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 |
|---|---|---|---|---|
| Injection of HIV prep drug HCPCS G0012 | $33.60 | $42.00 | $13.03 – $70.82 | 10 |
| Injection of sinus tract CPT 20500 | $282.40 | $353.00 | $82.16 – $1,473.83 | 11 |
| Injection,onabotulinumtoxina HCPCS J0585 | $9.60 | $12.00 | $6.38 – $8.23 | 9 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $97.70 – $189.29 | 6 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.58 – $1.78 | 8 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $2.09 – $3.12 | 4 |
| Injection px peyronie ds CPT 54200 | $275.20 | $344.00 | $80.06 – $241.98 | 11 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $408.00 | $510.00 | $28.85 – $399.81 | 11 |
| Injection, renflexis HCPCS Q5104 | $122.55 | $153.18 | $23.81 – $40.95 | 11 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.28 – $43.56 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,241.26 | $1,551.57 | $158.72 – $968.18 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,210.09 | $1,512.61 | $57.96 – $689.04 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $855.57 | $1,069.46 | $37.70 – $689.04 | 13 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,164.80 | $1,456.00 | $101.33 – $885.81 | 11 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $475.20 | $594.00 | $53.91 – $143.44 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $940.80 | $1,176.00 | $95.94 – $885.81 | 11 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $441.60 | $552.00 | $46.23 – $123.23 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $856.00 | $1,070.00 | $82.54 – $885.81 | 11 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $637.60 | $797.00 | $97.63 – $689.04 | 11 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $629.60 | $787.00 | $90.27 – $689.04 | 13 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $119.87 – $193.63 | 9 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $272.00 | $340.00 | $35.19 – $293.71 | 11 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $375.32 | $469.14 | $33.02 – $293.71 | 13 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $606.12 | $757.65 | $37.55 – $305.33 | 13 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $76.88 | $96.09 | $5.88 – $38.72 | 8 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $16.00 – $24.88 | 4 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $4.00 | $5.00 | $3.04 – $3.57 | 3 |
| Injection treatment of eye CPT 66020 | $955.20 | $1,194.00 | $118.46 – $2,269.24 | 11 |
| Injection treatment of eye CPT 66030 | $852.80 | $1,066.00 | $100.23 – $2,269.24 | 11 |
| Injection treatment of nerve CPT 64605 | $3,219.20 | $4,024.00 | $365.75 – $1,942.94 | 11 |
| Injection treatment of nerve CPT 64610 | $3,731.20 | $4,664.00 | $418.25 – $1,942.94 | 11 |
| Injection treatment of nerve CPT 64681 | $1,368.00 | $1,710.00 | $201.28 – $885.81 | 11 |
| Injection treatment of nose CPT 30200 | $273.60 | $342.00 | $54.47 – $506.69 | 11 |
| Inject sacroiliac joint CPT 27096 | $801.60 | $1,002.00 | $75.78 – $201.32 | 9 |
| Inject/treat eye socket CPT 67500 | $366.40 | $458.00 | $58.84 – $297.42 | 11 |
| Inject/treat eye socket CPT 67505 | $414.40 | $518.00 | $65.04 – $297.42 | 11 |
| Inject/treat eye socket CPT 67515 | $342.40 | $428.00 | $42.42 – $297.42 | 11 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.98 – $32.92 | 6 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $39.14 – $43.56 | 7 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.13 – $36.52 | 7 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.54 – $38.58 | 9 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $366.67 – $488.35 | 9 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.98 – $65.85 | 9 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $406.40 | $508.00 | $88.79 – $689.04 | 11 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $371.20 | $464.00 | $71.11 – $885.81 | 11 |
| Inj, epinephrine (belcher) HCPCS J0173 | $20.85 | $26.06 | $1.14 – $11.88 | 8 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.02 – $1.47 | 5 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $16.65 – $18.01 | 7 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $3.36 – $4.13 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $183.31 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $179.14 – $232.88 | 9 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $15.06 – $21.43 | 9 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,200,000.00 – $2,448,600.00 | 7 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $8.99 – $11.85 | 9 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $34.72 – $46.92 | 9 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $62.05 – $106.71 | 2 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $19.33 – $24.94 | 9 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $115.40 – $171.37 | 9 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.03 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.10 – $1.43 | 9 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.15 – $9.81 | 8 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.93 – $3.02 | 7 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $139.13 – $241.51 | 6 |
| Inj follitropin beta 75 iu HCPCS S0128 | $307.20 | $384.00 | $132.13 – $393.11 | 6 |
| Inj for ext venography CPT 36005 | $1,444.80 | $1,806.00 | $41.66 – $110.96 | 9 |
| Inj for mammo ductogram CPT 19030 | $833.60 | $1,042.00 | $68.25 – $182.29 | 9 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.57 – $1.21 | 9 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $618.48 – $902.43 | 9 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $3.20 | $4.00 | $2.52 – $3.36 | 4 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $68.90 | 9 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $17.11 – $48.52 | 8 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $26.00 | $32.49 | $1.80 – $5.48 | 8 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $50.00 – $51.50 | 3 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $141.00 – $480.89 | 6 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $7.78 – $11.41 | 5 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $105.00 – $145.70 | 9 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,706.61 – $3,520.31 | 8 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.66 – $1.94 | 7 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $1.60 – $1.65 | 3 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $160.00 – $164.80 | 4 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $0.88 – $7.38 | 9 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $70.43 – $113.92 | 8 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $10.61 – $12.10 | 4 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,500,000.00 – $3,869,530.00 | 7 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $0.27 – $5.95 | 5 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $62.92 – $85.83 | 9 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $77.70 – $88.20 | 7 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $52.40 – $82.59 | 9 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $288.00 | $360.00 | $40.28 – $105.25 | 9 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $127.20 | $159.00 | $45.05 – $118.56 | 9 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $132.00 | $165.00 | $47.35 – $124.23 | 9 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $98.40 | $123.00 | $23.12 – $91.83 | 9 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $313.60 | $392.00 | $22.67 – $91.83 | 9 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $0.01 – $1.80 | 9 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $4.99 – $5.44 | 7 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $17.60 | $22.00 | $13.64 – $15.66 | 4 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $65.40 – $97.01 | 9 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $9.09 – $11.24 | 7 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.22 – $3.20 | 9 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $50.57 – $94.85 | 6 |
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.