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 |
|---|---|---|---|---|
| Lepirudin HCPCS J1945 | not published | not published | $183.90 – $793.54 | 4 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $9.60 | $12.00 | $1.38 – $4.20 | 8 |
| Leukacyte transfusion CPT 86950 | $89.60 | $112.00 | $43.01 – $170.50 | 11 |
| Leukocyte phagocytosis CPT 86344 | $23.20 | $29.00 | $6.23 – $14.54 | 9 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,259.20 | $1,574.00 | $158.53 – $281.86 | 11 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,767.91 | $3,459.88 | $1,093.32 – $2,033.99 | 11 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,684.00 – $7,361.90 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | $48.00 | $60.00 | $4.65 – $58.82 | 6 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $461.86 | 9 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.38 – $81.93 | 9 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $80.04 – $83.65 | 8 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $105.35 – $110.10 | 8 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $177.63 – $185.65 | 8 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $271.85 – $284.11 | 8 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $384.51 – $401.86 | 8 |
| Levalbuterol comp unit HCPCS J7615 | $2.40 | $3.00 | $0.05 – $2.45 | 4 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.22 – $0.40 | 6 |
| Levalbuterol non-comp unit HCPCS J7614 | $1.60 | $2.00 | $0.05 – $0.18 | 6 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.84 | $1.04 | $0.05 – $0.33 | 8 |
| Levetiracetam therapeutic drug level CPT 80177 | $66.43 | $83.03 | $7.95 – $33.46 | 11 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $81.52 | $101.90 | $0.94 – $12.72 | 8 |
| Levonorgestrel implant sys HCPCS J7306 | $933.60 | $1,167.00 | $475.92 – $1,194.94 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $7.26 – $10.88 | 3 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $0.03 – $3,200.22 | 11 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.04 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $5.18 | $6.47 | $0.01 – $0.05 | 8 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.01 | 6 |
| Lidocaine therapeutic drug level CPT 80176 | $66.43 | $83.03 | $8.81 – $33.46 | 11 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $118.47 – $301.47 | 9 |
| Lift heel adj small gl60404sm HCPCS L3332 | $177.60 | $222.00 | $44.11 – $112.26 | 9 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $22.81 – $58.05 | 9 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $338.51 – $861.41 | 9 |
| Ligate esophagus veins CPT 43400 | $3,728.00 | $4,660.00 | $1,331.11 – $3,549.44 | 9 |
| Ligate leg veins open CPT 37761 | $2,646.40 | $3,308.00 | $458.97 – $3,131.65 | 11 |
| Ligate leg veins radical 37760 CPT 37760 | $3,043.20 | $3,804.00 | $494.78 – $3,131.65 | 11 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $192.80 | $241.00 | $66.99 – $179.70 | 9 |
| Ligate/staple esophagus CPT 43405 | $3,550.40 | $4,438.00 | $1,265.60 – $3,378.06 | 9 |
| Ligate/strip long leg vein CPT 37722 | $2,300.80 | $2,876.00 | $394.51 – $3,131.65 | 11 |
| Ligate/strip short leg vein CPT 37718 | $2,052.80 | $2,566.00 | $338.90 – $3,131.65 | 11 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $919.20 | $1,149.00 | $332.64 – $3,163.52 | 11 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,521.60 | $1,902.00 | $179.29 – $1,612.08 | 11 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,146.33 – $3,056.51 | 9 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $1,193.60 | $1,492.00 | $212.47 – $3,131.65 | 11 |
| Ligation external carotid artery 37600 CPT 37600 | $1,824.00 | $2,280.00 | $669.78 – $3,131.65 | 11 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,796.00 | $2,245.00 | $631.04 – $3,131.65 | 11 |
| Ligation internal jugular vein 37565 CPT 37565 | $3,564.80 | $4,456.00 | $641.72 – $3,131.65 | 11 |
| Ligation major artery chest CPT 37616 | $2,701.60 | $3,377.00 | $993.62 – $2,613.99 | 9 |
| Ligation/major artery/extremity 37618 CPT 37618 | $948.80 | $1,186.00 | $342.29 – $917.83 | 9 |
| Ligation major artery neck CPT 37615 | $1,288.80 | $1,611.00 | $458.76 – $3,131.65 | 11 |
| Ligation nasal sinus artery CPT 30915 | $1,448.80 | $1,811.00 | $539.99 – $3,131.65 | 11 |
| Ligation of abdomen artery 37617 CPT 37617 | $3,266.40 | $4,083.00 | $1,149.55 – $3,077.42 | 9 |
| Ligation of femoral vein CPT 37650 | $2,232.00 | $2,790.00 | $395.30 – $3,131.65 | 11 |
| Ligation of inf vena cava CPT 37619 | $4,226.40 | $5,283.00 | $1,500.18 – $5,378.48 | 11 |
| Ligation of neck artery CPT 37606 | $1,693.60 | $2,117.00 | $636.61 – $3,131.65 | 11 |
| Ligation of salivary duct CPT 42665 | $844.80 | $1,056.00 | $198.33 – $3,226.74 | 11 |
| Ligation of shunt CPT 49428 | $1,056.80 | $1,321.00 | $378.92 – $1,009.76 | 9 |
| Ligation upper jaw artery CPT 30920 | $2,101.60 | $2,627.00 | $779.58 – $3,131.65 | 11 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $1,728.00 | $2,160.00 | $218.54 – $3,131.65 | 11 |
| Lig/band angioaccess av fistula CPT 37607 | $915.20 | $1,144.00 | $323.72 – $3,131.65 | 11 |
| Lig&div&compl strpg saph vn CPT 37735 | $2,827.20 | $3,534.00 | $499.54 – $3,131.65 | 11 |
| Liletta, 52 mg HCPCS J7297 | $1,223.20 | $1,529.00 | $913.98 – $986.37 | 4 |
| Limb exercise test CPT 95875 | $290.40 | $363.00 | $53.30 – $155.67 | 11 |
| Limb nerve surgery add-on CPT 64783 | $536.80 | $671.00 | $189.12 – $503.37 | 9 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $26.72 – $74.98 | 9 |
| Limited autopsy CPT 88036 | not published | not published | $93.94 – $601.77 | 6 |
| Limited autopsy CPT 88037 | not published | not published | $83.47 – $487.86 | 6 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $69.62 – $195.38 | 9 |
| Limited visual field xm CPT 92081 | $79.20 | $99.00 | $14.58 – $59.10 | 11 |
| Lincomycin injection HCPCS J2010 | $10.40 | $13.00 | $6.24 – $15.46 | 6 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $40.94 | $51.17 | $2.62 – $49.12 | 8 |
| Lipase CPT 83690 | $33.57 | $41.96 | $4.13 – $16.91 | 11 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $1,204.80 | $1,506.00 | $317.76 – $3,226.74 | 11 |
| Lipoprotein blood high res frac & quant CPT 83701 | $86.42 | $108.02 | $20.32 – $44.02 | 11 |
| Lipoprotein blood quant CPT 83704 | $86.42 | $108.02 | $20.51 – $44.45 | 11 |
| Lipoprotein direct measurement hdl CPT 83718 | $33.57 | $41.96 | $4.91 – $16.91 | 11 |
| Lipoprotein direct measurement ldl CPT 83721 | $33.57 | $41.96 | $6.30 – $16.91 | 11 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $20.51 – $49.10 | 9 |
| Lip surgery procedure CPT 40799 | not published | not published | $221.08 – $231.05 | 8 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $496,390.21 – $616,009.57 | 8 |
| Listeria monocytogenes CPT 86723 | $33.60 | $42.00 | $7.91 – $20.52 | 9 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $96.64 – $245.92 | 9 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $38.77 – $98.66 | 9 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $302.46 – $769.68 | 9 |
| Lithium therapeutic drug level CPT 80178 | $66.43 | $83.03 | $3.97 – $33.46 | 11 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $334.40 | $418.00 | $131.51 – $344.97 | 8 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,034.53 – $2,740.74 | 9 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,227.23 – $3,278.29 | 9 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $2,970.40 | $3,713.00 | $1,065.56 – $2,839.85 | 9 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $756.00 | $945.00 | $176.19 – $229.05 | 8 |
| Liver elastography 91200 CPT 91200 | $80.80 | $101.00 | $9.60 – $155.67 | 11 |
| Liver Function Test CPT 80076 | $68.56 | $85.70 | $4.90 – $34.54 | 11 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,248.81 – $3,382.94 | 9 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $85.00 – $85.00 | 2 |
| Liver imaging CPT 78201 | $417.60 | $522.00 | $18.66 – $535.56 | 11 |
| Liver imaging (3d) CPT 78205 | not published | not published | $61.00 – $61.00 | 2 |
| Liver imag w/vasclr flow CPT 78202 | $446.40 | $558.00 | $21.96 – $535.56 | 11 |
| Liver/spleen imag static only CPT 78215 | $1,106.10 | $1,382.62 | $21.17 – $557.20 | 13 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,177.45 | $1,471.81 | $25.08 – $593.14 | 13 |
| Lmtd oph exam general anes CPT 92019 | $155.20 | $194.00 | $67.03 – $2,321.21 | 11 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $3,280.00 | $4,100.00 | $426.83 – $3,228.27 | 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.