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 |
|---|---|---|---|---|
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,087.42 – $3,226.74 | 8 |
| Factor ix CPT 85250 | $95.72 | $119.64 | $11.42 – $48.21 | 11 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.54 – $4.50 | 9 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.58 – $2.09 | 9 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.06 – $6.42 | 9 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.36 – $1.72 | 9 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.32 – $5.73 | 9 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.62 – $2.02 | 6 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.84 – $2.28 | 9 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.27 – $2.64 | 5 |
| Factor viii CPT 85240 | $39.20 | $49.00 | $10.74 – $23.27 | 11 |
| Factor viii HCPCS J7190 | not published | not published | $1.08 – $1.34 | 9 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.30 – $2.84 | 9 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.19 – $1.67 | 9 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.03 – $2.57 | 9 |
| Factor viii recombinant nos HCPCS J7192 | $2.40 | $3.00 | $1.55 – $1.97 | 9 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.38 – $1.74 | 9 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.22 – $4.19 | 9 |
| Factor xiii anti-hem factor HCPCS J7180 | $10.40 | $13.00 | $9.81 – $12.58 | 9 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.34 – $15,000.65 | 9 |
| Fallopian tube recnl CPT 58345 | $1,425.60 | $1,782.00 | $258.95 – $3,163.52 | 11 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $17.48 – $30.60 | 8 |
| Family therapy without pt 50min 90846 CPT 90846 | $230.40 | $288.00 | $96.29 – $242.84 | 11 |
| Family therapy with patient 50 min 90847 CPT 90847 | $239.20 | $299.00 | $100.44 – $253.76 | 11 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $71.44 | $89.30 | $0.01 – $1.03 | 8 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $25.37 – $35.41 | 9 |
| Fancc gene CPT 81242 | $127.86 | $159.82 | $21.97 – $64.41 | 11 |
| Fasciotomy hip/thigh any typ CPT 27025 | $4,512.00 | $5,640.00 | $842.99 – $2,220.99 | 9 |
| Fat/lipids feces qualitative CPT 82705 | $33.57 | $41.96 | $3.06 – $16.91 | 11 |
| Fatty acids nonesterified CPT 82725 | $64.28 | $80.35 | $11.26 – $32.38 | 11 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $100.01 – $254.49 | 9 |
| Fecal bilirubin test CPT 82252 | $12.00 | $15.00 | $2.74 – $7.07 | 9 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.28 – $81.88 | 9 |
| Fecal microbiota prep instil HCPCS G0455 | $278.40 | $348.00 | $63.43 – $907.12 | 11 |
| #fecal-sodium CPT 84302 | $33.57 | $41.96 | $2.92 – $16.91 | 11 |
| Feeding tube reposition CPT 74355 | $295.20 | $369.00 | $33.44 – $75.06 | 9 |
| Fees w/laryngeal sense i&r CPT 92617 | $92.80 | $116.00 | $37.07 – $97.97 | 9 |
| Fees w/laryngeal sense test CPT 92616 | $471.20 | $589.00 | $91.53 – $239.33 | 9 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $66.43 | $83.03 | $11.18 – $33.46 | 11 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $2,430.79 – $6,392.30 | 9 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $198.67 – $531.75 | 9 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $46.40 – $118.07 | 9 |
| Fem/popl revasc w/stent CPT 37226 | $48,569.60 | $60,712.00 | $441.27 – $11,283.46 | 11 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $7.28 – $18.51 | 9 |
| Feno poc CPT 95012 | $58.40 | $73.00 | $16.39 – $43.91 | 11 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $73.46 | $91.82 | $0.75 – $12.39 | 8 |
| Fern test HCPCS Q0114 | $56.44 | $70.54 | $9.74 – $28.43 | 11 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2.47 | $3.08 | $0.97 – $1.49 | 11 |
| Ferritin CPT 82728 | $64.28 | $80.35 | $8.18 – $32.38 | 11 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2.46 | $3.07 | $0.31 – $1.24 | 11 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.31 – $1.21 | 9 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $477.00 – $1,113.07 | 9 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,018.80 | $1,273.49 | $46.37 – $513.22 | 13 |
| Fetal chrmoml microdeltj CPT 81422 | $1,518.40 | $1,898.00 | $455.43 – $1,062.74 | 9 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,518.40 | $1,898.00 | $287.83 – $797.00 | 11 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $387.01 | $483.76 | $30.57 – $200.16 | 13 |
| Fetal cord puncture prenatal CPT 59012 | $488.00 | $610.00 | $172.42 – $462.93 | 11 |
| Fetal fibronectin CPT 82731 | $291.41 | $364.26 | $38.65 – $146.80 | 11 |
| Fetal fluid drainage w/us CPT 59074 | $932.80 | $1,166.00 | $265.06 – $709.86 | 11 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $33.57 | $41.96 | $4.64 – $16.91 | 11 |
| Fetal hemoglobin rosette CPT 85461 | $33.57 | $41.96 | $5.62 – $16.91 | 11 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $64.28 | $80.35 | $11.59 – $32.38 | 11 |
| Fetal monitor/interpret only CPT 59051 | $102.40 | $128.00 | $35.75 – $96.30 | 9 |
| Fetal monitor w/report CPT 59050 | $123.20 | $154.00 | $42.82 – $114.48 | 9 |
| Fetal non stress test CPT 59025 | $496.84 | $621.05 | $17.87 – $250.28 | 13 |
| Fetal scalp blood sampling 59030 CPT 59030 | $272.80 | $341.00 | $95.98 – $302.66 | 11 |
| Fetal shunt placement w/us CPT 59076 | $1,262.40 | $1,578.00 | $289.59 – $1,195.73 | 11 |
| #_fet/norfentcnfrmur CPT 80354 | $72.14 | $90.17 | $13.16 – $86.56 | 8 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.67 – $8.84 | 9 |
| Fibrin degradation d dimer quantitative CPT 85379 | $32.85 | $41.06 | $6.11 – $16.55 | 11 |
| Fibrin degradation products CPT 85362 | $32.85 | $41.06 | $4.13 – $16.55 | 11 |
| Fibrin degrade semiquant CPT 85378 | $32.85 | $41.06 | $5.83 – $16.55 | 11 |
| Fibrin degradj d-dimer CPT 85380 | $33.57 | $41.96 | $6.11 – $16.91 | 11 |
| Fibrinogen activity CPT 85384 | $32.85 | $41.06 | $5.83 – $16.55 | 11 |
| Fibrinogen test CPT 85370 | $32.85 | $41.06 | $7.46 – $16.55 | 11 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $50.40 | $63.00 | $5.36 – $25.62 | 11 |
| Fibrinolytic antiplasmin CPT 85410 | $32.85 | $41.06 | $4.63 – $16.55 | 11 |
| Fibrinolytic plasmin CPT 85400 | $20.00 | $25.00 | $4.63 – $11.99 | 9 |
| Fibrinolytic plasminogen CPT 85415 | $34.40 | $43.00 | $10.06 – $22.35 | 11 |
| Fibrinolytic plasminogen CPT 85421 | $25.60 | $32.00 | $6.11 – $15.84 | 9 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $32.85 | $41.06 | $3.92 – $16.55 | 11 |
| Fibula bone graft microvasc CPT 20955 | $6,131.20 | $7,664.00 | $2,041.31 – $5,834.77 | 9 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.28 – $0.92 | 9 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $2.33 | $2.91 | $0.92 – $1.28 | 11 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1.70 | $2.12 | $0.25 – $0.85 | 11 |
| Filleted finger/toe flap CPT 14350 | $1,725.60 | $2,157.00 | $609.95 – $1,820.02 | 11 |
| Filtered speech hearing test CPT 92571 | $56.80 | $71.00 | $27.91 – $71.89 | 11 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $18.29 – $46.55 | 9 |
| Fimbrioplasty 58760 CPT 58760 | $4,092.80 | $5,116.00 | $733.99 – $1,972.95 | 9 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.15 – $4.65 | 6 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $726.40 | $908.00 | $80.26 – $700.05 | 11 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $413.60 | $517.00 | $46.74 – $123.38 | 9 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $128.80 | $161.00 | $38.73 – $103.09 | 9 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $149.60 | $187.00 | $45.05 – $107.79 | 11 |
| Fine needle asp without image guide 10021 CPT 10021 | $264.00 | $330.00 | $49.41 – $397.52 | 11 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $201.73 – $566.12 | 9 |
| Finger tendon transfer CPT 26497 | $2,152.80 | $2,691.00 | $808.19 – $3,228.27 | 11 |
| Finger tendon transfer CPT 26498 | $2,832.80 | $3,541.00 | $1,051.22 – $3,228.27 | 11 |
| Finger X-ray (both hands) CPT 73140 | $240.52 | $300.64 | $6.12 – $121.16 | 13 |
| Fistula repair & colostomy CPT 57307 | $2,642.40 | $3,303.00 | $972.87 – $2,608.61 | 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.