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 |
|---|---|---|---|---|
| Surgical opening of stomach 43500 CPT 43500 | $1,925.60 | $2,407.00 | $694.17 – $1,846.33 | 9 |
| Surgical opening of throat CPT 42955 | $1,870.40 | $2,338.00 | $677.29 – $1,821.64 | 11 |
| Surgical pathology level 1 gross examination only CPT 88300 | $98.56 | $123.20 | $3.92 – $49.65 | 13 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $98.56 | $123.20 | $6.12 – $49.65 | 13 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $98.56 | $123.20 | $10.22 – $53.16 | 13 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $164.00 | $205.00 | $28.96 – $60.70 | 13 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $647.20 | $809.00 | $74.02 – $357.91 | 13 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $942.40 | $1,178.00 | $130.73 – $812.79 | 13 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $3,304.80 | $4,131.00 | $1,180.75 – $3,160.73 | 9 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $3,736.80 | $4,671.00 | $1,334.32 – $3,558.02 | 9 |
| Surgical revision intestine CPT 44680 | $2,607.20 | $3,259.00 | $943.08 – $2,512.86 | 9 |
| Surgical trays HCPCS A4550 | $45.60 | $57.00 | $11.59 – $57.75 | 6 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $90.00 – $160.92 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $1,352.80 | $1,691.00 | $384.28 – $2,728.58 | 11 |
| Susceptibility agar dilution per agent CPT 87181 | $38.58 | $48.22 | $2.85 – $19.43 | 11 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $38.58 | $48.22 | $2.85 – $19.43 | 11 |
| Susceptibility mic per plate CPT 87186 | $38.58 | $48.22 | $5.19 – $19.43 | 11 |
| Suscept studies macrobroth dilution ea CPT 87188 | $38.58 | $48.22 | $3.98 – $19.43 | 11 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $889.29 – $2,379.25 | 9 |
| Suspension of testis CPT 54620 | $1,510.40 | $1,888.00 | $270.87 – $3,431.60 | 11 |
| Suspension of uterus CPT 58410 | not published | not published | $729.49 – $1,960.87 | 9 |
| Suspension of uterus 58400 CPT 58400 | $1,136.00 | $1,420.00 | $415.70 – $1,121.08 | 9 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $75.73 – $192.71 | 9 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $2,600.80 | $3,251.00 | $925.03 – $2,468.82 | 9 |
| Suture bile duct injury 47900 CPT 47900 | $3,346.40 | $4,183.00 | $1,207.18 – $3,220.92 | 9 |
| Svc venogram s&i CPT 75827 | $472.00 | $590.00 | $47.95 – $1,545.62 | 11 |
| Swallowing Evaluation (Bedside) CPT 92610 | $193.60 | $242.00 | $37.17 – $120.90 | 11 |
| Swallowing Therapy Session CPT 92526 | $195.20 | $244.00 | $73.35 – $144.84 | 11 |
| Sweat collection by iontophoresis CPT 89230 | $70.00 | $87.49 | $1.27 – $53.16 | 13 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $1,259.71 – $3,515.04 | 9 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $1,825.15 – $4,644.50 | 9 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $154.45 – $428.15 | 9 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $195.84 – $511.14 | 9 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $150.78 – $383.68 | 9 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $345.18 – $878.38 | 9 |
| Sympathectomy cervical CPT 64802 | $3,934.40 | $4,918.00 | $738.77 – $1,966.75 | 11 |
| Sympathectomy digital artery CPT 64820 | $1,808.80 | $2,261.00 | $691.78 – $1,942.94 | 11 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $698.35 – $1,856.75 | 9 |
| Sympathectomy supfc palmar CPT 64823 | $3,880.00 | $4,850.00 | $713.61 – $3,228.27 | 11 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $942.67 – $2,511.78 | 9 |
| Synch audio-only est high 40 CPT 98015 | $265.60 | $332.00 | $178.90 – $178.90 | 2 |
| Synch audio-only est low 20 CPT 98013 | $160.80 | $201.00 | $81.90 – $81.90 | 2 |
| Synch audio-only est mod 30 CPT 98014 | $192.00 | $240.00 | $121.20 – $121.20 | 2 |
| Synch audio-only est sf 10 CPT 98012 | $83.20 | $104.00 | $45.00 – $45.00 | 2 |
| Synch audio-only new high 60 CPT 98011 | $367.20 | $459.00 | $219.60 – $219.60 | 2 |
| Synch audio-only new low 30 CPT 98009 | $189.60 | $237.00 | $106.00 – $106.00 | 2 |
| Synch audio-only new mod 45 CPT 98010 | $289.60 | $362.00 | $167.10 – $167.10 | 2 |
| Synch audio-only new sf 15 CPT 98008 | $133.60 | $167.00 | $61.10 – $61.10 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $8.43 – $17.71 | 5 |
| Synthetic sentence id test CPT 92576 | $80.80 | $101.00 | $37.37 – $99.11 | 11 |
| Synvisc or synvisc-one HCPCS J7325 | $26.40 | $33.00 | $8.82 – $14.21 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $48.57 | $60.71 | $2.64 – $24.47 | 11 |
| T3 (triiodothyronine) free CPT 84481 | $55.00 | $68.75 | $10.16 – $27.71 | 11 |
| T3 (triiodothyronine) total CPT 84480 | $55.00 | $68.75 | $8.51 – $27.71 | 11 |
| T4 (thyroxine) free CPT 84439 | $55.00 | $68.75 | $5.41 – $27.71 | 11 |
| T4 (thyroxine) total CPT 84436 | $55.00 | $68.75 | $4.12 – $27.71 | 11 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.53 – $0.72 | 6 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.62 – $2.25 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.19 – $1.71 | 6 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $207.39 – $323.36 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $66.43 | $83.03 | $8.24 – $33.46 | 11 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.33 – $17.67 | 9 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | $5,380.00 | $6,725.00 | $1,939.58 – $5,196.36 | 9 |
| Tah rad dissect for debulk 58953 CPT 58953 | $4,964.80 | $6,206.00 | $1,792.63 – $4,804.11 | 9 |
| Tah w/mmk 58152 CPT 58152 | $3,129.60 | $3,912.00 | $1,105.84 – $2,968.87 | 9 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $301.92 | $377.39 | $7.71 – $152.09 | 13 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $62.55 – $86.56 | 9 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $67.61 – $76.02 | 7 |
| Talymed HCPCS Q4127 | not published | not published | $67.32 – $149.58 | 6 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.19 – $3.87 | 6 |
| Tap block bilat cont infusion 64489 CPT 64489 | $691.20 | $864.00 | $68.72 – $188.28 | 9 |
| Tap block uni by cont infusion 64487 CPT 64487 | $896.00 | $1,120.00 | $54.56 – $154.57 | 9 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.27 – $0.78 | 6 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,519.20 | $1,899.00 | $288.02 – $797.51 | 11 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,839.20 | $7,299.00 | $1,107.11 – $3,065.58 | 11 |
| Target gsa panel organ neop CPT 81445 | $1,196.00 | $1,495.00 | $226.73 – $627.81 | 11 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,570.76 – $1,718.95 | 7 |
| Tas congenital car anomal CPT 33741 | $1,882.40 | $2,353.00 | $642.50 – $1,720.01 | 9 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $520.00 | $650.00 | $116.63 – $609.05 | 11 |
| Tavr perq femoral CPT 33361 | $2,966.40 | $3,708.00 | $1,035.38 – $2,768.38 | 9 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $0.80 | $1.00 | $0.30 – $0.71 | 9 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $82.20 – $191.82 | 9 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $35.56 – $76.23 | 9 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.98 – $19.09 | 9 |
| Tbs techl calculation only CPT 77091 | not published | not published | $24.07 – $87.60 | 11 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.51 – $87.60 | 11 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $200.00 | $250.00 | $43.45 – $105.00 | 11 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $153.60 | $192.00 | $37.19 – $80.57 | 11 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $500.00 – $1,162.82 | 4 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $2,793.54 | 9 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $554.75 – $2,955.99 | 9 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,038.38 – $1,863.13 | 3 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $138.18 – $163.94 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $63.98 – $164.79 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,040.32 – $4,170.89 | 8 |
| Tc-99m exametazime diag HCPCS A9521 | $1,627.25 | $2,034.06 | $642.76 – $1,713.97 | 11 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $345.03 | 6 |
| Tc-99m labeled rbc HCPCS A9560 | $303.20 | $379.00 | $106.48 – $236.50 | 8 |
| Tc-99m maa HCPCS A9540 | $169.80 | $212.25 | $30.00 – $85.54 | 8 |
| Tc-99m mebrofenin HCPCS A9537 | $165.60 | $206.99 | $8.05 – $129.16 | 8 |
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.