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 |
|---|---|---|---|---|
| Determination venous press CPT 93770 | $18.40 | $23.00 | $1.12 – $20.88 | 6 |
| Determine refractive state CPT 92015 | not published | not published | $33.90 – $51.76 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $56.80 | $71.00 | $18.14 – $26.81 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | $307.20 | $384.00 | $111.75 – $299.96 | 12 |
| Device ablt adv novasure HCPCS C1886 | $231.43 | $289.28 | $78.39 – $152.45 | 5 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $7,447.78 | $9,309.72 | $2,124.64 – $4,131.68 | 5 |
| Device intraute mirena HCPCS J7298 | $1,544.80 | $1,931.00 | $489.87 – $1,214.63 | 8 |
| Dev interrog remote 1/2/mlt CPT 93295 | $115.20 | $144.00 | $33.09 – $126.64 | 10 |
| Devise bowel pouch CPT 44316 | $3,464.00 | $4,330.00 | $1,238.33 – $3,301.32 | 10 |
| Devlopment test interpt&rep HCPCS G0451 | $49.60 | $62.00 | $10.19 – $79.60 | 12 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $137.60 | $172.00 | $46.68 – $137.23 | 10 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $108.69 | $135.86 | $8.68 – $75.76 | 14 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $95.44 – $149.71 | 9 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.15 – $1.18 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.40 | $0.50 | $0.01 – $0.07 | 8 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $18.21 | $22.76 | $0.02 – $0.11 | 8 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $205.24 – $328.44 | 10 |
| Dexamethasone panel CPT 80420 | $324.00 | $405.00 | $67.99 – $259.01 | 12 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.58 – $1.02 | 8 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $259.20 | $324.00 | $32.73 – $265.12 | 10 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $37.73 – $95.85 | 6 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $14.52 – $30.84 | 3 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.78 – $3.41 | 6 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $2.80 | $3.50 | $0.85 – $2.06 | 6 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $48.00 | $60.00 | $5.68 – $31.62 | 8 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $5.60 | $7.00 | $1.68 – $2.71 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $48.00 | $60.00 | $3.36 – $23.52 | 8 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $56.00 | $70.00 | $13.34 – $35.57 | 12 |
| Diabetes (HbA1c) Test CPT 83036 | $33.57 | $41.96 | $5.83 – $16.45 | 12 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $36.00 | $45.00 | $8.33 – $42.97 | 12 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $132.94 – $426.35 | 10 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $21.32 – $72.42 | 10 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $21.32 – $72.42 | 10 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $21.32 – $72.42 | 10 |
| Diab manage trn ind/group HCPCS G0109 | $60.18 | $75.22 | $14.44 – $37.99 | 12 |
| Diab shoe for density insert HCPCS A5500 | $178.40 | $223.00 | $44.32 – $142.16 | 10 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $21.32 – $72.42 | 10 |
| Diag bronchoscope/catheter CPT 31643 | $448.00 | $560.00 | $152.76 – $1,483.91 | 12 |
| Diag laparo separate proc 49320 CPT 49320 | $807.20 | $1,009.00 | $292.53 – $5,020.47 | 12 |
| Diagnostic anoscopy CPT 46601 | $355.20 | $444.00 | $75.71 – $343.37 | 12 |
| Diagnostic anoscopy & biopsy CPT 46607 | $496.80 | $621.00 | $111.48 – $1,014.60 | 12 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $252.00 | $315.00 | $36.94 – $110.92 | 14 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $382.40 | $478.00 | $63.77 – $138.70 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $382.40 | $478.00 | $51.86 – $122.60 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $212.80 | $266.00 | $44.98 – $167.06 | 14 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $482.31 | $602.88 | $62.16 – $236.33 | 14 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $484.25 | $605.31 | $43.57 – $237.28 | 12 |
| Diagnostic Mammogram (one breast) CPT 77065 | $401.76 | $502.20 | $35.36 – $196.86 | 12 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $75.76 – $129.89 | 10 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $14,977.66 | $18,722.07 | $174.92 – $7,339.05 | 12 |
| Dialysis one evaluation CPT 90945 | $2,120.40 | $2,650.50 | $78.81 – $590.12 | 14 |
| Dialysis repeated eval CPT 90947 | $280.00 | $350.00 | $111.79 – $293.05 | 10 |
| Dialysis training complete CPT 90989 | $789.60 | $987.00 | $565.40 – $985.35 | 6 |
| Dialysis training incompl CPT 90993 | $172.00 | $215.00 | $103.20 – $214.60 | 6 |
| Diathermy eg microwave CPT 97024 | $13.60 | $17.00 | $6.52 – $10.89 | 10 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.11 | $0.13 | $0.04 – $0.08 | 8 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $96.96 | $121.20 | $0.64 – $5.79 | 8 |
| Dicyclomine injection HCPCS J0500 | $132.40 | $165.50 | $11.22 – $21.82 | 8 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.08 – $0.23 | 8 |
| Diffusing capacity CPT 94729 | $280.46 | $350.57 | $8.07 – $137.42 | 12 |
| Digital analysis of eeg CPT 95957 | $605.60 | $757.00 | $64.11 – $198.80 | 12 |
| Digit nerve surgery add-on CPT 64778 | $450.40 | $563.00 | $158.34 – $421.99 | 10 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $137.60 | $172.00 | $0.54 – $7.17 | 8 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $3,284.24 – $7,949.73 | 10 |
| Digoxin total therapeutic drug level CPT 80162 | $66.43 | $83.03 | $7.97 – $32.55 | 12 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $309.20 | $386.50 | $47.11 – $151.51 | 8 |
| Dilate biliary duct/ampulla CPT 47542 | $1,273.60 | $1,592.00 | $120.69 – $320.99 | 10 |
| Dilate esophagus CPT 43453 | $2,142.40 | $2,678.00 | $77.80 – $1,632.36 | 12 |
| Dilate esophagus 1/mult pass CPT 43450 | $420.80 | $526.00 | $71.53 – $806.77 | 12 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $631.50 – $1,076.17 | 6 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $315.70 – $538.10 | 6 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $899.10 – $1,531.55 | 6 |
| Dilate tear duct opening CPT 68801 | $454.40 | $568.00 | $71.71 – $343.37 | 12 |
| Dilate urethra stricture CPT 53600 | $719.10 | $898.87 | $57.45 – $352.36 | 14 |
| Dilate urethra stricture CPT 53601 | $200.80 | $251.00 | $48.09 – $127.81 | 12 |
| Dilate urethra stricture CPT 53605 | $164.00 | $205.00 | $57.35 – $2,967.84 | 12 |
| Dilate urethra stricture CPT 53621 | $565.77 | $707.21 | $64.64 – $277.23 | 14 |
| Dilation/female urethra/initial 53660 CPT 53660 | $174.40 | $218.00 | $37.44 – $134.63 | 12 |
| Dilation of anal sphincter CPT 45905 | $416.80 | $521.00 | $153.25 – $1,014.60 | 12 |
| Dilation of cervical canal 57800 CPT 57800 | $172.80 | $216.00 | $43.07 – $2,735.98 | 12 |
| Dilation of rectal stricture 45910 CPT 45910 | $476.80 | $596.00 | $174.00 – $1,014.60 | 12 |
| Dilation of salivary duct CPT 42660 | $296.80 | $371.00 | $71.40 – $438.21 | 12 |
| Dilation of urethra CPT 53661 | $172.00 | $215.00 | $36.29 – $110.92 | 12 |
| Dilation of urethra CPT 53665 | $97.60 | $122.00 | $33.74 – $1,762.74 | 12 |
| Dilation of vagina CPT 57400 | $328.80 | $411.00 | $116.40 – $2,735.98 | 12 |
| Dilation salivary duct 42650 CPT 42650 | $193.60 | $242.00 | $53.85 – $1,274.65 | 12 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $4,795.88 | $5,994.85 | $78.39 – $2,349.98 | 14 |
| Dilator fascial 10fx20cm HCPCS C2627 | $353.91 | $442.38 | $119.88 – $233.13 | 5 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,883.16 | $4,853.94 | $136.15 – $2,967.84 | 14 |
| Dilat xst trc new access rcs CPT 50437 | $6,532.83 | $8,166.03 | $226.29 – $3,201.08 | 14 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $3.56 | $4.45 | $0.01 – $0.01 | 5 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $40.93 – $67.88 | 5 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $7.19 – $11.64 | 6 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $746.40 | $933.00 | $125.35 – $1,188.63 | 10 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.60 | $0.75 | $0.02 – $0.78 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $74.16 | $92.70 | $0.09 – $0.91 | 8 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $62.40 | $78.00 | $40.43 – $74.68 | 6 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $1.13 – $4.83 | 6 |
| Direct advanced life support CPT 99288 | $236.00 | $295.00 | $239.70 – $301.56 | 4 |
| Dir nsl mucous membrane test CPT 95065 | $76.80 | $96.00 | $25.84 – $67.24 | 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.