UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $68.80 | $86.00 | $17.57 – $58.44 | 9 |
| 17-hydroxypregnenolone CPT 84143 | $55.00 | $68.75 | $13.69 – $58.44 | 9 |
| 17-ketosteroids CPT 83586 | $55.00 | $68.75 | $7.68 – $58.44 | 9 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $4.02 – $10.22 | 7 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $3.26 – $8.29 | 7 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $6.70 – $17.03 | 7 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $172.80 | $216.00 | $84.40 – $180.05 | 9 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $1,656.80 | $2,071.00 | $812.13 – $1,771.30 | 7 |
| 1st psyc collab care mgmt CPT 99492 | $272.00 | $340.00 | $78.84 – $182.64 | 9 |
| 1st/sbsq psyc collab care CPT 99494 | $111.20 | $139.00 | $37.16 – $79.93 | 7 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $21.55 – $93.39 | 7 |
| 24 hr ambulatory b/p monitor CPT 93786 | $81.60 | $102.00 | $19.93 – $109.87 | 9 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,720.64 | $2,150.79 | $743.00 – $1,828.17 | 8 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $743.00 – $1,250.97 | 5 |
| 2nd order venous cath CPT 36012 | $4,286.40 | $5,358.00 | $152.82 – $405.61 | 7 |
| 2vhpv vaccine 3 dose im CPT 90650 | $148.80 | $186.00 | $157.11 – $188.71 | 3 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $139.41 – $151.47 | 5 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $147.14 – $151.47 | 4 |
| 3d ech img cgen car anomal CPT 93319 | $209.11 | $261.38 | $21.19 – $222.17 | 9 |
| 3-d radiotherapy plan CPT 77295 | $7,365.56 | $9,206.95 | $210.68 – $7,825.91 | 11 |
| 3d recon without postprocess indpndt CPT 76376 | $578.93 | $723.66 | $8.68 – $615.11 | 9 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,011.31 – $2,573.51 | 7 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $48.00 | $60.00 | $2.19 – $51.00 | 7 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $2.88 – $4.62 | 4 |
| 5' nucleotidase - sendout CPT 83915 | $64.28 | $80.35 | $6.69 – $68.30 | 9 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $119.20 | $149.00 | $16.37 – $103.21 | 9 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $196.80 | $246.00 | $106.60 – $173.69 | 6 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $205.60 | $257.00 | $115.14 – $185.46 | 6 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $214.40 | $268.00 | $120.40 – $196.49 | 6 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $177.60 | $222.00 | $95.49 – $158.99 | 6 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $189.60 | $237.00 | $106.60 – $173.69 | 6 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $188.80 | $236.00 | $106.60 – $173.69 | 6 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $207.20 | $259.00 | $120.40 – $196.49 | 6 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $243.20 | $304.00 | $144.60 – $231.81 | 6 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $7,697.60 | $9,622.00 | $2,691.13 – $7,189.87 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $95.18 | $118.97 | $43.38 – $100.88 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $48.57 | $60.71 | $7.21 – $51.60 | 9 |
| Abciximab injection HCPCS J0130 | not published | not published | $707.32 – $1,791.32 | 4 |
| Abd aorta w/runoff s&i CPT 75630 | $4,118.10 | $5,147.62 | $56.11 – $4,375.48 | 11 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $2,938.40 | $3,673.00 | $1,062.43 – $2,825.09 | 7 |
| Abd/low ext cath 1st CPT 36245 | $6,521.60 | $8,152.00 | $205.50 – $852.92 | 9 |
| Abd/low ext cath 2nd CPT 36246 | $4,187.20 | $5,234.00 | $217.03 – $1,118.39 | 9 |
| Abd/low ext cath 3rd CPT 36247 | $7,384.00 | $9,230.00 | $259.62 – $1,289.29 | 9 |
| Abd/low ext cath addl CPT 36248 | $1,387.28 | $1,734.09 | $42.86 – $1,473.98 | 9 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $625.60 | $782.00 | $49.93 – $574.72 | 11 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $483.10 | $603.87 | $34.74 – $513.29 | 11 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,412.37 | $3,015.46 | $60.94 – $2,563.14 | 11 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,362.80 | $2,953.50 | $55.55 – $2,510.48 | 11 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,711.20 | $2,139.00 | $51.93 – $1,818.15 | 11 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,264.15 | $5,330.18 | $96.27 – $2,111.29 | 11 |
| Abdominal MRI (with contrast) CPT 74182 | $3,521.31 | $4,401.63 | $75.45 – $1,494.19 | 11 |
| Abdominal MRI (without contrast) CPT 74181 | $2,921.37 | $3,651.71 | $63.62 – $1,360.84 | 11 |
| Abdominal pad HCPCS L1270 | not published | not published | $43.55 – $122.21 | 7 |
| Abdominal paracentesis w/image guidance CPT 49083 | $739.20 | $924.00 | $95.71 – $799.09 | 11 |
| Abdominal Ultrasound (complete) CPT 76700 | $733.85 | $917.31 | $35.36 – $779.71 | 11 |
| Abdominal Ultrasound (limited) CPT 76705 | $515.83 | $644.78 | $25.73 – $548.06 | 11 |
| Abdominal X-ray (2 views) CPT 74019 | $257.80 | $322.25 | $10.25 – $273.91 | 11 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $428.31 | $535.38 | $14.19 – $455.07 | 11 |
| Abdominal X-ray (single view) CPT 74018 | $200.42 | $250.52 | $8.04 – $212.94 | 11 |
| Abdominoplasty 15830 CPT 15830 | $2,899.20 | $3,624.00 | $1,049.79 – $5,558.33 | 9 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $647.71 | $809.63 | $65.22 – $799.09 | 11 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $104.27 – $267.26 | 7 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $157.14 – $424.65 | 7 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $69.14 – $194.03 | 7 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $53.26 – $135.53 | 7 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $48.70 – $123.93 | 7 |
| Abl1 gene CPT 81170 | $600.00 | $750.00 | $166.68 – $420.04 | 9 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $711.20 | $889.00 | $195.22 – $414.20 | 5 |
| Ablate arrhythmia add on CPT 93655 | $17,216.46 | $21,520.57 | $262.24 – $18,292.48 | 9 |
| Ablate atria lmtd endo 33265 CPT 33265 | $3,312.80 | $4,141.00 | $1,175.75 – $3,136.62 | 7 |
| Ablate atria w/bypass exten 33256 CPT 33256 | $4,732.00 | $5,915.00 | $1,657.65 – $4,421.05 | 7 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,401.04 – $3,735.04 | 7 |
| Ablate atria x10sv add-on 33258 CPT 33258 | $1,585.60 | $1,982.00 | $563.17 – $1,500.46 | 7 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,584.79 – $4,228.34 | 7 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $27,785.60 | $34,732.00 | $308.50 – $6,088.70 | 9 |
| Ablate bone tumor(s) perq CPT 20982 | $18,652.80 | $23,316.00 | $326.32 – $10,966.57 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | $1,277.60 | $1,597.00 | $498.27 – $6,467.45 | 9 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,255.61 – $3,347.27 | 7 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,400.56 – $3,743.26 | 7 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,388.15 – $3,700.46 | 7 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $676.00 | $845.00 | $179.95 – $1,262.52 | 9 |
| Ablate inf turbinate superf 30801 CPT 30801 | $530.40 | $663.00 | $134.04 – $1,262.52 | 9 |
| Ablate pulm tumor perq crybl CPT 32994 | $26,644.80 | $33,306.00 | $392.22 – $8,873.63 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | $17,062.40 | $21,328.00 | $391.92 – $4,972.71 | 9 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $6,443.48 | $8,054.35 | $133.35 – $6,846.20 | 10 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $799.09 – $1,484.53 | 7 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $204.46 – $379.83 | 7 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $16,670.40 | $20,838.00 | $405.83 – $8,873.63 | 9 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $372.61 – $692.23 | 7 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $204.46 – $379.83 | 7 |
| Ablation of upper extremity nerves rf CPT 64999 | $517.74 | $647.17 | $251.60 – $550.09 | 10 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $4,368.80 | $5,461.00 | $281.40 – $2,565.48 | 6 |
| Abltj mal prst8 tiss hifu CPT 55880 | $2,536.00 | $3,170.00 | $886.88 – $2,362.48 | 7 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | $15,558.40 | $19,448.00 | $440.31 – $917.90 | 5 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | $16,097.60 | $20,122.00 | $538.72 – $20,572.17 | 6 |
| Abobotulinumtoxina HCPCS J0586 | $9.60 | $12.00 | $8.78 – $11.45 | 7 |
| Abortion CPT 59850 | $935.20 | $1,169.00 | $341.49 – $916.08 | 7 |
| Abortion (mpr) CPT 59866 | $576.80 | $721.00 | $204.83 – $548.68 | 7 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $2,251.37 – $5,729.09 | 7 |
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.