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 |
|---|---|---|---|---|
| Ophth Ultrasound b & quant a CPT 76510 | $301.60 | $377.00 | $25.84 – $147.73 | 12 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $186.40 | $233.00 | $29.89 – $91.51 | 12 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $176.00 | $220.00 | $18.75 – $95.18 | 12 |
| Opioids & opiate analogs 3/4 CPT 80363 | $24.00 | $30.00 | $24.60 – $29.69 | 3 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,097.83 – $2,926.79 | 10 |
| Opn ax/subcla art expos CPT 34715 | $1,464.00 | $1,830.00 | $252.43 – $676.36 | 10 |
| Opn exc/dst ntra-abd CPT 49189 | $4,110.40 | $5,138.00 | $2,055.05 – $4,503.20 | 8 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $3,534.40 | $4,418.00 | $1,767.04 – $3,871.00 | 8 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | $5,073.60 | $6,342.00 | $2,536.55 – $5,551.10 | 8 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $2,957.60 | $3,697.00 | $1,478.79 – $3,239.60 | 8 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $2,327.20 | $2,909.00 | $1,163.54 – $2,534.90 | 8 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $1,324.80 | $1,656.00 | $229.20 – $612.87 | 10 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $332.49 – $1,204.53 | 10 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $3,025.60 | $3,782.00 | $539.22 – $26,222.55 | 12 |
| Opn impltj nea neuromuscular CPT 64580 | $755.20 | $944.00 | $279.52 – $18,452.91 | 12 |
| Opn impltj nea perph nerve CPT 64575 | $825.60 | $1,032.00 | $282.52 – $10,730.71 | 12 |
| Opn impltj nea sacral nerve CPT 64581 | $1,669.60 | $2,087.00 | $591.93 – $5,647.38 | 12 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $4,360.00 | $5,450.00 | $754.41 – $26,222.55 | 12 |
| Opn tx complx malar fx CPT 21365 | $5,475.20 | $6,844.00 | $979.42 – $5,090.43 | 12 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,142.29 – $5,090.43 | 12 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $978.72 – $2,620.74 | 10 |
| Opn tx dprsd zygomatic arch CPT 21356 | $2,452.80 | $3,066.00 | $363.27 – $5,090.43 | 12 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $935.30 – $5,090.43 | 12 |
| Opn tx nasomax fx w/fixj CPT 21346 | $2,364.80 | $2,956.00 | $904.19 – $5,090.43 | 12 |
| Opn tx nasomax fx w/graft CPT 21348 | $2,694.40 | $3,368.00 | $986.26 – $2,640.57 | 10 |
| Opn tx orbit fx combined CPT 21387 | $3,857.60 | $4,822.00 | $686.31 – $5,090.43 | 12 |
| Opn tx orbit fx periorbital CPT 21386 | $3,243.20 | $4,054.00 | $623.07 – $5,090.43 | 12 |
| Opn tx orbit fx transantral CPT 21385 | $3,694.40 | $4,618.00 | $657.33 – $5,090.43 | 12 |
| Opn tx orbit fx w/bone grft CPT 21408 | $4,481.60 | $5,602.00 | $809.31 – $5,090.43 | 12 |
| Opn tx orbit fx w/implant CPT 21407 | $3,203.20 | $4,004.00 | $588.14 – $5,090.43 | 12 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $2,867.20 | $3,584.00 | $526.35 – $5,090.43 | 12 |
| Opn tx orbit periorbtl implt CPT 21390 | $3,985.60 | $4,982.00 | $722.83 – $5,090.43 | 12 |
| Opn tx orbit periorbt w/grft CPT 21395 | $5,022.40 | $6,278.00 | $899.92 – $5,090.43 | 12 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $238.42 – $628.17 | 9 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $303.09 – $528.92 | 4 |
| Opscpy extnd on/mac draw CPT 92202 | $40.80 | $51.00 | $13.28 – $51.11 | 12 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $52.80 | $66.00 | $20.62 – $54.26 | 12 |
| Optical endomicroscpy interp CPT 88375 | $86.40 | $108.00 | $43.02 – $85.88 | 10 |
| Optokinetic nystagmus test CPT 92534 | $40.80 | $51.00 | $20.40 – $46.50 | 6 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $3,216.00 | $4,020.00 | $586.55 – $6,147.19 | 12 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $2,820.80 | $3,526.00 | $519.15 – $6,147.19 | 12 |
| Optx acute shoulder dislc CPT 23660 | $2,873.60 | $3,592.00 | $531.60 – $6,147.19 | 12 |
| Optx carpl scphd fx int fixj CPT 25628 | $3,547.20 | $4,434.00 | $654.80 – $6,147.19 | 12 |
| Optx clavicular fx w/int fix CPT 23515 | $3,540.80 | $4,426.00 | $652.06 – $6,147.19 | 12 |
| Optx complicated mndblr fx CPT 21470 | $2,940.80 | $3,676.00 | $1,054.38 – $5,090.43 | 12 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,548.32 – $4,115.05 | 10 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $640.15 – $1,699.05 | 10 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,820.38 – $4,838.58 | 10 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,260.67 – $3,349.76 | 10 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $2,801.60 | $3,502.00 | $519.71 – $2,791.99 | 12 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $3,836.80 | $4,796.00 | $706.81 – $6,147.19 | 12 |
| Optx lunate dislocation CPT 25695 | $3,116.80 | $3,896.00 | $575.35 – $6,147.19 | 12 |
| Optx medial ankle fx CPT 27766 | $2,976.00 | $3,720.00 | $549.82 – $6,147.19 | 12 |
| Optx mndblr cndylr fx CPT 21465 | $4,236.80 | $5,296.00 | $740.40 – $5,090.43 | 12 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $4,925.60 | $6,157.00 | $930.65 – $5,090.43 | 12 |
| Optx mndblr fx xtrnl fixj CPT 21454 | $1,285.60 | $1,607.00 | $454.70 – $5,090.43 | 12 |
| Optx mndblr/max alv ridge fx CPT 21445 | $1,920.00 | $2,400.00 | $562.94 – $5,090.43 | 12 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $572.12 – $5,090.43 | 12 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $712.47 – $1,899.76 | 10 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $5,353.60 | $6,692.00 | $975.49 – $11,071.91 | 12 |
| Optx post ankle fx CPT 27769 | $3,590.40 | $4,488.00 | $656.13 – $6,147.19 | 12 |
| Optx prox humrl fx w/int fix CPT 23615 | $4,347.20 | $5,434.00 | $796.59 – $11,071.91 | 12 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $6,096.00 | $7,620.00 | $1,105.03 – $15,824.65 | 12 |
| Optx radial shaft fracture CPT 25515 | $3,292.80 | $4,116.00 | $609.83 – $6,147.19 | 12 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $3,107.20 | $3,884.00 | $574.13 – $6,147.19 | 12 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $2,988.80 | $3,736.00 | $551.42 – $6,147.19 | 12 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $3,878.40 | $4,848.00 | $716.20 – $6,147.19 | 12 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $4,692.80 | $5,866.00 | $862.63 – $6,147.19 | 12 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $4,435.20 | $5,544.00 | $817.82 – $6,147.19 | 12 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $3,312.00 | $4,140.00 | $614.70 – $6,147.19 | 12 |
| Optx scapular fx w/int fixj CPT 23585 | $4,825.60 | $6,032.00 | $877.04 – $6,147.19 | 12 |
| Optx sho dislc fx CPT 23670 | $4,302.40 | $5,378.00 | $787.67 – $6,147.19 | 12 |
| Optx sho dislc neck fx fixj CPT 23680 | $4,576.00 | $5,720.00 | $837.82 – $11,071.91 | 12 |
| Optx strclv dslc aq/chrn grf CPT 23532 | $3,070.40 | $3,838.00 | $569.01 – $6,147.19 | 12 |
| Optx strnclav dislc aqt/chrn CPT 23530 | $2,819.20 | $3,524.00 | $523.12 – $6,147.19 | 12 |
| Optx thigh fx CPT 27269 | not published | not published | $1,107.53 – $2,943.70 | 10 |
| Optx tmprmand dislocation CPT 21490 | $4,179.20 | $5,224.00 | $730.33 – $2,790.66 | 12 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $3,616.00 | $4,520.00 | $665.00 – $6,147.19 | 12 |
| Optx ulnar shft fx int fixj CPT 25545 | $3,062.40 | $3,828.00 | $570.05 – $6,147.19 | 12 |
| Optx ulnar styloid fracture CPT 25652 | $3,060.80 | $3,826.00 | $569.35 – $6,147.19 | 12 |
| Oral aprepitant HCPCS J8501 | $10.66 | $13.32 | $0.65 – $3.40 | 8 |
| Oral busulfan HCPCS J8510 | not published | not published | $2.86 – $159.35 | 10 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.02 – $10.81 | 6 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | $38.58 | $48.22 | $7.19 – $25.41 | 12 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.81 – $29.64 | 8 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $19.69 – $36.25 | 8 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $325.68 – $655.23 | 10 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,470.24 – $6,616.33 | 10 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,790.99 – $7,495.00 | 10 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,708.68 – $7,274.59 | 10 |
| Orchiectomy partial CPT 54522 | $2,974.40 | $3,718.00 | $533.72 – $2,967.84 | 12 |
| Orchiopexy (fowler-stephens) CPT 54650 | $3,592.00 | $4,490.00 | $646.80 – $3,036.76 | 12 |
| Orchiopexy ingun/scrot appr CPT 54640 | $2,188.80 | $2,736.00 | $392.70 – $3,036.76 | 12 |
| Organic acids total quant ea spec CPT 83918 | $47.20 | $59.00 | $14.06 – $37.76 | 12 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $41.93 – $66.25 | 10 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.12 – $45.63 | 10 |
| Oropharyngeal biopsy 42800 CPT 42800 | $387.20 | $484.00 | $106.68 – $1,274.65 | 12 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $94.96 | $118.70 | $1.96 – $12.33 | 8 |
| Ortho dvc repair per 15 min HCPCS L4205 | $33.60 | $42.00 | $14.24 – $62.97 | 10 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $630.40 | $788.00 | $157.21 – $504.19 | 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.