UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
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 |
|---|---|---|---|---|
| Sigmoidoscopy w/ablation CPT 45346 | $6,681.60 | $8,352.00 | $143.02 – $1,173.14 | 11 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $648.00 | $810.00 | $94.00 – $1,173.14 | 11 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $388.80 | $486.00 | $137.45 – $5,922.83 | 11 |
| Sigmoidoscopy w/resection CPT 45349 | $501.60 | $627.00 | $118.64 – $2,728.58 | 11 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $694.40 | $868.00 | $107.51 – $1,173.14 | 11 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $312.00 | $390.00 | $110.96 – $907.12 | 11 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $428.80 | $536.00 | $151.48 – $1,173.14 | 11 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $764.00 | $955.00 | $83.96 – $907.12 | 11 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $70.40 | $88.00 | $11.48 – $59.10 | 11 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,105.60 | $1,382.00 | $69.67 – $1,173.14 | 11 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $29.54 | 6 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $338.84 – $939.70 | 9 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $10,796.30 – $11,113.84 | 6 |
| Simple cystometrogram 51725 CPT 51725 | $522.40 | $653.00 | $68.04 – $241.98 | 11 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $316.57 | $395.71 | $64.99 – $143.26 | 8 |
| Single energy x-ray study HCPCS G0130 | $76.80 | $96.00 | $10.22 – $26.10 | 9 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $110.90 – $311.22 | 9 |
| Single transfer toe-hand CPT 26553 | not published | not published | $786.83 – $7,745.69 | 9 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,823.88 | $2,279.84 | $55.26 – $918.78 | 13 |
| Sinus CT scan (with contrast) CPT 70487 | $1,761.11 | $2,201.38 | $49.40 – $887.16 | 13 |
| Sinus CT scan (without contrast) CPT 70486 | $1,326.36 | $1,657.94 | $37.54 – $668.15 | 13 |
| Sinus/juglr venogram s&i CPT 75860 | $474.40 | $593.00 | $48.98 – $3,131.65 | 11 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $2,321.60 | $2,902.00 | $310.17 – $3,226.74 | 11 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $2,859.20 | $3,574.00 | $535.80 – $5,885.87 | 11 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $2,446.40 | $3,058.00 | $462.98 – $5,885.87 | 11 |
| Sinus X-ray (complete) CPT 70220 | $269.88 | $337.35 | $9.63 – $135.95 | 13 |
| Sinus X-ray (limited) CPT 70210 | $184.68 | $230.85 | $7.71 – $93.03 | 13 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $173.51 – $441.56 | 9 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $78.16 – $218.93 | 9 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $45,263.10 – $69,454.65 | 9 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.14 – $18.58 | 6 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $86.22 – $142.07 | 9 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $136.73 – $382.11 | 9 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $72.14 | $90.17 | $13.16 – $86.56 | 8 |
| Skel musc relaxant 3 or more CPT 80370 | $13.60 | $17.00 | $16.19 – $24.10 | 3 |
| Skin and muscle repair face CPT 15845 | $2,522.40 | $3,153.00 | $953.92 – $3,642.53 | 11 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $4.37 – $11.12 | 9 |
| Skin Biopsy CPT 11102 | $244.80 | $306.00 | $34.05 – $197.70 | 11 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,052.80 | $2,566.00 | $604.31 – $1,820.02 | 11 |
| Skin full graft add-on 15241 CPT 15241 | $445.60 | $557.00 | $95.17 – $253.71 | 9 |
| Skin pedicle flap arms/legs CPT 15572 | $2,168.80 | $2,711.00 | $661.68 – $3,642.53 | 11 |
| Skin pedicle flap trunk CPT 15570 | $2,240.00 | $2,800.00 | $650.86 – $1,820.02 | 11 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $460.00 | $575.00 | $96.84 – $259.38 | 9 |
| Skin test unlisted antigen ea CPT 86486 | $48.57 | $60.71 | $2.84 – $24.47 | 13 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,138.35 – $5,703.83 | 9 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,579.85 – $9,529.98 | 9 |
| Skull X-ray (1 to 3 views) CPT 70250 | $262.24 | $327.80 | $8.04 – $132.10 | 13 |
| Skull X-ray (complete) CPT 70260 | $299.24 | $374.05 | $12.45 – $150.74 | 13 |
| Skyla, 13.5 mg HCPCS J7301 | $1,324.80 | $1,656.00 | $887.04 – $1,011.38 | 5 |
| Slco1b1 gene com variants CPT 81328 | $350.40 | $438.00 | $104.89 – $244.74 | 9 |
| Sleep study attended CPT 95807 | $2,131.46 | $2,664.32 | $54.10 – $1,073.72 | 13 |
| Sleep Study (Polysomnography) CPT 95810 | $3,647.03 | $4,558.78 | $108.33 – $1,837.19 | 13 |
| Sleep study unattended CPT 95806 | $576.55 | $720.68 | $40.27 – $290.43 | 13 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $116.14 – $295.54 | 9 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $6.68 – $6.68 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,613.72 – $6,989.35 | 9 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $21.60 | $27.00 | $5.36 – $13.66 | 9 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $67.62 – $140.00 | 9 |
| Slitting of prepuce CPT 54000 | $388.80 | $486.00 | $101.64 – $3,431.60 | 11 |
| Slitting of prepuce CPT 54001 | $480.80 | $601.00 | $128.28 – $2,038.19 | 11 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $75.20 | $94.00 | $29.88 – $76.34 | 9 |
| Slp eval non-spch gen comm dev CPT 92605 | $211.20 | $264.00 | $85.15 – $206.13 | 9 |
| Slp pure tone screening CPT 92551 | $24.80 | $31.00 | $21.18 – $29.15 | 6 |
| Slp stdy unatnd w/anal CPT 95801 | $196.00 | $245.00 | $37.39 – $98.41 | 11 |
| Slp ther svc non-spch gen CPT 92606 | $186.40 | $233.00 | $72.23 – $164.27 | 9 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,314.91 – $16,282.88 | 9 |
| Small animal inoculation CPT 87003 | $42.40 | $53.00 | $10.10 – $26.19 | 9 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $382.04 | $477.54 | $35.36 – $192.45 | 13 |
| Small bowel endoscopy CPT 44360 | $363.20 | $454.00 | $128.24 – $1,887.44 | 11 |
| Small bowel endoscopy CPT 44364 | $517.60 | $647.00 | $182.25 – $1,887.44 | 11 |
| Small bowel endoscopy CPT 44366 | $608.00 | $760.00 | $213.81 – $1,887.44 | 11 |
| Small bowel endoscopy CPT 44369 | $623.20 | $779.00 | $219.00 – $1,887.44 | 11 |
| Small bowel endoscopy CPT 44376 | $720.00 | $900.00 | $253.42 – $1,887.44 | 11 |
| Small bowel endoscopy CPT 44378 | $975.20 | $1,219.00 | $342.26 – $1,887.44 | 11 |
| Small bowel endoscopy CPT 44382 | $698.40 | $873.00 | $66.35 – $932.84 | 11 |
| Small bowel endoscopy CPT 44384 | $388.00 | $485.00 | $136.93 – $1,887.44 | 11 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $484.80 | $606.00 | $170.79 – $1,887.44 | 11 |
| Small bowel endoscopy 44365 CPT 44365 | $460.00 | $575.00 | $162.46 – $1,887.44 | 11 |
| Small bowel endoscopy/biopsy CPT 44361 | $400.80 | $501.00 | $141.73 – $1,887.44 | 11 |
| Small bowel endoscopy/biopsy CPT 44377 | $756.80 | $946.00 | $265.84 – $1,887.44 | 11 |
| Small bowel endoscopy br/wa CPT 44380 | $447.20 | $559.00 | $51.77 – $932.84 | 11 |
| Small bowel endoscopy br/wa CPT 44381 | $2,381.60 | $2,977.00 | $75.50 – $1,887.44 | 11 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $673.60 | $842.00 | $237.80 – $5,922.83 | 11 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $270.00 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $38.58 | $48.22 | $3.23 – $19.43 | 11 |
| Smear gram stain CPT 87205 | $38.58 | $48.22 | $2.56 – $19.43 | 11 |
| Smear nasal eosinophil CPT 89190 | $56.44 | $70.54 | $5.79 – $28.43 | 11 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $38.58 | $48.22 | $3.59 – $21.39 | 11 |
| Smear wet mount CPT 87210 | $38.58 | $48.22 | $5.82 – $19.43 | 11 |
| Smn1 gene full gene sequence CPT 81336 | $289.30 | $361.62 | $114.27 – $316.42 | 11 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $177.80 | $222.24 | $70.23 – $194.46 | 11 |
| Smpd1 gene common variants CPT 81330 | $127.86 | $159.82 | $28.20 – $64.41 | 11 |
| Snrpn/ube3a gene CPT 81331 | $127.86 | $159.82 | $30.64 – $66.39 | 11 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $643.47 – $1,637.44 | 9 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $490.49 – $1,248.17 | 9 |
| Socket insert above knee HCPCS L5658 | not published | not published | $262.13 – $667.06 | 9 |
| Socket insert below knee HCPCS L5655 | not published | not published | $158.83 – $445.69 | 9 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $251.69 – $640.47 | 9 |
| Socket insert symes HCPCS L5654 | not published | not published | $212.27 – $557.28 | 9 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $373.79 – $951.21 | 9 |
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.