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 |
|---|---|---|---|---|
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $334.52 | $418.14 | $35.68 – $221.88 | 12 |
| Jak2 targeted sequence analysis CPT 81279 | $370.40 | $463.00 | $77.78 – $296.32 | 12 |
| Jaw arthroscopy/surgery CPT 29800 | $2,595.20 | $3,244.00 | $481.60 – $2,791.99 | 12 |
| Jaw arthroscopy/surgery CPT 29804 | $3,110.40 | $3,888.00 | $544.75 – $2,791.99 | 12 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $506.57 | $633.21 | $10.57 – $248.22 | 14 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $476.48 | $595.60 | $11.19 – $233.48 | 14 |
| Jejunstmy tube plcmt CPT 44372 | $604.80 | $756.00 | $213.23 – $1,632.36 | 12 |
| John cunningham antibody CPT 86711 | $48.57 | $60.71 | $10.13 – $27.02 | 12 |
| J-tube placement CPT 44015 | $348.80 | $436.00 | $122.12 – $326.40 | 10 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $656.27 – $2,104.74 | 10 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $606.38 – $1,944.75 | 10 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $963.76 – $3,090.88 | 10 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $543.59 – $1,743.38 | 10 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $673.03 – $2,158.48 | 10 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $671.09 – $2,152.30 | 10 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $453.39 – $1,454.08 | 10 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,240.60 – $3,978.75 | 10 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $936.14 – $3,002.30 | 10 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $103.61 – $332.29 | 10 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $570.07 – $1,828.30 | 10 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $2,451.01 – $7,860.69 | 10 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $522.47 – $1,675.65 | 10 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $803.57 – $2,577.15 | 10 |
| Keratomileusis CPT 65760 | not published | not published | $1,134.20 – $3,535.32 | 6 |
| Keratophakia CPT 65765 | not published | not published | $1,639.90 – $5,125.89 | 6 |
| Keratoprosthesis CPT 65770 | $6,963.20 | $8,704.00 | $1,263.01 – $12,295.96 | 12 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $580.92 – $580.92 | 1 |
| Ketamine and metabolite screen - quest CPT 80357 | $72.14 | $90.17 | $13.16 – $44.99 | 8 |
| Ketogenic steroids fract CPT 83582 | $39.20 | $49.00 | $9.28 – $24.75 | 10 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $33.57 | $41.96 | $8.17 – $16.45 | 12 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $76.00 | $95.00 | $0.09 – $0.51 | 12 |
| Kidney endoscopy CPT 50551 | $1,808.00 | $2,260.00 | $263.37 – $4,374.46 | 12 |
| Kidney endoscopy CPT 50553 | $1,932.80 | $2,416.00 | $281.30 – $4,374.46 | 12 |
| Kidney endoscopy CPT 50570 | $2,486.40 | $3,108.00 | $439.26 – $2,967.84 | 12 |
| Kidney endoscopy CPT 50575 | $3,617.60 | $4,522.00 | $637.64 – $4,374.46 | 12 |
| Kidney endoscopy & biopsy CPT 50555 | $2,072.00 | $2,590.00 | $305.71 – $7,957.18 | 12 |
| Kidney endoscopy & biopsy CPT 50574 | $2,860.80 | $3,576.00 | $504.97 – $2,967.84 | 12 |
| Kidney endoscopy & treatment CPT 50557 | $2,105.60 | $2,632.00 | $309.51 – $7,957.18 | 12 |
| Kidney endoscopy & treatment CPT 50561 | $2,384.00 | $2,980.00 | $352.85 – $4,374.46 | 12 |
| Kidney endoscopy & treatment CPT 50576 | $2,852.80 | $3,566.00 | $503.71 – $7,957.18 | 12 |
| Kidney endoscopy & treatment CPT 50580 | $3,075.20 | $3,844.00 | $542.33 – $4,374.46 | 12 |
| Kidney function study CPT 78725 | $241.60 | $302.00 | $15.69 – $345.78 | 12 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $50.00 – $50.00 | 2 |
| Kidney imaging morphology CPT 78700 | $999.56 | $1,249.44 | $19.28 – $489.78 | 14 |
| Kidney imag w/bld flow multi CPT 78709 | $1,679.76 | $2,099.69 | $59.93 – $823.08 | 14 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,679.76 | $2,099.69 | $40.80 – $823.08 | 14 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $733.65 | $917.06 | $32.21 – $359.49 | 14 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $500.74 | $625.92 | $25.41 – $245.36 | 14 |
| Kit case 4.2mm spinejack HCPCS C1062 | $971.42 | $1,214.27 | $329.07 – $639.92 | 5 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $103.20 | $129.00 | $25.66 – $82.32 | 10 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $20.00 | $25.00 | $4.88 – $15.66 | 10 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $12,032.00 | $15,040.00 | $4,075.84 – $7,926.08 | 5 |
| Kit gene analys d816 variant CPT 81273 | $250.40 | $313.00 | $55.94 – $199.79 | 12 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $9.64 – $30.90 | 10 |
| Kit lead specify 5-6-5 HCPCS C1778 | $3,587.32 | $4,484.14 | $1,215.20 – $2,363.14 | 5 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $22.17 – $35.34 | 6 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,032.10 – $3,310.08 | 10 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,306.56 | $2,883.20 | $781.35 – $1,519.45 | 5 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $0.79 – $25.61 | 6 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | $3,052.80 | $3,816.00 | $562.05 – $2,791.99 | 12 |
| Knee arthroscopy/drainage CPT 29871 | $2,524.80 | $3,156.00 | $467.59 – $2,791.99 | 12 |
| Knee arthroscopy dx CPT 29870 | $2,803.20 | $3,504.00 | $376.54 – $2,791.99 | 12 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $2,659.20 | $3,324.00 | $490.70 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29850 | $3,062.40 | $3,828.00 | $565.81 – $1,502.39 | 12 |
| Knee arthroscopy/surgery CPT 29851 | $4,576.00 | $5,720.00 | $836.06 – $2,221.42 | 12 |
| Knee arthroscopy/surgery CPT 29873 | $2,596.80 | $3,246.00 | $488.47 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29874 | $2,644.80 | $3,306.00 | $485.54 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29875 | $2,440.00 | $3,050.00 | $450.38 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29876 | $3,216.00 | $4,020.00 | $590.39 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29879 | $3,254.40 | $4,068.00 | $598.26 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29880 | $2,761.60 | $3,452.00 | $508.84 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29882 | $3,408.00 | $4,260.00 | $621.98 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29883 | $4,137.60 | $5,172.00 | $755.67 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29884 | $3,043.20 | $3,804.00 | $560.82 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29886 | $3,124.80 | $3,906.00 | $577.06 – $2,791.99 | 12 |
| Knee arthroscopy/surgery CPT 29887 | $3,691.20 | $4,614.00 | $680.85 – $6,147.19 | 12 |
| Knee arthroscopy/surgery CPT 29888 | $4,832.00 | $6,040.00 | $874.13 – $6,147.19 | 12 |
| Knee arthroscopy/surgery CPT 29889 | $6,014.40 | $7,518.00 | $1,099.52 – $11,071.91 | 12 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $59.95 – $192.27 | 10 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $43.90 – $140.78 | 10 |
| Knee control full kneecap HCPCS L2795 | $192.00 | $240.00 | $47.76 – $153.17 | 10 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $403.41 – $1,293.78 | 10 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $400.38 – $1,284.06 | 10 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $85.73 – $274.94 | 10 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $85.73 – $274.94 | 10 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $72.66 – $233.02 | 10 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $52.15 – $167.23 | 10 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $57.31 – $183.81 | 10 |
| Knee MRI (with and without contrast) CPT 73723 | $4,941.45 | $6,176.81 | $94.35 – $2,421.31 | 14 |
| Knee MRI (with contrast) CPT 73722 | $4,520.28 | $5,650.34 | $71.16 – $2,214.93 | 14 |
| Knee MRI (without contrast) CPT 73721 | $2,729.83 | $3,412.28 | $59.32 – $1,337.61 | 14 |
| Knee orth pos locking joint HCPCS L1831 | $1,369.20 | $1,711.50 | $176.04 – $670.91 | 12 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,096.23 – $3,515.74 | 10 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $727.31 – $2,332.56 | 10 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $260.08 – $834.11 | 10 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $489.90 – $1,571.17 | 10 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $342.82 – $1,099.47 | 10 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $285.38 – $915.26 | 10 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $1,213.84 – $3,892.93 | 10 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $1,516.52 – $4,863.68 | 10 |
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.