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 |
|---|---|---|---|---|
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $302.84 | $378.55 | $49.59 – $236.22 | 13 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,572.76 | $1,965.94 | $36.97 – $792.27 | 13 |
| Whole body photography CPT 96904 | $144.80 | $181.00 | $58.62 – $159.74 | 9 |
| Whole mitochondrial genome CPT 81460 | $2,574.40 | $3,218.00 | $488.03 – $1,351.35 | 11 |
| Whole mitochondrial genome CPT 81465 | $1,872.00 | $2,340.00 | $354.93 – $982.80 | 11 |
| Whole Skeleton X-ray Survey CPT 77075 | $776.07 | $970.08 | $24.14 – $390.94 | 13 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $289.37 – $736.37 | 9 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $289.37 – $736.37 | 9 |
| Wilate injection HCPCS J7183 | $1.60 | $2.00 | $1.23 – $1.68 | 9 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.17 – $0.43 | 9 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $298.40 | $373.00 | $78.63 – $209.75 | 9 |
| Woman's shoe oxford brace HCPCS L3224 | $162.40 | $203.00 | $40.40 – $102.79 | 9 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $410.50 | $513.12 | $32.44 – $206.79 | 13 |
| Wound closure by adhesive HCPCS G0168 | $258.40 | $323.00 | $12.83 – $51.57 | 9 |
| Woundfix biowound plus xplus HCPCS Q4217 | $837.60 | $1,047.00 | $273.51 – $1,046.27 | 5 |
| Wound pouch each HCPCS A6154 | not published | not published | $10.01 – $25.48 | 9 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $591.20 | $739.00 | $19.02 – $397.52 | 11 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $616.00 | $770.00 | $21.67 – $397.52 | 11 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $228.93 | $286.16 | $22.96 – $197.70 | 13 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $95.20 | $119.00 | $24.87 – $397.52 | 11 |
| Wrist arthroscopy CPT 29840 | $2,222.40 | $2,778.00 | $414.69 – $3,228.27 | 11 |
| Wrist arthroscopy/surgery CPT 29843 | $2,382.40 | $2,978.00 | $442.89 – $3,228.27 | 11 |
| Wrist arthroscopy/surgery CPT 29844 | $2,464.00 | $3,080.00 | $456.31 – $3,228.27 | 11 |
| Wrist arthroscopy/surgery CPT 29845 | $2,875.20 | $3,594.00 | $532.72 – $3,228.27 | 11 |
| Wrist arthroscopy/surgery CPT 29846 | $2,576.00 | $3,220.00 | $476.13 – $3,228.27 | 11 |
| Wrist arthroscopy/surgery CPT 29847 | $2,672.00 | $3,340.00 | $493.30 – $7,107.76 | 11 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,007.18 – $2,626.64 | 9 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $856.34 – $2,312.67 | 9 |
| Wrist endoscopy/surgery CPT 29848 | $2,512.00 | $3,140.00 | $468.22 – $1,592.36 | 11 |
| Wrist X-ray CPT 73110 | $316.10 | $395.12 | $7.71 – $159.23 | 13 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $259.80 | $324.74 | $7.39 – $130.87 | 13 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,364.02 – $3,471.03 | 9 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $700.88 – $4,002.60 | 10 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $3,724.80 | $4,656.00 | $669.56 – $2,269.24 | 11 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $615.01 – $5,133.73 | 11 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $572.27 – $4,002.60 | 10 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $13.00 – $1,219.56 | 4 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $769.21 – $5,133.73 | 11 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $90.39 – $487.34 | 6 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,868.00 | $2,335.00 | $565.99 – $1,820.02 | 11 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,708.80 | $2,136.00 | $513.38 – $1,820.02 | 11 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $548.40 – $1,279.68 | 9 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $548.40 – $1,279.68 | 9 |
| Xm archive tissue molec anal CPT 88363 | $70.00 | $87.49 | $17.28 – $35.26 | 13 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $1,819.20 | $2,274.00 | $317.36 – $847.36 | 9 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,246.40 | $1,558.00 | $174.07 – $666.36 | 9 |
| X-ray abdomen >=3 views CPT 74021 | $314.92 | $393.65 | $11.83 – $158.64 | 13 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $836.76 | $1,045.94 | $24.70 – $421.51 | 13 |
| X-ray assay calculus CPT 82370 | $64.28 | $80.35 | $7.51 – $32.38 | 11 |
| X-ray bone length studies CPT 77073 | $241.65 | $302.06 | $11.95 – $121.73 | 13 |
| X-ray bone survey infant CPT 77076 | $194.40 | $243.00 | $30.91 – $105.81 | 11 |
| X-ray consultation CPT 76140 | $36.00 | $45.00 | $2.70 – $45.56 | 4 |
| Xray endovasc thor ao repr CPT 75956 | $2,688.80 | $3,361.00 | $0.01 – $684.57 | 9 |
| Xray endovasc thor ao repr CPT 75957 | $3,518.40 | $4,398.00 | $0.01 – $586.49 | 9 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $339.27 | $424.08 | $15.90 – $170.90 | 13 |
| X-ray exam entire spi 6/> vw CPT 72084 | $339.27 | $424.08 | $18.58 – $170.90 | 13 |
| X-ray exam of arm infant CPT 73092 | $150.24 | $187.80 | $7.10 – $105.81 | 13 |
| X-ray exam of femur 1 CPT 73551 | $176.60 | $220.75 | $7.39 – $88.96 | 13 |
| X-ray exam of jaw joint CPT 70328 | $165.52 | $206.89 | $8.04 – $87.60 | 13 |
| X-ray exam of jaw joint CPT 70332 | $176.80 | $221.00 | $23.82 – $240.50 | 11 |
| X-ray exam of mastoids CPT 70120 | $187.60 | $234.50 | $8.04 – $105.81 | 13 |
| X-ray exam of middle ear CPT 70134 | $114.40 | $143.00 | $15.87 – $545.54 | 11 |
| X-ray exam of penis CPT 74445 | $606.40 | $758.00 | $46.12 – $110.87 | 11 |
| X-ray exam of perineum CPT 74775 | $588.00 | $735.00 | $27.29 – $240.50 | 11 |
| X-ray exam of salivary gland CPT 70380 | $82.40 | $103.00 | $7.42 – $87.60 | 11 |
| X-ray exam of tear duct CPT 70170 | $728.80 | $911.00 | $13.25 – $240.50 | 11 |
| X-ray exam of teeth CPT 70300 | $32.00 | $40.00 | $4.56 – $87.60 | 11 |
| X-ray exam of teeth CPT 70310 | $82.40 | $103.00 | $7.39 – $240.50 | 11 |
| X-ray exam si joints CPT 72200 | $184.68 | $230.85 | $7.71 – $105.81 | 13 |
| X-ray exam thorac spine4/>vw CPT 72074 | $271.10 | $338.87 | $10.89 – $136.56 | 13 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $187.60 | $234.50 | $8.04 – $94.50 | 13 |
| X-ray fallopian tube CPT 74742 | $264.00 | $330.00 | $26.67 – $60.35 | 9 |
| X-ray head for orthodontia CPT 70350 | $41.60 | $52.00 | $7.83 – $87.60 | 11 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $270.98 | $338.72 | $12.28 – $136.50 | 13 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $339.36 | $424.20 | $13.87 – $170.95 | 13 |
| X-ray joint survey 1 view CPT 77077 | $95.20 | $119.00 | $15.10 – $105.81 | 11 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $184.68 | $230.85 | $7.10 – $93.03 | 13 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $337.89 | $422.36 | $9.92 – $170.21 | 13 |
| X-ray male genital tract CPT 74440 | $182.40 | $228.00 | $16.57 – $240.50 | 11 |
| X-ray mandible ltd <4 views CPT 70100 | $169.69 | $212.11 | $8.04 – $87.60 | 13 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $28.00 – $34.03 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $187.60 | $234.50 | $8.04 – $94.50 | 13 |
| X-ray of mammary ducts CPT 77054 | $170.40 | $213.00 | $19.58 – $240.50 | 11 |
| X-ray optic foramina CPT 70190 | $76.00 | $95.00 | $9.89 – $87.60 | 11 |
| Xray place dist ext thor ao CPT 75959 | $4,111.20 | $5,139.00 | $0.01 – $337.94 | 9 |
| Xray place prox ext thor ao CPT 75958 | $3,684.00 | $4,605.00 | $0.01 – $390.00 | 9 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $752.52 | $940.64 | $22.73 – $379.08 | 13 |
| X-ray ribs 2 views left CPT 71100 | $337.00 | $421.24 | $9.92 – $169.76 | 13 |
| X-ray sella turcica CPT 70240 | $62.40 | $78.00 | $8.36 – $87.60 | 11 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $141.60 | $177.00 | $22.78 – $545.54 | 11 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $194.40 | $243.00 | $25.41 – $105.81 | 11 |
| X-ray small intestine follow-through study CPT 74248 | $897.10 | $1,121.37 | $30.62 – $451.91 | 11 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $175.99 | $219.98 | $9.63 – $88.65 | 13 |
| X-ray surgical specimen CPT 76098 | $322.23 | $402.78 | $13.87 – $545.54 | 13 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $190.98 | $238.72 | $11.51 – $96.20 | 13 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $63.00 – $63.00 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $83.00 – $83.00 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $178.40 | $223.00 | $25.73 – $177.12 | 11 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $207.48 – $604.55 | 9 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $253.60 | $317.00 | $62.97 – $169.62 | 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.