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 |
|---|---|---|---|---|
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,796.00 | $2,245.00 | $631.04 – $2,708.42 | 12 |
| Ligation internal jugular vein 37565 CPT 37565 | $3,564.80 | $4,456.00 | $641.72 – $2,708.42 | 12 |
| Ligation major artery chest CPT 37616 | $2,701.60 | $3,377.00 | $993.62 – $2,613.99 | 10 |
| Ligation/major artery/extremity 37618 CPT 37618 | $948.80 | $1,186.00 | $342.29 – $917.83 | 10 |
| Ligation major artery neck CPT 37615 | $1,288.80 | $1,611.00 | $458.76 – $2,708.42 | 12 |
| Ligation nasal sinus artery CPT 30915 | $1,448.80 | $1,811.00 | $539.99 – $2,708.42 | 12 |
| Ligation of abdomen artery 37617 CPT 37617 | $3,266.40 | $4,083.00 | $1,149.55 – $3,077.42 | 10 |
| Ligation of femoral vein CPT 37650 | $2,232.00 | $2,790.00 | $395.30 – $2,708.42 | 12 |
| Ligation of inf vena cava CPT 37619 | $6,098.21 | $7,622.76 | $1,500.18 – $4,651.61 | 14 |
| Ligation of neck artery CPT 37606 | $1,693.60 | $2,117.00 | $636.61 – $2,708.42 | 12 |
| Ligation of salivary duct CPT 42665 | $844.80 | $1,056.00 | $198.33 – $2,790.66 | 12 |
| Ligation of shunt CPT 49428 | $1,056.80 | $1,321.00 | $378.92 – $1,009.76 | 10 |
| Ligation upper jaw artery CPT 30920 | $2,101.60 | $2,627.00 | $779.58 – $2,708.42 | 12 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $1,728.00 | $2,160.00 | $218.54 – $2,708.42 | 12 |
| Lig/band angioaccess av fistula CPT 37607 | $915.20 | $1,144.00 | $323.72 – $2,708.42 | 12 |
| Lig&div&compl strpg saph vn CPT 37735 | $2,827.20 | $3,534.00 | $499.54 – $2,708.42 | 12 |
| Liletta, 52 mg HCPCS J7297 | $1,259.90 | $1,574.87 | $426.79 – $931.73 | 8 |
| Limb exercise test CPT 95875 | $290.40 | $363.00 | $53.30 – $139.91 | 12 |
| Limb nerve surgery add-on CPT 64783 | $536.80 | $671.00 | $189.12 – $503.37 | 10 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $26.72 – $85.70 | 10 |
| Limited autopsy CPT 88036 | not published | not published | $93.94 – $601.77 | 6 |
| Limited autopsy CPT 88037 | not published | not published | $83.47 – $487.86 | 6 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $69.62 – $223.30 | 10 |
| Limited visual field xm CPT 92081 | $79.20 | $99.00 | $14.58 – $51.11 | 12 |
| Lincomycin injection HCPCS J2010 | $10.40 | $13.00 | $6.24 – $15.46 | 6 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $66.42 | $83.02 | $2.14 – $4.16 | 8 |
| Lipase CPT 83690 | $33.57 | $41.96 | $4.13 – $16.45 | 12 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $1,204.80 | $1,506.00 | $317.76 – $2,790.66 | 12 |
| Lipoprotein blood high res frac & quant CPT 83701 | $86.42 | $108.02 | $20.32 – $54.18 | 12 |
| Lipoprotein blood quant CPT 83704 | $86.42 | $108.02 | $20.51 – $54.70 | 12 |
| Lipoprotein direct measurement hdl CPT 83718 | $33.57 | $41.96 | $4.91 – $16.45 | 12 |
| Lipoprotein direct measurement ldl CPT 83721 | $33.57 | $41.96 | $6.30 – $16.80 | 12 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $20.51 – $54.70 | 10 |
| Lip surgery procedure CPT 40799 | not published | not published | $199.83 – $342.57 | 10 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $496,390.21 – $866,617.05 | 9 |
| Listeria monocytogenes CPT 86723 | $33.60 | $42.00 | $7.91 – $21.10 | 10 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $96.64 – $309.94 | 10 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $38.77 – $124.34 | 10 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $302.46 – $970.03 | 10 |
| Lithium therapeutic drug level CPT 80178 | $66.43 | $83.03 | $3.97 – $32.55 | 12 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,186.57 | $2,733.21 | $131.51 – $1,071.42 | 12 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,034.53 – $2,740.74 | 10 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,227.23 – $3,278.29 | 10 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $2,970.40 | $3,713.00 | $1,065.56 – $2,839.85 | 10 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $756.00 | $945.00 | $176.19 – $999.76 | 10 |
| Liver elastography 91200 CPT 91200 | $80.80 | $101.00 | $9.60 – $134.63 | 12 |
| Liver Function Test CPT 80076 | $68.56 | $85.70 | $4.90 – $33.59 | 12 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,248.81 – $3,382.94 | 10 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $85.00 – $85.00 | 2 |
| Liver imaging CPT 78201 | $417.60 | $522.00 | $18.66 – $463.18 | 12 |
| Liver imaging (3d) CPT 78205 | not published | not published | $61.00 – $61.00 | 2 |
| Liver imag w/vasclr flow CPT 78202 | $446.40 | $558.00 | $21.96 – $463.18 | 12 |
| Liver/spleen imag static only CPT 78215 | $430.40 | $538.00 | $21.17 – $345.78 | 12 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,067.48 | $1,334.34 | $25.08 – $523.06 | 14 |
| Lmtd oph exam general anes CPT 92019 | $155.20 | $194.00 | $67.03 – $2,007.51 | 12 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $3,280.00 | $4,100.00 | $426.83 – $2,791.99 | 12 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $1,701.44 – $5,456.72 | 10 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.89 | $1.11 | $0.30 – $1.89 | 8 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $12.99 – $121.49 | 6 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $206.41 – $346.79 | 10 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $67.55 – $216.66 | 10 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $0.40 – $0.57 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $75.76 | $94.70 | $0.08 – $1.57 | 8 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $46.63 – $96.54 | 10 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $46.63 – $149.54 | 10 |
| Loudness balance test CPT 92562 | $93.60 | $117.00 | $43.86 – $267.96 | 12 |
| Low back disk surgery CPT 63030 | $4,667.20 | $5,834.00 | $805.66 – $6,147.19 | 12 |
| Low cost skin substitute app HCPCS C5271 | $1,383.84 | $1,729.80 | $575.67 – $911.60 | 11 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,720.28 – $2,698.48 | 8 |
| Low cost skin substitute app HCPCS C5275 | $1,383.84 | $1,729.80 | $575.67 – $911.60 | 11 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $575.67 – $903.01 | 8 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $359.90 | $449.87 | $47.19 – $176.35 | 14 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,674.52 | $3,343.14 | $55.26 – $1,310.51 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,426.09 | $3,032.61 | $53.20 – $1,188.78 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,161.16 | $2,701.44 | $43.57 – $1,058.96 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $5,408.23 | $6,760.28 | $100.51 – $2,650.03 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,520.28 | $5,650.34 | $78.25 – $2,214.93 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,729.83 | $3,412.28 | $64.86 – $1,337.61 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $514.23 | $642.78 | $9.92 – $251.97 | 14 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $514.23 | $642.78 | $11.81 – $251.97 | 14 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $514.23 | $642.78 | $13.54 – $251.97 | 14 |
| Lower jaw bone graft CPT 21215 | $10,059.20 | $12,574.00 | $728.45 – $5,090.43 | 12 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $221.27 | $276.58 | $7.10 – $108.42 | 14 |
| Low frequency non-thermal Ultrasound CPT 97610 | $728.00 | $910.00 | $16.63 – $27.77 | 10 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.00 – $112.30 | 4 |
| Lsh uterus 250 g or less CPT 58541 | $1,818.40 | $2,273.00 | $656.72 – $8,958.86 | 12 |
| Lsh uterus above 250 g CPT 58543 | $2,100.00 | $2,625.00 | $753.74 – $8,958.86 | 12 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $2,068.80 | $2,586.00 | $743.64 – $8,958.86 | 12 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $2,262.40 | $2,828.00 | $810.90 – $8,958.86 | 12 |
| Lso corset front HCPCS L0972 | not published | not published | $58.81 – $188.62 | 10 |
| Lso flex no ri stays pre ots HCPCS L0628 | $164.80 | $206.00 | $50.18 – $103.89 | 10 |
| Lso full corset HCPCS L0976 | not published | not published | $100.13 – $321.14 | 10 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $96.86 – $310.62 | 10 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $788.90 – $2,530.08 | 10 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $712.41 – $1,475.06 | 10 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $96.86 – $200.54 | 10 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $601.58 – $1,929.36 | 10 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $989.53 – $3,173.57 | 10 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $171.51 – $550.06 | 10 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $171.51 – $355.12 | 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.