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, factor x, (human), 1iu HCPCS J7175 | not published | not published | $8.99 – $15.86 | 10 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $34.72 – $55.16 | 10 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $62.05 – $106.71 | 2 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $19.33 – $30.32 | 10 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $115.40 – $224.68 | 10 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.03 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.10 – $1.93 | 10 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.15 – $11.88 | 9 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.93 – $4.59 | 8 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $139.13 – $241.51 | 6 |
| Inj follitropin beta 75 iu HCPCS S0128 | $307.20 | $384.00 | $132.13 – $393.11 | 6 |
| Inj for ext venography CPT 36005 | $1,444.80 | $1,806.00 | $41.66 – $625.77 | 12 |
| Inj for mammo ductogram CPT 19030 | $833.60 | $1,042.00 | $68.25 – $295.77 | 12 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.57 – $1.81 | 10 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $618.48 – $970.17 | 10 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $3.20 | $4.00 | $2.52 – $3.36 | 4 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $68.90 | 10 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $17.11 – $73.94 | 9 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $4.57 | $5.71 | $1.55 – $3.91 | 8 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $50.00 – $51.50 | 3 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $141.00 – $480.89 | 6 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $72.86 | $91.07 | $7.78 – $29.11 | 8 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $105.00 – $187.50 | 10 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,706.61 – $4,432.91 | 9 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.66 – $2.96 | 8 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $1.60 – $1.65 | 3 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $160.00 – $164.80 | 4 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $0.88 – $7.94 | 10 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $111.34 | $139.17 | $37.72 – $119.78 | 12 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $10.61 – $12.10 | 4 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,500,000.00 – $5,896,426.67 | 8 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $10.40 | $12.99 | $0.27 – $3.42 | 8 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $62.92 – $100.76 | 10 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $77.70 – $121.89 | 8 |
| Inj herzuma 10 mg HCPCS Q5113 | $148.96 | $186.19 | $25.34 – $123.99 | 12 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,616.29 | $3,270.36 | $40.28 – $1,281.98 | 12 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $127.20 | $159.00 | $45.05 – $118.56 | 10 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $132.00 | $165.00 | $47.35 – $124.23 | 10 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $564.78 | $705.97 | $23.12 – $276.74 | 12 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $564.78 | $705.97 | $22.67 – $276.74 | 12 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $0.01 – $2.43 | 10 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $8.34 | $10.42 | $2.82 – $8.29 | 12 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $17.60 | $22.00 | $13.64 – $15.66 | 4 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $65.40 – $127.02 | 10 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $9.09 – $14.27 | 8 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.22 – $4.18 | 10 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $50.57 – $94.85 | 6 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.13 – $0.21 | 8 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $483.84 – $791.09 | 10 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $3,211.17 | $4,013.96 | $129.27 – $1,573.47 | 14 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $35.72 – $55.18 | 5 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.45 – $1.49 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $330.93 | $413.66 | $26.71 – $170.99 | 14 |
| Inj intralesional > 7 lsns CPT 11901 | $171.20 | $214.00 | $41.09 – $170.99 | 12 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.53 – $20.73 | 10 |
| Inj ivig privigen 500 mg HCPCS J1459 | $152.01 | $190.01 | $49.18 – $80.69 | 12 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.72 – $3.06 | 10 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.01 – $4.24 | 10 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.47 – $2.53 | 10 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $4.07 | $5.08 | $0.47 – $2.13 | 8 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $79.21 – $87.84 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $119.16 | $148.94 | $5.01 – $39.12 | 12 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $2.16 | $2.70 | $0.73 – $2.12 | 12 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.68 – $0.71 | 4 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.92 – $35.24 | 10 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $13.19 – $45.92 | 6 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $2.52 | 6 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $22.12 | $27.64 | $6.40 – $13.05 | 12 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.14 – $8.22 | 8 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $7.04 | $8.80 | $0.01 – $0.03 | 7 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $6.34 – $26.08 | 5 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,100,000.00 – $5,218,168.00 | 8 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $318.49 – $526.56 | 10 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.73 – $37.43 | 10 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,045.83 – $5,061.04 | 9 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $422.40 | $528.00 | $53.83 – $112.90 | 8 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $51.73 – $81.14 | 7 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $2.84 – $3.22 | 4 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $110.19 – $874.19 | 10 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $66.07 – $103.64 | 7 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $483.97 – $489.25 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $751.90 – $1,260.46 | 8 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $122.04 – $242.75 | 6 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $44.24 | $55.30 | $2.22 – $11.00 | 8 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $2.09 – $2.75 | 5 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.11 – $3.49 | 8 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.60 – $2.60 | 8 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.15 – $15.78 | 4 |
| Inj, micafungin (par pharm) HCPCS J2247 | $3.10 | $3.87 | $0.31 – $0.80 | 8 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $34.74 – $77.24 | 8 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $217.73 – $397.60 | 10 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $25.22 – $40.35 | 8 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $7.29 – $12.25 | 6 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $7.10 – $7.82 | 5 |
| Inj multihance HCPCS A9577 | not published | not published | $1.82 – $3.79 | 6 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.81 – $3.23 | 6 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.31 – $0.95 | 4 |
| Inj naloxone hydrochloride HCPCS J2310 | $107.20 | $134.00 | $0.84 – $9.34 | 8 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $609.17 – $1,097.45 | 10 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,633.23 | $2,041.53 | $59.65 – $800.28 | 14 |
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.