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 |
|---|---|---|---|---|
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $133.45 | $166.81 | $19.75 – $136.40 | 12 |
| Dxa bone density axl vrt fx CPT 77085 | $100.00 | $125.00 | $13.10 – $91.51 | 12 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $186.40 | $233.00 | $61.55 – $225.66 | 12 |
| Dx aly aud oi snd prcsr each CPT 92623 | $48.00 | $60.00 | $16.14 – $42.48 | 9 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,147.40 | $3,934.25 | $118.59 – $1,542.23 | 14 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,147.40 | $3,934.25 | $120.22 – $1,542.23 | 14 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,147.40 | $3,934.25 | $118.02 – $1,542.23 | 14 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $22.00 – $343.37 | 12 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $608.80 | $761.00 | $45.58 – $806.77 | 12 |
| Dx duod intub w/asp specs CPT 43757 | $837.60 | $1,047.00 | $69.11 – $806.77 | 12 |
| Dx gastr intub w/asp spec CPT 43754 | $441.60 | $552.00 | $34.05 – $267.96 | 12 |
| Dx gastr intub w/asp specs CPT 43755 | $421.60 | $527.00 | $54.03 – $143.76 | 12 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | $64.00 | $80.00 | $0.01 – $66.65 | 9 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | $171.20 | $214.00 | $0.01 – $179.63 | 9 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | $55.20 | $69.00 | $0.01 – $57.90 | 9 |
| Dx laryngoscopy newborn CPT 31520 | $385.60 | $482.00 | $140.55 – $375.05 | 12 |
| Dx laryngoscopy w/oper scope CPT 31526 | $387.20 | $484.00 | $141.17 – $1,483.91 | 12 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | $108.80 | $136.00 | $0.01 – $113.90 | 9 |
| Dynamic cavernosometry CPT 54231 | $354.40 | $443.00 | $104.97 – $279.23 | 12 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $29.80 – $45.28 | 5 |
| Dynamic surface emg CPT 96002 | $49.60 | $62.00 | $19.61 – $267.96 | 12 |
| Ear and throat examination CPT 92502 | $210.40 | $263.00 | $87.24 – $438.21 | 12 |
| Ear canal biopsy 69105 CPT 69105 | $688.00 | $860.00 | $58.36 – $1,274.65 | 12 |
| Ear cartilage graft CPT 21235 | $1,787.20 | $2,234.00 | $517.41 – $5,090.43 | 12 |
| Ear irrigation 69209 CPT 69209 | $165.42 | $206.77 | $13.73 – $81.05 | 14 |
| Ear protector evaluation CPT 92596 | $141.60 | $177.00 | $33.78 – $179.17 | 12 |
| Ecallantide injection HCPCS J1290 | not published | not published | $522.66 – $927.98 | 10 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $16.00 | $20.00 | $6.18 – $16.28 | 10 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $80.55 | $100.68 | $5.76 – $51.11 | 14 |
| Ecg < 30 days transmission & analysis CPT 93271 | $1,199.46 | $1,499.32 | $78.99 – $587.73 | 14 |
| Ecg external < 48 hours recording CPT 93225 | $734.63 | $918.28 | $15.80 – $189.73 | 14 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $734.63 | $918.28 | $30.27 – $189.73 | 14 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $344.48 | $430.60 | $10.19 – $168.80 | 14 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $46.40 | $58.00 | $10.19 – $33.78 | 12 |
| Ecg record/review CPT 93268 | $469.60 | $587.00 | $150.01 – $417.70 | 10 |
| Ecg/review interpret only CPT 93272 | $57.60 | $72.00 | $22.14 – $58.27 | 10 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,030.14 | $2,537.67 | $63.17 – $994.77 | 14 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $454.17 | $567.71 | $22.76 – $222.54 | 14 |
| Echocardiography doppler color flow mapping CPT 93325 | $558.00 | $697.50 | $2.85 – $273.42 | 12 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,210.64 | $2,763.30 | $679.84 – $1,456.26 | 13 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,692.44 | $2,115.54 | $335.86 – $1,114.89 | 11 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $322.19 | $402.73 | $6.48 – $157.87 | 12 |
| Echo exam of eye CPT 76516 | $140.80 | $176.00 | $20.76 – $91.51 | 12 |
| Echo exam of eye CPT 76519 | $172.00 | $215.00 | $27.95 – $91.51 | 12 |
| Echo exam of eye CPT 76529 | $168.00 | $210.00 | $28.77 – $75.76 | 12 |
| Echo exam of eye thickness CPT 76514 | $29.60 | $37.00 | $3.10 – $21.08 | 12 |
| Echo exam of fetal heart CPT 76825 | $1,179.44 | $1,474.29 | $72.92 – $577.92 | 14 |
| Echo exam of fetal heart CPT 76826 | $547.43 | $684.28 | $36.30 – $268.24 | 14 |
| Echo exam of fetal heart CPT 76827 | $565.77 | $707.21 | $25.55 – $277.23 | 14 |
| Echo exam of fetal heart CPT 76828 | $250.55 | $313.18 | $19.34 – $122.77 | 14 |
| Echo exam uterus 76831- CPT 76831 | $677.37 | $846.71 | $31.85 – $331.91 | 14 |
| Echograp trans r pros study CPT 76873 | $336.80 | $421.00 | $70.66 – $149.27 | 14 |
| Echo guidance radiotherapy CPT 76965 | $1,008.28 | $1,260.35 | $24.66 – $494.06 | 12 |
| Echo guidance radiotherapy HCPCS G6001 | $322.40 | $403.00 | $29.39 – $76.60 | 10 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $56.00 – $56.00 | 2 |
| Echo guide for amniocentesis CPT 76946 | $355.17 | $443.96 | $13.44 – $174.03 | 12 |
| Echo guide for artery repair CPT 76936 | $680.28 | $850.35 | $84.60 – $333.34 | 14 |
| Echo guide for heart biopsy CPT 76932 | $192.80 | $241.00 | $31.71 – $67.73 | 10 |
| Echo guide for transfusion CPT 76941 | $273.60 | $342.00 | $59.14 – $125.73 | 10 |
| Echo guide ova aspiration CPT 76948 | $144.80 | $181.00 | $24.75 – $62.71 | 10 |
| Echo guide villus sampling CPT 76945 | $191.20 | $239.00 | $29.50 – $63.90 | 10 |
| Echo stress CPT 93350 | $1,347.45 | $1,684.31 | $63.17 – $660.25 | 14 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $65.60 | $82.00 | $23.25 – $471.81 | 12 |
| Echo tee guidance CPT 93355 | $2,291.20 | $2,863.99 | $203.16 – $1,122.68 | 12 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,885.56 | $2,356.94 | $97.58 – $923.92 | 14 |
| Echo transesophageal CPT 93313 | $1,115.03 | $1,393.78 | $10.18 – $546.36 | 14 |
| Echo transesophageal CPT 93314 | $564.80 | $706.00 | $80.22 – $209.59 | 10 |
| Echo transesophageal CPT 93315 | $1,530.42 | $1,913.02 | $115.07 – $749.90 | 14 |
| Echo transesophageal CPT 93317 | $603.20 | $754.00 | $79.90 – $208.73 | 10 |
| Echo transesophageal intraop CPT 93318 | $1,803.07 | $2,253.83 | $92.43 – $883.50 | 14 |
| Echo transthoracic CPT 93303 | $865.63 | $1,082.03 | $56.23 – $471.81 | 14 |
| Echo transthoracic CPT 93304 | $454.17 | $567.71 | $32.53 – $471.81 | 14 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $865.63 | $1,082.03 | $39.95 – $424.16 | 14 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $580.00 | $725.00 | $203.88 – $542.19 | 10 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $599.20 | $749.00 | $208.98 – $556.24 | 10 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $844.00 | $1,055.00 | $295.25 – $788.48 | 10 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $761.60 | $952.00 | $266.90 – $712.80 | 10 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $704.40 – $1,882.08 | 10 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $2,040.80 | $2,551.00 | $711.93 – $1,905.46 | 10 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $402.80 – $1,075.00 | 10 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $360.96 – $962.77 | 10 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $1,165.60 | $1,457.00 | $407.08 – $1,085.71 | 10 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,050.40 | $1,313.00 | $365.84 – $979.02 | 10 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $436.74 – $1,166.45 | 10 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $1,280.00 | $1,600.00 | $448.43 – $1,194.22 | 10 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $667.20 | $834.00 | $231.77 – $619.76 | 10 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $157.40 – $419.47 | 10 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $694.40 | $868.00 | $242.19 – $646.94 | 10 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $581.60 | $727.00 | $203.02 – $542.64 | 10 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $419.55 – $1,121.51 | 10 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $397.76 – $1,062.28 | 10 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $199.68 – $533.29 | 10 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $157.40 – $419.47 | 10 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $572.80 | $716.00 | $199.68 – $533.29 | 10 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $452.00 | $565.00 | $157.40 – $419.47 | 10 |
| Ecog impltd brn npgt <30 d CPT 95836 | $240.80 | $301.00 | $32.09 – $251.73 | 12 |
| E coli 0157 ag ia CPT 87335 | $32.00 | $40.00 | $7.60 – $20.26 | 10 |
| Ecp ciliary body destruction CPT 66711 | $2,486.40 | $3,108.00 | $454.38 – $1,962.57 | 12 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.81 – $71.63 | 8 |
| Eculizumab injection HCPCS J1300 | not published | not published | $225.47 – $293.39 | 3 |
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.