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 |
|---|---|---|---|---|
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $207.44 – $429.53 | 7 |
| Tlso full corset HCPCS L0974 | not published | not published | $107.20 – $282.38 | 7 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $219.35 – $589.27 | 7 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $219.35 – $464.72 | 7 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $278.59 – $722.98 | 7 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $278.59 – $590.99 | 7 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $384.23 – $1,005.56 | 7 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $970.06 – $2,468.52 | 7 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $600.44 – $1,527.96 | 7 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,010.30 – $2,802.94 | 7 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,036.50 – $2,637.61 | 7 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $169.20 – $430.56 | 7 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $207.44 – $527.89 | 7 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | $5,816.80 | $7,271.00 | $2,047.32 – $5,466.76 | 7 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | $5,969.60 | $7,462.00 | $2,097.17 – $5,601.68 | 7 |
| Tnot opn elbw to sho ea tdn CPT 24310 | $1,161.60 | $1,452.00 | $429.66 – $2,765.43 | 9 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $17.04 – $73.31 | 4 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $38.32 | $47.90 | $1.60 – $14.42 | 8 |
| Tobramycin non-comp unit HCPCS J7682 | $7.68 | $9.60 | $0.80 – $17.04 | 8 |
| Tobramycin peak therapeutic drug level CPT 80200 | $66.43 | $83.03 | $9.68 – $70.58 | 9 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $10.84 | $13.54 | $2.60 – $6.08 | 9 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $5.89 – $7.95 | 7 |
| Toe joint transfer CPT 26556 | not published | not published | $3,016.03 – $8,059.45 | 7 |
| Toe X-ray (both feet) CPT 73660 | $157.15 | $196.43 | $5.83 – $166.97 | 11 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $382.40 | $478.00 | $13.88 – $45.08 | 7 |
| Tomosynthesis breast screen bilateral CPT 77063 | $96.80 | $121.00 | $21.26 – $45.19 | 7 |
| Tone decay hearing test CPT 92563 | $64.80 | $81.00 | $31.45 – $80.44 | 9 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,928.30 – $5,171.63 | 7 |
| Tongue base vol reduction CPT 41530 | $5,772.00 | $7,215.00 | $337.96 – $2,764.11 | 9 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $435.20 | $544.00 | $100.42 – $2,764.11 | 9 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,655.39 – $7,122.94 | 7 |
| Tongue mouth jaw surgery CPT 41150 | $5,428.00 | $6,785.00 | $1,954.09 – $5,245.57 | 7 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,129.53 – $5,708.68 | 7 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,441.66 – $6,558.67 | 7 |
| Tongue suspension CPT 41512 | $1,622.40 | $2,028.00 | $595.79 – $5,042.00 | 9 |
| Tongue to lip surgery CPT 41510 | $1,097.60 | $1,372.00 | $406.36 – $2,764.11 | 9 |
| Tonsillectomy (age 12+) CPT 42826 | $622.40 | $778.00 | $233.28 – $2,764.11 | 9 |
| Tonsillectomy (child under 12) CPT 42825 | $650.40 | $813.00 | $245.41 – $5,042.00 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $0.94 – $3.54 | 6 |
| Topotecan oral HCPCS J8705 | not published | not published | $114.31 – $160.55 | 6 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.10 – $41.47 | 5 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $68.48 – $178.22 | 7 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $83.65 – $212.85 | 7 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | $3,364.80 | $4,206.00 | $1,210.92 – $3,236.92 | 7 |
| Total hip arthroplasty CPT 27132 | $8,249.60 | $10,312.00 | $1,487.87 – $3,958.84 | 7 |
| Total Hip Replacement CPT 27130 | $6,675.20 | $8,344.00 | $1,146.00 – $10,966.57 | 9 |
| Total hysterectomy CPT 58150 | $2,520.80 | $3,151.00 | $912.58 – $2,441.34 | 7 |
| Total Knee Replacement CPT 27447 | $6,668.80 | $8,336.00 | $1,144.67 – $10,966.57 | 9 |
| Total lung lavage CPT 32997 | $1,758.40 | $2,198.00 | $304.09 – $815.35 | 7 |
| Total ob care failed vbac 59618 CPT 59618 | $4,795.20 | $5,994.00 | $2,345.55 – $5,950.55 | 7 |
| Total tau CPT 84394 | $64.28 | $80.35 | $31.50 – $68.30 | 5 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $292.32 – $820.31 | 7 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $3,925.60 | $4,907.00 | $1,417.13 – $15,674.10 | 9 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $4,365.60 | $5,457.00 | $1,554.83 – $4,135.70 | 7 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $355.62 – $835.89 | 6 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $1,230.40 | $1,538.00 | $435.66 – $1,159.96 | 7 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | $7,284.80 | $9,106.00 | $2,568.33 – $6,868.77 | 7 |
| Tot estradiol response panel CPT 80415 | $140.80 | $176.00 | $33.53 – $86.93 | 7 |
| Toxoplasma antibody igg CPT 86777 | $48.57 | $60.71 | $8.63 – $51.60 | 9 |
| Toxoplasma antibody igm CPT 86778 | $48.57 | $60.71 | $8.65 – $51.60 | 9 |
| Tp53 gene full gene sequence CPT 81351 | $616.18 | $770.22 | $356.61 – $789.47 | 9 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $184.80 – $400.40 | 7 |
| Tp53 gene trgt sequence alys CPT 81352 | $316.33 | $395.41 | $183.07 – $498.34 | 9 |
| Tpmt gene com vrnts CPT 81335 | $350.40 | $438.00 | $97.12 – $244.74 | 9 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $68.07 – $385.10 | 6 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $1,742.69 – $20,572.17 | 6 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $914.67 – $5,461.09 | 6 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $1,041.87 – $14,641.91 | 6 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $7,438.40 | $9,298.00 | $149.11 – $4,332.84 | 9 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $355.36 – $439.92 | 7 |
| Trabeculoplasty laser surg CPT 65855 | $1,224.00 | $1,530.00 | $184.90 – $545.62 | 9 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $4.10 – $10.44 | 7 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $897.60 | $1,122.00 | $336.60 – $4,207.41 | 9 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $420.80 | $526.00 | $104.26 – $434.04 | 9 |
| Tracheo-esophagoplasty cong CPT 43314 | $7,181.60 | $8,977.00 | $2,709.12 – $7,225.04 | 7 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,189.88 – $3,177.67 | 7 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.48 – $1.21 | 7 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $1,069.60 | $1,337.00 | $376.96 – $2,764.11 | 9 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $53.96 – $137.32 | 7 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $3.23 – $8.20 | 7 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $2.50 – $6.34 | 7 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $23.23 – $37.10 | 6 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $124.00 | $155.00 | $50.38 – $121.01 | 9 |
| Transabdom amnioinfus w/us CPT 59070 | $971.20 | $1,214.00 | $259.27 – $715.18 | 11 |
| Transab esoph hiat hern repair 43332 CPT 43332 | $2,835.20 | $3,544.00 | $1,001.80 – $2,678.70 | 7 |
| Transab esoph hiat hern rpr CPT 43333 | $3,096.80 | $3,871.00 | $1,101.05 – $2,933.44 | 7 |
| Transcath biopsy CPT 37200 | $6,022.87 | $7,528.58 | $192.07 – $6,399.29 | 11 |
| Transcath closure of asd CPT 93580 | $2,110.40 | $2,638.00 | $834.87 – $15,304.77 | 9 |
| Transcath closure of vsd CPT 93581 | $2,861.60 | $3,577.00 | $1,131.45 – $15,304.77 | 9 |
| Transcatheter bx s&i CPT 75970 | $994.40 | $1,243.00 | $34.38 – $673.53 | 9 |
| Transcath mv repair addl prosthesis CPT 33419 | $1,043.20 | $1,304.00 | $362.26 – $969.03 | 7 |
| Transcath mv repair init prosthesis CPT 33418 | $4,409.60 | $5,512.00 | $1,545.93 – $4,136.01 | 7 |
| Transcath occlusion cns CPT 61624 | not published | not published | $997.33 – $2,657.58 | 7 |
| Transcath occlusion non-cns CPT 61626 | $2,193.60 | $2,742.00 | $787.90 – $9,665.73 | 9 |
| Trans cath replace aortic valve 33366 CPT 33366 | $3,853.60 | $4,817.00 | $1,344.47 – $3,821.67 | 7 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $1,304.80 | $1,631.00 | $435.74 – $2,682.66 | 9 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $2,181.71 – $5,861.35 | 7 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $2,507.68 – $6,791.69 | 7 |
| Transcrv abltj utrn fibrd rf CPT 58580 | $7,965.60 | $9,957.00 | $363.92 – $11,708.93 | 7 |
| Transcutaneous carboxyhb CPT 88740 | $33.57 | $41.96 | $9.37 – $35.67 | 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.