| Brach/thor cath 1st CPT 36215 | $2,631.20 | $3,289.00 | $187.91 – $1,126.49 | 12 |
| Brach/thor cath 2nd CPT 36216 | $2,798.75 | $3,498.43 | $235.75 – $1,371.38 | 12 |
| Brach/thor cath 3rd CPT 36217 | $4,598.40 | $5,748.00 | $290.01 – $1,469.33 | 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.