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 |
|---|---|---|---|---|
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,579.05 – $4,342.30 | 5 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $7,606.40 | $9,508.00 | $152.30 – $406.17 | 7 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $134.75 – $361.46 | 7 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $1,872.00 | $2,340.00 | $660.56 – $1,741.10 | 7 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $2,311.20 | $2,889.00 | $819.31 – $2,149.12 | 7 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,470.91 – $3,931.59 | 7 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $29.00 – $43.24 | 6 |
| Rpr&refit spct prsth aphakia CPT 92371 | $25.60 | $32.00 | $22.20 – $57.51 | 9 |
| Rpr rem hernia init reduce CPT 49550 | $2,825.60 | $3,532.00 | $512.47 – $3,007.87 | 9 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,015.12 – $5,388.30 | 7 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,688.10 – $4,509.85 | 7 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,595.87 – $4,262.84 | 7 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,551.57 – $4,143.99 | 7 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,623.12 – $4,339.48 | 7 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,023.53 – $5,411.64 | 7 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $1,984.58 – $5,309.14 | 7 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $1,972.12 – $5,276.52 | 7 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,809.69 – $4,839.19 | 7 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,858.24 – $4,971.00 | 7 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $928.00 – $928.00 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $893.60 | $1,117.00 | $326.51 – $6,088.70 | 9 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $191.03 – $354.88 | 7 |
| Rrp hypspad comp moblj&urtp CPT 54344 | $2,390.40 | $2,988.00 | $854.42 – $7,881.47 | 9 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,824.00 – $4,853.42 | 7 |
| Rsv assay w/optic CPT 87807 | $38.58 | $48.22 | $7.86 – $40.99 | 9 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $290.00 – $337.53 | 3 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $17.72 – $45.86 | 7 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $35.07 – $111.70 | 6 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $35.07 – $109.98 | 7 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $35.07 – $109.98 | 7 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $28.03 – $73.76 | 7 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $27.41 – $72.93 | 7 |
| Rubella antibody igg CPT 86762 | $48.57 | $60.71 | $8.63 – $51.60 | 9 |
| Rubeola ag if CPT 87283 | $121.60 | $152.00 | $22.78 – $85.11 | 7 |
| Rubeola antibody igg CPT 86765 | $48.57 | $60.71 | $7.73 – $51.60 | 9 |
| Runx1 gene targeted seq alys CPT 81334 | $659.20 | $824.00 | $197.71 – $461.35 | 7 |
| Russell viper venom diluted CPT 85613 | $32.85 | $41.06 | $5.75 – $34.90 | 9 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,834.40 | $2,293.00 | $509.53 – $1,821.34 | 9 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $125.56 – $341.26 | 7 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $34.93 – $44.30 | 7 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $283.58 | $354.47 | $9.95 – $301.30 | 11 |
| Safety plan interven HCPCS G0560 | not published | not published | $40.13 – $63.60 | 6 |
| Salivary gland function exam CPT 78232 | $228.00 | $285.00 | $17.71 – $342.49 | 9 |
| Salivary gland imaging CPT 78230 | $378.40 | $473.00 | $19.58 – $342.49 | 9 |
| Salivary glnd img serial img CPT 78231 | $282.40 | $353.00 | $19.63 – $342.49 | 9 |
| Salmonella antibody CPT 86768 | $48.57 | $60.71 | $7.91 – $51.60 | 9 |
| Salpingostomy 58770 CPT 58770 | $4,304.00 | $5,380.00 | $770.46 – $2,709.95 | 9 |
| Same day nb discharge 99463 CPT 99463 | $199.20 | $249.00 | $98.43 – $209.56 | 9 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $3.12 – $5.62 | 6 |
| Sargramostim injection HCPCS J2820 | not published | not published | $44.19 – $77.11 | 7 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $22.98 – $54.00 | 7 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.01 – $192.66 | 7 |
| Sarscov coronavirus ag ia CPT 87426 | $71.20 | $89.00 | $22.33 – $40.99 | 9 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $168.80 | $211.00 | $39.05 – $73.80 | 9 |
| S bowel endoscope w/stent CPT 44379 | $1,034.40 | $1,293.00 | $364.19 – $5,073.66 | 9 |
| Sbrt management CPT 77435 | $1,189.60 | $1,487.00 | $594.53 – $1,244.10 | 7 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,527.12 – $5,938.52 | 5 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $248.00 | $310.00 | $120.85 – $263.30 | 7 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $281.60 | $352.00 | $140.48 – $298.01 | 7 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $136.80 | $171.00 | $68.04 – $144.33 | 7 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $197.60 | $247.00 | $98.58 – $208.93 | 7 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $79.20 | $99.00 | $36.52 – $77.95 | 7 |
| Sbsq psyc collab care mgmt CPT 99493 | $251.20 | $314.00 | $78.84 – $199.35 | 9 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $540.92 | $676.14 | $34.15 – $574.72 | 11 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $266.60 | $333.25 | $21.05 – $283.26 | 11 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $894.76 | $1,118.44 | $21.05 – $950.67 | 11 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $627.48 | $784.35 | $19.13 – $666.70 | 11 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $620.15 | $775.18 | $20.60 – $658.90 | 11 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $614.99 | $768.73 | $20.90 – $653.42 | 11 |
| Scan proc cranial extra CPT 61782 | $434.40 | $543.00 | $154.40 – $411.81 | 7 |
| Scan proc cranial intra 61781 CPT 61781 | $552.80 | $691.00 | $197.96 – $528.28 | 7 |
| Scan proc spinal CPT 61783 | $552.80 | $691.00 | $196.63 – $523.91 | 7 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $2,673.59 – $7,354.63 | 7 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,860.00 | $3,575.00 | $107.03 – $1,380.95 | 9 |
| Scope plantar fasciotomy CPT 29893 | $3,185.60 | $3,982.00 | $406.88 – $2,765.43 | 9 |
| Scr c/v cyto, automated sys HCPCS G0147 | $36.80 | $46.00 | $9.07 – $46.18 | 7 |
| Scr c/v cyto,autosys and md HCPCS G0141 | $55.20 | $69.00 | $22.73 – $57.51 | 7 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | $64.00 | $80.00 | $19.16 – $83.04 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $88.00 | $110.00 | $26.38 – $114.32 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $55.00 | $68.75 | $15.89 – $58.44 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $54.40 | $68.00 | $16.23 – $70.33 | 7 |
| Screen cerv/vag thin layer HCPCS G0123 | $55.00 | $68.75 | $12.16 – $58.44 | 9 |
| Screen c/v thin layer by md HCPCS G0124 | $55.20 | $69.00 | $22.73 – $57.51 | 7 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $813.60 | $1,017.00 | $82.56 – $777.06 | 9 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $813.60 | $1,017.00 | $82.41 – $777.06 | 9 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $64.28 | $80.35 | $10.83 – $68.30 | 9 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $110.00 | $137.50 | $16.96 – $116.88 | 9 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $110.00 | $137.50 | $27.81 – $116.88 | 9 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $48.80 | $61.00 | $14.45 – $62.61 | 7 |
| Screening Mammogram CPT 77067 | $285.86 | $357.32 | $33.44 – $303.72 | 9 |
| Screening pap smear by phys HCPCS P3001 | $55.20 | $69.00 | $22.73 – $57.51 | 7 |
| Screening prostate cancer PSA HCPCS G0103 | $64.28 | $80.35 | $11.59 – $68.30 | 9 |
| Screen pap by tech w md supv HCPCS P3000 | $36.80 | $46.00 | $9.07 – $46.18 | 7 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $6.40 | $8.00 | $5.29 – $7.38 | 6 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,211.36 | $1,514.20 | $593.57 – $1,287.07 | 5 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $384.62 | $480.77 | $27.94 – $408.65 | 11 |
| Sc ther infusion reset pump CPT 96371 | $158.40 | $198.00 | $50.65 – $140.30 | 9 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $2,005.60 | $2,507.00 | $731.93 – $1,945.66 | 7 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,752.31 | $5,940.38 | $210.25 – $5,049.32 | 9 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $278.86 | $348.57 | $4.86 – $296.28 | 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.