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 |
|---|---|---|---|---|
| Intubation endotracheal emergency procedure CPT 31500 | $564.88 | $706.10 | $126.43 – $335.99 | 13 |
| Io anal gast n-stim init CPT 95980 | $98.40 | $123.00 | $39.17 – $102.70 | 9 |
| Io anal gast n-stim subsq CPT 95981 | $76.80 | $96.00 | $15.76 – $59.10 | 11 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $1,796.00 | $2,245.00 | $293.79 – $2,170.20 | 6 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $208.58 – $494.36 | 9 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $320.36 – $365.25 | 4 |
| Io ga n-stim subsq w/reprog CPT 95982 | $121.60 | $152.00 | $32.40 – $84.11 | 11 |
| Ionm in operatng room 15 min CPT 95940 | $73.60 | $92.00 | $29.45 – $76.73 | 9 |
| Ionm remote/>1 pt or per hr CPT 95941 | $232.00 | $290.00 | $240.20 – $289.28 | 3 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.24 – $0.48 | 6 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $13.83 | $17.28 | $0.14 – $0.72 | 8 |
| Io radiation tx management CPT 77469 | $593.60 | $742.00 | $296.45 – $618.58 | 9 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,277.61 – $7,606.00 | 8 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,277.61 – $7,644.49 | 9 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.39 – $0.68 | 2 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $188.80 | $236.00 | $176.78 – $224.14 | 9 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $208.80 | $261.00 | $140.60 – $260.46 | 6 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $303.20 | $379.00 | $194.50 – $378.79 | 6 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $365.60 | $457.00 | $261.30 – $456.02 | 6 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $136.00 | $170.00 | $99.40 – $169.13 | 6 |
| Ipratropium bromide comp HCPCS J7645 | $2.40 | $3.00 | $0.02 – $2.17 | 3 |
| Ipratropium bromide non-comp HCPCS J7644 | $37.19 | $46.48 | $0.24 – $18.73 | 8 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $24.23 | $30.28 | $1.79 – $12.20 | 8 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $57.35 – $80.63 | 9 |
| Iron CPT 83540 | $33.57 | $41.96 | $3.88 – $16.91 | 11 |
| Iron binding capacity CPT 83550 | $33.57 | $41.96 | $5.24 – $16.91 | 11 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $19.20 | $24.00 | $16.88 – $22.52 | 9 |
| Iron stain peripheral blood CPT 85536 | $17.60 | $22.00 | $4.13 – $10.06 | 9 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.33 | $1.66 | $0.24 – $0.72 | 8 |
| Irradiation of blood product each unit reference CPT 86945 | $164.99 | $206.23 | $16.50 – $83.11 | 13 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $110.98 | $138.72 | $21.23 – $59.10 | 13 |
| Irrigation sphenoid sinus CPT 31002 | $936.00 | $1,170.00 | $168.24 – $1,473.83 | 11 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.12 – $5.41 | 9 |
| Irrigation tray HCPCS A4320 | not published | not published | $3.31 – $8.42 | 9 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $132.00 | $165.00 | $22.82 – $61.61 | 11 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $69.87 – $99.45 | 9 |
| Island pedicle flap graft CPT 15740 | $2,468.80 | $3,086.00 | $759.29 – $2,021.42 | 11 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $157.11 – $249.20 | 7 |
| Ivc venogram s&i CPT 75825 | $471.20 | $589.00 | $47.95 – $3,131.65 | 11 |
| IV Fluids (each additional hour) CPT 96361 | $76.88 | $96.09 | $10.74 – $45.90 | 13 |
| IV Fluids (first hour) CPT 96360 | $370.65 | $463.31 | $27.80 – $209.63 | 13 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $101.34 – $149.00 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $76.88 | $96.09 | $17.16 – $46.72 | 11 |
| IV inj ra drug dx study CPT 78808 | $80.80 | $101.00 | $35.65 – $399.81 | 11 |
| IV Medicine Infusion (additional drug) CPT 96367 | $121.98 | $152.47 | $24.60 – $70.82 | 13 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $76.88 | $96.09 | $18.08 – $48.36 | 13 |
| IV Medicine Infusion (first hour) CPT 96365 | $370.65 | $463.31 | $52.86 – $209.63 | 13 |
| IV njx tst vasc flo flap/grf CPT 15860 | $268.00 | $335.00 | $94.09 – $397.03 | 11 |
| IV Push Injection (each additional drug) CPT 96375 | $76.88 | $96.09 | $13.13 – $45.90 | 13 |
| IV Push Injection (first drug) CPT 96374 | $370.65 | $463.31 | $31.22 – $209.63 | 13 |
| Ivp w/nephrotomography CPT 74415 | $291.20 | $364.00 | $21.31 – $177.12 | 11 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $652.09 | $815.11 | $21.17 – $328.49 | 13 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $105.59 – $166.50 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | $370.40 | $463.00 | $70.23 – $194.46 | 11 |
| Jaw arthroscopy/surgery CPT 29800 | $2,595.20 | $3,244.00 | $481.60 – $3,228.27 | 11 |
| Jaw arthroscopy/surgery CPT 29804 | $3,110.40 | $3,888.00 | $544.75 – $3,228.27 | 11 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $238.46 | $298.07 | $10.57 – $120.12 | 13 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $270.23 | $337.78 | $11.19 – $136.13 | 13 |
| Jejunstmy tube plcmt CPT 44372 | $604.80 | $756.00 | $213.23 – $1,887.44 | 11 |
| John cunningham antibody CPT 86711 | $48.57 | $60.71 | $10.13 – $24.47 | 11 |
| J-tube placement CPT 44015 | $348.80 | $436.00 | $122.12 – $326.40 | 9 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $656.27 – $1,841.65 | 9 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $606.38 – $1,597.80 | 9 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $963.76 – $2,704.53 | 9 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $543.59 – $1,525.46 | 9 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $673.03 – $1,888.67 | 9 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $671.09 – $1,865.23 | 9 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $453.39 – $1,272.33 | 9 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,240.60 – $3,156.97 | 9 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $936.14 – $2,627.03 | 9 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $103.61 – $263.65 | 9 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $570.07 – $1,599.76 | 9 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $2,451.01 – $6,237.11 | 9 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $522.47 – $1,458.33 | 9 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $803.57 – $2,255.01 | 9 |
| Keratomileusis CPT 65760 | not published | not published | $1,134.20 – $3,535.32 | 6 |
| Keratophakia CPT 65765 | not published | not published | $1,639.90 – $5,125.89 | 6 |
| Keratoprosthesis CPT 65770 | $6,963.20 | $8,704.00 | $1,263.01 – $14,217.35 | 11 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $580.92 – $580.92 | 1 |
| Ketamine and metabolite screen - quest CPT 80357 | $72.14 | $90.17 | $13.16 – $86.56 | 8 |
| Ketogenic steroids fract CPT 83582 | $39.20 | $49.00 | $9.28 – $22.06 | 9 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $33.57 | $41.96 | $8.17 – $16.91 | 11 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $74.38 | $92.97 | $0.28 – $0.56 | 11 |
| Kidney endoscopy CPT 50551 | $1,808.00 | $2,260.00 | $263.37 – $5,058.02 | 11 |
| Kidney endoscopy CPT 50553 | $1,932.80 | $2,416.00 | $281.30 – $5,058.02 | 11 |
| Kidney endoscopy CPT 50570 | $2,486.40 | $3,108.00 | $439.26 – $3,431.60 | 11 |
| Kidney endoscopy CPT 50575 | $3,617.60 | $4,522.00 | $637.64 – $5,058.02 | 11 |
| Kidney endoscopy & biopsy CPT 50555 | $2,072.00 | $2,590.00 | $305.71 – $9,200.58 | 11 |
| Kidney endoscopy & biopsy CPT 50574 | $2,860.80 | $3,576.00 | $504.97 – $3,431.60 | 11 |
| Kidney endoscopy & treatment CPT 50557 | $2,105.60 | $2,632.00 | $309.51 – $9,200.58 | 11 |
| Kidney endoscopy & treatment CPT 50561 | $2,384.00 | $2,980.00 | $352.85 – $5,058.02 | 11 |
| Kidney endoscopy & treatment CPT 50576 | $2,852.80 | $3,566.00 | $503.71 – $9,200.58 | 11 |
| Kidney endoscopy & treatment CPT 50580 | $3,075.20 | $3,844.00 | $542.33 – $5,058.02 | 11 |
| Kidney function study CPT 78725 | $241.60 | $302.00 | $15.69 – $399.81 | 11 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $50.00 – $50.00 | 2 |
| Kidney imaging morphology CPT 78700 | $376.00 | $470.00 | $19.28 – $399.81 | 11 |
| Kidney imag w/bld flow multi CPT 78709 | $797.60 | $997.00 | $59.93 – $535.56 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,336.48 | $1,670.59 | $40.80 – $673.25 | 13 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $794.76 | $993.44 | $32.21 – $400.36 | 13 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $667.64 | $834.55 | $25.41 – $336.32 | 13 |
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.