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 |
|---|---|---|---|---|
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.80 | $1.00 | $0.07 – $0.48 | 8 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.00 | $1.25 | $0.01 – $0.02 | 6 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $135.79 – $345.57 | 9 |
| Pregabalin - sendout CPT 80366 | $72.14 | $90.17 | $13.16 – $86.56 | 8 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $502.40 | $628.00 | $177.33 – $1,887.44 | 11 |
| Pregnancy associated plasma protein-a CPT 84163 | $64.28 | $80.35 | $15.05 – $32.38 | 11 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $760.32 | $950.40 | $43.84 – $383.01 | 13 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $633.55 | $791.93 | $43.54 – $319.15 | 13 |
| Pregnancy Ultrasound (limited) CPT 76815 | $536.66 | $670.82 | $28.56 – $270.34 | 13 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $243.20 | $304.00 | $141.15 – $231.81 | 6 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $1,136.00 | $1,420.00 | $375.19 – $1,005.30 | 9 |
| Prenatal Care Only (7+ visits) CPT 59426 | $2,024.80 | $2,531.00 | $687.80 – $1,844.69 | 9 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $146.89 – $311.40 | 8 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $98.28 – $530.60 | 8 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $505.13 – $1,917.53 | 8 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,438.26 – $3,659.96 | 9 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $1,682.11 – $4,280.51 | 9 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,300.30 – $3,308.90 | 9 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $1,561.24 – $3,972.90 | 9 |
| Preparation for bladder xray CPT 51605 | $203.20 | $254.00 | $34.73 – $92.78 | 9 |
| Preparation palate mold CPT 42280 | $441.60 | $552.00 | $98.98 – $506.69 | 11 |
| Prepare donor heart CPT 33944 | not published | not published | $273.56 – $3,519.10 | 9 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $273.56 – $5,083.10 | 9 |
| Prepare donor intestine CPT 44715 | not published | not published | $858.71 – $2,490.26 | 6 |
| Prepare donor lung double CPT 32856 | not published | not published | $273.56 – $4,838.62 | 9 |
| Prepare donor lung single CPT 32855 | not published | not published | $227.97 – $3,999.98 | 9 |
| Prepare embryo for transfer CPT 89255 | $565.60 | $707.00 | $49.76 – $579.13 | 8 |
| Prepare fecal microbiota CPT 44705 | $277.60 | $347.00 | $136.73 – $230.90 | 6 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,505.80 – $4,015.68 | 9 |
| Prepare penis study CPT 54230 | $249.60 | $312.00 | $72.58 – $192.34 | 9 |
| Prepare sperm duct x-ray CPT 55300 | $472.00 | $590.00 | $167.71 – $446.31 | 9 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,351.90 – $3,440.19 | 9 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,219.12 – $3,102.29 | 9 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,034.71 – $2,633.06 | 9 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,101.54 – $2,902.35 | 9 |
| Prep cadaver renal allograft CPT 50323 | $476.00 | $595.00 | $135.50 – $518.05 | 9 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $65.15 – $624.98 | 9 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $330.56 – $881.20 | 9 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $235.88 – $629.59 | 9 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $572.45 – $4,189.46 | 9 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $330.11 – $881.60 | 9 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $434.10 – $4,094.72 | 9 |
| Prep donor liver/venous CPT 47146 | not published | not published | $282.70 – $754.40 | 9 |
| Prep donor liver whole CPT 47143 | not published | not published | $445.60 – $4,347.51 | 9 |
| Prep donor pancreas CPT 48551 | not published | not published | $235.29 – $3,419.76 | 9 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $202.90 – $541.93 | 9 |
| Prep donor renal graft CPT 50325 | $415.20 | $519.00 | $135.50 – $466.67 | 9 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $6,902.53 – $7,105.54 | 6 |
| Prepj tum cav iort prtl mast CPT 19294 | $404.00 | $505.00 | $142.53 – $380.38 | 9 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $968.56 – $997.05 | 6 |
| Prep renal graft/arterial CPT 50328 | $466.40 | $583.00 | $164.32 – $438.81 | 9 |
| Prep renal graft/ureteral CPT 50329 | $444.80 | $556.00 | $156.19 – $416.21 | 9 |
| Prep renal graft/venous CPT 50327 | $532.00 | $665.00 | $187.14 – $500.43 | 9 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $6,902.53 – $7,105.54 | 6 |
| Prep skin to 100cm2 other CPT 15004 | $987.20 | $1,234.00 | $234.24 – $620.84 | 11 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $859.20 | $1,074.00 | $195.60 – $1,820.02 | 11 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $177.60 | $222.00 | $39.02 – $105.07 | 9 |
| Pressure max expiratory/inspiratory CPT 94799 | $97.89 | $122.36 | $38.67 – $155.67 | 12 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $189.79 – $507.13 | 9 |
| Pressure velocity wire add ves CPT 93572 | $332.80 | $416.00 | $45.34 – $145.01 | 9 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $252.80 – $704.92 | 9 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $164.99 | $206.23 | $19.84 – $170.50 | 13 |
| Pretreat rbc absorption reference CPT 86978 | $312.80 | $391.00 | $19.84 – $83.11 | 13 |
| Pretreat rbc density gradient separation reference CPT 86972 | $164.99 | $206.23 | $21.30 – $170.50 | 13 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $164.99 | $206.23 | $16.50 – $83.11 | 13 |
| Pretreat rbc w enzyme reference CPT 86971 | $164.99 | $206.23 | $13.16 – $171.40 | 13 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $362.40 | $453.00 | $152.96 – $419.07 | 11 |
| Preventive counseling group CPT 99411 | $35.20 | $44.00 | $11.22 – $17.48 | 6 |
| Preventive counseling group CPT 99412 | $44.80 | $56.00 | $19.24 – $29.26 | 6 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $69.60 | $87.00 | $35.31 – $55.68 | 6 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $116.00 | $145.00 | $72.65 – $114.20 | 6 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $160.00 | $200.00 | $109.09 – $168.81 | 6 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $204.80 | $256.00 | $146.29 – $225.74 | 6 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $304.00 | $380.00 | $119.84 – $315.80 | 9 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $936.03 | $1,170.03 | $75.25 – $1,612.08 | 13 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $543.20 | $679.00 | $149.18 – $1,612.08 | 11 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $670.52 | $838.15 | $93.19 – $397.52 | 13 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $3,336.80 | $4,171.00 | $1,193.51 – $3,180.29 | 9 |
| Prgrmg dev eval impltbl sys CPT 93260 | $162.40 | $203.00 | $30.57 – $81.22 | 11 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $140.80 | $176.00 | $28.70 – $74.78 | 11 |
| Prgrmg dev eval scrms ip CPT 93285 | $124.00 | $155.00 | $23.02 – $60.61 | 11 |
| Prgrmg eval implantable dfb CPT 93282 | $168.80 | $211.00 | $33.52 – $90.56 | 11 |
| Prgrmg eval implantable dfb CPT 93283 | $209.60 | $262.00 | $35.50 – $99.11 | 11 |
| Prgrmg eval implantable dfb CPT 93284 | $226.40 | $283.00 | $35.50 – $106.11 | 11 |
| Prgr stim/pace a/iv drug CPT 93623 | $863.20 | $1,079.00 | $47.35 – $153.79 | 9 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $362.40 | $453.00 | $158.40 – $336.33 | 9 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $246.40 | $308.00 | $118.66 – $251.94 | 9 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $181.60 | $227.00 | $74.73 – $167.73 | 9 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $217.60 | $272.00 | $108.20 – $229.70 | 9 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $145.60 | $182.00 | $72.25 – $152.65 | 9 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $89.60 | $112.00 | $44.75 – $95.45 | 9 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $9,548.80 | $11,936.00 | $373.95 – $17,866.30 | 11 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,442.40 | $1,803.00 | $140.95 – $375.35 | 9 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $45.34 – $98.04 | 9 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $661.94 | $827.42 | $166.67 – $446.31 | 13 |
| Pr incision & drainage abscess simple/single CPT 10060 | $327.91 | $409.88 | $97.20 – $255.77 | 13 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $468.23 | $585.28 | $113.91 – $306.37 | 13 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $617.97 | $772.46 | $95.72 – $397.52 | 13 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $512.80 | $641.00 | $122.69 – $411.95 | 11 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $378.40 | $473.00 | $122.69 – $319.19 | 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.