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 |
|---|---|---|---|---|
| External ocular photography CPT 92285 | $49.60 | $62.00 | $2.65 – $33.78 | 12 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $164.99 | $206.23 | $19.84 – $80.84 | 14 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $7,746.40 | $9,683.00 | $1,626.66 – $6,196.80 | 12 |
| External recharg sys extern HCPCS L8695 | not published | not published | $10.00 – $32.08 | 10 |
| External recharg sys intern HCPCS L8689 | not published | not published | $1,033.78 – $3,315.49 | 10 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $360.80 | $451.00 | $78.75 – $230.00 | 12 |
| Extnd color vision xm CPT 92283 | $107.20 | $134.00 | $8.01 – $51.11 | 12 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $48.57 | $60.71 | $10.76 – $28.69 | 12 |
| Extraction of lens CPT 66930 | $4,260.80 | $5,326.00 | $768.78 – $3,461.67 | 12 |
| Extraction of lens CPT 66940 | $3,889.60 | $4,862.00 | $703.86 – $1,962.57 | 12 |
| Extraction of lens 66920 CPT 66920 | $3,737.60 | $4,672.00 | $672.62 – $1,962.57 | 12 |
| Extrnl counterpulse, per tx HCPCS G0166 | $245.60 | $307.00 | $88.01 – $237.85 | 10 |
| Eye allergy tests CPT 95060 | $104.00 | $130.00 | $35.00 – $110.92 | 12 |
| Eye photodynamic ther add-on CPT 67225 | $74.40 | $93.00 | $24.65 – $66.14 | 10 |
| Eye Socket (Orbit) X-ray CPT 70200 | $393.03 | $491.28 | $12.45 – $192.58 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,580.84 | $1,976.04 | $55.26 – $774.61 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,543.00 | $1,928.74 | $49.40 – $756.07 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,301.36 | $1,626.70 | $56.17 – $637.67 | 14 |
| Eye surgery follow-up add-on CPT 67331 | $1,529.60 | $1,912.00 | $113.42 – $562.69 | 10 |
| Eye suture during surgery CPT 67335 | $739.20 | $924.00 | $168.72 – $450.61 | 10 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $105.24 – $280.64 | 10 |
| Ezh2 gene full gene sequence CPT 81236 | $271.57 | $339.46 | $118.81 – $452.61 | 12 |
| F-18 fdg pet diag HCPCS A9552 | $431.61 | $539.51 | $146.21 – $359.05 | 8 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $2,194.62 – $7,737.05 | 9 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $268.42 – $516.65 | 9 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $269.63 – $629.59 | 2 |
| F9 full gene sequence CPT 81238 | $1,200.00 | $1,500.00 | $252.00 – $960.00 | 12 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $242.90 – $927.19 | 10 |
| Face bone graft CPT 21210 | $4,874.40 | $6,093.00 | $700.20 – $5,090.43 | 12 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $4,134.04 | $5,167.55 | $94.06 – $2,025.68 | 14 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,781.72 | $2,227.15 | $58.73 – $873.04 | 14 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $221.27 | $276.58 | $8.95 – $108.42 | 14 |
| Facial Bones X-ray (complete) CPT 70150 | $439.62 | $549.52 | $11.51 – $215.41 | 14 |
| Facial nerve function test CPT 92516 | $148.00 | $185.00 | $20.55 – $267.96 | 12 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $2,790.66 – $4,784.18 | 10 |
| Factor ix CPT 85250 | $95.72 | $119.64 | $11.42 – $46.90 | 12 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.54 – $5.80 | 10 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.58 – $2.73 | 10 |
| Factor ix idelvion inj HCPCS J7202 | $3.35 | $4.18 | $1.13 – $8.55 | 12 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.36 – $2.14 | 10 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.32 – $7.33 | 10 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.62 – $2.02 | 6 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.84 – $3.00 | 10 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.27 – $2.64 | 5 |
| Factor viii CPT 85240 | $39.20 | $49.00 | $10.74 – $28.64 | 12 |
| Factor viii HCPCS J7190 | not published | not published | $1.08 – $1.81 | 10 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.30 – $3.88 | 10 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.19 – $1.88 | 10 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.03 – $3.45 | 10 |
| Factor viii recombinant nos HCPCS J7192 | $2.40 | $3.00 | $1.55 – $2.46 | 10 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.38 – $2.43 | 10 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.22 – $5.17 | 10 |
| Factor xiii anti-hem factor HCPCS J7180 | $10.40 | $13.00 | $9.81 – $17.25 | 10 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.34 – $15,000.65 | 10 |
| Fallopian tube recnl CPT 58345 | $1,425.60 | $1,782.00 | $258.95 – $2,735.98 | 12 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $17.48 – $43.95 | 9 |
| Family therapy without pt 50min 90846 CPT 90846 | $230.40 | $288.00 | $96.29 – $242.84 | 12 |
| Family therapy with patient 50 min 90847 CPT 90847 | $239.20 | $299.00 | $100.44 – $253.76 | 12 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $71.44 | $89.30 | $0.01 – $0.10 | 7 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $44.18 | $55.22 | $5.49 – $48.00 | 12 |
| Fancc gene CPT 81242 | $127.86 | $159.82 | $21.97 – $62.65 | 12 |
| Fasciotomy hip/thigh any typ CPT 27025 | $4,512.00 | $5,640.00 | $842.99 – $2,220.99 | 10 |
| Fat/lipids feces qualitative CPT 82705 | $33.57 | $41.96 | $3.06 – $16.45 | 12 |
| Fatty acids nonesterified CPT 82725 | $64.28 | $80.35 | $11.26 – $31.50 | 12 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $100.01 – $320.74 | 10 |
| Fecal bilirubin test CPT 82252 | $12.00 | $15.00 | $2.74 – $7.30 | 10 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.28 – $102.45 | 10 |
| Fecal microbiota prep instil HCPCS G0455 | $499.78 | $624.72 | $63.43 – $784.53 | 14 |
| #fecal-sodium CPT 84302 | $33.57 | $41.96 | $2.92 – $16.45 | 12 |
| Feeding tube reposition CPT 74355 | $295.20 | $369.00 | $33.44 – $75.06 | 10 |
| Fees w/laryngeal sense i&r CPT 92617 | $92.80 | $116.00 | $37.07 – $97.97 | 10 |
| Fees w/laryngeal sense test CPT 92616 | $471.20 | $589.00 | $91.53 – $239.33 | 10 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $66.43 | $83.03 | $11.18 – $32.55 | 12 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $2,430.79 – $7,795.86 | 10 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $198.67 – $531.75 | 10 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $46.40 – $148.80 | 10 |
| Fem/popl revasc w/stent CPT 37226 | $48,569.60 | $60,712.00 | $441.27 – $14,419.43 | 14 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $7.28 – $23.33 | 10 |
| Feno poc CPT 95012 | $58.40 | $73.00 | $16.39 – $43.91 | 12 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $73.40 | $91.75 | $0.12 – $0.84 | 8 |
| Fern test HCPCS Q0114 | $56.44 | $70.54 | $9.74 – $27.65 | 12 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3.23 | $4.03 | $0.20 – $1.83 | 12 |
| Ferritin CPT 82728 | $64.28 | $80.35 | $8.18 – $31.50 | 12 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3.78 | $4.72 | $0.25 – $0.49 | 12 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.31 – $1.21 | 10 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $477.00 – $1,272.00 | 10 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $503.67 | $629.58 | $46.37 – $246.80 | 14 |
| Fetal chrmoml microdeltj CPT 81422 | $1,518.40 | $1,898.00 | $455.43 – $1,214.48 | 10 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,518.40 | $1,898.00 | $318.80 – $1,214.48 | 12 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $324.12 | $405.15 | $30.57 – $173.11 | 14 |
| Fetal cord puncture prenatal CPT 59012 | $488.00 | $610.00 | $172.42 – $462.93 | 12 |
| Fetal fibronectin CPT 82731 | $291.41 | $364.26 | $38.65 – $142.79 | 12 |
| Fetal fluid drainage w/us CPT 59074 | $932.80 | $1,166.00 | $261.76 – $709.86 | 12 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $33.57 | $41.96 | $4.64 – $16.45 | 12 |
| Fetal hemoglobin rosette CPT 85461 | $33.57 | $41.96 | $5.62 – $16.45 | 12 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $64.28 | $80.35 | $11.59 – $31.50 | 12 |
| Fetal monitor/interpret only CPT 59051 | $102.40 | $128.00 | $35.75 – $96.30 | 10 |
| Fetal monitor w/report CPT 59050 | $123.20 | $154.00 | $42.82 – $114.48 | 10 |
| Fetal non stress test CPT 59025 | $324.12 | $405.15 | $17.87 – $173.11 | 14 |
| Fetal scalp blood sampling 59030 CPT 59030 | $272.80 | $341.00 | $95.98 – $261.76 | 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.