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 |
|---|---|---|---|---|
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $1,701.44 – $4,329.68 | 9 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.93 – $1.89 | 6 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $12.99 – $121.49 | 6 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $206.41 – $260.82 | 9 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $67.55 – $185.75 | 9 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $0.40 – $0.57 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $71.64 | $89.55 | $0.92 – $35.66 | 8 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $46.63 – $96.54 | 9 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $46.63 – $118.65 | 9 |
| Loudness balance test CPT 92562 | $93.60 | $117.00 | $43.86 – $309.83 | 11 |
| Low back disk surgery CPT 63030 | $4,667.20 | $5,834.00 | $805.66 – $7,107.76 | 11 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $582.75 – $599.89 | 6 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,741.44 – $1,792.66 | 6 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $582.75 – $599.89 | 6 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $582.75 – $599.89 | 6 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $271.42 | $339.27 | $47.19 – $136.73 | 13 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,342.11 | $2,927.63 | $55.26 – $1,179.83 | 13 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,121.31 | $2,651.63 | $53.20 – $1,068.61 | 13 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,568.00 | $1,960.00 | $43.57 – $789.88 | 13 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,822.67 | $6,028.33 | $100.51 – $2,429.42 | 13 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,822.67 | $6,028.33 | $78.25 – $2,429.42 | 13 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,943.21 | $3,679.01 | $64.86 – $1,482.64 | 13 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $337.89 | $422.36 | $9.92 – $170.21 | 13 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $337.89 | $422.36 | $11.81 – $170.21 | 13 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $337.89 | $422.36 | $13.54 – $170.21 | 13 |
| Lower jaw bone graft CPT 21215 | $10,059.20 | $12,574.00 | $728.45 – $5,885.87 | 11 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $213.98 | $267.47 | $7.10 – $107.79 | 13 |
| Low frequency non-thermal Ultrasound CPT 97610 | $728.00 | $910.00 | $16.63 – $27.77 | 9 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.00 – $112.30 | 4 |
| Lsh uterus 250 g or less CPT 58541 | $1,818.40 | $2,273.00 | $656.72 – $10,358.80 | 11 |
| Lsh uterus above 250 g CPT 58543 | $2,100.00 | $2,625.00 | $753.74 – $10,358.80 | 11 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $2,068.80 | $2,586.00 | $743.64 – $10,358.80 | 11 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $2,262.40 | $2,828.00 | $810.90 – $10,358.80 | 11 |
| Lso corset front HCPCS L0972 | not published | not published | $58.81 – $162.32 | 9 |
| Lso flex no ri stays pre ots HCPCS L0628 | $164.80 | $206.00 | $50.18 – $103.89 | 9 |
| Lso full corset HCPCS L0976 | not published | not published | $100.13 – $254.81 | 9 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $96.86 – $246.47 | 9 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $788.90 – $2,007.51 | 9 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $712.41 – $1,475.06 | 9 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $96.86 – $200.54 | 9 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $601.58 – $1,530.87 | 9 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $989.53 – $2,518.09 | 9 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $171.51 – $436.45 | 9 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $171.51 – $355.12 | 9 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $625.90 – $1,592.73 | 9 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $712.41 – $1,812.88 | 9 |
| L/s ratio fetal lung CPT 83661 | $55.20 | $69.00 | $13.19 – $34.22 | 9 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.12 – $2.83 | 9 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $35.75 – $100.33 | 9 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $43.64 – $122.46 | 9 |
| Lumbar diskogram s&i CPT 72295 | $318.40 | $398.00 | $36.59 – $1,942.94 | 11 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $44.32 – $123.04 | 9 |
| Lumbar sling HCPCS L1090 | not published | not published | $52.03 – $144.57 | 9 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $3,842.40 | $4,803.00 | $1,386.72 – $18,297.44 | 11 |
| Lumizyme injection HCPCS J0221 | $216.00 | $270.00 | $201.57 – $256.46 | 9 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $381.87 | $477.33 | $9.33 – $309.83 | 13 |
| Lung function test (mbc/mvv) CPT 94200 | $148.03 | $185.03 | $2.36 – $74.57 | 13 |
| Lung Function Test (Spirometry) CPT 94010 | $123.06 | $153.82 | $7.42 – $155.67 | 13 |
| Lung perfusion imaging CPT 78580 | $1,205.68 | $1,507.09 | $31.91 – $607.36 | 13 |
| Lung transplant double CPT 32853 | not published | not published | $3,934.93 – $10,485.68 | 9 |
| Lung transplant single CPT 32851 | not published | not published | $2,812.69 – $7,508.06 | 9 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,040.50 – $8,112.02 | 9 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,158.98 – $11,103.34 | 9 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,273.83 – $3,400.53 | 9 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $185.70 – $260.01 | 9 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $35.67 – $51.96 | 9 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $286.34 – $328.32 | 8 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $240.20 – $265.84 | 7 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $306.06 – $778.84 | 9 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $132.00 | $165.00 | $23.31 – $76.37 | 11 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $169.07 – $430.24 | 9 |
| Lyme dis dna dir probe CPT 87475 | $50.40 | $63.00 | $12.03 – $31.19 | 9 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $1,748.00 | $2,185.00 | $635.24 – $1,691.02 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $1,287.84 | $1,609.80 | $51.07 – $648.75 | 13 |
| Lymphocyte culture mixed CPT 86821 | $92.00 | $115.00 | $21.94 – $56.87 | 9 |
| Lymphocyte transformation mitogen CPT 86353 | $123.20 | $154.00 | $29.42 – $63.74 | 11 |
| Lymphocytotoxicity assay CPT 86805 | $379.20 | $474.00 | $100.51 – $265.34 | 9 |
| Lymphocytotoxicity assay CPT 86806 | $120.00 | $150.00 | $28.55 – $74.05 | 9 |
| Lymph vessel x-ray arm/leg CPT 75801 | $919.20 | $1,149.00 | $38.16 – $615.15 | 11 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,340.00 | $2,925.00 | $51.28 – $1,545.62 | 11 |
| Lymph vessel x-ray trunk CPT 75805 | $4,700.00 | $5,875.00 | $35.65 – $3,131.65 | 11 |
| Lymph vessel x-ray trunk CPT 75807 | $4,714.40 | $5,893.00 | $48.04 – $3,131.65 | 11 |
| Lysis intranasal synechia 30560 CPT 30560 | $714.40 | $893.00 | $134.81 – $506.69 | 11 |
| Lysis of labial adhesions CPT 56441 | $408.00 | $510.00 | $139.47 – $3,163.52 | 11 |
| Lysis penil circumic lesion CPT 54162 | $641.60 | $802.00 | $182.41 – $2,038.19 | 11 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $20.24 | 5 |
| Macro exam dissect molec study ea CPT 88387 | $77.60 | $97.00 | $6.35 – $18.32 | 9 |
| Macroscopic exam arthropod CPT 87168 | $38.58 | $48.22 | $2.56 – $19.43 | 11 |
| Macroscopic exam parasite CPT 87169 | $38.58 | $48.22 | $2.59 – $19.43 | 11 |
| Magnesium CPT 83735 | $33.57 | $41.96 | $4.02 – $16.91 | 11 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $40.12 | $50.15 | $0.10 – $0.49 | 8 |
| Magnetic image bone marrow CPT 77084 | $880.80 | $1,101.00 | $70.21 – $240.50 | 11 |
| Makena, 10 mg HCPCS J1726 | $35.20 | $44.00 | $7.71 – $23.43 | 8 |
| Malaria antibody CPT 86750 | $48.57 | $60.71 | $7.91 – $24.47 | 11 |
| Male sling procedure CPT 53440 | $1,900.80 | $2,376.00 | $682.46 – $12,927.00 | 11 |
| Management of liver hemorrhage 47361 CPT 47361 | $7,440.00 | $9,300.00 | $2,627.17 – $7,002.47 | 9 |
| Manipulate finger w/anesth CPT 26340 | $1,675.20 | $2,094.00 | $331.86 – $1,592.36 | 11 |
| Manipulate wrist w/anesthes CPT 25259 | $2,084.80 | $2,606.00 | $387.77 – $1,592.36 | 11 |
| Manipulation of hip joint CPT 27275 | $449.60 | $562.00 | $167.34 – $1,592.36 | 11 |
| Manipulation of spine CPT 22505 | $320.80 | $401.00 | $129.16 – $1,592.36 | 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.