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 |
|---|---|---|---|---|
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $21.32 – $57.53 | 9 |
| Diab manage trn ind/group HCPCS G0109 | $35.20 | $44.00 | $14.44 – $37.99 | 9 |
| Diab shoe for density insert HCPCS A5500 | $178.40 | $223.00 | $44.32 – $112.80 | 9 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $21.32 – $57.53 | 9 |
| Diag bronchoscope/catheter CPT 31643 | $448.00 | $560.00 | $152.76 – $1,715.79 | 11 |
| Diag laparo separate proc 49320 CPT 49320 | $807.20 | $1,009.00 | $292.53 – $5,804.99 | 11 |
| Diagnostic anoscopy CPT 46601 | $355.20 | $444.00 | $75.71 – $397.03 | 11 |
| Diagnostic anoscopy & biopsy CPT 46607 | $496.80 | $621.00 | $111.48 – $1,173.14 | 11 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $252.00 | $315.00 | $37.28 – $128.25 | 11 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $382.40 | $478.00 | $63.77 – $138.70 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $382.40 | $478.00 | $51.86 – $122.60 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $212.80 | $266.00 | $44.98 – $193.16 | 11 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $650.97 | $813.71 | $62.16 – $327.93 | 13 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $348.45 | $435.56 | $43.57 – $175.53 | 11 |
| Diagnostic Mammogram (one breast) CPT 77065 | $312.72 | $390.90 | $35.36 – $157.53 | 11 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $83.82 – $87.60 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,852.80 | $6,066.00 | $174.92 – $468.04 | 9 |
| Dialysis one evaluation CPT 90945 | $192.00 | $240.00 | $78.81 – $423.67 | 11 |
| Dialysis repeated eval CPT 90947 | $280.00 | $350.00 | $111.79 – $293.05 | 9 |
| Dialysis training complete CPT 90989 | $789.60 | $987.00 | $565.40 – $985.35 | 6 |
| Dialysis training incompl CPT 90993 | $172.00 | $215.00 | $103.20 – $214.60 | 6 |
| Diathermy eg microwave CPT 97024 | $13.60 | $17.00 | $6.52 – $10.89 | 9 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.11 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $94.20 | $117.74 | $5.45 – $41.49 | 8 |
| Dicyclomine injection HCPCS J0500 | $132.40 | $165.50 | $12.86 – $66.70 | 8 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.08 – $0.23 | 7 |
| Diffusing capacity CPT 94729 | $125.24 | $156.54 | $8.07 – $63.09 | 11 |
| Digital analysis of eeg CPT 95957 | $605.60 | $757.00 | $92.55 – $243.96 | 9 |
| Digit nerve surgery add-on CPT 64778 | $450.40 | $563.00 | $158.34 – $421.99 | 9 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $137.60 | $172.00 | $4.88 – $86.64 | 8 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $3,284.24 – $6,210.67 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $66.43 | $83.03 | $7.97 – $33.46 | 11 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $117.60 | $147.00 | $47.11 – $85.75 | 6 |
| Dilate biliary duct/ampulla CPT 47542 | $1,273.60 | $1,592.00 | $120.69 – $320.99 | 9 |
| Dilate esophagus CPT 43453 | $2,142.40 | $2,678.00 | $77.80 – $1,887.44 | 11 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,135.60 | $1,419.49 | $71.53 – $932.84 | 13 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $631.50 – $1,076.17 | 6 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $315.70 – $538.10 | 6 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $899.10 – $1,531.55 | 6 |
| Dilate tear duct opening CPT 68801 | $454.40 | $568.00 | $71.71 – $397.03 | 11 |
| Dilate urethra stricture CPT 53600 | $212.00 | $265.00 | $57.45 – $241.98 | 11 |
| Dilate urethra stricture CPT 53601 | $200.80 | $251.00 | $48.09 – $128.25 | 11 |
| Dilate urethra stricture CPT 53605 | $164.00 | $205.00 | $57.35 – $3,431.60 | 11 |
| Dilate urethra stricture CPT 53621 | $344.80 | $431.00 | $64.64 – $241.98 | 11 |
| Dilation/female urethra/initial 53660 CPT 53660 | $174.40 | $218.00 | $37.44 – $155.67 | 11 |
| Dilation of anal sphincter CPT 45905 | $3,086.65 | $3,858.31 | $153.25 – $1,554.90 | 13 |
| Dilation of cervical canal 57800 CPT 57800 | $172.80 | $216.00 | $43.07 – $3,163.52 | 11 |
| Dilation of rectal stricture 45910 CPT 45910 | $476.80 | $596.00 | $174.00 – $1,173.14 | 11 |
| Dilation of salivary duct CPT 42660 | $296.80 | $371.00 | $71.40 – $506.69 | 11 |
| Dilation of urethra CPT 53661 | $172.00 | $215.00 | $36.29 – $128.25 | 11 |
| Dilation of urethra CPT 53665 | $97.60 | $122.00 | $33.74 – $2,038.19 | 11 |
| Dilation of vagina CPT 57400 | $328.80 | $411.00 | $116.40 – $3,163.52 | 11 |
| Dilation salivary duct 42650 CPT 42650 | $193.60 | $242.00 | $53.85 – $1,473.83 | 11 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $366.40 | $458.00 | $78.39 – $664.10 | 11 |
| Dilat xst trc ndurlgc px CPT 50436 | $766.40 | $958.00 | $136.15 – $3,431.60 | 11 |
| Dilat xst trc new access rcs CPT 50437 | $1,286.40 | $1,608.00 | $226.29 – $3,431.60 | 11 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $2.20 | $2.74 | $0.17 – $0.53 | 6 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $40.93 – $67.88 | 5 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $7.19 – $11.64 | 6 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $746.40 | $933.00 | $125.35 – $885.07 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.60 | $0.75 | $0.02 – $0.78 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $74.84 | $93.55 | $0.62 – $1.09 | 8 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $62.40 | $78.00 | $40.43 – $74.68 | 6 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $1.13 – $4.83 | 6 |
| Direct advanced life support CPT 99288 | $236.00 | $295.00 | $239.70 – $301.56 | 4 |
| Dir nsl mucous membrane test CPT 95065 | $76.80 | $96.00 | $25.84 – $67.24 | 11 |
| Disability dlco CPT 94727 | $470.69 | $588.36 | $10.92 – $237.11 | 13 |
| Disaccharidases CPT 82657 | $64.28 | $80.35 | $13.30 – $32.38 | 11 |
| Disarticulation sho sec clsr CPT 23921 | $2,300.80 | $2,876.00 | $429.57 – $1,820.02 | 11 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,007.45 – $2,678.41 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | $3,636.00 | $4,545.00 | $1,302.31 – $3,465.03 | 9 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $173.45 – $462.93 | 9 |
| Discography cerv/thor spine CPT 72285 | $375.20 | $469.00 | $51.70 – $1,942.94 | 11 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $38.84 – $108.99 | 9 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $114.18 – $291.90 | 9 |
| Dise eval slp do brth flx dx CPT 42975 | $288.80 | $361.00 | $87.44 – $1,715.79 | 11 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,312.06 – $3,501.47 | 9 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $90.59 – $232.96 | 9 |
| Dissolve clot heart vessel CPT 92975 | $813.60 | $1,017.00 | $320.93 – $842.74 | 9 |
| Dist revas ligation hemo CPT 36838 | $5,588.80 | $6,986.00 | $971.90 – $5,378.48 | 11 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $991.34 – $2,649.47 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $1,943.20 | $2,429.00 | $709.37 – $5,885.87 | 11 |
| Division of fallopian tube 58605 CPT 58605 | $832.00 | $1,040.00 | $302.22 – $813.13 | 9 |
| #d/lmeth-l-methamphetamine CPT 80374 | $72.14 | $90.17 | $13.16 – $86.56 | 8 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $730.40 | $913.00 | $249.62 – $666.87 | 9 |
| Dmd dup/delet analysis CPT 81161 | $267.84 | $334.80 | $105.80 – $292.95 | 11 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $164.90 – $384.78 | 9 |
| Dmpk gene detc abnor allele CPT 81234 | $153.56 | $191.95 | $60.66 – $143.85 | 11 |
| Dna antibody native/double stranded CPT 86225 | $48.57 | $60.71 | $8.24 – $24.47 | 11 |
| Dna gardnerella CPT 87510 | $50.40 | $63.00 | $12.03 – $26.07 | 11 |
| Dna probe chlamydia CPT 87490 | $57.60 | $72.00 | $13.65 – $29.58 | 11 |
| Dna probe gc CPT 87590 | $58.40 | $73.00 | $15.24 – $30.09 | 11 |
| Dna trichomonas CPT 87660 | $50.40 | $63.00 | $12.03 – $26.07 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $9.60 | $12.00 | $7.58 – $12.80 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $54.44 | $68.04 | $0.67 – $27.42 | 8 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.06 – $56.49 | 7 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $4.51 – $12.20 | 4 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $59.12 – $132.91 | 6 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $98.00 – $98.00 | 2 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $155.00 – $155.00 | 2 |
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.