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 |
|---|---|---|---|---|
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $6,873.60 | $8,592.00 | $304.87 – $3,431.60 | 11 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $1,964.00 | $2,455.00 | $678.40 – $1,815.49 | 9 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $2,208.00 | $2,760.00 | $75.66 – $700.05 | 11 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $934.40 | $1,168.00 | $38.13 – $101.50 | 9 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $792.00 | $990.00 | $272.89 – $730.84 | 9 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,505.60 | $1,882.00 | $57.06 – $151.08 | 9 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $506.40 | $633.00 | $40.94 – $86.60 | 11 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $948.00 | $1,185.00 | $37.83 – $101.10 | 9 |
| Plerixafor injection HCPCS J2562 | not published | not published | $24.98 – $414.30 | 9 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $313.72 | $392.15 | $10.92 – $309.83 | 13 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | $2,222.40 | $2,778.00 | $797.91 – $2,128.16 | 9 |
| Plmt access bil tree sm bwl CPT 47541 | $2,983.20 | $3,729.00 | $298.09 – $6,208.33 | 11 |
| Plmt biliary drainage cath CPT 47534 | $3,506.40 | $4,383.00 | $328.68 – $3,511.29 | 11 |
| Plmt nephroureteral catheter CPT 50433 | $5,628.80 | $7,036.00 | $227.30 – $3,431.60 | 11 |
| Plmt ureteral stent prq CPT 50694 | $5,668.80 | $7,086.00 | $237.75 – $3,431.60 | 11 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $43.60 – $110.96 | 9 |
| Pm device progr eval dual CPT 93280 | $164.80 | $206.00 | $33.77 – $88.87 | 11 |
| Pm device progr eval multi CPT 93281 | $180.80 | $226.00 | $35.50 – $99.19 | 11 |
| Pml/raralpha 1 breakpoint CPT 81316 | $520.00 | $650.00 | $124.39 – $322.50 | 9 |
| Pmp22 gene dup/delet CPT 81324 | $1,516.80 | $1,896.00 | $287.57 – $796.28 | 11 |
| Pmp22 gene full sequence CPT 81325 | $1,539.20 | $1,924.00 | $461.75 – $1,077.47 | 9 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $27.96 – $66.60 | 9 |
| Pm phone r-strip device eval CPT 93293 | $118.40 | $148.00 | $12.83 – $37.10 | 11 |
| Pms2 gene dup/delet variants CPT 81319 | $407.20 | $509.00 | $77.17 – $213.68 | 11 |
| Pms2 gene full seq analysis CPT 81317 | $1,353.60 | $1,692.00 | $256.53 – $710.33 | 11 |
| Pms2 known familial variants CPT 81318 | $662.40 | $828.00 | $198.60 – $463.42 | 9 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $31.83 – $83.95 | 11 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $106.10 – $297.76 | 9 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $318.40 | $398.00 | $82.26 – $615.15 | 11 |
| #pnh-flow cytometry interp CPT 88187 | $121.60 | $152.00 | $32.94 – $129.49 | 9 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $8.33 – $21.80 | 6 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $86.42 | $108.02 | $15.64 – $43.53 | 11 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $118.78 – $161.58 | 9 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $113.02 – $315.19 | 9 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $2,172.00 | $2,715.00 | $122.85 – $1,012.27 | 11 |
| Polysom any age 1-3> param CPT 95808 | $1,424.80 | $1,781.00 | $75.18 – $1,012.27 | 11 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,809.89 | $4,762.36 | $112.75 – $1,919.23 | 13 |
| Polyvalent mult org ea ag ia CPT 87451 | $26.40 | $33.00 | $6.31 – $14.92 | 9 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $2,785.47 – $27,054.68 | 9 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $7.69 – $91.74 | 9 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $32.76 – $91.74 | 9 |
| Positional change of finger CPT 26555 | $3,372.80 | $4,216.00 | $1,232.52 – $7,107.76 | 11 |
| Positional nystagmus test CPT 92532 | $42.40 | $53.00 | $31.20 – $42.87 | 6 |
| Positioner proc acufex leg acs HCPCS E0190 | not published | not published | $3.76 – $50.37 | 4 |
| Post-coital mucous exam HCPCS Q0115 | $50.40 | $63.00 | $16.77 – $65.00 | 9 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $45.64 – $74.10 | 7 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $1,831.20 | $2,289.00 | $648.39 – $1,732.62 | 9 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $283.30 – $738.72 | 9 |
| Postop app non-wgt bear dsg HCPCS L5450 | $1,337.20 | $1,671.50 | $294.73 – $750.01 | 11 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $386.59 – $983.76 | 9 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $810.53 – $2,062.58 | 9 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,091.99 – $2,778.83 | 9 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $357.68 – $910.18 | 9 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $301.28 – $766.65 | 9 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $900.79 – $2,488.02 | 9 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $766.57 – $1,950.73 | 9 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $273.38 – $695.68 | 9 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,077.50 – $2,741.92 | 9 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $668.54 – $1,876.09 | 9 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $155.92 – $530.60 | 8 |
| Postpartum Care Only CPT 59430 | $501.60 | $627.00 | $154.67 – $415.71 | 9 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $1,837.60 | $2,297.00 | $653.52 – $1,743.22 | 9 |
| Potassium 24 hour urine CPT 84133 | $33.57 | $41.96 | $2.84 – $16.91 | 11 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $15.57 | $19.46 | $0.11 – $2.42 | 8 |
| Potassium hydroxide preps HCPCS Q0112 | $12.00 | $15.00 | $5.83 – $15.16 | 9 |
| Potassium serum/plasma/whole blood CPT 84132 | $33.57 | $41.96 | $2.86 – $16.91 | 11 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $1.44 – $3.65 | 9 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $2.46 – $6.27 | 9 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $3.84 – $9.78 | 9 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $3.04 – $7.74 | 9 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $1.45 – $3.68 | 9 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $2.50 – $6.36 | 9 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $2.51 – $6.37 | 9 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $82.20 – $191.82 | 9 |
| Pq biliary strict dil s&i CPT 74363 | $431.20 | $539.00 | $36.44 – $84.75 | 9 |
| Pq dr cath chg w cont s&i CPT 75984 | $235.20 | $294.00 | $34.67 – $73.40 | 9 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $16,062.40 | $20,078.00 | $421.64 – $7,107.76 | 11 |
| Pq thr inj ext pse CPT 36002 | $764.80 | $956.00 | $91.90 – $615.15 | 11 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,095.20 | $2,619.00 | $182.70 – $487.34 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,452.80 | $5,566.00 | $387.12 – $3,228.27 | 11 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,407.20 | $5,509.00 | $364.70 – $3,228.27 | 11 |
| Pralatrexate injection HCPCS J9307 | $402.40 | $503.00 | $299.13 – $409.03 | 9 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $86.70 – $123.08 | 6 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,633.60 | $2,042.00 | $631.58 – $3,228.27 | 11 |
| Pr application of long arm splint CPT 29105 | $396.80 | $496.00 | $36.81 – $196.01 | 13 |
| Pr application splint static short arm CPT 29125 | $317.22 | $396.52 | $36.55 – $159.80 | 13 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $56.80 | $71.00 | $3.99 – $39.05 | 11 |
| Pr biopsy skin punch single lesion CPT 11104 | $308.00 | $385.00 | $42.21 – $397.52 | 11 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $5,227.20 | $6,534.00 | $548.59 – $12,802.03 | 11 |
| Pr correction hammertoe CPT 28285 | $2,688.00 | $3,360.00 | $357.81 – $3,228.27 | 11 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $49.64 | $62.05 | $10.72 – $25.01 | 11 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $4,477.85 | $5,597.31 | $248.08 – $2,255.72 | 11 |
| Prcrd drg 6+yr without anomly CPT 33017 | $604.80 | $756.00 | $212.07 – $568.08 | 9 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $2,228.80 | $2,786.00 | $139.80 – $3,431.60 | 11 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $148.00 | $185.00 | $73.92 – $156.83 | 9 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $209.60 | $262.00 | $104.69 – $221.61 | 9 |
| Prealbumin CPT 84134 | $64.28 | $80.35 | $8.75 – $32.38 | 11 |
| Pr ecg 12 lead report only CPT 93010 | $19.20 | $24.00 | $7.42 – $19.53 | 9 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $60.00 | $75.00 | $16.90 – $51.42 | 9 |
| Prednisolone acetate inj HCPCS J2650 | $1.20 | $1.50 | $0.58 – $0.76 | 3 |
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.