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 |
|---|---|---|---|---|
| MRI breast c-+ w/cad uni CPT 77048 | $710.40 | $888.00 | $92.15 – $221.80 | 9 |
| MRI breast without cont bi CPT 77047 | $779.20 | $974.00 | $69.92 – $240.50 | 11 |
| MRI breast w IV cont bi CPT 77049 | $847.20 | $1,059.00 | $100.83 – $242.70 | 9 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $769.60 | $962.00 | $102.00 – $244.20 | 11 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,021.60 | $1,277.00 | $113.04 – $355.33 | 11 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,209.60 | $1,512.00 | $129.53 – $786.08 | 11 |
| MRI chest without contrast CPT 71550 | $972.00 | $1,215.00 | $63.91 – $240.50 | 11 |
| MRI chest without & w/contrast CPT 71552 | $1,357.60 | $1,697.00 | $98.95 – $355.33 | 11 |
| MRI chest w IV cont CPT 71551 | $1,072.80 | $1,341.00 | $75.45 – $786.08 | 11 |
| MRI compatible system HCPCS L0859 | not published | not published | $684.70 – $1,921.43 | 9 |
| MRI fetal ea addl gestation CPT 74713 | $420.00 | $525.00 | $81.40 – $195.80 | 9 |
| MRI fetal sngl/1st gestation CPT 74712 | $864.00 | $1,080.00 | $131.89 – $317.10 | 11 |
| MRI guid ndl plc s&i CPT 77021 | $931.20 | $1,164.00 | $65.50 – $156.30 | 9 |
| MRI guid parenchymal tiss ablation CPT 77022 | $2,527.20 | $3,159.00 | $183.22 – $440.70 | 9 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,190.48 – $1,225.50 | 6 |
| MRI loex nonjt w IV cont CPT 73719 | $4,633.07 | $5,791.33 | $70.86 – $2,333.91 | 13 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,952.02 | $3,690.02 | $59.03 – $1,487.08 | 13 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,633.07 | $5,791.33 | $94.35 – $2,333.91 | 13 |
| MRI orbit fac&nck w IV cont CPT 70542 | $945.60 | $1,182.00 | $70.86 – $355.33 | 11 |
| MRI tmj CPT 70336 | $752.00 | $940.00 | $64.26 – $240.50 | 11 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,432.02 | $3,040.02 | $59.32 – $1,225.13 | 13 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,876.36 | $4,845.45 | $94.35 – $1,952.72 | 13 |
| MRI upper extremity w/dye CPT 73219 | $945.60 | $1,182.00 | $70.86 – $355.33 | 11 |
| MRI w/cont, breast, bi HCPCS C8906 | $625.60 | $782.00 | $339.99 – $349.99 | 6 |
| MRI w/cont, breast, uni HCPCS C8903 | $508.00 | $635.00 | $169.48 – $174.46 | 6 |
| MRI without fol w/cont, breast HCPCS C8908 | $625.60 | $782.00 | $339.99 – $349.99 | 6 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $508.00 | $635.00 | $339.99 – $349.99 | 6 |
| Mr safety determination physician/other qhp CPT 76016 | $132.80 | $166.00 | $26.05 – $48.00 | 7 |
| Mr safety implant elec prepj CPT 76018 | $207.20 | $259.00 | $32.68 – $59.90 | 7 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $92.80 | $116.00 | $46.22 – $90.80 | 7 |
| Mr safety implt pos&/immoblj CPT 76019 | $268.00 | $335.00 | $25.46 – $47.40 | 7 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $19.20 | $24.00 | $9.60 – $18.80 | 7 |
| Mr sfty med physics xm cstmz CPT 76017 | $402.40 | $503.00 | $33.15 – $61.10 | 7 |
| Mr spectroscopy CPT 76390 | $1,018.40 | $1,273.00 | $83.82 – $149.60 | 11 |
| Msh2 gene dup/delete variant CPT 81297 | $427.20 | $534.00 | $80.88 – $223.97 | 11 |
| Msh2 gene full seq CPT 81295 | $764.00 | $955.00 | $144.74 – $400.79 | 11 |
| Msh2 gene known variants CPT 81296 | $676.00 | $845.00 | $182.28 – $472.86 | 9 |
| Msh6 gene dup/delete variant CPT 81300 | $476.00 | $595.00 | $90.25 – $249.90 | 11 |
| Msh6 gene full seq CPT 81298 | $1,284.00 | $1,605.00 | $243.39 – $673.94 | 11 |
| Msh6 gene known variants CPT 81299 | $616.00 | $770.00 | $116.79 – $323.40 | 11 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,440.26 – $6,496.69 | 9 |
| Mthfr gene analy common variants CPT 81291 | $131.20 | $164.00 | $39.20 – $84.94 | 11 |
| M.tuberculo dna dir probe CPT 87555 | $58.40 | $73.00 | $16.13 – $37.64 | 9 |
| M.tuberculo dna quant CPT 87557 | $108.00 | $135.00 | $25.70 – $66.65 | 9 |
| Mucin synovial fluid CPT 83872 | $33.57 | $41.96 | $3.52 – $16.91 | 11 |
| Mucopolysaccharides CPT 83864 | $86.42 | $108.02 | $17.10 – $43.53 | 11 |
| Mucormycosis antibody CPT 86732 | $38.40 | $48.00 | $9.00 – $21.01 | 9 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $9.50 – $29.19 | 8 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $2,464.01 – $6,270.21 | 9 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $427.75 – $1,088.52 | 9 |
| Multi den insert custom mold HCPCS A5513 | $108.80 | $136.00 | $26.98 – $68.65 | 9 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $18.08 – $46.01 | 9 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $404.01 – $1,028.09 | 9 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $408.76 – $1,040.17 | 9 |
| Multi family grp psychotherapy CPT 90849 | $80.80 | $101.00 | $28.41 – $159.86 | 11 |
| Multifocal erg w/i&r CPT 92274 | $181.60 | $227.00 | $30.51 – $155.67 | 11 |
| Multiple sleep latency test CPT 95805 | $2,810.98 | $3,513.72 | $52.40 – $1,416.03 | 13 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $1,890.19 – $4,810.00 | 9 |
| Mumps antibody igg CPT 86735 | $48.57 | $60.71 | $7.83 – $24.47 | 11 |
| Muscle-skin graft arm CPT 15736 | $3,014.40 | $3,768.00 | $1,085.48 – $2,893.67 | 11 |
| Muscle-skin graft leg CPT 15738 | $3,197.60 | $3,997.00 | $1,125.52 – $3,642.53 | 11 |
| Muscle-skin graft trunk CPT 15734 | $3,704.80 | $4,631.00 | $1,330.56 – $3,642.53 | 11 |
| Muscle test cran nerv unilat CPT 95867 | $233.60 | $292.00 | $37.96 – $309.83 | 11 |
| Muscle test hemidiaphragm CPT 95866 | $295.20 | $369.00 | $57.74 – $155.67 | 11 |
| Muscle test larynx CPT 95865 | $335.20 | $419.00 | $57.44 – $158.18 | 11 |
| Muscle test one fiber CPT 95872 | $442.40 | $553.00 | $33.22 – $155.67 | 11 |
| Muscle transfers CPT 23397 | $2,810.40 | $3,513.00 | $1,018.83 – $7,107.76 | 11 |
| Muscle transfer shoulder/arm CPT 23395 | $3,160.00 | $3,950.00 | $1,152.02 – $7,107.76 | 11 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $2,586.40 | $3,233.00 | $922.75 – $3,642.53 | 11 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $1,844.80 | $2,306.00 | $677.92 – $7,107.76 | 11 |
| Mycobacteria dna amp probe CPT 87551 | $101.60 | $127.00 | $26.52 – $52.37 | 11 |
| Mycobacteria dna dir probe CPT 87550 | $50.40 | $63.00 | $12.03 – $31.19 | 9 |
| Mycobacteria dna quant CPT 87552 | $108.00 | $135.00 | $25.70 – $66.65 | 9 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.15 – $1.79 | 6 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.37 – $4.43 | 6 |
| Mycoplasma antibody igm CPT 86738 | $48.57 | $60.71 | $7.94 – $24.47 | 11 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $168.39 | $210.48 | $66.51 – $184.17 | 11 |
| Myelogphy 2/> spine regions CPT 72270 | $2,084.02 | $2,605.02 | $59.86 – $1,049.82 | 13 |
| Myelography l-s spine CPT 72265 | $236.00 | $295.00 | $36.89 – $786.08 | 11 |
| Myelography neck spine CPT 72240 | $252.80 | $316.00 | $39.92 – $786.08 | 11 |
| Myelography thoracic spine CPT 72255 | $252.00 | $315.00 | $39.77 – $786.08 | 11 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $686.40 | $858.00 | $110.57 – $786.08 | 11 |
| Myelography via inj w/s&i cervical CPT 62302 | $2,084.02 | $2,605.02 | $107.60 – $1,049.82 | 13 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,084.02 | $2,605.02 | $106.01 – $1,049.82 | 13 |
| Myelography via inj w/s&i thoracic CPT 62303 | $2,084.02 | $2,605.02 | $107.60 – $1,049.82 | 13 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $64.28 | $80.35 | $6.92 – $32.38 | 11 |
| Myocardial resection 33542 CPT 33542 | $6,414.40 | $8,018.00 | $2,257.02 – $6,009.48 | 9 |
| Myocrd img pet 1std rst/strs CPT 78491 | $2,753.60 | $3,442.00 | $66.56 – $1,451.25 | 11 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $73.32 – $1,451.25 | 11 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $88.96 – $183.46 | 9 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $95.11 – $200.61 | 9 |
| Myocrd img pet mlt rst&strs CPT 78492 | $2,770.40 | $3,463.00 | $77.27 – $1,451.25 | 11 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $81.10 – $171.47 | 9 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $69.38 – $1,451.25 | 11 |
| Myomectomy abdom complex CPT 58146 | $2,896.00 | $3,620.00 | $1,031.27 – $2,770.05 | 9 |
| Myomectomy abdom method CPT 58140 | $2,315.20 | $2,894.00 | $823.69 – $2,213.97 | 9 |
| Myomectomy vag method CPT 58145 | $1,399.20 | $1,749.00 | $503.52 – $3,163.52 | 11 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $434.58 – $1,236.00 | 3 |
| Myringoplasty CPT 69620 | $3,449.60 | $4,312.00 | $447.27 – $3,226.74 | 11 |
| Nabilone oral HCPCS J8650 | not published | not published | $19.25 – $40.38 | 4 |
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.