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 |
|---|---|---|---|---|
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $133.25 | $166.56 | $10.89 – $67.12 | 11 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $2,921.60 | $3,652.00 | $548.20 – $1,942.94 | 11 |
| Probe nasolacrimal duct CPT 68810 | $851.20 | $1,064.00 | $115.53 – $362.48 | 11 |
| Probe nasolacrimal duct CPT 68811 | $729.60 | $912.00 | $122.14 – $2,321.21 | 11 |
| Probe nasolacrimal duct CPT 68815 | $1,910.40 | $2,388.00 | $200.00 – $2,321.21 | 11 |
| Probe nl duct w/balloon CPT 68816 | $3,817.60 | $4,772.00 | $141.47 – $2,321.21 | 11 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $330.40 | $413.00 | $66.06 – $284.34 | 9 |
| Procalcitonin CPT 84145 | $55.20 | $69.00 | $16.33 – $35.39 | 11 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $74.50 – $148.52 | 6 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $78.90 | $98.62 | $2.92 – $38.08 | 8 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.03 – $0.78 | 6 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $4,636.80 | $5,796.00 | $1,623.66 – $4,336.99 | 9 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $4,544.80 | $5,681.00 | $1,607.42 – $4,299.36 | 9 |
| Proctosigmoidoscopy ablate CPT 45320 | $488.80 | $611.00 | $92.45 – $2,728.58 | 11 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $496.80 | $621.00 | $99.12 – $1,173.14 | 11 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $2,326.40 | $2,908.00 | $76.30 – $1,173.14 | 11 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $302.40 | $378.00 | $43.45 – $907.12 | 11 |
| Proctosigmoidoscopy removal CPT 45308 | $444.80 | $556.00 | $74.25 – $2,728.58 | 11 |
| Proctosigmoidoscopy removal CPT 45309 | $460.00 | $575.00 | $78.96 – $1,173.14 | 11 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $501.60 | $627.00 | $93.09 – $1,173.14 | 11 |
| Proctosigmoidoscopy volvul CPT 45321 | $252.80 | $316.00 | $91.03 – $2,728.58 | 11 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $396.80 | $496.00 | $65.26 – $1,173.14 | 11 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $456.80 | $571.00 | $88.38 – $2,728.58 | 11 |
| Proctosigmoidoscopy w/stent CPT 45327 | $286.40 | $358.00 | $102.81 – $5,922.83 | 11 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $108.67 – $136.99 | 5 |
| Progesterone CPT 84144 | $55.00 | $68.75 | $12.52 – $27.71 | 11 |
| Prolactin CPT 84146 | $55.00 | $68.75 | $11.63 – $27.71 | 11 |
| Prolng clin staff svc 1st hr CPT 99415 | $36.80 | $46.00 | $14.88 – $39.22 | 9 |
| Prolng clin staff svc ea add CPT 99416 | $17.60 | $22.00 | $6.49 – $18.32 | 9 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $74.40 | $93.00 | $55.40 – $92.86 | 5 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $61.60 | $77.00 | $28.01 – $73.42 | 5 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $195.00 – $195.00 | 2 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $138.00 – $138.00 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | $730.44 | $913.05 | $288.52 – $569.74 | 10 |
| Prolong home eval add 15m HCPCS G0318 | $59.20 | $74.00 | $27.41 – $71.76 | 9 |
| Prolong service without contact CPT 99358 | $233.60 | $292.00 | $124.50 – $250.52 | 6 |
| Prolong serv without contact add CPT 99359 | $113.60 | $142.00 | $51.10 – $121.60 | 6 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.04 – $1.56 | 6 |
| Promethazine hcl injection HCPCS J2550 | $4.00 | $5.00 | $2.29 – $4.67 | 6 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $2,598.40 | $3,248.00 | $193.77 – $888.18 | 11 |
| Proph rta dtchmnt pc CPT 67145 | $2,616.00 | $3,270.00 | $193.77 – $907.22 | 11 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | $4,262.40 | $5,328.00 | $777.48 – $12,802.03 | 11 |
| Prophylactic tx radius CPT 25490 | $3,531.20 | $4,414.00 | $650.55 – $7,107.76 | 11 |
| Prophylactic tx radius&ulna CPT 25492 | $4,451.20 | $5,564.00 | $816.36 – $3,228.27 | 11 |
| Prophylactic tx ulna CPT 25491 | $3,632.00 | $4,540.00 | $668.42 – $12,802.03 | 11 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $6.92 | $8.65 | $0.09 – $0.45 | 8 |
| _propoxygc/msur CPT 80367 | $72.14 | $90.17 | $13.16 – $86.56 | 8 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $12.80 | $16.00 | $4.40 – $11.06 | 5 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $45.07 – $114.69 | 9 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $78.17 – $198.94 | 9 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $13.94 – $35.48 | 9 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $5.51 – $15.47 | 9 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $8.79 – $22.37 | 9 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,105.60 | $1,382.00 | $129.87 – $357.91 | 13 |
| Prostate ca screening; dre HCPCS G0102 | $49.60 | $62.00 | $8.04 – $21.16 | 9 |
| Prostatectomy (turp) CPT 52601 | $1,841.60 | $2,302.00 | $659.16 – $5,058.02 | 11 |
| Prostate laser enucleation CPT 52649 | $2,082.40 | $2,603.00 | $746.97 – $5,058.02 | 11 |
| Prostatic microwave thermotx CPT 53850 | $3,799.20 | $4,749.00 | $324.91 – $3,431.60 | 11 |
| Prostatic rf thermotx CPT 53852 | $3,688.00 | $4,610.00 | $347.61 – $3,431.60 | 11 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $262.40 | $328.00 | $65.44 – $166.53 | 9 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $25.12 – $63.91 | 9 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $12.90 – $32.83 | 9 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $547.89 – $1,405.38 | 9 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $53.49 | $66.86 | $4.00 – $26.94 | 11 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $0.89 – $2.16 | 6 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $39.16 – $99.66 | 9 |
| Protein analysis w/probe CPT 88372 | $37.60 | $47.00 | $16.55 – $35.83 | 9 |
| Protein c activity CPT 85303 | $35.20 | $44.00 | $8.30 – $17.99 | 11 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.01 – $19.59 | 9 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $44.80 | $56.00 | $6.44 – $21.39 | 11 |
| Protein s total CPT 85305 | $32.85 | $41.06 | $6.97 – $16.55 | 11 |
| Protein total 24 hour urine CPT 84156 | $33.57 | $41.96 | $2.20 – $16.91 | 11 |
| Protein total body fluid CPT 84157 | $33.57 | $41.96 | $2.40 – $16.91 | 11 |
| Protein total serum plasma whole blood CPT 84155 | $33.57 | $41.96 | $2.20 – $16.91 | 11 |
| Protein western blot tissue CPT 88371 | $44.80 | $56.00 | $13.39 – $32.60 | 9 |
| Prothrombin complex kcentra HCPCS J7168 | $4.82 | $6.02 | $1.90 – $3.76 | 11 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $32.85 | $41.06 | $2.36 – $16.55 | 11 |
| Proton treatment complex CPT 77525 | not published | not published | $781.28 – $2,351.29 | 10 |
| Proton trmt intermediate CPT 77523 | not published | not published | $196.00 – $2,021.54 | 10 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $618.26 – $2,027.99 | 10 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $174.58 – $1,733.38 | 10 |
| Protoporphyrin rbc screen CPT 84203 | $24.00 | $30.00 | $5.84 – $13.64 | 9 |
| Provide inr test mater/equip HCPCS G0249 | $170.40 | $213.00 | $32.11 – $188.95 | 9 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $1,092.00 | $1,365.00 | $394.31 – $1,052.24 | 9 |
| Prp i/hern init block >5 yr CPT 49507 | $2,873.60 | $3,592.00 | $520.73 – $3,511.29 | 11 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $153.60 | $192.00 | $68.90 – $146.48 | 11 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $61.60 | $77.00 | $28.30 – $74.85 | 9 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,934.40 | $22,418.00 | $314.27 – $838.30 | 9 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $403.91 – $1,081.54 | 9 |
| Prq card revasc mi 1 vsl CPT 92941 | $1,433.60 | $1,792.00 | $565.09 – $1,483.40 | 9 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $1,273.60 | $1,592.00 | $502.63 – $11,283.46 | 11 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $2,665.60 | $3,332.00 | $535.15 – $7,107.76 | 11 |
| Prq skel fix epcndylr hum fx CPT 24566 | $3,526.40 | $4,408.00 | $655.01 – $1,739.30 | 11 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $3,747.20 | $4,684.00 | $711.64 – $7,107.76 | 11 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $2,292.80 | $2,866.00 | $450.74 – $7,107.76 | 11 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $830.40 | $1,038.00 | $337.49 – $7,107.76 | 11 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $1,275.20 | $1,594.00 | $502.96 – $11,283.46 | 11 |
| Prq trlml c athrc st angiop1 CPT 92933 | $1,430.40 | $1,788.00 | $564.29 – $17,866.30 | 11 |
| Prq trluml c angiop 1art&/br CPT 92920 | $1,147.20 | $1,434.00 | $452.43 – $5,672.81 | 11 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $1,366.40 | $1,708.00 | $538.97 – $11,283.46 | 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.