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 |
|---|---|---|---|---|
| Ghs flow volume loop CPT 94375 | $232.92 | $291.14 | $13.13 – $267.96 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | $499.78 | $624.72 | $19.13 – $267.96 | 14 |
| Ghs hcv amplificaiton CPT 87521 | $88.80 | $111.00 | $21.05 – $56.14 | 12 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $64.28 | $80.35 | $11.40 – $36.75 | 12 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $48.57 | $60.71 | $9.29 – $24.78 | 12 |
| Ghs hgb stability-thal CPT 83068 | $33.57 | $41.96 | $5.68 – $16.45 | 12 |
| Ghs histoplasma antigen CPT 87385 | $38.58 | $48.22 | $7.95 – $21.20 | 12 |
| Ghs HIV antibody CPT 86703 | $48.57 | $60.71 | $8.23 – $23.80 | 12 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $212.80 | $266.00 | $62.18 – $169.82 | 12 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $6,564.01 | $8,205.01 | $193.91 – $3,216.36 | 14 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,846.79 | $4,808.48 | $383.84 – $1,884.92 | 14 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,418.78 | $1,773.47 | $152.64 – $695.20 | 14 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $512.80 | $641.00 | $94.69 – $605.44 | 14 |
| Ghs immun0electrophoresis CPT 86320 | $110.00 | $137.50 | $10.94 – $53.90 | 12 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $485.22 | $606.52 | $99.18 – $264.07 | 14 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $520.00 | $650.00 | $120.67 – $322.90 | 12 |
| Ghs inf midline insertion CPT 36140 | $1,701.18 | $2,126.47 | $76.43 – $833.58 | 12 |
| Ghs inhibitor screen CPT 85335 | $32.85 | $41.06 | $7.72 – $20.59 | 12 |
| Ghs init tx 1st degree burn CPT 16000 | $258.13 | $322.66 | $40.75 – $170.99 | 14 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $2,911.30 | $3,639.12 | $161.85 – $1,426.54 | 14 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,523.12 | $3,153.90 | $109.38 – $766.10 | 14 |
| Ghs inj tendon origin/insertion CPT 20551 | $682.21 | $852.76 | $34.89 – $334.28 | 14 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,537.16 | $1,921.44 | $55.95 – $376.60 | 12 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $3,351.88 | $4,189.84 | $119.11 – $821.21 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $235.83 | $294.78 | $52.85 – $343.37 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $943.20 | $1,179.00 | $216.14 – $444.46 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,051.20 | $1,314.00 | $235.21 – $526.74 | 14 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,499.32 | $1,874.15 | $290.81 – $1,574.05 | 14 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $499.78 | $624.72 | $17.43 – $244.89 | 8 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $523.20 | $654.00 | $120.07 – $280.64 | 14 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $92.20 | $115.24 | $16.28 – $45.17 | 14 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,257.60 | $1,572.00 | $272.15 – $559.20 | 14 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $681.60 | $852.00 | $137.97 – $343.37 | 14 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $617.60 | $772.00 | $137.05 – $343.80 | 14 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $619.20 | $774.00 | $131.87 – $343.80 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $667.20 | $834.00 | $152.89 – $343.80 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $750.40 | $938.00 | $155.82 – $376.22 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $738.40 | $923.00 | $177.52 – $365.90 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $875.20 | $1,094.00 | $155.82 – $399.83 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $795.20 | $994.00 | $185.41 – $379.05 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $911.20 | $1,139.00 | $193.18 – $526.74 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $920.00 | $1,150.00 | $155.82 – $420.15 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $995.20 | $1,244.00 | $202.52 – $526.74 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,190.40 | $1,488.00 | $164.73 – $549.78 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,188.80 | $1,486.00 | $202.52 – $571.50 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,397.60 | $1,747.00 | $343.80 – $913.88 | 12 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,304.00 | $1,630.00 | $310.75 – $1,574.05 | 12 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,485.60 | $1,857.00 | $343.80 – $996.82 | 12 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $33.57 | $41.96 | $5.16 – $16.45 | 12 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $14.90 – $20.59 | 2 |
| Ghs mbp CPT 83873 | $64.28 | $80.35 | $10.32 – $31.50 | 12 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $365.86 | $457.32 | $21.93 – $179.27 | 12 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $365.86 | $457.32 | $74.90 – $196.35 | 12 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $365.86 | $457.32 | $67.25 – $179.27 | 12 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $105.79 | $132.23 | $10.34 – $51.83 | 12 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $142.40 | $178.00 | $36.16 – $85.60 | 12 |
| Ghs musc test done w/n test comp CPT 95886 | $357.12 | $446.39 | $41.26 – $174.98 | 12 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $357.12 | $446.39 | $16.78 – $174.98 | 12 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $188.26 | $235.32 | $33.75 – $92.25 | 12 |
| Ghs myocardial strain img spckl track CPT 93356 | $664.75 | $830.93 | $10.72 – $325.72 | 12 |
| Ghs nailbed repair/nail removal CPT 11760 | $478.40 | $598.00 | $99.39 – $526.74 | 14 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,816.64 | $2,270.80 | $22.38 – $890.15 | 14 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,067.48 | $1,334.34 | $53.25 – $595.92 | 14 |
| Ghs nerve block axillary nerve CPT 64417 | $1,399.37 | $1,749.21 | $58.77 – $766.10 | 14 |
| Ghs nerve block brachial plexus CPT 64415 | $693.87 | $867.33 | $63.73 – $766.10 | 14 |
| Ghs nerve block celiac plexus CPT 64530 | $2,259.18 | $2,823.97 | $85.96 – $1,107.00 | 14 |
| Ghs nerve block interscaline CPT 64510 | $2,280.52 | $2,850.65 | $69.29 – $1,117.45 | 14 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,607.04 | $2,008.79 | $77.19 – $787.45 | 14 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,006.34 | $1,257.92 | $65.34 – $595.92 | 14 |
| Ghs nerve block suprascapular CPT 64418 | $1,253.80 | $1,567.25 | $50.20 – $614.36 | 14 |
| Ghs ng placement w fluoro guidance CPT 43752 | $237.76 | $297.20 | $35.95 – $343.37 | 14 |
| Ghs o2 saturation CPT 82810 | $33.57 | $41.96 | $5.86 – $16.45 | 12 |
| Ghs o2 uptake rest & exercise CPT 94680 | $118.40 | $148.00 | $11.36 – $134.63 | 12 |
| Ghs o2 uptake rest & indirect CPT 94690 | $108.80 | $136.00 | $3.30 – $51.11 | 12 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $28.80 | $36.00 | $30.52 – $68.07 | 11 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,899.13 | $2,373.91 | $30.09 – $930.57 | 14 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,199.00 | $2,748.75 | $160.96 – $1,336.74 | 14 |
| Ghs optokenetic CPT 92544 | $50.40 | $63.00 | $2.80 – $134.63 | 12 |
| Ghs oscillating trac CPT 92545 | $46.40 | $58.00 | $2.83 – $267.96 | 12 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $69.60 | $87.00 | $20.93 – $40.92 | 14 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $100.80 | $126.00 | $21.77 – $83.77 | 12 |
| Ghs ot dds rom CPT 95851 | $48.00 | $60.00 | $7.10 – $18.67 | 10 |
| Ghs ot group caregiver training CPT 97552 | $52.00 | $65.00 | $9.95 – $16.62 | 9 |
| Ghs ot prosthetic training/15 min CPT 97761 | $113.54 | $141.92 | $38.18 – $63.76 | 12 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $132.95 | $166.18 | $36.58 – $91.60 | 12 |
| Ghs ot work hardening-additional hours CPT 97546 | $68.00 | $85.00 | $59.43 – $99.35 | 6 |
| Ghs pacing - transcutaneous CPT 92953 | $1,299.42 | $1,624.27 | $0.77 – $636.71 | 14 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,199.46 | $1,499.32 | $54.36 – $293.87 | 12 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,199.46 | $1,499.32 | $46.82 – $293.87 | 12 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $55.20 | $69.00 | $22.73 – $49.54 | 10 |
| Ghs peritonsillar abscess i andd CPT 42700 | $546.36 | $682.94 | $123.28 – $329.10 | 14 |
| Ghs phenylketonurid CPT 84030 | $33.57 | $41.96 | $3.30 – $16.45 | 12 |
| Ghs picc line insert < 5 CPT 36568 | $1,403.24 | $1,754.05 | $83.17 – $1,336.74 | 14 |
| Ghs plngl fx pm cl CPT 26725 | $832.80 | $1,041.00 | $131.19 – $618.00 | 14 |
| Ghs plt ct-manual CPT 85032 | $33.57 | $41.96 | $2.59 – $16.45 | 12 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,263.57 | $4,079.46 | $112.90 – $1,599.15 | 14 |
| Ghs pos nystagmus CPT 92542 | $73.60 | $92.00 | $2.82 – $110.92 | 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.