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 |
|---|---|---|---|---|
| Revascularization penis CPT 37788 | not published | not published | $1,138.31 – $3,035.02 | 7 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.18 – $0.24 | 5 |
| Revise abdomen-venous shunt CPT 49426 | $1,633.60 | $2,042.00 | $591.19 – $3,007.87 | 9 |
| Revise additional leg tendon CPT 27692 | $259.20 | $324.00 | $91.06 – $241.10 | 7 |
| Revise aqueous shunt eye CPT 66185 | $4,198.40 | $5,248.00 | $763.08 – $2,052.16 | 9 |
| Revise arm/leg nerve CPT 64708 | $1,239.20 | $1,549.00 | $462.37 – $1,664.38 | 9 |
| Revise bladder & ureter(s) CPT 51565 | $3,277.60 | $4,097.00 | $1,162.63 – $3,098.65 | 7 |
| Revise breast reconst 19380 CPT 19380 | $3,846.40 | $4,808.00 | $725.92 – $5,558.33 | 9 |
| Revise circulation to head CPT 61708 | not published | not published | $2,172.49 – $5,795.42 | 7 |
| Revise circulation to head CPT 61705 | not published | not published | $2,220.07 – $5,921.45 | 7 |
| Revise circulation to head CPT 61710 | not published | not published | $1,834.07 – $4,891.13 | 7 |
| Revise esophagus & stomach 43325 CPT 43325 | $3,326.40 | $4,158.00 | $1,189.61 – $3,169.85 | 7 |
| Revise eye CPT 65091 | $3,406.40 | $4,258.00 | $658.93 – $3,214.08 | 9 |
| Revise eyelashes CPT 67825 | $659.20 | $824.00 | $110.34 – $294.81 | 9 |
| Revise eyelashes CPT 67835 | $2,180.80 | $2,726.00 | $398.34 – $1,988.41 | 9 |
| Revise eyelid defect CPT 67909 | $2,684.80 | $3,356.00 | $393.99 – $1,988.41 | 9 |
| Revise eyelid defect CPT 67911 | $2,784.00 | $3,480.00 | $503.53 – $1,988.41 | 9 |
| Revise eyelid lining CPT 68330 | $3,038.40 | $3,798.00 | $414.66 – $1,943.90 | 9 |
| Revise eyelid lining CPT 68360 | $2,657.60 | $3,322.00 | $369.83 – $3,214.08 | 9 |
| Revise eyelid lining CPT 68362 | $3,251.20 | $4,064.00 | $588.90 – $1,988.41 | 9 |
| Revise eye muscle CPT 67311 | $2,964.80 | $3,706.00 | $410.66 – $1,988.41 | 9 |
| Revise eye muscle CPT 67314 | $3,366.40 | $4,208.00 | $410.66 – $1,988.41 | 9 |
| Revise eye muscle add-on CPT 67340 | $895.20 | $1,119.00 | $262.89 – $703.63 | 7 |
| Revise eye muscle(s) CPT 67318 | $3,515.20 | $4,394.00 | $618.53 – $1,988.41 | 9 |
| Revise eye muscle(s) add-on CPT 67320 | $804.80 | $1,006.00 | $157.14 – $593.36 | 7 |
| Revise eye muscle w/suture CPT 67334 | $1,507.20 | $1,884.00 | $112.12 – $554.69 | 7 |
| Revise eye socket implant CPT 67560 | $5,192.00 | $6,490.00 | $984.35 – $3,214.08 | 9 |
| Revise eye sockets CPT 21260 | $3,432.80 | $4,291.00 | $1,220.65 – $5,042.00 | 9 |
| Revise eye sockets CPT 21261 | $6,089.60 | $7,612.00 | $2,161.62 – $5,754.77 | 9 |
| Revise eye sockets CPT 21263 | $5,630.40 | $7,038.00 | $1,999.58 – $5,324.83 | 9 |
| Revise eye sockets CPT 21267 | $8,025.60 | $10,032.00 | $1,427.41 – $5,042.00 | 9 |
| Revise eye sockets CPT 21268 | not published | not published | $1,791.50 – $4,770.98 | 7 |
| Revise eye with implant CPT 65093 | $3,371.20 | $4,214.00 | $652.70 – $3,214.08 | 9 |
| Revise finger joint each CPT 26135 | $1,362.40 | $1,703.00 | $506.63 – $2,765.43 | 9 |
| Revise finger joint each CPT 26140 | $1,246.40 | $1,558.00 | $465.28 – $1,364.06 | 9 |
| Revise gastric port open 43886 CPT 43886 | $1,230.40 | $1,538.00 | $328.04 – $3,120.29 | 9 |
| Revise/graft eyelid lining CPT 68320 | $3,628.80 | $4,536.00 | $485.75 – $1,988.41 | 9 |
| Revise/graft eyelid lining CPT 68325 | $3,259.20 | $4,074.00 | $590.14 – $3,214.08 | 9 |
| Revise/graft eyelid lining CPT 68326 | $3,196.80 | $3,996.00 | $579.36 – $3,214.08 | 9 |
| Revise/graft eyelid lining CPT 68328 | $3,510.40 | $4,388.00 | $633.35 – $1,988.41 | 9 |
| Revise/graft eyelid lining CPT 68335 | $3,208.00 | $4,010.00 | $581.39 – $3,214.08 | 9 |
| Revise graft w/vein CPT 35879 | $4,513.60 | $5,642.00 | $785.16 – $4,607.36 | 9 |
| Revise graft w/vein 35881 CPT 35881 | $4,979.20 | $6,224.00 | $871.54 – $4,607.36 | 9 |
| Revise hand/finger tendon CPT 26390 | $2,084.00 | $2,605.00 | $782.60 – $6,088.70 | 9 |
| Revise head/neck of femur CPT 27179 | $4,809.60 | $6,012.00 | $878.67 – $6,088.70 | 9 |
| Revise hernia & sperm veins CPT 55540 | $2,702.40 | $3,378.00 | $491.63 – $3,007.87 | 9 |
| Revise hip joint replacement CPT 27134 | $9,432.00 | $11,790.00 | $1,691.13 – $4,500.57 | 7 |
| Revise hip joint replacement CPT 27138 | $7,536.00 | $9,420.00 | $1,355.42 – $3,605.11 | 7 |
| Revise hip joint replacement CPT 27137 | $7,248.00 | $9,060.00 | $1,305.05 – $3,471.61 | 7 |
| Revise/implant finger joint CPT 26536 | $1,780.00 | $2,225.00 | $670.56 – $6,088.70 | 9 |
| Revise kneecap CPT 27437 | $3,241.60 | $4,052.00 | $598.68 – $6,088.70 | 9 |
| Revise kneecap with implant CPT 27438 | $4,140.80 | $5,176.00 | $758.08 – $10,966.57 | 9 |
| Revise knuckle joint CPT 26530 | $1,326.40 | $1,658.00 | $496.33 – $6,088.70 | 9 |
| Revise knuckle with implant CPT 26531 | $1,546.40 | $1,933.00 | $577.52 – $6,088.70 | 9 |
| Revise low back nerve(s) CPT 64714 | $3,603.20 | $4,504.00 | $685.05 – $1,821.48 | 9 |
| Revise lower leg tendon CPT 27690 | $3,182.40 | $3,978.00 | $584.14 – $6,088.70 | 9 |
| Revise lower leg tendon CPT 27691 | $3,688.00 | $4,610.00 | $675.27 – $6,088.70 | 9 |
| Revise lower leg tendons CPT 27686 | $2,684.80 | $3,356.00 | $484.16 – $2,765.43 | 9 |
| Revise middle ear bone CPT 69660 | $4,540.80 | $5,676.00 | $826.68 – $5,042.00 | 9 |
| Revise middle ear bone CPT 69661 | $5,928.00 | $7,410.00 | $1,076.85 – $5,042.00 | 9 |
| Revise middle ear bone CPT 69662 | $5,659.20 | $7,074.00 | $1,030.02 – $5,042.00 | 9 |
| Revise middle ear & mastoid CPT 69641 | $5,104.00 | $6,380.00 | $930.10 – $5,042.00 | 9 |
| Revise middle ear & mastoid CPT 69642 | $6,560.00 | $8,200.00 | $1,194.05 – $5,042.00 | 9 |
| Revise middle ear & mastoid CPT 69643 | $5,993.60 | $7,492.00 | $1,092.16 – $5,042.00 | 9 |
| Revise middle ear & mastoid CPT 69644 | $7,254.40 | $9,068.00 | $1,348.69 – $5,042.00 | 9 |
| Revise middle ear & mastoid CPT 69646 | $7,568.00 | $9,460.00 | $1,401.66 – $5,042.00 | 9 |
| Revise middle ear & mastoid 69645 CPT 69645 | $7,132.80 | $8,916.00 | $1,323.75 – $5,042.00 | 9 |
| Revise ocular implant CPT 65125 | $2,244.80 | $2,806.00 | $265.40 – $1,988.41 | 9 |
| Revise ocular implant CPT 65150 | $3,147.20 | $3,934.00 | $620.56 – $3,214.08 | 9 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $811.16 – $2,179.97 | 7 |
| Revise palsy hand tendon(s) CPT 25315 | $3,787.20 | $4,734.00 | $694.72 – $6,088.70 | 9 |
| Revise palsy hand tendon(s) CPT 25316 | $4,499.20 | $5,624.00 | $824.56 – $2,193.35 | 7 |
| Revise penis/urethra CPT 54328 | $2,369.60 | $2,962.00 | $847.15 – $2,939.60 | 9 |
| Revise penis/urethra CPT 54332 | $2,558.40 | $3,198.00 | $913.63 – $2,939.60 | 9 |
| Revise penis/urethra CPT 54336 | $3,004.80 | $3,756.00 | $1,073.25 – $2,939.60 | 9 |
| Revise prosth vag graft lap CPT 57426 | $2,150.40 | $2,688.00 | $783.61 – $6,302.70 | 9 |
| Revise radius or ulna CPT 25370 | $4,961.60 | $6,202.00 | $910.78 – $2,765.43 | 9 |
| Revise radius & ulna CPT 25365 | $4,504.00 | $5,630.00 | $825.18 – $10,966.57 | 9 |
| Revise radius & ulna CPT 25375 | $4,692.80 | $5,866.00 | $857.70 – $2,765.43 | 9 |
| Revise reconst elbow joint CPT 24370 | $7,622.40 | $9,528.00 | $1,375.81 – $10,966.57 | 9 |
| Revise reconst elbow joint CPT 24371 | $8,792.00 | $10,990.00 | $1,575.65 – $15,674.10 | 9 |
| Revise/remove neuroelectrode CPT 61880 | $2,724.80 | $3,406.00 | $514.12 – $2,931.11 | 9 |
| Revise/remove neuroreceiver CPT 61888 | $1,868.80 | $2,336.00 | $345.07 – $10,628.62 | 9 |
| Revise/remove sling repair CPT 57287 | $1,792.00 | $2,240.00 | $666.50 – $2,709.95 | 9 |
| Revise & repair chest wall CPT 32906 | $4,015.20 | $5,019.00 | $1,417.73 – $3,788.12 | 7 |
| Revise/repair chest wall 32905 CPT 32905 | $3,250.40 | $4,063.00 | $1,151.69 – $3,076.01 | 7 |
| Revise/replace knee joint CPT 27486 | $6,928.00 | $8,660.00 | $1,254.09 – $3,334.50 | 7 |
| Revise/replace knee joint CPT 27487 | $8,664.00 | $10,830.00 | $1,560.09 – $4,151.78 | 7 |
| Revise/repl vagus n eltrd CPT 64569 | $3,632.00 | $4,540.00 | $674.82 – $10,628.62 | 9 |
| Revise spermatic cord veins CPT 55530 | $1,769.60 | $2,212.00 | $321.11 – $2,939.60 | 9 |
| Revise spermatic cord veins CPT 55535 | $2,168.00 | $2,710.00 | $392.36 – $5,318.23 | 9 |
| Revise spinal cord vsls crvl CPT 63250 | $6,965.60 | $8,707.00 | $2,524.85 – $6,735.48 | 7 |
| Revise spinal cord vsls thrc CPT 63251 | not published | not published | $2,582.57 – $6,888.75 | 7 |
| Revise spine cord vsl thrlmb CPT 63252 | not published | not published | $2,582.25 – $6,887.88 | 7 |
| Revise spine eltrd perq aray CPT 63663 | $2,099.20 | $2,624.00 | $406.34 – $5,593.65 | 9 |
| Revise spine eltrd plate CPT 63664 | $2,088.00 | $2,610.00 | $776.41 – $10,628.62 | 9 |
| Revise stomach bowel fusion 43860 CPT 43860 | $4,020.00 | $5,025.00 | $1,433.10 – $3,821.83 | 7 |
| Revise temple bone implant CPT 69718 | not published | not published | $2,442.00 – $2,442.00 | 2 |
| Revise thigh muscles/tendons CPT 27400 | $3,414.40 | $4,268.00 | $630.08 – $6,088.70 | 9 |
| Revise thumb tendon CPT 26490 | $1,984.00 | $2,480.00 | $749.69 – $2,765.43 | 9 |
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.