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 |
|---|---|---|---|---|
| Tc-99m medronate HCPCS A9503 | $122.31 | $152.88 | $13.00 – $88.61 | 8 |
| Tc-99m mertiatide HCPCS A9562 | $966.40 | $1,208.00 | $275.78 – $837.81 | 8 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $8.00 | $10.00 | $6.00 – $10.50 | 8 |
| Tc-99m oxidronate HCPCS A9561 | $60.00 | $75.00 | $50.16 – $121.26 | 6 |
| Tc-99m pentetate dtpa HCPCS A9539 | $37.60 | $47.00 | $31.44 – $70.72 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $291.94 | $364.92 | $20.97 – $147.06 | 6 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $205.36 | $256.70 | $1.26 – $103.45 | 8 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $60.80 | $76.00 | $17.30 – $104.94 | 6 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $373.60 | $467.00 | $119.30 – $274.84 | 8 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $192.81 – $1,633.06 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $334.40 | $418.00 | $80.29 – $300.00 | 8 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $314.72 | $393.40 | $97.21 – $245.48 | 8 |
| Tc-99m tilmanocept diag HCPCS A9520 | $499.22 | $624.02 | $197.19 – $599.06 | 8 |
| Tca peel dermal 15789 CPT 15789 | $1,324.80 | $1,656.00 | $374.71 – $993.70 | 11 |
| Tcd emboli detect w/inj CPT 93893 | $764.80 | $956.00 | $53.89 – $142.22 | 11 |
| Tcd emboli detect without inj CPT 93892 | $666.40 | $833.00 | $53.59 – $141.44 | 11 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $91.20 – $133.92 | 5 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $148.20 – $428.44 | 9 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $110.00 | $137.50 | $28.19 – $61.07 | 11 |
| T cells absolute cd 4 count CPT 86361 | $110.00 | $137.50 | $16.07 – $55.41 | 11 |
| T cells total count CPT 86359 | $110.00 | $137.50 | $22.64 – $55.41 | 11 |
| Tcranial magn stim tx deli CPT 90868 | $312.00 | $390.00 | $39.40 – $387.56 | 11 |
| Tcranial magn stim tx plan CPT 90867 | $513.60 | $642.00 | $114.09 – $604.55 | 11 |
| Tcran magn stim redetemine CPT 90869 | $635.20 | $794.00 | $91.27 – $642.20 | 11 |
| Tdh sdrl/ventr pnxr CPT 61105 | $1,087.20 | $1,359.00 | $408.15 – $1,084.22 | 9 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $5,030.40 | $6,288.00 | $874.16 – $2,341.06 | 9 |
| Team conf without pat by hc pro CPT 99368 | $67.20 | $84.00 | $49.20 – $83.75 | 6 |
| Team conf without pat by phys CPT 99367 | $102.40 | $128.00 | $75.30 – $127.29 | 6 |
| Team conf w/pat by hc prof CPT 99366 | $78.40 | $98.00 | $55.80 – $95.88 | 6 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.56 – $271.60 | 9 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $752.14 – $774.26 | 6 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $752.14 – $774.26 | 6 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $27.58 – $77.39 | 9 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.34 – $9.16 | 9 |
| Telehealth original site facility fee HCPCS Q3014 | $61.60 | $77.00 | $11.73 – $32.16 | 8 |
| Telethx isodose plan cplx CPT 77307 | $529.60 | $662.00 | $121.67 – $364.23 | 11 |
| Telethx isodose plan simple CPT 77306 | $272.00 | $340.00 | $67.04 – $364.23 | 11 |
| Temozolomide HCPCS J8700 | not published | not published | $0.23 – $5.53 | 6 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.23 – $13.52 | 9 |
| Temperature gradient studies CPT 93740 | $19.20 | $24.00 | $2.82 – $155.67 | 11 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,418.00 – $2,418.00 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $77.60 | $97.00 | $30.32 – $77.89 | 9 |
| Tendon lengthening CPT 26476 | $1,493.60 | $1,867.00 | $574.42 – $3,228.27 | 11 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $1,428.00 | $1,785.00 | $528.98 – $3,228.27 | 11 |
| Tendon shortening CPT 26477 | $1,460.80 | $1,826.00 | $562.96 – $3,228.27 | 11 |
| Tendon transfer with graft CPT 26492 | $2,200.80 | $2,751.00 | $828.64 – $3,228.27 | 11 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $238.85 | $298.56 | $51.85 – $180.53 | 11 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $514.57 – $2,495.95 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | $3,020.80 | $3,776.00 | $550.80 – $7,107.76 | 11 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,436.00 | $1,795.00 | $539.54 – $3,228.27 | 11 |
| Tenolysis triceps CPT 24332 | $3,012.80 | $3,766.00 | $560.22 – $3,228.27 | 11 |
| Tenoplasty elbow to sho 1 CPT 24320 | $1,919.20 | $2,399.00 | $704.38 – $7,107.76 | 11 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,266.40 | $1,583.00 | $472.64 – $1,592.36 | 11 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $652.83 – $1,730.29 | 9 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $2,243.20 | $2,804.00 | $271.17 – $3,228.27 | 11 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $962.40 | $1,203.00 | $222.81 – $1,592.36 | 11 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $1,914.43 – $4,871.66 | 9 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $9.31 – $33.76 | 9 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $77.88 | $97.35 | $1.41 – $39.23 | 8 |
| Teriparatide injection HCPCS J3110 | $65.60 | $82.00 | $9.82 – $50.33 | 6 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $2,450.10 – $6,234.83 | 9 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $1,892.11 – $4,814.88 | 9 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $823.21 – $2,094.81 | 9 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $592.81 – $1,508.55 | 9 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $882.46 – $2,245.61 | 9 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $244.43 – $622.00 | 9 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $260.65 – $663.27 | 9 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $202.65 – $546.26 | 9 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $121.88 – $313.44 | 9 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $401.75 – $1,022.36 | 9 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $111.12 – $259.30 | 9 |
| Test for chlorohydrocarbons CPT 82441 | $32.15 | $40.18 | $3.61 – $16.19 | 11 |
| Test for porphobilinogen CPT 84106 | $33.57 | $41.96 | $3.49 – $16.91 | 11 |
| Test for urine cystines CPT 82615 | $23.20 | $29.00 | $5.73 – $13.36 | 9 |
| Testicular imaging w/vasc flow CPT 78761 | $1,427.44 | $1,784.29 | $31.24 – $719.07 | 13 |
| Testosterone pellet 75 mg HCPCS S0189 | $102.40 | $128.00 | $105.13 – $130.55 | 5 |
| Testosterone response panel CPT 80414 | $129.60 | $162.00 | $30.98 – $80.32 | 9 |
| Testosterone undecanoate 1mg HCPCS J3145 | $2.40 | $3.00 | $1.65 – $2.39 | 9 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $70.00 | $87.49 | $27.65 – $59.10 | 12 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $155.90 – $431.03 | 9 |
| Test socket above knee HCPCS L5624 | not published | not published | $217.69 – $610.90 | 9 |
| Test socket below knee HCPCS L5620 | not published | not published | $169.48 – $467.16 | 9 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $303.02 – $811.29 | 9 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $291.95 – $801.16 | 9 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $218.37 – $609.17 | 9 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $208.72 – $585.71 | 9 |
| Test socket symes HCPCS L5618 | not published | not published | $178.10 – $472.57 | 9 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $144.27 – $389.84 | 9 |
| Test stress cardiovascular tracing only CPT 93017 | $786.13 | $982.66 | $33.67 – $396.01 | 13 |
| Test urine for lactose CPT 83633 | $23.20 | $29.00 | $6.75 – $15.75 | 9 |
| Test urine for porphyrins CPT 84119 | $27.20 | $34.00 | $8.02 – $18.71 | 9 |
| Test urine urobilinogen CPT 84578 | $9.60 | $12.00 | $2.68 – $6.26 | 9 |
| Tetanus ig im CPT 90389 | $624.00 | $780.00 | $216.09 – $755.57 | 6 |
| Tetanus immune globulin inj HCPCS J1670 | $634.40 | $793.00 | $453.35 – $752.20 | 9 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.77 – $24.16 | 9 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $82.20 – $191.82 | 9 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $729.16 | $911.44 | $288.02 – $797.51 | 11 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,802.82 | $3,503.52 | $1,107.11 – $3,065.58 | 11 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $792.10 | $990.12 | $312.88 – $627.81 | 11 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | $419.20 | $524.00 | $149.16 – $171.40 | 7 |
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.