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 |
|---|---|---|---|---|
| Term device, multi art digit HCPCS L6715 | not published | not published | $1,892.11 – $4,814.88 | 7 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $823.21 – $2,094.81 | 7 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $592.81 – $1,508.55 | 7 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $882.46 – $2,245.61 | 7 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $244.43 – $622.00 | 7 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $260.65 – $663.27 | 7 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $202.65 – $546.26 | 7 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $121.88 – $313.44 | 7 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $401.75 – $1,022.36 | 7 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $111.12 – $259.30 | 7 |
| Test for chlorohydrocarbons CPT 82441 | $32.15 | $40.18 | $3.61 – $34.15 | 9 |
| Test for porphobilinogen CPT 84106 | $33.57 | $41.96 | $3.49 – $35.67 | 9 |
| Test for urine cystines CPT 82615 | $23.20 | $29.00 | $5.73 – $13.36 | 7 |
| Testicular imaging w/vasc flow CPT 78761 | $459.20 | $574.00 | $31.24 – $342.49 | 9 |
| Testosterone pellet 75 mg HCPCS S0189 | $102.40 | $128.00 | $105.13 – $130.55 | 5 |
| Testosterone response panel CPT 80414 | $129.60 | $162.00 | $30.98 – $80.32 | 7 |
| Testosterone undecanoate 1mg HCPCS J3145 | $2.40 | $3.00 | $1.65 – $2.39 | 7 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $70.00 | $87.49 | $40.51 – $94.05 | 10 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $155.90 – $431.03 | 7 |
| Test socket above knee HCPCS L5624 | not published | not published | $217.69 – $610.90 | 7 |
| Test socket below knee HCPCS L5620 | not published | not published | $169.48 – $467.16 | 7 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $303.02 – $811.29 | 7 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $291.95 – $801.16 | 7 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $218.37 – $609.17 | 7 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $208.72 – $585.71 | 7 |
| Test socket symes HCPCS L5618 | not published | not published | $178.10 – $472.57 | 7 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $144.27 – $389.84 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $648.04 | $810.04 | $33.67 – $688.53 | 11 |
| Test urine for lactose CPT 83633 | $23.20 | $29.00 | $6.75 – $15.75 | 7 |
| Test urine for porphyrins CPT 84119 | $27.20 | $34.00 | $8.02 – $18.71 | 7 |
| Test urine urobilinogen CPT 84578 | $9.60 | $12.00 | $2.68 – $6.26 | 7 |
| Tetanus ig im CPT 90389 | $624.00 | $780.00 | $216.09 – $755.57 | 6 |
| Tetanus immune globulin inj HCPCS J1670 | $634.40 | $793.00 | $453.35 – $752.20 | 7 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $34.26 | $42.82 | $15.88 – $34.44 | 9 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $82.20 – $191.82 | 7 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $729.16 | $911.44 | $422.00 – $797.51 | 9 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,802.82 | $3,503.52 | $1,622.13 – $3,065.58 | 9 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $792.10 | $990.12 | $358.75 – $841.60 | 9 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | $419.20 | $524.00 | $161.15 – $271.34 | 6 |
| Thawing cryopresrved embryo CPT 89352 | $419.20 | $524.00 | $161.15 – $400.00 | 6 |
| Thawing cryopresrved oocyte CPT 89356 | $419.20 | $524.00 | $161.15 – $271.34 | 6 |
| Thawing cryopresrved sperm CPT 89353 | $419.20 | $524.00 | $50.25 – $400.00 | 6 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $52.30 – $423.23 | 7 |
| Theophylline therapeutic drug level CPT 80198 | $66.43 | $83.03 | $8.48 – $70.58 | 9 |
| Therapeutic procd strg endur HCPCS G0237 | $119.74 | $149.67 | $10.19 – $127.22 | 9 |
| Therapy activation ipnss CPT 93150 | $228.80 | $286.00 | $38.27 – $145.34 | 7 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | not published | not published | $60.40 – $111.25 | 4 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $109.80 | $137.24 | $32.69 – $116.65 | 9 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $109.80 | $137.24 | $27.40 – $116.65 | 9 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $83.20 | $104.00 | $19.05 – $48.60 | 9 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $72.00 | $90.00 | $25.34 – $41.83 | 7 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $283.20 | $354.00 | $116.51 – $319.07 | 9 |
| Ther fx nasal inf turbinate CPT 30930 | $291.20 | $364.00 | $107.05 – $2,764.11 | 9 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $524.80 | $656.00 | $92.81 – $194.15 | 9 |
| Ther/proph/diag inj ia CPT 96373 | $309.40 | $386.75 | $17.16 – $328.74 | 11 |
| Ther radiology tx plng cplx CPT 77263 | $332.00 | $415.00 | $155.91 – $325.79 | 7 |
| Ther radiology tx plng intrm CPT 77262 | $224.00 | $280.00 | $100.58 – $210.67 | 7 |
| Ther radiology tx plng smpl CPT 77261 | $148.80 | $186.00 | $65.38 – $137.81 | 7 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $75.28 | $94.10 | $0.60 – $1.94 | 8 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $4.76 – $17.91 | 4 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $282.27 | $352.83 | $8.04 – $299.91 | 11 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $161.42 – $452.99 | 7 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $237.62 – $666.82 | 7 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $145.15 – $370.58 | 7 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $177.73 – $497.58 | 7 |
| Thiotepa injection HCPCS J9340 | not published | not published | $227.26 – $795.17 | 6 |
| Thorabd diaphr hern repair CPT 43336 | $3,542.40 | $4,428.00 | $1,247.98 – $3,336.69 | 7 |
| Thorabd diaphr hern repair CPT 43337 | $3,777.60 | $4,722.00 | $1,329.35 – $3,553.84 | 7 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $98.56 – $250.81 | 7 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $97.42 – $269.04 | 7 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,532.80 | $1,916.00 | $98.09 – $952.43 | 11 |
| Thoracic aortic graft 33875 CPT 33875 | $6,691.20 | $8,364.00 | $2,346.34 – $6,278.80 | 7 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $104.75 – $293.96 | 7 |
| Thoracic duct procedure CPT 38380 | $1,406.40 | $1,758.00 | $522.48 – $1,388.55 | 7 |
| Thoracic duct procedure CPT 38381 | $1,958.40 | $2,448.00 | $706.61 – $1,870.98 | 7 |
| Thoracic duct procedure CPT 38382 | $1,656.80 | $2,071.00 | $597.48 – $1,595.64 | 7 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $2,824.01 – $7,186.30 | 7 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | $524.80 | $656.00 | $182.90 – $489.46 | 7 |
| Thoracic pad HCPCS L1060 | not published | not published | $55.30 – $150.83 | 7 |
| Thoracoabdominal graft 33877 CPT 33877 | $8,824.00 | $11,030.00 | $3,074.97 – $8,224.30 | 7 |
| Thoracoscop w/esoph musc exc CPT 32665 | $2,999.20 | $3,749.00 | $1,062.26 – $2,836.14 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | $3,910.40 | $4,888.00 | $1,378.17 – $3,681.62 | 7 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $752.80 | $941.00 | $265.93 – $4,972.71 | 9 |
| Thoracoscopy for lvrs CPT 32672 | $3,711.20 | $4,639.00 | $1,305.23 – $3,489.89 | 7 |
| Thoracoscopy lymph node exc CPT 32674 | $525.60 | $657.00 | $183.05 – $490.25 | 7 |
| Thoracoscopy pneumonectomy CPT 32671 | $4,325.60 | $5,407.00 | $1,522.57 – $4,068.17 | 7 |
| Thoracoscopy remove cortex CPT 32651 | $5,332.80 | $6,666.00 | $948.34 – $2,530.14 | 7 |
| Thoracoscopy remove segment CPT 32669 | $3,271.20 | $4,089.00 | $1,157.09 – $3,089.71 | 7 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | $2,587.20 | $3,234.00 | $920.93 – $2,452.26 | 7 |
| Thoracoscopy resect bullae 32655 CPT 32655 | $4,651.20 | $5,814.00 | $829.21 – $2,213.33 | 7 |
| Thoracoscopy surgical 32650 CPT 32650 | $3,244.80 | $4,056.00 | $583.22 – $1,555.42 | 7 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | $5,707.20 | $7,134.00 | $1,037.56 – $2,741.35 | 7 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | $4,124.80 | $5,156.00 | $734.99 – $1,962.17 | 7 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | $8,091.20 | $10,114.00 | $1,434.23 – $3,829.62 | 7 |
| Thoracoscopy w/bx med space CPT 32606 | $1,128.00 | $1,410.00 | $397.23 – $4,972.71 | 9 |
| Thoracoscopy wbx sac CPT 32604 | $1,169.60 | $1,462.00 | $411.00 – $8,873.63 | 9 |
| Thoracoscopy w/lobectomy CPT 32663 | $3,408.80 | $4,261.00 | $1,204.81 – $3,217.74 | 7 |
| Thoracoscopy w/mediast exc CPT 32662 | $2,172.00 | $2,715.00 | $775.38 – $2,068.93 | 7 |
| Thoracoscopy w/pericard exc CPT 32661 | $1,942.40 | $2,428.00 | $692.74 – $1,849.22 | 7 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | $3,905.60 | $4,882.00 | $699.04 – $1,862.55 | 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.