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 |
|---|---|---|---|---|
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $625.90 – $2,007.33 | 10 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $712.41 – $2,284.78 | 10 |
| L/s ratio fetal lung CPT 83661 | $55.20 | $69.00 | $13.19 – $35.18 | 10 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.12 – $3.57 | 10 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $35.75 – $114.67 | 10 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $43.64 – $139.97 | 10 |
| Lumbar diskogram s&i CPT 72295 | $2,949.15 | $3,686.43 | $36.59 – $1,680.36 | 14 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $44.32 – $142.16 | 10 |
| Lumbar sling HCPCS L1090 | not published | not published | $52.03 – $166.85 | 10 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $3,842.40 | $4,803.00 | $1,386.72 – $15,824.65 | 12 |
| Lumizyme injection HCPCS J0221 | $216.00 | $270.00 | $201.57 – $330.58 | 10 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $239.70 | $299.62 | $9.33 – $267.96 | 14 |
| Lung function test (mbc/mvv) CPT 94200 | $120.34 | $150.42 | $2.36 – $58.96 | 14 |
| Lung Function Test (Spirometry) CPT 94010 | $145.57 | $181.96 | $7.42 – $134.63 | 14 |
| Lung perfusion imaging CPT 78580 | $1,643.92 | $2,054.89 | $31.91 – $805.52 | 14 |
| Lung transplant double CPT 32853 | not published | not published | $3,934.93 – $10,485.68 | 10 |
| Lung transplant single CPT 32851 | not published | not published | $2,812.69 – $7,508.06 | 10 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,040.50 – $8,112.02 | 10 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,158.98 – $11,103.34 | 10 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,273.83 – $3,400.53 | 10 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $311.01 | $388.76 | $54.61 – $329.80 | 12 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $89.21 | $111.51 | $10.75 – $67.14 | 12 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $286.34 – $500.30 | 9 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $240.20 – $405.09 | 8 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $306.06 – $981.58 | 10 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $132.00 | $165.00 | $21.08 – $76.37 | 12 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $169.07 – $542.22 | 10 |
| Lyme dis dna dir probe CPT 87475 | $50.40 | $63.00 | $12.03 – $32.08 | 10 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $1,748.00 | $2,185.00 | $635.24 – $1,691.02 | 10 |
| Lymphatics/lymph node imaging CPT 78195 | $1,784.63 | $2,230.78 | $51.07 – $874.47 | 14 |
| Lymphocyte culture mixed CPT 86821 | $92.00 | $115.00 | $21.94 – $58.50 | 10 |
| Lymphocyte transformation mitogen CPT 86353 | $123.20 | $154.00 | $29.42 – $78.45 | 12 |
| Lymphocytotoxicity assay CPT 86805 | $379.20 | $474.00 | $100.51 – $303.22 | 10 |
| Lymphocytotoxicity assay CPT 86806 | $120.00 | $150.00 | $28.55 – $76.14 | 10 |
| Lymph vessel x-ray arm/leg CPT 75801 | $919.20 | $1,149.00 | $38.16 – $532.02 | 12 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,340.00 | $2,925.00 | $51.28 – $1,336.74 | 12 |
| Lymph vessel x-ray trunk CPT 75805 | $4,700.00 | $5,875.00 | $35.65 – $2,708.42 | 12 |
| Lymph vessel x-ray trunk CPT 75807 | $4,714.40 | $5,893.00 | $48.04 – $2,708.42 | 12 |
| Lysis intranasal synechia 30560 CPT 30560 | $714.40 | $893.00 | $134.81 – $438.21 | 12 |
| Lysis of labial adhesions CPT 56441 | $408.00 | $510.00 | $139.47 – $2,735.98 | 12 |
| Lysis penil circumic lesion CPT 54162 | $641.60 | $802.00 | $182.41 – $1,762.74 | 12 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $20.24 | 5 |
| Macro exam dissect molec study ea CPT 88387 | $77.60 | $97.00 | $6.35 – $18.32 | 10 |
| Macroscopic exam arthropod CPT 87168 | $38.58 | $48.22 | $2.56 – $18.90 | 12 |
| Macroscopic exam parasite CPT 87169 | $38.58 | $48.22 | $2.59 – $18.90 | 12 |
| Magnesium CPT 83735 | $33.57 | $41.96 | $4.02 – $16.45 | 12 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $42.28 | $52.85 | $0.04 – $0.50 | 8 |
| Magnetic image bone marrow CPT 77084 | $880.80 | $1,101.00 | $70.21 – $208.00 | 12 |
| Makena, 10 mg HCPCS J1726 | $35.20 | $44.00 | $13.82 – $31.03 | 5 |
| Malaria antibody CPT 86750 | $48.57 | $60.71 | $7.91 – $23.80 | 12 |
| Male sling procedure CPT 53440 | $1,900.80 | $2,376.00 | $682.46 – $11,179.99 | 12 |
| Management of liver hemorrhage 47361 CPT 47361 | $7,440.00 | $9,300.00 | $2,627.17 – $7,002.47 | 10 |
| Manipulate finger w/anesth CPT 26340 | $1,675.20 | $2,094.00 | $331.86 – $1,377.16 | 12 |
| Manipulate wrist w/anesthes CPT 25259 | $2,084.80 | $2,606.00 | $387.77 – $1,377.16 | 12 |
| Manipulation of hip joint CPT 27275 | $449.60 | $562.00 | $167.34 – $1,377.16 | 12 |
| Manipulation of spine CPT 22505 | $320.80 | $401.00 | $129.16 – $1,377.16 | 12 |
| Manipulat palm cord post inj CPT 26341 | $521.60 | $652.00 | $70.78 – $206.42 | 12 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $71.41 | $89.26 | $2.10 – $34.99 | 8 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.90 – $6.78 | 5 |
| Man's shoe oxford brace HCPCS L3225 | $188.80 | $236.00 | $47.00 – $150.74 | 10 |
| Manual diff wbc count b-coat CPT 85009 | $11.20 | $14.00 | $3.04 – $8.11 | 10 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $584.80 | $731.00 | $98.34 – $254.18 | 10 |
| Mapping io sentinel lymph node CPT 38900 | $676.80 | $846.00 | $119.71 – $319.54 | 10 |
| Map tachycard site(s) CPT 93609 | $5,622.69 | $7,028.36 | $112.11 – $2,755.12 | 12 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $38.22 – $80.72 | 10 |
| Marker biop eviva buckle ss HCPCS A4648 | $273.84 | $342.30 | $92.76 – $180.39 | 5 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,137.96 – $18,207.85 | 8 |
| Marsupialization liver lesion 47300 CPT 47300 | $2,771.20 | $3,464.00 | $995.86 – $2,662.38 | 10 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $68.19 – $440.78 | 6 |
| Mastectomy form HCPCS L8020 | not published | not published | $142.64 – $457.49 | 10 |
| Mastectomy partial CPT 19301 | $3,208.00 | $4,010.00 | $582.43 – $3,295.10 | 12 |
| Mast mod rad CPT 19307 | $5,886.40 | $7,358.00 | $1,038.85 – $5,611.72 | 12 |
| Mastoidectomy CPT 69501 | $3,524.80 | $4,406.00 | $636.67 – $5,090.43 | 12 |
| Mastoidectomy complete 69502 CPT 69502 | $4,686.40 | $5,858.00 | $844.71 – $5,090.43 | 12 |
| Mastoids complete CPT 70130 | $610.40 | $763.00 | $15.13 – $299.10 | 14 |
| Mastoid surgery revision CPT 69603 | $6,180.80 | $7,726.00 | $1,148.64 – $5,090.43 | 12 |
| Mastopexy CPT 19316 | $3,820.80 | $4,776.00 | $710.04 – $5,611.72 | 12 |
| Mast radical CPT 19305 | $5,561.60 | $6,952.00 | $1,009.01 – $2,701.20 | 10 |
| Mast rad urban type CPT 19306 | $5,900.80 | $7,376.00 | $1,075.72 – $2,867.88 | 10 |
| Mast simple complete CPT 19303 | $4,684.80 | $5,856.00 | $845.55 – $5,611.72 | 12 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $86.35 – $145.86 | 5 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,200.00 – $2,266.00 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.98 – $24.12 | 5 |
| M.avium-intra dna amp prob CPT 87561 | $88.80 | $111.00 | $21.05 – $56.14 | 10 |
| M.avium-intra dna dir prob CPT 87560 | $58.40 | $73.00 | $16.37 – $43.66 | 10 |
| M.avium-intra dna quant CPT 87562 | $108.00 | $135.00 | $25.70 – $68.54 | 10 |
| Maxillofacial fixation CPT 21100 | $2,070.40 | $2,588.00 | $330.79 – $5,090.43 | 12 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $64.28 | $80.35 | $8.68 – $31.50 | 12 |
| Mayo aathr protein s free CPT 85306 | $39.20 | $49.00 | $9.19 – $24.51 | 12 |
| Mayo activated protein c resistance assay CPT 85307 | $39.20 | $49.00 | $9.19 – $24.51 | 12 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $77.60 | $97.00 | $23.14 – $61.71 | 12 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $72.14 | $90.17 | $15.10 – $47.52 | 7 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $126.43 | $158.03 | $13.16 – $78.86 | 8 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $64.28 | $80.35 | $8.87 – $31.50 | 12 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $72.14 | $90.17 | $13.16 – $44.99 | 8 |
| Mayo alpha 1 antitrypsin CPT 82103 | $64.28 | $80.35 | $8.06 – $31.50 | 12 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $66.43 | $83.03 | $9.05 – $32.55 | 12 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $72.14 | $90.17 | $18.20 – $47.52 | 7 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $72.14 | $90.17 | $13.16 – $44.99 | 8 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $265.60 | $332.00 | $55.94 – $194.61 | 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.