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 |
|---|---|---|---|---|
| Sedimentation rate erythrocyte automated CPT 85652 | $33.57 | $41.96 | $1.62 – $35.67 | 9 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,374.44 – $2,420.54 | 3 |
| Segmentectomy 32484 CPT 32484 | $3,491.20 | $4,364.00 | $1,237.61 – $3,301.37 | 7 |
| Select picture audiometry CPT 92583 | $105.60 | $132.00 | $50.62 – $132.52 | 9 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.55 – $1.39 | 7 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $109.80 | $137.24 | $30.36 – $116.65 | 9 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $8.04 – $17.09 | 7 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $12.55 – $26.69 | 7 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $28.00 | $35.00 | $20.00 – $33.80 | 6 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $20.00 | $25.00 | $14.70 – $25.27 | 6 |
| Semen analysis HCPCS G0027 | $13.60 | $17.00 | $6.50 – $16.90 | 7 |
| Semen analysis presence/motility CPT 89321 | $56.44 | $70.54 | $7.23 – $59.96 | 9 |
| Semen analysis w/count CPT 89310 | $56.44 | $70.54 | $8.61 – $59.96 | 9 |
| Sensorimotor examination CPT 92060 | $132.00 | $165.00 | $24.07 – $63.34 | 9 |
| Sensorineural acuity lvl tst CPT 92575 | $137.60 | $172.00 | $33.46 – $171.78 | 9 |
| Separate eyelid adhesions CPT 68340 | $2,857.60 | $3,572.00 | $355.68 – $1,988.41 | 9 |
| Sept9 promoter methylation analysis CPT 81327 | $384.00 | $480.00 | $115.20 – $268.82 | 7 |
| Sequestrectomy olecrn proces CPT 24138 | $3,342.40 | $4,178.00 | $625.23 – $6,088.70 | 9 |
| Sequestrectomy radial h/n CPT 24136 | $3,104.00 | $3,880.00 | $574.15 – $2,765.43 | 9 |
| Sequestrectomy shft/dstl hum CPT 24134 | $3,673.60 | $4,592.00 | $676.00 – $6,088.70 | 9 |
| Serial casting application 97139app CPT 97139 | not published | not published | $20.46 – $28.46 | 2 |
| Serial tonometry CPT 92100 | $169.60 | $212.00 | $29.48 – $77.58 | 7 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.80 – $3.12 | 4 |
| Serpina1 gene CPT 81332 | $127.86 | $159.82 | $26.19 – $135.85 | 9 |
| Sertraline (zoloft) - sendout CPT 80332 | $126.43 | $158.03 | $13.16 – $134.33 | 8 |
| Set radiation therapy field CPT 77280 | $921.01 | $1,151.26 | $34.90 – $978.57 | 11 |
| Set radiation therapy field CPT 77285 | $1,137.92 | $1,422.40 | $52.57 – $1,209.04 | 11 |
| Set radiation therapy field CPT 77290 | $1,704.03 | $2,130.03 | $76.75 – $1,810.53 | 11 |
| Set-up cardiovert-defibrill CPT 93745 | $218.40 | $273.00 | $37.96 – $255.62 | 8 |
| Set up port xray equipment HCPCS Q0092 | $49.60 | $62.00 | $23.48 – $60.24 | 7 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.01 | 2 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.05 | 2 |
| Sever cranial nerve CPT 64771 | $1,500.80 | $1,876.00 | $548.04 – $1,664.38 | 9 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $914.59 – $2,327.39 | 7 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,079.82 – $2,747.84 | 7 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,025.00 – $2,608.33 | 7 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $914.59 – $2,327.39 | 7 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,079.82 – $2,747.84 | 7 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,079.82 – $2,747.84 | 7 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $914.59 – $2,327.39 | 7 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,025.00 – $2,608.33 | 7 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $460.60 – $1,172.11 | 7 |
| Sex chromatin identification CPT 88130 | $45.60 | $57.00 | $17.98 – $27.97 | 7 |
| Sex chromatin identification CPT 88140 | $20.80 | $26.00 | $7.99 – $12.43 | 7 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,243.55 – $9,875.78 | 7 |
| Sex transformation m to f CPT 55970 | not published | not published | $3,817.29 – $9,354.82 | 7 |
| Sf3b1 gene common variants CPT 81347 | $185.52 | $231.90 | $107.37 – $292.26 | 9 |
| Sgmdsc w/band ligation CPT 45350 | $1,523.20 | $1,904.00 | $90.08 – $1,004.95 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $284.00 | $355.00 | $40.94 – $169.36 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $337.60 | $422.00 | $56.70 – $169.36 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $390.40 | $488.00 | $67.30 – $340.53 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $456.00 | $570.00 | $86.54 – $340.53 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $258.40 | $323.00 | $34.15 – $245.51 | 11 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $303.20 | $379.00 | $44.34 – $169.36 | 9 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $354.40 | $443.00 | $55.95 – $169.36 | 9 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $380.00 | $475.00 | $63.03 – $340.53 | 9 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $244.80 | $306.00 | $30.63 – $340.53 | 9 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $298.40 | $373.00 | $46.54 – $169.36 | 9 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $344.80 | $431.00 | $54.05 – $169.36 | 9 |
| Sheath above knee HCPCS L8410 | not published | not published | $12.68 – $34.81 | 7 |
| Sheath below knee HCPCS L8400 | not published | not published | $10.97 – $27.90 | 7 |
| Sheath upper limb HCPCS L8415 | not published | not published | $14.57 – $37.06 | 7 |
| Shigella antibody CPT 86771 | $49.60 | $62.00 | $14.69 – $34.28 | 7 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $2,512.00 – $6,392.33 | 7 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $2,455.45 – $6,407.54 | 7 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $8,600.89 – $23,814.81 | 7 |
| Sho arthrs dx +- synovial bx CPT 29805 | $2,310.40 | $2,888.00 | $427.49 – $2,765.43 | 9 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $4,523.20 | $5,654.00 | $823.23 – $6,088.70 | 9 |
| Sho arthrs srg capsulorraphy CPT 29806 | $5,208.00 | $6,510.00 | $950.04 – $6,088.70 | 9 |
| Sho arthrs srg compl synvct CPT 29821 | $2,916.80 | $3,646.00 | $537.86 – $2,765.43 | 9 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $2,836.80 | $3,546.00 | $491.29 – $2,765.43 | 9 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $2,883.20 | $3,604.00 | $531.23 – $2,765.43 | 9 |
| Sho arthrs srg prtl synvct CPT 29820 | $2,641.60 | $3,302.00 | $485.15 – $6,088.70 | 9 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $2,883.20 | $3,604.00 | $530.79 – $2,765.43 | 9 |
| Sho arthrs srg rpr slap les CPT 29807 | $5,091.20 | $6,364.00 | $928.04 – $6,088.70 | 9 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $3,086.40 | $3,858.00 | $536.20 – $2,765.43 | 9 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $29.66 – $75.49 | 7 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $25.87 – $65.82 | 7 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $24.34 – $61.93 | 7 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $20.53 – $52.26 | 7 |
| Shoe heel pad & depress for HCPCS L3480 | $149.60 | $187.00 | $37.27 – $94.84 | 7 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $63.14 – $160.67 | 7 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $37.27 – $94.84 | 7 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $35.00 – $89.06 | 7 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $48.70 – $123.93 | 7 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $55.54 – $141.35 | 7 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $24.34 – $61.93 | 7 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $29.66 – $75.49 | 7 |
| Shoe post-op mens m HCPCS L3260 | $23.20 | $29.00 | $7.27 – $29.51 | 6 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $29.66 – $75.49 | 7 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $21.29 – $54.18 | 7 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $50.98 – $129.73 | 7 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $95.86 – $243.95 | 7 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $316.05 – $849.01 | 7 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $31.19 – $79.38 | 7 |
| Shortening of hand tendon CPT 26479 | $1,575.20 | $1,969.00 | $603.31 – $2,765.43 | 9 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,115.57 – $2,966.46 | 7 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,198.13 – $3,186.76 | 7 |
| Shorten radius or ulna CPT 25390 | $3,796.80 | $4,746.00 | $697.28 – $6,088.70 | 9 |
| Shorten radius & ulna CPT 25392 | $4,988.80 | $6,236.00 | $910.36 – $6,088.70 | 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.