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 |
|---|---|---|---|---|
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $29.07 – $61.02 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $935.20 | $1,169.00 | $158.04 – $437.62 | 11 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,225.60 | $1,532.00 | $185.30 – $513.09 | 11 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $127.86 | $159.82 | $15.64 – $64.41 | 11 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $39.73 | $49.66 | $15.69 – $43.45 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $38.58 | $48.22 | $7.19 – $19.43 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $38.58 | $48.22 | $8.05 – $19.43 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $38.58 | $48.22 | $8.29 – $19.43 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $38.58 | $48.22 | $7.19 – $19.43 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $38.58 | $48.22 | $8.63 – $19.43 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $38.58 | $48.22 | $6.20 – $19.43 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $38.58 | $48.22 | $6.20 – $19.43 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $48.80 | $61.00 | $14.45 – $30.09 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $38.58 | $48.22 | $7.19 – $19.43 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $38.58 | $48.22 | $7.19 – $19.43 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $38.58 | $48.22 | $7.19 – $19.43 | 11 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $88.80 | $111.00 | $21.05 – $45.62 | 11 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $88.80 | $111.00 | $21.05 – $45.62 | 11 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $89.60 | $112.00 | $22.36 – $48.45 | 11 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $909.60 | $1,137.00 | $158.04 – $437.62 | 11 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $88.80 | $111.00 | $21.05 – $45.62 | 11 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $87.20 | $109.00 | $21.05 – $45.62 | 11 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $101.60 | $127.00 | $25.01 – $52.37 | 11 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $88.80 | $111.00 | $21.05 – $45.62 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $103.20 | $129.00 | $26.52 – $53.88 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $285.60 | $357.00 | $54.09 – $149.76 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $285.60 | $357.00 | $54.09 – $149.76 | 11 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $88.80 | $111.00 | $26.52 – $45.62 | 11 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $79.20 | $99.00 | $21.05 – $45.62 | 11 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $153.60 | $192.00 | $29.11 – $80.61 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $919.20 | $1,149.00 | $158.04 – $437.62 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $283.20 | $354.00 | $52.47 – $134.70 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $526.40 | $658.00 | $99.73 – $276.14 | 11 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $108.00 | $135.00 | $25.70 – $52.37 | 11 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $108.00 | $135.00 | $25.70 – $52.37 | 11 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $108.00 | $135.00 | $25.70 – $52.37 | 11 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $213.60 | $267.00 | $32.27 – $89.36 | 11 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $288.00 | $360.00 | $54.09 – $149.76 | 11 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $109.60 | $137.00 | $30.32 – $41.81 | 11 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $19.75 – $49.20 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $154.21 | $192.76 | $15.91 – $40.50 | 11 |
| Influenza dna amp prob addl CPT 87503 | $59.20 | $74.00 | $17.53 – $40.91 | 9 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $76.00 | $95.00 | $46.01 – $103.07 | 8 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $29.60 | $37.00 | $22.22 – $39.65 | 9 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $811.20 | $1,014.00 | $67.02 – $140.50 | 7 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,713.92 – $7,258.51 | 9 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,672.45 – $7,181.77 | 9 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $624.00 | $780.00 | $73.08 – $152.70 | 7 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $820.80 | $1,026.00 | $69.58 – $145.70 | 7 |
| Infuse radioactive materials CPT 77750 | $744.00 | $930.00 | $118.13 – $261.65 | 11 |
| Ingest challenge ea addl 60 min CPT 95079 | $264.80 | $331.00 | $62.80 – $164.14 | 9 |
| Ingest challenge ini 120 min CPT 95076 | $367.20 | $459.00 | $68.16 – $527.93 | 11 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $272.98 | $341.22 | $12.32 – $202.37 | 13 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,179.34 – $3,001.06 | 9 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,007.41 – $2,563.57 | 9 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $43.13 – $69.10 | 7 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $788.32 – $2,006.04 | 9 |
| Initial foot exam pt lops HCPCS G0245 | $117.60 | $147.00 | $36.44 – $96.69 | 9 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $629.60 | $787.00 | $308.09 – $672.40 | 9 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $244.00 | $305.00 | $121.92 – $258.87 | 9 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $333.60 | $417.00 | $166.67 – $354.00 | 9 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $162.40 | $203.00 | $73.33 – $155.57 | 9 |
| Initial observation care CPT 99218 | not published | not published | $159.00 – $159.00 | 2 |
| Initial observation care CPT 99219 | not published | not published | $215.00 – $215.00 | 2 |
| Initial observation care CPT 99220 | not published | not published | $291.00 – $291.00 | 2 |
| Init nb em per day non-fac CPT 99461 | $167.20 | $209.00 | $55.52 – $118.36 | 9 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $296.00 | $370.00 | $178.96 – $289.92 | 6 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $35.24 – $92.38 | 11 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.87 – $7.65 | 8 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $8.00 | $10.00 | $5.53 – $8.85 | 9 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.22 – $0.23 | 7 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.07 | 5 |
| Inj acetaminophen -fresenius HCPCS J0134 | $1.18 | $1.47 | $0.05 – $1.03 | 8 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.07 | 5 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,479.53 – $5,323.91 | 5 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $86.53 – $96.31 | 7 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.51 – $12.98 | 7 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,235.61 – $69,201.23 | 7 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $7.77 | 9 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.52 – $37.36 | 7 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $795.86 – $912.54 | 7 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $321.18 – $335.72 | 7 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.46 – $1.88 | 9 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $4.52 – $4.52 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.45 – $7.22 | 9 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $133.74 – $138.11 | 7 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $43.45 – $78.76 | 9 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.11 – $10.14 | 7 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $125.00 – $138.13 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $16.97 – $22.33 | 9 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,445.58 – $4,353.69 | 4 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.86 – $2.01 | 7 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.86 – $4.02 | 9 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $46.63 – $54.42 | 7 |
| Inj. asceniv HCPCS J1554 | not published | not published | $496.68 – $638.83 | 9 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $52.60 – $66.24 | 9 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $30.88 – $33.79 | 7 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $107.44 – $111.19 | 7 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $75.41 – $98.82 | 9 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.27 – $45.45 | 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.