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 |
|---|---|---|---|---|
| Dermabrasion segmental face 15781 CPT 15781 | $1,344.00 | $1,680.00 | $379.75 – $1,025.44 | 11 |
| Dermabrasion suprfl any site CPT 15783 | $1,144.80 | $1,431.00 | $325.46 – $863.18 | 11 |
| Dermabrasion total face CPT 15780 | $2,188.80 | $2,736.00 | $604.45 – $2,847.64 | 11 |
| Derma-fat-fascia graft 15770 CPT 15770 | $1,644.00 | $2,055.00 | $607.76 – $3,642.53 | 11 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $231.29 – $300.18 | 5 |
| Dermagraft HCPCS Q4106 | $42.40 | $53.00 | $41.15 – $116.85 | 4 |
| Dermal filler injection(s) HCPCS G0429 | $240.80 | $301.00 | $61.68 – $161.95 | 9 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $43.45 – $65.54 | 6 |
| Derm autograft face/nck/hf/g CPT 15135 | $2,156.80 | $2,696.00 | $684.17 – $3,642.53 | 11 |
| Derm autograft trnk/arm/leg CPT 15130 | $1,764.80 | $2,206.00 | $536.85 – $1,820.02 | 11 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $44.23 – $161.86 | 6 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $883.62 – $2,067.00 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $4,383.20 | $5,479.00 | $1,519.28 – $4,071.25 | 9 |
| Description not available HCPCS S0013 | not published | not published | $12.37 – $14.90 | 4 |
| Design custom breast implant CPT 19396 | $1,401.60 | $1,752.00 | $127.64 – $338.83 | 9 |
| Design mlc device for imrt CPT 77338 | $917.60 | $1,147.00 | $210.68 – $441.27 | 11 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $12.00 | $15.00 | $3.31 – $6.54 | 11 |
| Desoxycorticosterone CPT 82633 | $109.28 | $136.60 | $18.59 – $55.05 | 11 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $963.20 | $1,204.00 | $334.08 – $893.85 | 9 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $3,761.60 | $4,702.00 | $1,304.96 – $3,496.70 | 9 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $2,727.20 | $3,409.00 | $945.25 – $2,540.48 | 9 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $341.60 | $427.00 | $79.78 – $210.83 | 11 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $440.00 | $550.00 | $108.05 – $286.31 | 11 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $505.60 | $632.00 | $124.46 – $330.30 | 11 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $366.40 | $458.00 | $87.73 – $231.77 | 11 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $404.00 | $505.00 | $96.18 – $254.85 | 11 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $461.60 | $577.00 | $110.56 – $293.81 | 11 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $238.40 | $298.00 | $64.43 – $197.70 | 11 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $358.40 | $448.00 | $80.07 – $211.63 | 11 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $435.20 | $544.00 | $100.87 – $267.81 | 11 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $472.80 | $591.00 | $111.50 – $296.32 | 11 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,070.40 | $2,588.00 | $175.32 – $1,942.94 | 11 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $923.20 | $1,154.00 | $60.86 – $162.47 | 9 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $526.40 | $658.00 | $139.05 – $1,173.14 | 11 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $160.80 | $201.00 | $50.00 – $197.70 | 11 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $623.20 | $779.00 | $190.89 – $1,820.02 | 11 |
| Destroy vulva lesion simple 56501 CPT 56501 | $403.20 | $504.00 | $120.22 – $1,820.02 | 11 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $321.60 | $402.00 | $76.56 – $202.22 | 11 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $1,100.00 | $1,375.00 | $328.75 – $871.59 | 11 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $843.20 | $1,054.00 | $251.67 – $669.18 | 11 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $1,572.80 | $1,966.00 | $478.55 – $1,820.02 | 11 |
| Destruction 2-14 lesions 17003 CPT 17003 | $15.20 | $19.00 | $1.88 – $5.06 | 9 |
| Destruction anal lesion(s) CPT 46910 | $633.60 | $792.00 | $121.88 – $1,820.02 | 11 |
| Destruction anal lesion(s) CPT 46924 | $1,316.80 | $1,646.00 | $165.17 – $2,728.58 | 11 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $581.60 | $727.00 | $125.43 – $397.52 | 11 |
| Destruction benign lesions < 14 lesions CPT 17110 | $272.80 | $341.00 | $62.81 – $197.70 | 11 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $600.00 | $750.00 | $173.09 – $885.81 | 11 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $849.60 | $1,062.00 | $53.47 – $142.25 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,048.00 | $2,560.00 | $175.47 – $1,942.94 | 11 |
| Destruction ciliary body CPT 66700 | $2,240.00 | $2,800.00 | $352.32 – $2,269.24 | 11 |
| Destruction ciliary body CPT 66720 | $2,283.20 | $2,854.00 | $369.68 – $2,321.21 | 11 |
| Destruction ciliary body CPT 66740 | $2,177.60 | $2,722.00 | $352.32 – $2,321.21 | 11 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $605.60 | $757.00 | $129.27 – $344.79 | 11 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $1,024.80 | $1,281.00 | $116.86 – $2,728.58 | 11 |
| Destruction les conjunctiva CPT 68135 | $782.40 | $978.00 | $135.26 – $2,321.21 | 11 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $513.60 | $642.00 | $125.08 – $397.52 | 11 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $605.60 | $757.00 | $153.03 – $405.37 | 11 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $507.20 | $634.00 | $119.45 – $397.52 | 11 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $578.40 | $723.00 | $139.77 – $397.52 | 11 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $332.00 | $415.00 | $97.84 – $397.52 | 11 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $544.80 | $681.00 | $158.60 – $1,820.02 | 11 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $388.80 | $486.00 | $89.50 – $397.52 | 11 |
| Destruction rectal tumor 45190 CPT 45190 | $1,743.20 | $2,179.00 | $629.30 – $2,728.58 | 11 |
| Destruction vag lesions complex 57065 CPT 57065 | $547.20 | $684.00 | $166.67 – $3,163.52 | 11 |
| Destruction vag lesions simple 57061 CPT 57061 | $347.20 | $434.00 | $103.63 – $3,163.52 | 11 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $311.20 | $389.00 | $88.43 – $1,820.02 | 11 |
| Detect agent nos dna dir CPT 87797 | $67.15 | $83.93 | $18.02 – $39.04 | 11 |
| Detect agnt mult dna direc CPT 87800 | $109.60 | $137.00 | $26.20 – $52.37 | 11 |
| Determination venous press CPT 93770 | $18.40 | $23.00 | $1.12 – $20.88 | 6 |
| Determine refractive state CPT 92015 | not published | not published | $33.90 – $51.76 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $56.80 | $71.00 | $18.14 – $26.81 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | $307.20 | $384.00 | $111.75 – $299.96 | 11 |
| Device ablt adv novasure HCPCS C1886 | $1,376.04 | $1,720.04 | $543.53 – $1,651.24 | 6 |
| Device intraute mirena HCPCS J7298 | $1,544.80 | $1,931.00 | $405.43 – $1,231.68 | 8 |
| Dev interrog remote 1/2/mlt CPT 93295 | $115.20 | $144.00 | $33.09 – $126.64 | 9 |
| Devise bowel pouch CPT 44316 | $3,464.00 | $4,330.00 | $1,238.33 – $3,301.32 | 9 |
| Devlopment test interpt&rep HCPCS G0451 | $49.60 | $62.00 | $10.19 – $92.04 | 11 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $137.60 | $172.00 | $46.68 – $137.23 | 9 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $82.40 | $103.00 | $8.68 – $87.60 | 11 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $96.62 – $136.76 | 8 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.15 – $1.18 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.40 | $0.50 | $0.03 – $0.11 | 8 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $14.89 | $18.61 | $0.09 – $0.17 | 8 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $205.24 – $267.30 | 9 |
| Dexamethasone panel CPT 80420 | $324.00 | $405.00 | $61.39 – $169.97 | 11 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.58 – $0.67 | 7 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $259.20 | $324.00 | $32.73 – $265.12 | 9 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $37.73 – $95.85 | 6 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $14.52 – $30.84 | 3 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.78 – $3.41 | 6 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $2.80 | $3.50 | $0.85 – $2.06 | 6 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $48.00 | $60.00 | $5.68 – $57.60 | 8 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $5.60 | $7.00 | $1.68 – $2.71 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $48.00 | $60.00 | $3.36 – $24.18 | 8 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $56.00 | $70.00 | $13.34 – $28.90 | 11 |
| Diabetes (HbA1c) Test CPT 83036 | $33.57 | $41.96 | $5.83 – $16.91 | 11 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $36.00 | $45.00 | $8.33 – $29.64 | 10 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $132.94 – $338.29 | 9 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $21.32 – $57.53 | 9 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $21.32 – $57.53 | 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.