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 |
|---|---|---|---|---|
| Prolong serv without contact add CPT 99359 | $113.60 | $142.00 | $51.10 – $121.60 | 6 |
| Promethazine 25 mg tablet HCPCS Q0169 | $0.88 | $1.10 | $0.01 – $0.08 | 8 |
| Promethazine hcl injection HCPCS J2550 | $75.40 | $94.25 | $2.29 – $5.73 | 8 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $2,598.40 | $3,248.00 | $193.77 – $522.18 | 12 |
| Proph rta dtchmnt pc CPT 67145 | $2,616.00 | $3,270.00 | $193.77 – $791.26 | 12 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | $4,262.40 | $5,328.00 | $777.48 – $11,071.91 | 12 |
| Prophylactic tx radius CPT 25490 | $3,531.20 | $4,414.00 | $650.55 – $6,147.19 | 12 |
| Prophylactic tx radius&ulna CPT 25492 | $4,451.20 | $5,564.00 | $816.36 – $2,791.99 | 12 |
| Prophylactic tx ulna CPT 25491 | $3,632.00 | $4,540.00 | $668.42 – $11,071.91 | 12 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $19.80 | $24.74 | $0.02 – $0.09 | 8 |
| _propoxygc/msur CPT 80367 | $72.14 | $90.17 | $13.16 – $44.99 | 8 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $88.40 | $110.50 | $1.48 – $9.74 | 8 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $45.07 – $144.54 | 10 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $78.17 – $250.72 | 10 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $13.94 – $44.70 | 10 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $5.51 – $17.68 | 10 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $8.79 – $28.19 | 10 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,105.60 | $1,382.00 | $143.84 – $341.01 | 14 |
| Prostate ca screening; dre HCPCS G0102 | $49.60 | $62.00 | $8.04 – $21.16 | 10 |
| Prostatectomy (turp) CPT 52601 | $1,841.60 | $2,302.00 | $659.16 – $4,374.46 | 12 |
| Prostate laser enucleation CPT 52649 | $2,082.40 | $2,603.00 | $746.97 – $4,374.46 | 12 |
| Prostatic microwave thermotx CPT 53850 | $3,799.20 | $4,749.00 | $324.91 – $2,967.84 | 12 |
| Prostatic rf thermotx CPT 53852 | $3,688.00 | $4,610.00 | $347.61 – $2,967.84 | 12 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $262.40 | $328.00 | $65.44 – $209.87 | 10 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $25.12 – $80.54 | 10 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $12.90 – $41.38 | 10 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $547.89 – $1,757.15 | 10 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $4.00 – $12.82 | 10 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $22.36 | $27.95 | $0.15 – $1.40 | 8 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $39.16 – $125.60 | 10 |
| Protein analysis w/probe CPT 88372 | $37.60 | $47.00 | $16.55 – $35.83 | 10 |
| Protein c activity CPT 85303 | $35.20 | $44.00 | $8.30 – $22.14 | 12 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.01 – $24.05 | 10 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $44.80 | $56.00 | $6.44 – $21.39 | 12 |
| Protein s total CPT 85305 | $32.85 | $41.06 | $6.97 – $18.58 | 12 |
| Protein total 24 hour urine CPT 84156 | $33.57 | $41.96 | $2.20 – $16.45 | 12 |
| Protein total body fluid CPT 84157 | $33.57 | $41.96 | $2.40 – $16.45 | 12 |
| Protein total serum plasma whole blood CPT 84155 | $33.57 | $41.96 | $2.20 – $16.45 | 12 |
| Protein western blot tissue CPT 88371 | $44.80 | $56.00 | $13.39 – $32.60 | 10 |
| Prothrombin complex kcentra HCPCS J7168 | $4.81 | $6.01 | $0.37 – $3.42 | 12 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $32.85 | $41.06 | $2.36 – $16.10 | 12 |
| Proton treatment complex CPT 77525 | not published | not published | $781.28 – $2,233.75 | 11 |
| Proton trmt intermediate CPT 77523 | not published | not published | $196.00 – $2,021.54 | 11 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $618.26 – $1,839.69 | 11 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $174.58 – $1,733.38 | 11 |
| Protoporphyrin rbc screen CPT 84203 | $24.00 | $30.00 | $5.84 – $15.58 | 10 |
| Provide inr test mater/equip HCPCS G0249 | $170.40 | $213.00 | $32.11 – $185.87 | 10 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $1,092.00 | $1,365.00 | $394.31 – $1,052.24 | 10 |
| Prp i/hern init block >5 yr CPT 49507 | $2,873.60 | $3,592.00 | $520.73 – $3,036.76 | 12 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $153.60 | $192.00 | $68.90 – $146.48 | 12 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $61.60 | $77.00 | $28.30 – $74.85 | 10 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,934.40 | $22,418.00 | $314.27 – $838.30 | 10 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $403.91 – $1,081.54 | 10 |
| Prq card angio/athrect addl CPT 92925 | $17,198.98 | $21,498.72 | $5,826.15 – $11,329.83 | 5 |
| Prq cardiac angio addl art CPT 92921 | $6,996.83 | $8,746.03 | $2,370.17 – $4,609.16 | 5 |
| Prq card revasc chronic addl CPT 92944 | $17,016.54 | $21,270.67 | $5,764.35 – $11,209.64 | 5 |
| Prq card revasc mi 1 vsl CPT 92941 | $14,928.16 | $18,660.20 | $565.09 – $7,314.80 | 12 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $19,819.15 | $24,773.93 | $6,713.74 – $13,055.86 | 5 |
| Prq card stent/ath/angio CPT 92934 | $15,218.33 | $19,022.91 | $5,155.21 – $10,025.07 | 5 |
| Prq card stent w/angio addl CPT 92929 | $15,218.33 | $19,022.91 | $5,155.21 – $10,025.07 | 5 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $14,928.16 | $18,660.20 | $502.63 – $9,758.57 | 14 |
| Prq revasc byp graft addl CPT 92938 | $15,218.33 | $19,022.91 | $5,155.21 – $10,025.07 | 5 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $2,665.60 | $3,332.00 | $535.15 – $6,147.19 | 12 |
| Prq skel fix epcndylr hum fx CPT 24566 | $3,526.40 | $4,408.00 | $655.01 – $1,739.30 | 12 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $3,747.20 | $4,684.00 | $711.64 – $6,147.19 | 12 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $2,292.80 | $2,866.00 | $450.74 – $6,147.19 | 12 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $830.40 | $1,038.00 | $337.49 – $6,147.19 | 12 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $14,928.16 | $18,660.20 | $502.96 – $9,758.57 | 14 |
| Prq trlml c athrc st angiop1 CPT 92933 | $15,443.47 | $19,304.33 | $564.29 – $15,451.77 | 14 |
| Prq trluml c angiop 1art&/br CPT 92920 | $8,751.37 | $10,939.21 | $452.43 – $4,906.16 | 14 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $17,637.62 | $22,047.02 | $538.97 – $9,758.57 | 14 |
| Prq trluml revsc ch occ ant CPT 92943 | $15,218.33 | $19,022.91 | $564.94 – $9,758.57 | 14 |
| Pr removal drug delivery implant CPT 11982 | $499.78 | $624.72 | $64.76 – $343.37 | 14 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $438.40 | $548.00 | $42.92 – $110.92 | 14 |
| Pr removal intrauterine device CPT 58301 | $367.80 | $459.74 | $58.95 – $261.76 | 14 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $742.40 | $928.00 | $172.63 – $358.37 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $355.17 | $443.96 | $49.23 – $174.03 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $355.17 | $443.96 | $50.98 – $174.03 | 14 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $355.17 | $443.96 | $39.58 – $174.03 | 14 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $355.17 | $443.96 | $51.94 – $174.03 | 14 |
| Pr robotic surgical system HCPCS S2900 | $668.80 | $836.00 | $720.90 – $1,835.00 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $2,119.20 | $2,649.00 | $639.80 – $1,702.47 | 12 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $76.00 | $95.00 | $36.77 – $79.11 | 10 |
| Prtl exc bone olecrn process CPT 24147 | $3,070.40 | $3,838.00 | $572.13 – $2,791.99 | 12 |
| Prtl exc bone radial h/n CPT 24145 | $2,915.20 | $3,644.00 | $539.85 – $6,147.19 | 12 |
| Prtl exchange transfuse nb CPT 36456 | $260.00 | $325.00 | $88.17 – $376.19 | 12 |
| Prtl excision bone clavicle CPT 23180 | $3,262.40 | $4,078.00 | $625.13 – $6,147.19 | 12 |
| Prtl excision bone scapula CPT 23182 | $3,240.00 | $4,050.00 | $609.74 – $6,147.19 | 12 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,220.81 | $1,526.01 | $136.88 – $1,336.74 | 14 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $32.00 | $40.00 | $14.81 – $39.75 | 10 |
| PSA (Prostate) Test CPT 84153 | $64.28 | $80.35 | $11.03 – $31.50 | 12 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $4.80 | $6.00 | $1.92 – $5.04 | 10 |
| Psychoanalysis CPT 90845 | $221.60 | $277.00 | $85.32 – $215.67 | 10 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $68.90 – $105.87 | 4 |
| Psychophysiological therapy CPT 90875 | $138.40 | $173.00 | $81.40 – $158.11 | 6 |
| Psychophysiological therapy CPT 90876 | $240.00 | $300.00 | $130.90 – $250.79 | 6 |
| Psychotherapy group therapy CPT 90853 | $389.15 | $486.43 | $23.68 – $79.60 | 14 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $168.00 | $210.00 | $30.57 – $138.26 | 14 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $209.60 | $262.00 | $55.20 – $138.26 | 14 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $313.60 | $392.00 | $49.67 – $195.90 | 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.