UnityPoint Health - Allen Hospital — price list

← Hospital overviewVerified from UnityPoint Health - Allen Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ABORTION WITHOUT D&C Inpatient	779 MS-DRG	—	—	$6,665 – $13,839	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient	J1120 HCPCS	$154	$123	$99.64 – $99.64	—
ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Inpatient	288 MS-DRG	—	—	$19,474 – $37,449	—
ACUTE LEUKEMIA WITH MCC Inpatient	834 MS-DRG	—	—	$38,806 – $74,187	—
ACUTE LEUKEMIA WITHOUT CC/MCC Inpatient	836 MS-DRG	—	—	$9,060 – $18,253	—
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Inpatient	122 MS-DRG	—	—	$4,836 – $10,469	—
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Inpatient	282 MS-DRG	—	—	$5,170 – $11,084	—
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Inpatient	283 MS-DRG	—	—	$13,941 – $27,250	—
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Inpatient	285 MS-DRG	—	—	$4,003 – $8,932	—
ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Inpatient	614 MS-DRG	—	—	$16,248 – $31,503	—
ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Inpatient	615 MS-DRG	—	—	$10,217 – $20,386	—
AFTERCARE WITH CC/MCC Inpatient	949 MS-DRG	—	—	$7,693 – $15,734	—
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Inpatient	560 MS-DRG	—	—	$8,118 – $16,519	—
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Inpatient	561 MS-DRG	—	—	$5,829 – $12,299	—
AICD GENERATOR PROCEDURES Inpatient	245 MS-DRG	—	—	$34,403 – $65,771	—
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY Inpatient	895 MS-DRG	—	—	$10,323 – $20,582	—
ALLERGIC REACTIONS WITH MCC Inpatient	915 MS-DRG	—	—	$12,390 – $24,392	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	014 MS-DRG	—	—	$90,869 – $173,720	—
ALTEPLASE 2 MG IJ SOLR Inpatient	J2997 HCPCS	$195	$156	$126 – $126	—
AMITRIPTYLINE HCL 100 MG PO TABS Inpatient	A9270 HCPCS	$1.90	$1.52	$1.23 – $1.23	—
AMPICILLIN SODIUM 10 G IV SOLR Inpatient	J0290 HCPCS	$11.98	$9.59	$7.75 – $7.75	—
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Inpatient	240 MS-DRG	—	—	$20,763 – $39,823	—
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Inpatient	239 MS-DRG	—	—	$35,435 – $67,743	—
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC Inpatient	241 MS-DRG	—	—	$10,765 – $21,396	—
AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC Inpatient	475 MS-DRG	—	—	$15,381 – $29,904	—
AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC Inpatient	474 MS-DRG	—	—	$31,639 – $60,487	—
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC Inpatient	617 MS-DRG	—	—	$13,771 – $26,938	—
ANAL AND STOMAL PROCEDURES WITH MCC Inpatient	347 MS-DRG	—	—	$16,874 – $32,656	—
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC Inpatient	268 MS-DRG	—	—	$46,643 – $89,171	—
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Inpatient	269 MS-DRG	—	—	$29,412 – $56,229	—