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 |
|---|---|---|---|---|
| Revision of radius CPT 25355 | $3,761.60 | $4,702.00 | $691.49 – $2,765.43 | 9 |
| Revision of sciatic nerve CPT 64712 | $2,888.00 | $3,610.00 | $534.39 – $1,664.38 | 9 |
| Revision of scrotum CPT 55175 | $912.80 | $1,141.00 | $333.41 – $2,939.60 | 9 |
| Revision of scrotum CPT 55180 | $1,743.20 | $2,179.00 | $624.86 – $4,332.84 | 9 |
| Revision of spinal shunt CPT 63744 | $1,613.60 | $2,017.00 | $620.74 – $5,458.28 | 9 |
| Revision of testis CPT 54660 | $1,796.80 | $2,246.00 | $327.88 – $872.04 | 7 |
| Revision of thigh muscles CPT 27430 | $3,649.60 | $4,562.00 | $669.77 – $6,088.70 | 9 |
| Revision of toe CPT 28312 | $1,254.40 | $1,568.00 | $324.63 – $2,765.43 | 9 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,096.84 – $5,607.53 | 7 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | $5,873.60 | $7,342.00 | $2,055.45 – $5,486.19 | 7 |
| Revision of ulna CPT 25360 | $3,222.40 | $4,028.00 | $596.37 – $6,088.70 | 9 |
| Revision of unstable kneecap CPT 27420 | $3,660.80 | $4,576.00 | $674.93 – $6,088.70 | 9 |
| Revision of unstable kneecap CPT 27422 | $3,660.80 | $4,576.00 | $671.98 – $6,088.70 | 9 |
| Revision of upper arm CPT 24940 | not published | not published | $1,015.20 – $2,598.86 | 7 |
| Revision of ureter CPT 50700 | $4,675.20 | $5,844.00 | $837.88 – $2,232.63 | 7 |
| Revision of urethra CPT 53450 | $1,029.60 | $1,287.00 | $373.45 – $2,939.60 | 9 |
| Revision of urethra CPT 53460 | $1,153.60 | $1,442.00 | $416.67 – $2,939.60 | 9 |
| Revision of urethra CPT 57220 | $833.60 | $1,042.00 | $311.35 – $4,207.41 | 9 |
| Revision of urinary tract CPT 51820 | not published | not published | $980.86 – $2,613.40 | 7 |
| Revision open av fistula without thromb CPT 36832 | $1,846.40 | $2,308.00 | $646.56 – $4,607.36 | 9 |
| Revision orbitofacial bones CPT 21275 | $2,089.60 | $2,612.00 | $756.38 – $5,042.00 | 9 |
| Revision/removal of kneecap CPT 27424 | $3,676.80 | $4,596.00 | $676.94 – $6,088.70 | 9 |
| Revision tips CPT 37183 | $15,049.60 | $18,812.00 | $332.33 – $4,859.49 | 9 |
| Revis reconst shoulder joint CPT 23473 | $7,987.20 | $9,984.00 | $1,434.38 – $10,966.57 | 9 |
| Revis reconst shoulder joint CPT 23474 | $4,315.20 | $5,394.00 | $1,547.67 – $4,121.62 | 7 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $49.54 – $202.90 | 4 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $172.78 – $1,030.14 | 5 |
| Revj fem anast autog vn grf CPT 35884 | $6,035.20 | $7,544.00 | $1,053.78 – $4,607.36 | 9 |
| Revj fem anast nonautog grf CPT 35883 | $5,864.00 | $7,330.00 | $1,013.82 – $4,607.36 | 9 |
| Revj mstdc rsltg compl mstdc CPT 69601 | $5,049.60 | $6,312.00 | $910.42 – $5,042.00 | 9 |
| Revj mstdc rsltg tympanplsty CPT 69604 | $5,456.00 | $6,820.00 | $993.30 – $5,042.00 | 9 |
| Revj open gstr rstcv px CPT 43848 | $4,748.80 | $5,936.00 | $1,694.57 – $4,517.32 | 7 |
| Revj prior hypspad repair CPT 54352 | $3,580.00 | $4,475.00 | $1,274.67 – $4,332.84 | 9 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $752.50 – $5,445.32 | 5 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | $5,336.00 | $6,670.00 | $971.98 – $5,042.00 | 9 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $5,797.13 | $7,246.41 | $266.53 – $6,159.45 | 11 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | $3,552.00 | $4,440.00 | $1,413.66 – $3,317.20 | 7 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $607.20 | $759.00 | $130.13 – $2,931.11 | 9 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $645.60 | $807.00 | $207.51 – $2,931.11 | 9 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | $5,440.80 | $6,801.00 | $1,982.84 – $5,286.27 | 7 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,986.40 – $5,296.58 | 7 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | $3,140.80 | $3,926.00 | $541.56 – $33,954.99 | 9 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | $5,033.60 | $6,292.00 | $1,744.99 – $4,666.44 | 6 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $779.00 – $10,628.62 | 9 |
| Revsc opn/prq tib/pero stent CPT 37234 | $18,817.60 | $23,522.00 | $240.83 – $16,692.54 | 9 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.12 – $11.15 | 5 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $6,904.23 | $8,630.28 | $178.91 – $3,667.87 | 9 |
| Rheumatoid factor qualitative CPT 86430 | $48.57 | $60.71 | $3.68 – $51.60 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $48.57 | $60.71 | $3.40 – $51.60 | 9 |
| Rh ig IV CPT 90386 | not published | not published | $11.31 – $249.50 | 6 |
| Rh ig minidose im CPT 90385 | $80.00 | $100.00 | $29.84 – $106.50 | 6 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $2,936.00 | $3,670.00 | $1,088.74 – $5,042.00 | 9 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $9.60 | $12.00 | $4.76 – $6.66 | 6 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $28.00 | $35.00 | $6.96 – $25.88 | 8 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $26.28 – $42.85 | 7 |
| Rho d immune globulin inj HCPCS J2790 | $263.89 | $329.86 | $22.42 – $77.32 | 8 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $132.00 | $165.00 | $82.83 – $233.19 | 6 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $0.03 – $5,092.86 | 9 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $0.03 – $5,092.86 | 9 |
| Rhythm ecg with report CPT 93040 | $28.00 | $35.00 | $11.94 – $30.65 | 7 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $271.88 | $339.85 | $11.83 – $288.87 | 11 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $358.65 | $448.31 | $14.19 – $381.06 | 11 |
| Rib cartilage graft CPT 21230 | $1,844.00 | $2,305.00 | $671.72 – $5,042.00 | 9 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $48.49 – $136.07 | 7 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $1,609.44 – $2,280.00 | 4 |
| Rib X-ray (3 views, both sides) CPT 71110 | $358.65 | $448.31 | $12.78 – $381.06 | 11 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.14 – $0.14 | 2 |
| Right ventric recording CPT 93603 | $453.60 | $567.00 | $69.17 – $1,034.70 | 9 |
| Rilonacept injection HCPCS J2793 | not published | not published | $26.21 – $33.50 | 6 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $3.55 – $9.04 | 7 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $180.86 – $460.23 | 7 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $98.30 – $250.82 | 7 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $350.48 – $983.52 | 7 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $3.55 – $9.04 | 7 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $27.28 | $34.09 | $13.36 – $28.98 | 9 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $34.40 | $43.00 | $8.33 – $47.17 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $13.60 | $17.00 | $9.08 – $15.80 | 7 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $145.61 | $182.01 | $71.35 – $154.71 | 9 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.53 – $56.76 | 7 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $31.80 – $63.72 | 7 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $14.79 | $18.48 | $7.24 – $33.09 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $19.25 – $64.15 | 7 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $0.03 – $2,741.40 | 9 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $0.03 – $2,741.40 | 9 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $2,667.20 | $3,334.00 | $969.81 – $2,586.96 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $356.80 | $446.00 | $82.24 – $599.68 | 9 |
| Rmvl esophgl sphnctr dev CPT 43285 | $1,639.20 | $2,049.00 | $591.21 – $1,574.90 | 7 |
| Rmvl ext fixj sys under anes CPT 20694 | $1,047.20 | $1,309.00 | $311.96 – $1,364.06 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $2,676.80 | $3,346.00 | $365.12 – $2,439.36 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $848.00 | $1,060.00 | $205.97 – $1,004.95 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,060.80 | $1,326.00 | $129.87 – $1,380.95 | 9 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $657.37 – $5,458.28 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $298.40 | $373.00 | $109.42 – $291.55 | 7 |
| Rmvl icd by tv extr CPT 33244 | $3,508.84 | $4,386.04 | $745.13 – $3,728.13 | 11 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $7,017.68 | $8,772.10 | $335.20 – $19,131.21 | 11 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $3,508.84 | $4,386.04 | $349.10 – $27,326.54 | 11 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $3,508.84 | $4,386.04 | $322.62 – $19,131.21 | 11 |
| Rmvl icd pulse gen only CPT 33241 | $3,508.84 | $4,386.04 | $187.38 – $3,728.13 | 11 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $92.19 – $244.54 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $419.55 – $1,121.51 | 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.