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 |
|---|---|---|---|---|
| Subtalar arthro w/deb CPT 29906 | $3,296.00 | $4,120.00 | $605.13 – $2,765.43 | 9 |
| Subtalar arthro w/exc CPT 29905 | $2,641.60 | $3,302.00 | $476.95 – $6,088.70 | 9 |
| Subtalar arthro w/fb rmvl CPT 29904 | $3,132.80 | $3,916.00 | $579.87 – $2,765.43 | 9 |
| Subtalar arthro w/fusion CPT 29907 | $4,308.80 | $5,386.00 | $790.20 – $10,966.57 | 9 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,240.24 – $3,304.47 | 7 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.80 | $9.75 | $0.81 – $2.25 | 8 |
| Suction lipectomy head&neck CPT 15876 | $575.20 | $719.00 | $545.40 – $3,544.19 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | $6,080.00 | $7,600.00 | $1,137.84 – $3,800.00 | 6 |
| Suction lipectomy trunk CPT 15877 | $2,272.00 | $2,840.00 | $1,317.50 – $3,544.19 | 6 |
| Suction lipectomy upr extrem CPT 15878 | $4,544.00 | $5,680.00 | $598.87 – $2,840.00 | 6 |
| Suction socket HCPCS L6686 | not published | not published | $353.50 – $992.01 | 7 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $261.06 – $732.60 | 7 |
| Sugars multiple quant CPT 84379 | $66.24 | $82.79 | $6.92 – $70.37 | 9 |
| Sugars single quant CPT 84378 | $64.28 | $80.35 | $6.92 – $68.30 | 9 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.06 – $0.06 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $448.80 | $561.00 | $1.13 – $62.75 | 8 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $1.70 – $4.45 | 7 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $44.80 | $56.00 | $2.97 – $39.32 | 9 |
| Supply of digital device HCPCS G0552 | not published | not published | $121.19 – $204.05 | 5 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $13.15 – $37.57 | 7 |
| Support clav 29.6-40.5in med HCPCS L3650 | $156.00 | $195.00 | $38.72 – $98.53 | 7 |
| Supprelin la implant HCPCS J9226 | $51,408.00 | $64,260.00 | $34,803.97 – $57,948.72 | 7 |
| Suprv interfacilty transport CPT 99485 | $139.20 | $174.00 | $135.15 – $173.69 | 6 |
| Suprv interfac trnsport addl CPT 99486 | $120.80 | $151.00 | $118.07 – $150.86 | 6 |
| Surg dx exam anorectal CPT 45990 | $264.00 | $330.00 | $94.70 – $2,337.38 | 9 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,955.20 | $2,444.00 | $707.87 – $1,903.68 | 7 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $1,957.60 | $2,447.00 | $708.07 – $1,904.21 | 7 |
| Surgery for urethra pouch CPT 53240 | $1,068.00 | $1,335.00 | $387.17 – $2,939.60 | 9 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,008.18 – $2,690.65 | 7 |
| Surgery to stop leg growth CPT 27475 | $3,256.00 | $4,070.00 | $600.60 – $6,088.70 | 9 |
| Surgery to stop leg growth CPT 27477 | $3,604.80 | $4,506.00 | $662.78 – $6,088.70 | 9 |
| Surgery to stop leg growth CPT 27479 | $4,521.60 | $5,652.00 | $825.59 – $6,088.70 | 9 |
| Surgery to stop leg growth CPT 27485 | $3,299.20 | $4,124.00 | $608.25 – $6,088.70 | 9 |
| Surgical exposure prostate 55860 CPT 55860 | $2,212.00 | $2,765.00 | $791.33 – $4,332.84 | 9 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,147.16 – $3,061.89 | 7 |
| Surgical opening esophagus CPT 43352 | not published | not published | $929.07 – $2,478.47 | 7 |
| Surgical opening of stomach CPT 43510 | $2,320.80 | $2,901.00 | $799.09 – $2,227.72 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | $1,925.60 | $2,407.00 | $694.17 – $1,846.33 | 7 |
| Surgical opening of throat CPT 42955 | $1,870.40 | $2,338.00 | $677.29 – $1,821.64 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $98.56 | $123.20 | $3.92 – $104.72 | 11 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $98.56 | $123.20 | $6.12 – $104.72 | 11 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $98.56 | $123.20 | $10.22 – $104.72 | 11 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $164.00 | $205.00 | $28.96 – $104.72 | 11 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $647.20 | $809.00 | $74.02 – $349.33 | 11 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $942.40 | $1,178.00 | $130.73 – $835.68 | 11 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $3,304.80 | $4,131.00 | $1,180.75 – $3,160.73 | 7 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $3,736.80 | $4,671.00 | $1,334.32 – $3,558.02 | 7 |
| Surgical revision intestine CPT 44680 | $2,607.20 | $3,259.00 | $943.08 – $2,512.86 | 7 |
| Surgical trays HCPCS A4550 | $45.60 | $57.00 | $11.59 – $57.75 | 6 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $90.00 – $160.92 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $1,352.80 | $1,691.00 | $384.28 – $2,337.38 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $38.58 | $48.22 | $2.85 – $40.99 | 9 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $38.58 | $48.22 | $2.85 – $40.99 | 9 |
| Susceptibility mic per plate CPT 87186 | $38.58 | $48.22 | $5.19 – $40.99 | 9 |
| Suscept studies macrobroth dilution ea CPT 87188 | $38.58 | $48.22 | $3.98 – $40.99 | 9 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $889.29 – $2,379.25 | 7 |
| Suspension of testis CPT 54620 | $1,510.40 | $1,888.00 | $270.87 – $2,939.60 | 9 |
| Suspension of uterus CPT 58410 | not published | not published | $729.49 – $1,960.87 | 7 |
| Suspension of uterus 58400 CPT 58400 | $1,136.00 | $1,420.00 | $415.70 – $1,121.08 | 7 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $75.73 – $192.71 | 7 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $2,600.80 | $3,251.00 | $925.03 – $2,468.82 | 7 |
| Suture bile duct injury 47900 CPT 47900 | $3,346.40 | $4,183.00 | $1,207.18 – $3,220.92 | 7 |
| Svc venogram s&i CPT 75827 | $1,364.55 | $1,705.68 | $47.95 – $1,449.83 | 11 |
| Swallowing Evaluation (Bedside) CPT 92610 | $309.71 | $387.13 | $65.97 – $329.06 | 9 |
| Swallowing Therapy Session CPT 92526 | $265.43 | $331.78 | $78.93 – $282.01 | 9 |
| Sweat collection by iontophoresis CPT 89230 | $70.00 | $87.49 | $1.27 – $74.37 | 11 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $1,259.71 – $3,515.04 | 7 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $1,825.15 – $4,644.50 | 7 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $154.45 – $428.15 | 7 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $195.84 – $511.14 | 7 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $150.78 – $383.68 | 7 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $345.18 – $878.38 | 7 |
| Sympathectomy cervical CPT 64802 | $3,934.40 | $4,918.00 | $738.77 – $1,966.75 | 9 |
| Sympathectomy digital artery CPT 64820 | $1,808.80 | $2,261.00 | $691.78 – $1,842.28 | 9 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $698.35 – $1,856.75 | 7 |
| Sympathectomy supfc palmar CPT 64823 | $3,880.00 | $4,850.00 | $713.61 – $2,765.43 | 9 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $942.67 – $2,511.78 | 7 |
| Synch audio-only est high 40 CPT 98015 | $265.60 | $332.00 | $178.90 – $178.90 | 2 |
| Synch audio-only est low 20 CPT 98013 | $160.80 | $201.00 | $81.90 – $81.90 | 2 |
| Synch audio-only est mod 30 CPT 98014 | $192.00 | $240.00 | $121.20 – $121.20 | 2 |
| Synch audio-only est sf 10 CPT 98012 | $83.20 | $104.00 | $45.00 – $45.00 | 2 |
| Synch audio-only new high 60 CPT 98011 | $367.20 | $459.00 | $219.60 – $219.60 | 2 |
| Synch audio-only new low 30 CPT 98009 | $189.60 | $237.00 | $106.00 – $106.00 | 2 |
| Synch audio-only new mod 45 CPT 98010 | $289.60 | $362.00 | $167.10 – $167.10 | 2 |
| Synch audio-only new sf 15 CPT 98008 | $133.60 | $167.00 | $61.10 – $61.10 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | $32.36 | $40.44 | $8.43 – $34.37 | 8 |
| Synthetic sentence id test CPT 92576 | $80.80 | $101.00 | $33.46 – $99.11 | 9 |
| Synvisc or synvisc-one HCPCS J7325 | $26.40 | $33.00 | $8.82 – $14.21 | 7 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $48.57 | $60.71 | $2.64 – $51.60 | 9 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,487.52 | $14,359.39 | $5,628.88 – $12,205.48 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $55.00 | $68.75 | $10.16 – $58.44 | 9 |
| T3 (triiodothyronine) total CPT 84480 | $55.00 | $68.75 | $8.51 – $58.44 | 9 |
| T4 (thyroxine) free CPT 84439 | $55.00 | $68.75 | $5.41 – $58.44 | 9 |
| T4 (thyroxine) total CPT 84436 | $55.00 | $68.75 | $4.12 – $58.44 | 9 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.53 – $0.72 | 6 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.62 – $2.25 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $1.99 | $2.48 | $0.19 – $1.66 | 8 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $207.39 – $323.36 | 7 |
| Tacrolimus therapeutic drug level CPT 80197 | $66.43 | $83.03 | $8.24 – $70.58 | 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.