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 |
|---|---|---|---|---|
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $53.52 – $83.95 | 7 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.18 – $6.63 | 8 |
| Inj dupuytren cord w/enzyme CPT 20527 | $768.58 | $960.72 | $58.93 – $376.60 | 14 |
| Inj, durolane 1 mg HCPCS J7318 | $16.00 | $20.00 | $6.66 – $756.70 | 10 |
| Inj dx for sinogram CPT 20501 | $393.03 | $491.28 | $32.85 – $192.58 | 12 |
| Inject for sacroiliac joint HCPCS G0259 | $1,323.20 | $1,654.00 | $230.40 – $1,692.77 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,376.05 | $1,720.06 | $75.01 – $674.26 | 14 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,072.00 | $1,340.00 | $61.25 – $306.70 | 12 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $48.74 – $83.26 | 10 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $396.75 – $770.51 | 10 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.71 – $31.69 | 8 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $779.24 – $779.24 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $1,420.72 | $1,775.90 | $50.79 – $348.08 | 14 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $148.35 – $164.80 | 4 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $0.13 – $4.65 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | $113.28 | $141.59 | $38.31 – $111.74 | 12 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.47 – $0.47 | 2 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.33 – $1.74 | 6 |
| Injection during cath supravalvular aortography CPT 93567 | $2,498.88 | $3,123.59 | $32.10 – $1,224.45 | 12 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $19.21 – $30.14 | 10 |
| Injection epidural blood patch or clot CPT 62273 | $1,675.94 | $2,094.92 | $103.07 – $821.21 | 14 |
| Injection estrone per 1 mg HCPCS J1435 | $0.80 | $1.00 | $0.03 – $0.41 | 4 |
| Injection eye drug CPT 67028 | $504.00 | $630.00 | $83.20 – $285.42 | 12 |
| Injection, famotidine, 20 mg HCPCS S0028 | $71.56 | $89.45 | $0.90 – $42.40 | 6 |
| Injection for arthrography wrist (both sides) CPT 25246 | $910.40 | $1,138.00 | $65.66 – $258.21 | 12 |
| Injection for bladder x-ray CPT 51600 | $636.61 | $795.76 | $39.10 – $311.94 | 12 |
| Injection for hip x-ray CPT 27095 | $1,432.00 | $1,790.00 | $73.04 – $195.12 | 10 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $752.00 | $940.00 | $45.05 – $234.43 | 12 |
| Injection for spleen x-ray CPT 38200 | $341.60 | $427.00 | $117.44 – $313.07 | 10 |
| Injection for tear sac x-ray CPT 68850 | $392.00 | $490.00 | $46.85 – $124.47 | 10 |
| Injection for ureter x-ray CPT 50684 | $614.28 | $767.85 | $45.85 – $301.00 | 12 |
| Injection for ureter x-ray CPT 50690 | $268.80 | $336.00 | $63.66 – $168.01 | 10 |
| Injection, fosphenytoin sodi HCPCS S0078 | $126.20 | $157.75 | $26.50 – $52.75 | 8 |
| Injection, fulvestrant HCPCS J9395 | $119.20 | $149.00 | $0.40 – $11.16 | 12 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $57.50 – $1,965.92 | 10 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $411.74 – $411.74 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $19.54 | $24.42 | $6.60 – $19.76 | 12 |
| Injection into brain canal CPT 61026 | $261.60 | $327.00 | $98.38 – $595.92 | 12 |
| Injection into brain canal CPT 61055 | $304.00 | $380.00 | $103.81 – $278.49 | 12 |
| Injection into hemorrhoid(s) CPT 46500 | $731.20 | $914.00 | $166.00 – $784.53 | 12 |
| Injection into spinal artery CPT 62294 | $2,231.20 | $2,789.00 | $766.10 – $2,199.58 | 12 |
| Injection into vocal cord CPT 31513 | $323.20 | $404.00 | $117.99 – $334.14 | 12 |
| Injection intraop add-on CPT 48400 | not published | not published | $92.03 – $245.68 | 10 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.95 – $1.62 | 9 |
| Injection jaw joint x-ray CPT 21116 | $964.80 | $1,206.00 | $40.23 – $107.51 | 10 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.18 – $1.99 | 5 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $9.17 | 10 |
| Injection of HIV prep drug HCPCS G0012 | $33.60 | $42.00 | $13.03 – $102.66 | 12 |
| Injection of sinus tract CPT 20500 | $282.40 | $353.00 | $82.16 – $1,274.65 | 12 |
| Injection,onabotulinumtoxina HCPCS J0585 | $11.04 | $13.80 | $1.04 – $10.40 | 12 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $97.70 – $189.29 | 6 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.58 – $2.68 | 9 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $2.09 – $3.12 | 4 |
| Injection px peyronie ds CPT 54200 | $275.20 | $344.00 | $80.06 – $212.00 | 12 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $699.68 | $874.60 | $28.85 – $345.78 | 14 |
| Injection, renflexis HCPCS Q5104 | $121.87 | $152.33 | $7.54 – $40.08 | 12 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.28 – $58.78 | 10 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $3,594.50 | $4,493.12 | $158.72 – $1,183.94 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,006.34 | $1,257.92 | $57.96 – $595.92 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $2,134.95 | $2,668.68 | $37.70 – $595.92 | 14 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,351.88 | $4,189.84 | $101.33 – $821.21 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,199.46 | $1,499.32 | $53.91 – $293.87 | 12 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,690.63 | $3,363.28 | $95.94 – $766.10 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,199.46 | $1,499.32 | $46.23 – $293.87 | 12 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,664.76 | $3,330.94 | $82.54 – $766.10 | 14 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,510.00 | $1,887.49 | $97.63 – $739.90 | 14 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,510.00 | $1,887.49 | $90.27 – $739.90 | 14 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $119.87 – $259.13 | 10 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $517.24 | $646.54 | $35.19 – $254.01 | 14 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $517.24 | $646.54 | $33.02 – $254.01 | 14 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $517.24 | $646.54 | $37.55 – $254.01 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $92.20 | $115.24 | $5.88 – $45.17 | 8 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $16.00 – $24.88 | 4 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $4.00 | $5.00 | $3.04 – $3.57 | 3 |
| Injection treatment of eye CPT 66020 | $955.20 | $1,194.00 | $118.46 – $1,962.57 | 12 |
| Injection treatment of eye CPT 66030 | $852.80 | $1,066.00 | $100.23 – $1,962.57 | 12 |
| Injection treatment of nerve CPT 64605 | $3,219.20 | $4,024.00 | $365.75 – $1,680.36 | 12 |
| Injection treatment of nerve CPT 64610 | $3,731.20 | $4,664.00 | $418.25 – $1,680.36 | 12 |
| Injection treatment of nerve CPT 64681 | $1,368.00 | $1,710.00 | $201.28 – $766.10 | 12 |
| Injection treatment of nose CPT 30200 | $273.60 | $342.00 | $54.47 – $438.21 | 12 |
| Inject sacroiliac joint CPT 27096 | $801.60 | $1,002.00 | $75.78 – $201.32 | 10 |
| Inject/treat eye socket CPT 67500 | $366.40 | $458.00 | $58.84 – $257.23 | 12 |
| Inject/treat eye socket CPT 67505 | $414.40 | $518.00 | $65.04 – $257.23 | 12 |
| Inject/treat eye socket CPT 67515 | $342.40 | $428.00 | $42.42 – $257.23 | 12 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.98 – $50.16 | 7 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $39.14 – $66.38 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.13 – $53.98 | 8 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.54 – $38.58 | 10 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $366.67 – $610.62 | 10 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.98 – $91.89 | 10 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,510.00 | $1,887.49 | $88.79 – $739.90 | 14 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,510.00 | $1,887.49 | $71.11 – $766.10 | 14 |
| Inj, epinephrine (belcher) HCPCS J0173 | $12.90 | $16.12 | $1.14 – $2.33 | 8 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.02 – $1.47 | 5 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $16.65 – $27.44 | 8 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $3.36 – $4.13 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $183.31 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $179.14 – $303.60 | 10 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $15.06 – $27.80 | 10 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,200,000.00 – $3,731,200.00 | 8 |
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.