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 |
|---|---|---|---|---|
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $72.80 | $91.00 | $16.77 – $44.66 | 6 |
| Fmri brain by phys/psych CPT 70555 | $2,100.80 | $2,626.00 | $109.48 – $262.80 | 12 |
| Fmri brain by tech CPT 70554 | $1,156.80 | $1,446.00 | $92.91 – $224.10 | 12 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,293.12 | $1,616.40 | $97.91 – $633.63 | 14 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,293.12 | $1,616.40 | $65.04 – $633.63 | 12 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $605.44 – $1,037.94 | 11 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $435.98 – $536.18 | 2 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $6.80 – $33.44 | 6 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $13.89 – $44.54 | 10 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $6.77 – $21.71 | 10 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $7.18 – $23.02 | 10 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $20.47 – $65.66 | 10 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $21.60 | $27.00 | $5.21 – $16.70 | 10 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $5.30 – $17.01 | 10 |
| Foam stability fetal lung CPT 83662 | $48.00 | $60.00 | $11.35 – $30.26 | 10 |
| Folic acid CPT 82746 | $64.28 | $80.35 | $8.82 – $31.50 | 12 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $7.21 | $9.01 | $0.06 – $0.26 | 7 |
| Follow-up angiography CPT 75898 | $4,728.80 | $5,911.00 | $42.96 – $2,708.42 | 14 |
| Followup eval of foot pt lop HCPCS G0246 | $71.20 | $89.00 | $18.40 – $48.41 | 10 |
| Follow-up surgery of eye CPT 66250 | $3,718.40 | $4,648.00 | $499.59 – $2,007.51 | 12 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $24.93 | $31.16 | $1.25 – $12.43 | 12 |
| Fondaparinux sodium HCPCS J1652 | $21.52 | $26.90 | $0.86 – $5.08 | 8 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $120.27 – $385.71 | 10 |
| Foot arch support remov prem HCPCS L3030 | $183.20 | $229.00 | $45.65 – $146.38 | 10 |
| Foot arch supp premold metat HCPCS L3050 | $113.60 | $142.00 | $28.16 – $90.30 | 10 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $179.20 | $224.00 | $44.57 – $142.94 | 10 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $125.56 – $402.67 | 10 |
| Foot insert plastazote or eq HCPCS L3002 | $388.00 | $485.00 | $96.61 – $309.82 | 10 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $79.12 – $253.73 | 10 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $104.23 – $334.30 | 10 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $73.26 – $234.94 | 10 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $104.23 – $334.30 | 10 |
| Foot longitud/metatarsal sup HCPCS L3020 | $476.00 | $595.00 | $118.67 – $380.61 | 10 |
| Foot plas heel stabi pre ots HCPCS L3170 | $122.40 | $153.00 | $30.43 – $97.58 | 10 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $235.29 – $754.59 | 10 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $151.97 – $487.39 | 10 |
| Foot X-ray CPT 73630 | $278.51 | $348.13 | $7.42 – $136.47 | 14 |
| Foot X-ray (2 views, both feet) CPT 73620 | $182.44 | $228.05 | $6.80 – $89.40 | 14 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $590.39 – $1,893.46 | 10 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,510.40 | $1,888.00 | $376.64 – $1,207.92 | 10 |
| Forearm X-ray (both sides) CPT 73090 | $306.65 | $383.31 | $7.10 – $150.26 | 14 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $2,767.20 | $3,459.00 | $897.38 – $3,150.27 | 12 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $522.10 – $2,023.82 | 6 |
| Forensic cytopathology CPT 88125 | $54.40 | $68.00 | $11.28 – $45.98 | 12 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $476.48 | $595.60 | $51.44 – $233.48 | 14 |
| Formoterol comp unit HCPCS J7640 | $2.40 | $3.00 | $0.97 – $1.52 | 3 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.70 – $14.85 | 6 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $2.40 | $3.00 | $0.01 – $0.17 | 8 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $15.90 – $54.15 | 10 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $42.96 | $53.69 | $0.17 – $2.65 | 8 |
| Fractionation ketosteroids CPT 83593 | $72.00 | $90.00 | $17.10 – $45.60 | 10 |
| Fracture assessment via dxa CPT 77086 | $62.40 | $78.00 | $7.42 – $75.76 | 12 |
| _fragile x methylation-sendout CPT 81244 | $127.86 | $159.82 | $26.93 – $71.82 | 12 |
| Fragmenting of kidney stone CPT 50590 | $3,678.40 | $4,598.00 | $519.67 – $2,967.84 | 12 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $333.62 – $1,069.94 | 10 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $345.39 – $1,107.70 | 10 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $416.41 – $1,335.50 | 10 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $436.56 – $1,400.11 | 10 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $1,433.30 – $5,395.43 | 10 |
| Freeing of bowel adhesion 44005 CPT 44005 | $2,684.00 | $3,355.00 | $958.07 – $2,553.49 | 10 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $1,880.84 – $4,949.09 | 10 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $1,433.30 – $5,442.09 | 10 |
| Free omental flap microvasc CPT 49906 | $4,726.40 | $5,908.00 | $1,880.84 – $5,994.27 | 10 |
| Free/remove chest lining 32320 CPT 32320 | $3,890.40 | $4,863.00 | $1,389.95 – $3,712.01 | 10 |
| Free skin flap microvasc CPT 15757 | not published | not published | $1,433.30 – $5,416.73 | 10 |
| Frenectomy 41115 CPT 41115 | $622.40 | $778.00 | $131.88 – $1,274.65 | 12 |
| Frenotomy 40806 CPT 40806 | $243.20 | $304.00 | $27.16 – $438.21 | 12 |
| Frenulotomy of penis CPT 54164 | $482.40 | $603.00 | $177.90 – $1,762.74 | 12 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $302.84 | $378.55 | $61.18 – $199.50 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $302.84 | $378.55 | $72.53 – $199.50 | 14 |
| Fresh frozen plasma thawing ea un CPT 86927 | $164.99 | $206.23 | $11.20 – $252.79 | 14 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $7.38 – $78.29 | 11 |
| Frozen blood freeze/thaw CPT 86932 | $144.00 | $180.00 | $33.78 – $111.15 | 12 |
| Frozen blood prep CPT 86930 | $156.80 | $196.00 | $66.19 – $252.79 | 12 |
| Frozen blood thaw CPT 86931 | $126.40 | $158.00 | $49.69 – $252.79 | 12 |
| Frozen cell preparation CPT 88241 | $24.80 | $31.00 | $12.08 – $19.34 | 10 |
| Frozen plasma, pooled, sd HCPCS P9023 | $302.84 | $378.55 | $53.62 – $199.50 | 14 |
| Fructosamine glycated protein CPT 82985 | $64.28 | $80.35 | $16.76 – $31.50 | 12 |
| Ft arch suprt premold longit HCPCS L3040 | $113.60 | $142.00 | $28.16 – $90.30 | 10 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $516.80 | $646.00 | $120.42 – $322.27 | 10 |
| Fth/gft fr trnk each addl CPT 15201 | $358.40 | $448.00 | $67.36 – $179.91 | 10 |
| Ft insert ucb berkeley shell HCPCS L3000 | $753.60 | $942.00 | $187.90 – $602.62 | 10 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $892.42 – $2,379.79 | 10 |
| Ftl cgen abnor five anal CPT 81512 | $139.20 | $174.00 | $41.71 – $111.23 | 10 |
| Ftl cgen abnor four anal CPT 81511 | $307.20 | $384.00 | $67.18 – $245.60 | 12 |
| Ftl cgen abnor three anal CPT 81510 | $111.20 | $139.00 | $33.32 – $88.86 | 10 |
| Ftl cgen abnor two proteins CPT 81508 | $127.86 | $159.82 | $32.58 – $86.88 | 12 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $232.99 – $747.23 | 10 |
| Full field erg w/i&r CPT 92273 | $266.40 | $333.00 | $32.80 – $267.96 | 12 |
| Full mouth x-ray of teeth CPT 70320 | $112.80 | $141.00 | $10.22 – $208.00 | 12 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $32.71 – $104.90 | 10 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $313.45 | $391.81 | $13.87 – $153.59 | 14 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,475.20 | $3,094.00 | $767.84 – $2,041.16 | 12 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,254.31 | $2,817.88 | $550.68 – $1,574.05 | 14 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $331.20 | $414.00 | $61.09 – $163.08 | 10 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,391.16 | $2,988.94 | $719.93 – $1,575.17 | 14 |
| Functional brain mapping CPT 96020 | $682.40 | $853.00 | $90.14 – $379.08 | 10 |
| Fundus photography with i&r 92250 CPT 92250 | $148.80 | $186.00 | $14.32 – $110.92 | 12 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,019.93 – $3,271.04 | 10 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $36.47 | $45.58 | $0.01 – $0.02 | 7 |
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.