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 |
|---|---|---|---|---|
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.33 – $17.67 | 7 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | $5,380.00 | $6,725.00 | $1,939.58 – $5,196.36 | 7 |
| Tah rad dissect for debulk 58953 CPT 58953 | $4,964.80 | $6,206.00 | $1,792.63 – $4,804.11 | 7 |
| Tah w/mmk 58152 CPT 58152 | $3,129.60 | $3,912.00 | $1,105.84 – $2,968.87 | 7 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $283.58 | $354.47 | $7.71 – $301.30 | 11 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $62.55 – $86.56 | 7 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $67.61 – $76.02 | 5 |
| Talymed HCPCS Q4127 | not published | not published | $67.32 – $149.58 | 6 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.19 – $3.87 | 6 |
| Tap block bilat cont infusion 64489 CPT 64489 | $691.20 | $864.00 | $68.72 – $188.28 | 7 |
| Tap block uni by cont infusion 64487 CPT 64487 | $896.00 | $1,120.00 | $54.56 – $154.57 | 7 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.27 – $0.78 | 6 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,519.20 | $1,899.00 | $422.00 – $1,063.42 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,839.20 | $7,299.00 | $1,622.13 – $4,087.71 | 9 |
| Target gsa panel organ neop CPT 81445 | $1,196.00 | $1,495.00 | $332.20 – $837.13 | 9 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,570.76 – $1,718.95 | 5 |
| Tas congenital car anomal CPT 33741 | $1,882.40 | $2,353.00 | $642.50 – $1,720.01 | 7 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $520.00 | $650.00 | $116.63 – $521.72 | 9 |
| Tavr perq femoral CPT 33361 | $2,966.40 | $3,708.00 | $1,035.38 – $2,768.38 | 7 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1.57 | $1.96 | $0.30 – $1.51 | 9 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $82.20 – $191.82 | 7 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $35.56 – $76.23 | 7 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.98 – $19.09 | 7 |
| Tbs techl calculation only CPT 77091 | not published | not published | $24.07 – $75.04 | 9 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.51 – $75.04 | 9 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $200.00 | $250.00 | $60.00 – $140.00 | 9 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $153.60 | $192.00 | $37.19 – $116.88 | 9 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $500.00 – $1,162.82 | 4 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $2,793.54 | 7 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $554.75 – $2,955.99 | 7 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,038.38 – $1,863.13 | 3 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $138.18 – $163.94 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $63.98 – $164.79 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,378.47 | $4,223.08 | $1,040.32 – $3,589.62 | 9 |
| Tc-99m exametazime diag HCPCS A9521 | $5,730.25 | $7,162.81 | $802.34 – $6,088.39 | 9 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $345.03 | 4 |
| Tc-99m labeled rbc HCPCS A9560 | $162.96 | $203.69 | $79.85 – $173.14 | 8 |
| Tc-99m maa HCPCS A9540 | $542.56 | $678.19 | $30.00 – $576.46 | 8 |
| Tc-99m mebrofenin HCPCS A9537 | $191.74 | $239.67 | $8.05 – $203.72 | 8 |
| Tc-99m medronate HCPCS A9503 | $303.52 | $379.40 | $13.00 – $322.49 | 8 |
| Tc-99m mertiatide HCPCS A9562 | $966.40 | $1,208.00 | $217.72 – $883.24 | 8 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $8.00 | $10.00 | $3.92 – $10.50 | 9 |
| Tc-99m oxidronate HCPCS A9561 | $60.00 | $75.00 | $50.16 – $121.26 | 6 |
| Tc-99m pentetate dtpa HCPCS A9539 | $797.11 | $996.38 | $31.44 – $846.92 | 6 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $973.13 | $1,216.41 | $20.97 – $1,033.95 | 6 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $16.96 | $21.19 | $1.26 – $18.01 | 8 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $140.04 | $175.05 | $17.30 – $148.79 | 8 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $469.20 | $586.50 | $160.28 – $498.53 | 8 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $374.16 | $467.69 | $183.33 – $683.34 | 8 |
| Tc-99m sulfur colloid HCPCS A9541 | $582.48 | $728.09 | $80.29 – $618.88 | 8 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $97.21 – $368.42 | 6 |
| Tc-99m tilmanocept diag HCPCS A9520 | $794.40 | $993.00 | $389.26 – $844.05 | 8 |
| Tca peel dermal 15789 CPT 15789 | $1,324.80 | $1,656.00 | $374.71 – $993.70 | 9 |
| Tcd emboli detect w/inj CPT 93893 | $764.80 | $956.00 | $53.89 – $142.22 | 9 |
| Tcd emboli detect without inj CPT 93892 | $666.40 | $833.00 | $53.59 – $141.44 | 9 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $91.20 – $133.92 | 5 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $148.20 – $423.23 | 7 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $110.00 | $137.50 | $28.19 – $116.88 | 9 |
| T cells absolute cd 4 count CPT 86361 | $110.00 | $137.50 | $16.07 – $116.88 | 9 |
| T cells total count CPT 86359 | $110.00 | $137.50 | $22.64 – $116.88 | 9 |
| Tcranial magn stim tx deli CPT 90868 | $312.00 | $390.00 | $39.40 – $387.56 | 9 |
| Tcranial magn stim tx plan CPT 90867 | $513.60 | $642.00 | $114.09 – $604.55 | 9 |
| Tcran magn stim redetemine CPT 90869 | $635.20 | $794.00 | $91.27 – $642.20 | 9 |
| Tdh sdrl/ventr pnxr CPT 61105 | $1,087.20 | $1,359.00 | $408.15 – $1,084.22 | 7 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $5,030.40 | $6,288.00 | $874.16 – $2,341.06 | 7 |
| Team conf without pat by hc pro CPT 99368 | $67.20 | $84.00 | $49.20 – $83.75 | 6 |
| Team conf without pat by phys CPT 99367 | $102.40 | $128.00 | $75.30 – $127.29 | 6 |
| Team conf w/pat by hc prof CPT 99366 | $78.40 | $98.00 | $55.80 – $95.88 | 6 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.56 – $271.60 | 7 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,720.64 | $2,150.79 | $743.00 – $1,828.17 | 8 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $743.00 – $1,250.97 | 5 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $27.58 – $77.39 | 7 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.34 – $9.16 | 7 |
| Telehealth original site facility fee HCPCS Q3014 | $61.60 | $77.00 | $17.88 – $70.53 | 8 |
| Telethx isodose plan cplx CPT 77307 | $4,125.55 | $5,156.93 | $121.67 – $4,383.39 | 11 |
| Telethx isodose plan simple CPT 77306 | $2,903.18 | $3,628.97 | $67.04 – $3,084.62 | 11 |
| Temozolomide HCPCS J8700 | not published | not published | $0.23 – $5.53 | 6 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.23 – $13.52 | 7 |
| Temperature gradient studies CPT 93740 | $19.20 | $24.00 | $2.82 – $151.47 | 9 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,418.00 – $2,418.00 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $77.60 | $97.00 | $30.32 – $77.89 | 7 |
| Tendon lengthening CPT 26476 | $1,493.60 | $1,867.00 | $574.42 – $2,765.43 | 9 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $1,428.00 | $1,785.00 | $528.98 – $2,765.43 | 9 |
| Tendon shortening CPT 26477 | $1,460.80 | $1,826.00 | $562.96 – $2,765.43 | 9 |
| Tendon transfer with graft CPT 26492 | $2,200.80 | $2,751.00 | $828.64 – $2,765.43 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $240.07 | $300.08 | $15.32 – $180.53 | 9 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $514.57 – $2,495.95 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | $3,020.80 | $3,776.00 | $550.80 – $6,088.70 | 9 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,436.00 | $1,795.00 | $539.54 – $2,765.43 | 9 |
| Tenolysis triceps CPT 24332 | $3,012.80 | $3,766.00 | $560.22 – $2,765.43 | 9 |
| Tenoplasty elbow to sho 1 CPT 24320 | $1,919.20 | $2,399.00 | $704.38 – $6,088.70 | 9 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,266.40 | $1,583.00 | $472.64 – $1,364.06 | 9 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $652.83 – $1,730.29 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $2,243.20 | $2,804.00 | $271.17 – $2,765.43 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $1,676.73 | $2,095.91 | $222.81 – $1,781.52 | 11 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $1,914.43 – $4,871.66 | 7 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $9.31 – $33.76 | 7 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $77.88 | $97.35 | $0.06 – $3.66 | 8 |
| Teriparatide injection HCPCS J3110 | $65.60 | $82.00 | $9.82 – $50.33 | 6 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $2,450.10 – $6,234.83 | 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.