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 |
|---|---|---|---|---|
| Socket insert w lock mech HCPCS L5673 | not published | not published | $448.55 – $1,141.44 | 9 |
| Sock fracture or equal each HCPCS L3995 | $72.80 | $91.00 | $17.98 – $50.46 | 9 |
| Sock wool above knee HCPCS L8430 | not published | not published | $14.63 – $37.23 | 9 |
| Sodium 24 hour urine CPT 84300 | $33.57 | $41.96 | $3.04 – $16.91 | 11 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $5.60 | $7.00 | $2.09 – $3.50 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $5.60 | $7.00 | $1.04 – $1.75 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $4.00 | $5.00 | $0.51 – $0.87 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.09 – $0.15 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $13.68 | $17.10 | $1.94 – $9.39 | 8 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $172.00 | $215.00 | $73.96 – $124.11 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $33.57 | $41.96 | $2.89 – $16.91 | 11 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.84 – $0.93 | 3 |
| Soft interface below knee se HCPCS L2820 | $196.00 | $245.00 | $48.81 – $136.96 | 9 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $83.82 – $86.29 | 6 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $323.55 | $404.43 | $127.80 – $1,412.58 | 11 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,255.62 | 7 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,452.94 | 7 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,098.67 | 7 |
| Solid skin barrier HCPCS A4362 | not published | not published | $2.42 – $6.16 | 9 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $5.20 – $13.22 | 9 |
| Somatosensory testing CPT 95927 | $357.60 | $447.00 | $24.85 – $309.83 | 11 |
| Somatropin injection HCPCS J2941 | not published | not published | $48.92 – $155.10 | 9 |
| So neo gsap dna/dna&rna CPT 81459 | $2,869.97 | $3,587.46 | $1,133.64 – $3,139.03 | 11 |
| So neo gsap dna mcrstl ins CPT 81457 | $861.00 | $1,076.24 | $340.09 – $941.71 | 11 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $22.78 – $26.30 | 7 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $95.52 – $243.09 | 9 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $6.68 – $28.30 | 6 |
| Sp bone agrft morsel add-on CPT 20937 | $406.40 | $508.00 | $144.30 – $383.93 | 9 |
| Sp bone agrft struct add-on CPT 20938 | $442.40 | $553.00 | $156.77 – $418.97 | 9 |
| Sp bone algrft morsel add-on CPT 20930 | $291.20 | $364.00 | $207.30 – $363.06 | 6 |
| Special casting material HCPCS A4590 | $47.20 | $59.00 | $1.80 – $60.63 | 6 |
| Special physics consult CPT 77370 | $261.60 | $327.00 | $126.40 – $277.30 | 11 |
| Special pump services CPT 99190 | $928.00 | $1,160.00 | $695.70 – $1,070.13 | 6 |
| Special pump services CPT 99191 | $649.60 | $812.00 | $501.00 – $749.04 | 6 |
| Special pump services CPT 99192 | $464.80 | $581.00 | $346.30 – $535.75 | 6 |
| Special radiation dosimetry CPT 77331 | $129.60 | $162.00 | $16.98 – $132.10 | 11 |
| Special radiation treatment CPT 77470 | $561.60 | $702.00 | $30.46 – $575.56 | 11 |
| Special supplies phys/qhp CPT 99070 | $90.40 | $113.00 | $70.00 – $115.24 | 4 |
| Special teletx port plan CPT 77321 | $226.40 | $283.00 | $39.72 – $364.23 | 11 |
| Specific gravity body fluid CPT 84315 | $33.57 | $41.96 | $1.97 – $16.91 | 11 |
| Specimen fat stain CPT 89125 | $56.44 | $70.54 | $3.53 – $28.43 | 11 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $432.00 | $540.00 | $85.60 – $392.10 | 11 |
| Speech audiometry complete CPT 92556 | $83.20 | $104.00 | $41.49 – $104.55 | 11 |
| Speech evaluation complex CPT 70371 | $228.00 | $285.00 | $38.84 – $240.50 | 11 |
| Speech recep thresh CPT 92555 | $53.60 | $67.00 | $26.73 – $67.24 | 11 |
| Speech Therapy Session (one-on-one) CPT 92507 | $248.84 | $311.05 | $71.73 – $186.47 | 11 |
| Sperm antibody test CPT 89325 | $56.44 | $70.54 | $6.40 – $28.43 | 11 |
| Sperm evaluation test CPT 89329 | $49.60 | $62.00 | $11.75 – $30.46 | 9 |
| Sperm identification CPT 89257 | $109.60 | $137.00 | $49.76 – $111.53 | 8 |
| Sperm isolation complex CPT 89261 | $140.80 | $176.00 | $49.76 – $166.41 | 8 |
| Sperm isolation simple CPT 89260 | $104.80 | $131.00 | $49.76 – $107.24 | 8 |
| Sperm washing 58323 CPT 58323 | $38.40 | $48.00 | $10.69 – $28.67 | 9 |
| Sphenoid sinus surgery CPT 31051 | $3,276.80 | $4,096.00 | $618.74 – $5,885.87 | 11 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $1,876.80 | $2,346.00 | $670.79 – $2,728.58 | 11 |
| Spinal bone allograftstructural 20931 CPT 20931 | $266.40 | $333.00 | $94.59 – $251.75 | 9 |
| Spinal bone autograftlocal 20936 CPT 20936 | $309.60 | $387.00 | $220.80 – $386.44 | 6 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $635.20 | $794.00 | $77.23 – $689.04 | 11 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,249.30 – $12,802.03 | 8 |
| Spine X-ray (single view, one level) CPT 72020 | $220.98 | $276.22 | $7.10 – $111.32 | 13 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $316.00 | $395.00 | $125.56 – $332.02 | 11 |
| Spirometry up to 2 yrs old CPT 94011 | $194.40 | $243.00 | $77.13 – $203.40 | 11 |
| Spleen imaging CPT 78185 | $463.20 | $579.00 | $15.15 – $399.81 | 11 |
| Splenectomy total open 38100 CPT 38100 | $2,828.80 | $3,536.00 | $1,009.28 – $2,690.84 | 9 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,018.01 – $5,383.37 | 9 |
| Splicing of ureters CPT 50770 | not published | not published | $1,040.53 – $2,773.46 | 9 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $48.00 | $60.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $881.60 | $1,102.00 | $219.83 – $609.85 | 9 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $34.95 – $88.95 | 9 |
| Splint finger 4 prong foam sm HCPCS A4570 | $20.80 | $26.00 | $2.90 – $27.20 | 6 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $48.85 – $134.25 | 9 |
| Splint finger frog med HCPCS L3927 | not published | not published | $19.05 – $48.46 | 9 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $5.60 | $7.00 | $1.31 – $3.34 | 9 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $196.00 | $245.00 | $48.85 – $134.25 | 9 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $2,092.80 | $2,616.00 | $621.01 – $3,642.53 | 11 |
| Split blood or products CPT 86985 | $164.99 | $206.23 | $14.53 – $170.50 | 13 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $44.40 – $121.02 | 9 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $516.00 | $645.00 | $115.50 – $309.84 | 9 |
| Spontaneous nystagmus study CPT 92531 | $52.80 | $66.00 | $30.60 – $41.55 | 6 |
| Sprchoroidal spc njx rx agt CPT 67516 | $313.60 | $392.00 | $87.74 – $234.18 | 8 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $434.90 – $1,106.69 | 9 |
| Sputum specimen collection CPT 89220 | $180.00 | $224.99 | $8.93 – $90.67 | 11 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $918.74 – $4,353.65 | 9 |
| Srs cranial lesion complex CPT 61798 | $3,244.00 | $4,055.00 | $1,187.67 – $3,166.22 | 9 |
| Srs cranial lesion simple CPT 61796 | $2,384.00 | $2,980.00 | $881.41 – $2,345.83 | 9 |
| Srs cran les complex addl CPT 61799 | $711.20 | $889.00 | $253.96 – $679.70 | 9 |
| Srs cran les simple addl CPT 61797 | $719.20 | $899.00 | $183.91 – $491.76 | 9 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $105.24 – $265.27 | 9 |
| Srs linear based CPT 77372 | $1,856.80 | $2,321.00 | $822.33 – $7,606.00 | 11 |
| Srs multisource CPT 77371 | $2,114.40 | $2,643.00 | $1,722.40 – $7,606.00 | 11 |
| Srs spinal lesion CPT 63620 | $2,631.20 | $3,289.00 | $971.62 – $2,587.83 | 9 |
| Srs spinal lesion addl CPT 63621 | $591.20 | $739.00 | $211.51 – $565.03 | 9 |
| Staggered spondaic word test CPT 92572 | $100.80 | $126.00 | $50.35 – $155.67 | 11 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,768.00 – $1,768.00 | 2 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $129.05 – $362.15 | 9 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $304.54 | $380.67 | $102.12 – $237.54 | 11 |
| Stance phase only HCPCS L5858 | not published | not published | $11,138.25 – $28,343.69 | 9 |
| Standard control cable extra HCPCS L6655 | not published | not published | $53.84 – $137.01 | 9 |
| Staph a dna amp probe CPT 87640 | $87.20 | $109.00 | $21.05 – $45.62 | 11 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $96.80 – $252.42 | 9 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $34.58 – $95.95 | 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.