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 |
|---|---|---|---|---|
| Vaccine Administration (one shot) CPT 90471 | $77.40 | $96.75 | $13.83 – $70.82 | 13 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $233.60 | $292.00 | $144.64 – $189.70 | 9 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $233.60 | $292.00 | $144.64 – $189.70 | 9 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $255.20 | $319.00 | $147.69 – $170.43 | 9 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $171.20 | $214.00 | $83.16 – $114.11 | 9 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $128.00 | $160.00 | $62.10 – $85.22 | 9 |
| Vaccine dtap < 7 years im CPT 90700 | $31.20 | $39.00 | $29.59 – $49.74 | 6 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $92.00 | $115.00 | $90.37 – $146.12 | 6 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $89.60 | $112.00 | $62.82 – $98.73 | 5 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $152.00 | $190.00 | $141.86 – $170.46 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | $107.20 | $134.00 | $102.29 – $150.02 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $36.00 | $45.00 | $30.58 – $56.73 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $32.80 | $41.00 | $13.17 – $52.86 | 6 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $77.60 | $97.00 | $71.60 – $92.77 | 6 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $119.20 | $149.00 | $116.82 – $182.65 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $40.00 | $50.00 | $37.96 – $66.85 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $42.40 | $53.00 | $27.44 – $69.97 | 4 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $105.60 | $132.00 | $33.69 – $97.69 | 9 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $105.60 | $132.00 | $70.38 – $112.52 | 9 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $162.40 | $203.00 | $116.65 – $208.37 | 9 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $48.00 | $60.00 | $30.56 – $45.14 | 9 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $278.40 | $348.00 | $232.65 – $347.67 | 5 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $230.40 | $288.00 | $186.43 – $216.07 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $78.40 | $98.00 | $23.19 – $103.07 | 11 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $76.00 | $95.00 | $79.09 – $103.07 | 8 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $18.40 | $23.00 | $18.71 – $31.10 | 9 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $22.40 | $28.00 | $19.61 – $33.19 | 9 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $20.00 | $25.00 | $18.44 – $29.92 | 6 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $72.80 | $91.00 | $65.96 – $100.57 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $26.40 | $33.00 | $14.88 – $36.61 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $21.60 | $27.00 | $19.73 – $31.93 | 6 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $16.00 | $20.00 | $9.22 – $15.78 | 6 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $28.00 | $35.00 | $24.50 – $36.12 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $72.00 | $90.00 | $64.51 – $95.42 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $30.40 | $38.00 | $30.14 – $51.97 | 8 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $33.60 | $42.00 | $8.39 – $31.10 | 9 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $209.60 | $262.00 | $203.90 – $252.84 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $177.60 | $222.00 | $168.72 – $214.99 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $156.00 | $195.00 | $151.06 – $188.69 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $235.20 | $294.00 | $144.10 – $603.17 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $222.36 | $277.95 | $74.63 – $112.01 | 8 |
| Vaccine mmrv live subcutaneous CPT 90710 | $288.00 | $360.00 | $221.52 – $637.36 | 6 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $128.80 | $161.00 | $114.77 – $191.63 | 9 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $248.00 | $310.00 | $240.82 – $361.30 | 9 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $236.80 | $296.00 | $256.05 – $329.63 | 9 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $316.00 | $395.00 | $286.78 – $375.26 | 9 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $40.00 | $50.00 | $38.68 – $56.73 | 6 |
| Vaccine rabies im CPT 90675 | $733.51 | $916.88 | $289.25 – $422.17 | 11 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $403.20 | $504.00 | $278.35 – $333.35 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $792.00 | $990.00 | $453.45 – $587.32 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $592.00 | $740.00 | $453.45 – $587.32 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $358.40 | $448.00 | $264.19 – $316.40 | 4 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $129.60 | $162.00 | $107.04 – $156.78 | 6 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $108.00 | $135.00 | $98.82 – $150.02 | 6 |
| Vaccine tdap >=7 years im CPT 90715 | $146.24 | $182.80 | $39.07 – $73.47 | 8 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $35.20 | $44.00 | $26.07 – $41.92 | 6 |
| Vaccine typhoid vicps im CPT 90691 | $126.40 | $158.00 | $101.32 – $157.74 | 6 |
| Vaccine varicella live subcutaneous CPT 90716 | $165.60 | $207.00 | $109.59 – $206.79 | 6 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $186.40 | $233.00 | $140.66 – $232.25 | 6 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 7 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $29.35 – $74.69 | 9 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $280.56 – $713.96 | 9 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $110.11 – $280.20 | 9 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $2,503.35 – $6,370.31 | 9 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $2,488.80 | $3,111.00 | $890.65 – $4,911.59 | 11 |
| Vag hyst incl t/o complex CPT 58291 | $3,129.60 | $3,912.00 | $1,110.39 – $4,911.59 | 11 |
| Vag hyst including t/o CPT 58262 | $2,317.60 | $2,897.00 | $830.76 – $4,911.59 | 11 |
| Vag hyst t/o & repair compl CPT 58292 | $3,294.40 | $4,118.00 | $1,169.84 – $7,357.58 | 11 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $3,056.00 | $3,820.00 | $1,086.80 – $4,911.59 | 11 |
| Vag hyst w/enterocele repair CPT 58270 | $2,227.20 | $2,784.00 | $801.04 – $4,911.59 | 11 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,475.00 – $2,475.00 | 2 |
| Vaginal bx CPT 58999 | not published | not published | $191.52 – $200.16 | 8 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $1,839.20 | $2,299.00 | $776.14 – $1,964.58 | 9 |
| Vaginal Delivery (full care) CPT 59400 | $4,552.00 | $5,690.00 | $2,106.28 – $5,338.68 | 9 |
| Vaginal hysterectomy CPT 58260 | $2,087.20 | $2,609.00 | $751.29 – $4,911.59 | 11 |
| Vaginectomy partial w/nodes CPT 57109 | $4,252.00 | $5,315.00 | $1,554.40 – $4,163.87 | 11 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $76.95 – $2,081.43 | 9 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,554.40 – $4,163.87 | 9 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $809.08 – $2,173.21 | 9 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | $616.00 | $770.00 | $97.36 – $259.57 | 9 |
| Vagotomy & pylorus repair CPT 43641 | $2,948.00 | $3,685.00 | $1,057.12 – $2,817.22 | 9 |
| Vagotomy & pylorus repair 43640 CPT 43640 | $2,892.00 | $3,615.00 | $1,045.35 – $2,785.20 | 9 |
| Valproic acid total therapeutic drug level CPT 80164 | $66.43 | $83.03 | $8.12 – $33.46 | 11 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,404.32 – $1,773.00 | 9 |
| Valvuloplasty aortic CPT 92986 | $2,842.40 | $3,553.00 | $1,142.79 – $5,672.81 | 11 |
| Valvuloplasty aortic valve CPT 33390 | $4,712.00 | $5,890.00 | $1,656.46 – $4,412.70 | 9 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,962.13 – $5,227.13 | 9 |
| Valvuloplasty mitral CPT 92987 | $2,933.60 | $3,667.00 | $1,178.51 – $11,283.46 | 11 |
| Valvuloplasty pulmonary CPT 92990 | $2,338.40 | $2,923.00 | $943.21 – $11,283.46 | 11 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | $7,556.80 | $9,446.00 | $2,641.41 – $7,063.63 | 9 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | $5,965.60 | $7,457.00 | $2,096.72 – $5,599.29 | 9 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $0.96 | $1.19 | $0.27 – $0.81 | 6 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $0.82 | $1.02 | $0.27 – $0.84 | 6 |
| Vancomycin hcl injection HCPCS J3370 | $47.20 | $58.99 | $1.95 – $10.93 | 8 |
| Vancomycin peak therapeutic drug level CPT 80202 | $66.43 | $83.03 | $8.12 – $33.46 | 11 |
| Vanomycin dna amp probe CPT 87500 | $87.20 | $109.00 | $21.05 – $45.62 | 11 |
| Vantas implant HCPCS J9225 | not published | not published | $4,848.69 – $5,774.91 | 4 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.44 – $1.13 | 9 |
| Varicella zoster antibody igg CPT 86787 | $48.57 | $60.71 | $7.73 – $24.47 | 11 |
| Varicella-zoster immue globin im CPT 90396 | $2,097.60 | $2,622.00 | $239.41 – $2,477.89 | 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.