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 |
|---|---|---|---|---|
| Prq trluml revsc ch occ ant CPT 92943 | $1,433.60 | $1,792.00 | $564.94 – $11,283.46 | 11 |
| Pr removal drug delivery implant CPT 11982 | $287.20 | $359.00 | $64.76 – $397.03 | 11 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $438.40 | $548.00 | $42.92 – $128.25 | 13 |
| Pr removal intrauterine device CPT 58301 | $302.68 | $378.34 | $58.95 – $302.66 | 13 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $742.40 | $928.00 | $172.63 – $459.11 | 13 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $441.11 | $551.38 | $49.23 – $222.21 | 13 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $441.11 | $551.38 | $50.98 – $222.21 | 13 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $401.61 | $502.01 | $39.58 – $202.31 | 13 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $401.61 | $502.01 | $51.94 – $202.31 | 13 |
| Pr robotic surgical system HCPCS S2900 | $668.80 | $836.00 | $720.90 – $1,835.00 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $2,119.20 | $2,649.00 | $639.80 – $1,820.02 | 11 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $76.00 | $95.00 | $36.77 – $79.11 | 9 |
| Prtl exc bone olecrn process CPT 24147 | $3,070.40 | $3,838.00 | $572.13 – $3,228.27 | 11 |
| Prtl exc bone radial h/n CPT 24145 | $2,915.20 | $3,644.00 | $539.85 – $7,107.76 | 11 |
| Prtl exchange transfuse nb CPT 36456 | $260.00 | $325.00 | $88.17 – $434.98 | 11 |
| Prtl excision bone clavicle CPT 23180 | $3,262.40 | $4,078.00 | $625.13 – $7,107.76 | 11 |
| Prtl excision bone scapula CPT 23182 | $3,240.00 | $4,050.00 | $609.74 – $7,107.76 | 11 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,289.12 | $1,611.40 | $136.88 – $1,545.62 | 13 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $32.00 | $40.00 | $14.81 – $39.75 | 9 |
| PSA (Prostate) Test CPT 84153 | $64.28 | $80.35 | $11.03 – $32.38 | 11 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $4.80 | $6.00 | $1.92 – $5.04 | 9 |
| Psychoanalysis CPT 90845 | $221.60 | $277.00 | $85.32 – $215.67 | 9 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $68.90 – $105.87 | 4 |
| Psychophysiological therapy CPT 90875 | $138.40 | $173.00 | $81.40 – $158.11 | 6 |
| Psychophysiological therapy CPT 90876 | $240.00 | $300.00 | $130.90 – $250.79 | 6 |
| Psychotherapy group therapy CPT 90853 | $62.40 | $78.00 | $23.68 – $92.04 | 11 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $168.00 | $210.00 | $67.55 – $170.59 | 11 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $209.60 | $262.00 | $89.14 – $225.73 | 11 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $313.60 | $392.00 | $131.89 – $333.11 | 11 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $270.40 | $338.00 | $102.15 – $309.83 | 11 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $207.20 | $259.00 | $71.08 – $187.46 | 9 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | not published | not published | $428.00 – $428.00 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | $80.00 | $100.00 | $30.57 – $397.03 | 11 |
| Psy evaluation of records CPT 90885 | $112.00 | $140.00 | $65.90 – $128.36 | 6 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $103.20 | $129.00 | $21.78 – $128.25 | 11 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $94.40 | $118.00 | $16.80 – $44.23 | 9 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $80.00 | $100.00 | $30.57 – $82.00 | 9 |
| Psytx complex interactive CPT 90785 | $35.20 | $44.00 | $12.00 – $32.37 | 9 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $161.60 | $202.00 | $62.50 – $158.16 | 9 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $204.00 | $255.00 | $79.39 – $200.51 | 9 |
| Psytx pt w/e&m 53+ min CPT 90838 | $268.00 | $335.00 | $105.61 – $265.41 | 9 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $12.00 | $15.00 | $5.92 – $9.80 | 9 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $127.60 | $159.49 | $17.71 – $64.27 | 11 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $131.56 | $164.44 | $13.14 – $66.27 | 11 |
| Pt application of modality traction mechanical CPT 97012 | $88.20 | $110.25 | $13.55 – $44.43 | 11 |
| Pt/caregiver traing home inr CPT 93792 | $137.60 | $172.00 | $60.39 – $162.84 | 9 |
| Pten gene dup/delet variant CPT 81323 | $288.00 | $360.00 | $113.76 – $315.00 | 11 |
| Pten gene full sequence CPT 81321 | $576.00 | $720.00 | $227.52 – $630.00 | 11 |
| Pten gene known fam variant CPT 81322 | $127.86 | $159.82 | $27.96 – $64.41 | 11 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | $3,875.20 | $4,844.00 | $718.87 – $5,885.87 | 11 |
| Pt-focused hlth risk assmt CPT 96160 | $120.00 | $150.00 | $2.66 – $6.99 | 9 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $57.60 | $72.00 | $22.43 – $59.05 | 9 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $861.29 – $2,191.75 | 9 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $99.20 | $124.00 | $32.97 – $71.50 | 11 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $94.46 | $118.07 | $11.58 – $47.58 | 11 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $56.80 | $71.00 | $28.01 – $46.28 | 9 |
| Pt wheelchair management each 15 minutes CPT 97542 | $78.22 | $97.77 | $29.26 – $48.87 | 11 |
| Pul art balloon repr percut CPT 92997 | $1,392.80 | $1,741.00 | $547.91 – $11,283.46 | 11 |
| Pul art balloon repr percut CPT 92998 | $696.80 | $871.00 | $273.37 – $716.77 | 9 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $3,300.00 – $7,150.00 | 9 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,571.28 – $9,535.10 | 9 |
| Pulmonary decortication partial 32225 CPT 32225 | $4,844.80 | $6,056.00 | $864.51 – $2,305.26 | 9 |
| Pulmonary vent imaging CPT 78579 | $898.88 | $1,123.60 | $20.87 – $452.81 | 13 |
| Pulse ox continuous overnight monitoring CPT 94762 | $292.51 | $365.63 | $21.71 – $155.67 | 13 |
| Pulse ox multiple CPT 94761 | $152.16 | $190.19 | $3.40 – $76.65 | 11 |
| Pulse ox single CPT 94760 | $53.28 | $66.59 | $3.10 – $26.84 | 11 |
| Punc of shunt for asp or inj CPT 61070 | $140.00 | $175.00 | $50.05 – $689.04 | 11 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $133.56 | $166.94 | $13.60 – $128.25 | 13 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $320.80 | $401.00 | $87.69 – $397.52 | 13 |
| Puncture/clear windpipe 31612 CPT 31612 | $212.80 | $266.00 | $43.17 – $3,226.74 | 11 |
| Puncture spinal lumbar diagnostic CPT 62270 | $950.40 | $1,187.99 | $56.30 – $689.04 | 13 |
| Puraply 1 sq cm HCPCS Q4195 | $140.80 | $176.00 | $66.62 – $169.95 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | $172.80 | $216.00 | $73.54 – $165.77 | 5 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $371.20 | $464.00 | $44.15 – $118.03 | 9 |
| Pvb thoracic cont infusion CPT 64463 | $992.00 | $1,240.00 | $74.46 – $689.04 | 11 |
| Pvb thoracic single inj site CPT 64461 | $659.20 | $824.00 | $70.78 – $689.04 | 11 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $411.23 – $1,046.46 | 9 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $9,741.62 – $24,789.65 | 9 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,088.00 – $3,542.97 | 5 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $888.31 – $2,367.51 | 9 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $858.69 – $2,288.04 | 9 |
| Pyelotomy w/removal calculus CPT 50130 | $5,219.20 | $6,524.00 | $933.21 – $2,485.99 | 9 |
| Pyloroplasty 43800 CPT 43800 | $2,285.60 | $2,857.00 | $816.49 – $2,176.84 | 9 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $10.09 – $19.27 | 6 |
| Pyruvate CPT 84210 | $64.28 | $80.35 | $8.69 – $32.38 | 11 |
| Pyruvate kinase CPT 84220 | $33.57 | $41.96 | $5.66 – $16.91 | 11 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $168.32 – $472.36 | 9 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $5.46 – $28.36 | 9 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $562.40 | $703.00 | $35.62 – $535.56 | 11 |
| Quant diff pulm perf w/imaging CPT 78597 | $371.20 | $464.00 | $31.20 – $399.81 | 11 |
| Quest t3 uptake CPT 84479 | $55.00 | $68.75 | $3.88 – $27.71 | 11 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $352.21 – $896.27 | 9 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.26 – $522.69 | 9 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $422.40 | $528.00 | $313.09 – $623.63 | 9 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.15 – $378.79 | 9 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $544.83 | $681.03 | $108.95 – $289.91 | 11 |
| Rabies vaccine id CPT 90676 | $340.80 | $426.00 | $221.41 – $351.64 | 8 |
| Radial keratotomy CPT 65771 | not published | not published | $1,208.60 – $1,945.24 | 6 |
| Radiation handling CPT 77790 | $170.40 | $213.00 | $13.50 – $74.08 | 9 |
| Radiation physics consult CPT 77336 | $160.00 | $200.00 | $79.89 – $168.90 | 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.