Supplies, drugs & other prices at UnityPoint Health - Marshalltown

Marshalltown, IA · every code in this section with a posted price and a Medicare benchmark.

109 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,707.38 $2,134.22 2.3×
2d tte w or w/o fol w/con,fu (C8924) $866.87 $1,083.58 2.6×
Adm tocilizu covid-19 1st (M0249) $630.06 $787.57 1.5×
Adm tocilizu covid-19 2nd (M0250) $630.06 $787.57 1.5×
Admin hepatitis b vaccine (G0010) $84.90 $106.12 1.9×
Admin influenza virus vac (G0008) $124.85 $156.06 2.8×
Admin pneumococcal vaccine (G0009) $54.78 $68.47 1.2×
Adrnl cortcl tum bchm asy 25 (0015M) $1,253.16 $1,566.44 1.0×
Antibody treponema pallidum total & rpr ia qual (0064U) $110 $137.50 3.5×
Behavior counsel obesity 15m (G0447) $42.90 $53.62 0.4×
Comt gene analysis c.472g>a variant (0032U) $167.82 $209.77 1.0×
Covid-19 lab test non-cdc (U0002) $49.26 $61.57 1.0×
Cyp1a2 gene analysis common variants (0031U) $167.82 $209.77 1.0×
Cyp2d6 gen com&slct rar vrnt (0070U) $649.32 $811.64 1.0×
Diab manage trn per indiv (G0108) $110.56 $138.20 2.0×
Diab manage trn ind/group (G0109) $61.84 $77.29 3.9×
Direct refer hospital observ (G0379) $72.28 $90.34 0.1×
Drug test def 1-7 classes (G0480) $126.43 $158.03 1.1×
Drug test def 15-21 classes (G0482) $294.28 $367.84 1.5×
Drug test def 22+ classes (G0483) $294.28 $367.84 1.2×
Drug test def 8-14 classes (G0481) $294.28 $367.84 1.9×
Eia hiv-1/hiv-2 screen (G0432) $48.57 $60.71 2.5×
Elec stim other than wound (G0283) $110.56 $138.20 8.7×
Elisa hiv-1/hiv-2 screen (G0433) $48.57 $60.71 2.7×
Endo outlet restrict w/tube (C9785) $22,904.69 $28,630.86 2.2×
Fecal blood scrn immunoassay (G0328) $64.28 $80.35 3.6×
Fern test (Q0114) $56.44 $70.54 5.8×
Flt3 gene int tandem dupl variants quantitative (0046U) $391.14 $488.92 1.0×
Group behave couns 2-10 (G0473) $31.35 $39.18 0.9×
Hbot, full body chamber, 30m (G0277) $443.16 $553.95 3.3×
Hep c screen high risk/other (G0472) $110 $137.50 2.4×
Hepb screen high risk indiv (G0499) $110 $137.50 3.9×
Home sleep test/type 3 porta (G0399) $381.24 $476.55 1.8×
Hopd mntl hlt, 15-29 min (C7900) $68.42 $85.52 1.9×
Hopd mntl hlt, 30-60 min (C7901) $174.82 $218.52 1.8×
Hopd mntl hlt, grp (C7903) $139.78 $174.72 3.9×
Hospital outpt clinic visit (G0463)
range across 5 matching MRF lines
$139.16–$469.87 $173.94–$587.33 varies
Hpv combo assay ca screen (G0476) $67.15 $83.93 1.9×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $110 $137.50 2.5×
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$1,681.24–$3,362.47 $2,101.54–$4,203.08 varies
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $127.86 $159.82 1.0×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $483.27 $604.08 1.0×
Mnt subs tx for change dx (G0270) $29.45 $36.81 0.9×
Mra w/cont, abd (C8900) $1,751.99 $2,189.98 5.2×
Mra w/cont, lwr ext (C8912) $1,504.53 $1,880.66 4.5×
Mra w/cont, pelvis (C8918) $1,505.31 $1,881.63 4.5×
Mra w/o cont, abd (C8901) $1,420.27 $1,775.33 6.2×
Mra w/o cont, chest (C8910) $1,420.27 $1,775.33 6.2×
Mra w/o cont, lwr ext (C8913) $1,504.53 $1,880.66 6.5×
Mra w/o cont, pelvis (C8919) $1,420.27 $1,775.33 6.2×
Mra w/o fol w/cont, abd (C8902) $2,005.20 $2,506.49 6.0×
Mra w/o fol w/cont, chest (C8911) $1,730.49 $2,163.11 5.1×
Mra w/o fol w/cont, lwr ext (C8914) $1,504.53 $1,880.66 4.5×
Mra w/o fol w/cont, pelvis (C8920) $1,505.31 $1,881.63 4.5×
Mra, w/dye, spinal canal (C8931) $1,751.99 $2,189.98 5.2×
Mra, w/dye, upper extremity (C8934) $1,505.31 $1,881.63 4.5×
Mra, w/o dye, spinal canal (C8932) $1,420.27 $1,775.33 6.2×
Mra, w/o dye, upper extr (C8935) $1,277.31 $1,596.63 5.5×
Mra, w/o&w/dye, upper extr (C8936) $1,862.25 $2,327.81 5.5×
Mri w/cont, breast, bi (C8906) $1,779.08 $2,223.84 5.3×
Mri w/cont, breast, uni (C8903) $1,420.27 $1,775.33 8.4×
Mri w/o fol w/cont, breast, (C8908) $1,779.08 $2,223.84 5.3×
Mri w/o fol w/cont, brst, un (C8905) $1,779.08 $2,223.84 5.3×
Neuro csf prion prtn qual (0035U) $519.36 $649.19 1.0×
Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) $192 $240 1.0×
Obtaining screen pap smear (Q0091) $55 $68.75 2.0×
Onc brst dux carc is mrna 12 genes alg rsk scor (0045U) $3,718.08 $4,647.60 1.0×
Oral hiv-1/hiv-2 screen (G0435) $38.58 $48.22 3.2×
Oth resp proc, group (G0239) $228.75 $285.93 6.3×
Oth resp proc, indiv (G0238) $205.86 $257.32 7.4×
Pathogen test for platelets (P9100) $70 $87.49 1.2×
Pemivibart infusion (M0224) $630.06 $787.57 1.5×
Perc d-e cor revasc chro sin (C9607) $18,435.36 $23,044.19 1.0×
Perc d-e cor revasc t cabg s (C9604) $18,435.36 $23,044.19 1.7×
Perc d-e cor stent ather s (C9602) $18,435.36 $23,044.19 1.0×
Perc drug-el cor stent sing (C9600) $19,356.76 $24,195.95 1.7×
Perq Sacral Augmt Bilat Inj (0201T) $12,811.60 $16,014.49 1.8×
Perq Sacral Augmt Unilat Inj (0200T) $12,811.60 $16,014.49 1.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $14,264.12 $17,830.14 1.3×
Place device/marker, non pro (C9728) $2,590.05 $3,237.56 1.9×
Prolonged iv inf, req pump (C8957) $645.24 $806.54 3.1×
Prostate biopsy, any mthd (G0416) $328.79 $410.98 0.9×
Provide inr test mater/equip (G0249) $285.40 $356.75 2.2×
Psa screening (G0103) $64.28 $80.35 3.3×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,344.92 $1,681.15 2.2×
Quan CT tiss charac w/o CT (0721T) $1,344.92 $1,681.15 2.2×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $691.20 $864 1.0×
Revasc intra lithotrip-ather (C9766) $20,446.85 $25,558.56 1.2×
Revasc intra lithotrip-stent (C9765) $20,446.85 $25,558.56 1.2×
Revasc intravasc lithotripsy (C9764) $12,614.53 $15,768.16 1.1×
Revasc lithotrip-stent-ather (C9767) $36,293.84 $45,367.29 2.0×
Rx Metab Advrs Trgt Seq Alys (0029U) $712.58 $890.72 1.0×
Scr c/v cyto,thinlayer,rescr (G0145) $55 $68.75 2.1×
Screen cerv/vag thin layer (G0123) $55 $68.75 2.7×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $48.57 $60.71 2.7×
Tee w or w/o fol w/cont,cong (C8926) $1,707.38 $2,134.22 2.3×
Therapeutic procd strg endur (G0237) $122.95 $153.68 4.4×
Tomosynthesis, mammo (G0279) $33.64 $42.04 2.7×
Tpmt and Nudt15 Genotype (0034U) $447.52 $559.40 1.0×
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines
$2,393.51–$2,429.41 $2,991.88–$3,036.76 varies
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $3,360 $4,200 1.0×
Trluml Perip Athrc Brchiocph (0237T) $17,141.08 $21,426.34 1.5×
Trluml Perip Athrc Iliac Art (0238T) $19,672.61 $24,590.76 1.1×
Tte w or w/o contr, cont ecg (C8930) $1,707.38 $2,134.22 2.3×
Tte w or w/o fol w/con,stres (C8928) $1,707.38 $2,134.22 2.3×
Tte w or w/o fol w/cont, com (C8921) $1,707.38 $2,134.22 2.3×
Tte w or w/o fol w/cont, f/u (C8922) $1,707.38 $2,134.22 2.3×
Tte w or wo fol wcon,doppler (C8929) $1,707.38 $2,134.22 2.3×
Unsched dialysis esrd pt hos (G0257) $907.34 $1,134.17 1.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.