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 |
|---|---|---|---|---|
| Fusion of spermatic ducts CPT 54901 | $2,672.00 | $3,340.00 | $957.03 – $2,550.28 | 9 |
| Fusion of tendons at wrist CPT 25300 | $3,372.80 | $4,216.00 | $626.54 – $3,228.27 | 11 |
| Fusion of tendons at wrist CPT 25301 | $3,169.60 | $3,962.00 | $585.76 – $3,228.27 | 11 |
| Fusion of thumb CPT 26841 | $3,633.60 | $4,542.00 | $691.83 – $7,107.76 | 11 |
| Fusion of tibiofibular joint CPT 27871 | $3,396.80 | $4,246.00 | $622.25 – $12,802.03 | 11 |
| Fusion of toes CPT 28280 | $2,571.20 | $3,214.00 | $314.17 – $3,228.27 | 11 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,234.53 – $3,289.95 | 9 |
| Fusion of ureter & kidney CPT 50740 | $5,988.80 | $7,486.00 | $1,074.69 – $2,864.33 | 9 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,040.53 – $2,773.46 | 9 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $164.90 – $384.78 | 9 |
| Fxn gene detc abnor alleles CPT 81284 | $153.56 | $191.95 | $60.66 – $143.85 | 11 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $164.90 – $384.78 | 9 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $111.12 – $259.30 | 9 |
| G0180 home health certification HCPCS G0180 | $116.00 | $145.00 | $48.84 – $128.15 | 9 |
| G6pc gene CPT 81250 | $117.60 | $147.00 | $35.09 – $81.88 | 9 |
| G6pd full gene sequence CPT 81249 | $1,200.00 | $1,500.00 | $227.52 – $630.00 | 11 |
| G6pd gene alys cmn variant CPT 81247 | $350.40 | $438.00 | $66.29 – $183.55 | 11 |
| G6pd known familial variant CPT 81248 | $751.20 | $939.00 | $225.15 – $525.38 | 9 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $52.86 – $153.92 | 6 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $51.09 – $71.51 | 8 |
| Gabapentin non-blood CPT 80355 | $72.14 | $90.17 | $13.16 – $86.56 | 8 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.26 – $0.71 | 6 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $16.31 | $20.38 | $1.49 – $8.21 | 8 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.12 – $0.88 | 6 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.71 – $23.29 | 6 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $64.28 | $80.35 | $12.64 – $32.38 | 11 |
| Galactokinase - sendout CPT 82759 | $64.28 | $80.35 | $12.89 – $32.38 | 11 |
| Galactose transferase test CPT 82776 | $64.28 | $80.35 | $7.04 – $32.38 | 11 |
| Galectin-3 CPT 82777 | $88.80 | $111.00 | $26.55 – $57.53 | 11 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,326.98 | $1,658.72 | $31.91 – $668.46 | 13 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,734.97 | $2,168.71 | $38.86 – $873.99 | 13 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,614.40 | $2,018.00 | $583.24 – $5,804.99 | 11 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $4.25 | 6 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $372.17 – $868.23 | 7 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $886.76 | 7 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $521.78 – $1,033.20 | 7 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $824.00 – $917.11 | 7 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $1.64 – $2.95 | 4 |
| Galsulfase injection HCPCS J1458 | not published | not published | $475.67 – $601.89 | 6 |
| Gamma globulin > 10 cc inj HCPCS J1560 | $556.00 | $695.00 | $170.40 – $659.44 | 9 |
| Gamma globulin 1 cc inj HCPCS J1460 | $56.00 | $70.00 | $40.34 – $65.94 | 9 |
| Gammaglobulin iga CPT 82784 | $33.57 | $41.96 | $5.58 – $16.91 | 11 |
| Gammaglobulin ige CPT 82785 | $64.28 | $80.35 | $9.88 – $32.38 | 11 |
| Gamma glutamyltransferase CPT 82977 | $33.57 | $41.96 | $4.32 – $16.91 | 11 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.14 – $9.98 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $50.61 – $71.70 | 9 |
| Gamunex-c/gammaked HCPCS J1561 | $121.40 | $151.75 | $45.91 – $64.72 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $32.01 – $101.02 | 6 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $5,197.41 – $23,588.95 | 4 |
| Gardner vag dna amp probe CPT 87511 | $88.80 | $111.00 | $21.05 – $54.59 | 9 |
| Gardner vag dna quant CPT 87512 | $104.80 | $131.00 | $25.06 – $64.96 | 9 |
| Gastric analy w/ph ea spec CPT 82930 | $33.57 | $41.96 | $4.03 – $16.91 | 11 |
| Gastric emptying imag study CPT 78265 | $631.20 | $789.00 | $42.04 – $399.81 | 11 |
| Gastric emptying imag study CPT 78266 | $744.80 | $931.00 | $44.98 – $535.56 | 11 |
| Gastric motility studies CPT 91020 | $576.00 | $720.00 | $66.07 – $527.93 | 11 |
| Gastric mucosa imaging CPT 78261 | $555.20 | $694.00 | $25.72 – $399.81 | 11 |
| Gastrin test CPT 82938 | $44.80 | $56.00 | $10.61 – $27.53 | 9 |
| Gastroduodenostomy CPT 43810 | $2,492.80 | $3,116.00 | $892.05 – $2,376.76 | 9 |
| Gastroesophageal reflux study CPT 78262 | $541.60 | $677.00 | $29.82 – $399.81 | 11 |
| Gastroesophageal reflux test CPT 91034 | $413.60 | $517.00 | $44.81 – $527.93 | 11 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,939.17 – $5,182.98 | 9 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,354.89 – $6,275.60 | 9 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $3,295.20 | $4,119.00 | $1,180.85 – $3,147.91 | 9 |
| Gastrojejunostomy w/vagotomy CPT 43825 | $3,209.60 | $4,012.00 | $1,149.30 – $3,062.90 | 9 |
| Gastro/jejuno tube, std HCPCS B4087 | $42.40 | $53.00 | $17.70 – $55.17 | 9 |
| Gastroplasty duodenal switch CPT 43845 | $4,780.80 | $5,976.00 | $1,717.83 – $4,569.79 | 9 |
| Gastrostomy open neonatal CPT 43831 | $1,474.40 | $1,843.00 | $539.71 – $1,439.51 | 11 |
| Gated heart multiple CPT 78473 | $671.20 | $839.00 | $63.35 – $399.81 | 11 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $1.69 – $4.30 | 9 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $1.81 – $4.60 | 9 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $6.40 | $8.00 | $1.49 – $3.78 | 9 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.67 – $1.69 | 9 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $2.51 – $6.38 | 9 |
| Gba gene CPT 81251 | $127.86 | $159.82 | $28.35 – $64.41 | 11 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $41.95 – $90.88 | 6 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $49.73 – $107.74 | 6 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $58.22 – $139.94 | 5 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $31.12 – $67.42 | 6 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $35.53 – $76.99 | 6 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $40.91 – $89.44 | 6 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $55.51 – $120.26 | 6 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $66.18 – $143.39 | 6 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $78.40 – $169.86 | 6 |
| Gefitinib oral HCPCS J8565 | not published | not published | $65.53 – $162.64 | 6 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $37.84 – $96.29 | 9 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $1.29 – $3.28 | 9 |
| Gel-one HCPCS J7326 | $1,056.00 | $1,320.00 | $520.99 – $744.52 | 9 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1.60 | $2.00 | $0.56 – $0.72 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $265.99 | $332.48 | $3.26 – $133.99 | 8 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $216.05 – $294.16 | 9 |
| General health panel CPT 80050 | $70.40 | $88.00 | $25.73 – $53.61 | 8 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $81.49 – $118.92 | 5 |
| Genetic tstg severe inh cond CPT 81443 | $4,897.60 | $6,122.00 | $928.49 – $2,570.99 | 11 |
| Genioplasty augmentation CPT 21120 | $1,643.20 | $2,054.00 | $453.22 – $5,885.87 | 11 |
| Geniop sldg augmentation CPT 21123 | $2,196.80 | $2,746.00 | $763.30 – $3,226.74 | 11 |
| Geniop sldg osteot 1 CPT 21121 | $1,696.80 | $2,121.00 | $488.60 – $3,226.74 | 11 |
| Geniop sldg osteot 2/> CPT 21122 | $1,895.20 | $2,369.00 | $667.90 – $5,885.87 | 11 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,402.59 – $3,272.93 | 9 |
| Genome sequence analysis CPT 81425 | $4,829.96 | $6,037.44 | $1,907.83 – $5,282.76 | 11 |
| Genome sequence analysis CPT 81426 | $2,601.56 | $3,251.94 | $1,027.61 – $2,845.45 | 11 |
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.