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 |
|---|---|---|---|---|
| Tte w or without contr, cont ecg HCPCS C8930 | $1,430.30 | $1,787.87 | $673.38 – $1,519.69 | 10 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,720.64 | $2,150.79 | $743.00 – $1,828.17 | 8 |
| Tte w or without fol w/cont, com HCPCS C8921 | $1,720.64 | $2,150.79 | $743.00 – $1,828.17 | 8 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $1,720.64 | $2,150.79 | $743.00 – $1,828.17 | 8 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $920.80 | $1,151.00 | $333.23 – $4,972.71 | 9 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $7.87 – $20.03 | 7 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $32.79 – $83.45 | 7 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $3.88 – $9.89 | 7 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $33.10 – $84.21 | 7 |
| Tubing (oxygen) per foot HCPCS A4616 | $0.40 | $0.50 | $0.04 – $0.11 | 7 |
| Tubular dressing HCPCS A6457 | not published | not published | $0.79 – $2.02 | 7 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $134.28 – $423.23 | 7 |
| Tvh >250 gms 58290 CPT 58290 | $2,885.60 | $3,607.00 | $1,027.97 – $6,302.70 | 9 |
| Tvh w/mmk 58267 CPT 58267 | $2,665.60 | $3,332.00 | $956.00 – $2,568.91 | 7 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $282.07 – $717.77 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | $28,245.40 | $35,306.75 | $810.28 – $30,010.74 | 11 |
| Tx closed distal humerus fx CPT 24999 | $237.88 | $297.35 | $137.67 – $379.83 | 10 |
| Tx closed hip disl traumatic without anes CPT 27250 | $905.60 | $1,132.00 | $130.05 – $345.90 | 11 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,735.51 | $4,669.38 | $528.64 – $3,968.97 | 11 |
| Tx closed tib shaft fx without manip CPT 27750 | $1,692.80 | $2,116.00 | $143.06 – $653.30 | 11 |
| Tx contour defects >10.0 cc CPT 11954 | $388.80 | $486.00 | $99.72 – $521.72 | 9 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $262.40 | $328.00 | $64.63 – $521.72 | 9 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | $2,277.60 | $2,847.00 | $820.98 – $2,207.50 | 7 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $2,159.20 | $2,699.00 | $779.07 – $2,094.27 | 7 |
| Tx l/r atrial fib addl CPT 93657 | $17,216.46 | $21,520.57 | $262.54 – $18,292.48 | 9 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $1,828.80 | $2,286.00 | $674.66 – $2,765.43 | 9 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $3,907.58 | $4,884.47 | $461.41 – $4,151.80 | 11 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $1,342.40 | $1,678.00 | $502.63 – $2,765.43 | 9 |
| Tx open nsl fx uncomp CPT 21325 | $1,072.80 | $1,341.00 | $399.24 – $2,764.11 | 9 |
| Tx open nsl sptl fx CPT 21336 | $1,567.20 | $1,959.00 | $572.21 – $2,765.43 | 9 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $1,463.20 | $1,829.00 | $543.48 – $2,765.43 | 9 |
| Tx septic abortion surgical 59830 CPT 59830 | $1,094.40 | $1,368.00 | $403.53 – $1,087.67 | 7 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $523.20 | $654.00 | $130.05 – $385.00 | 11 |
| Tympanic membrane repair CPT 69610 | $1,856.00 | $2,320.00 | $259.18 – $1,262.52 | 9 |
| Tympanolysis transcanal 69450 CPT 69450 | $2,659.20 | $3,324.00 | $488.10 – $2,764.11 | 9 |
| Tympanometry & reflex thresh CPT 92550 | $49.60 | $62.00 | $20.03 – $133.35 | 9 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $966.40 | $1,208.00 | $120.19 – $434.04 | 9 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $6,740.80 | $8,426.00 | $1,253.98 – $5,042.00 | 9 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $6,043.20 | $7,554.00 | $1,138.58 – $5,042.00 | 9 |
| Tyms gene com variants CPT 81346 | $350.40 | $438.00 | $104.89 – $244.74 | 7 |
| Typhoid vaccine oral CPT 90690 | $100.00 | $125.00 | $26.67 – $120.54 | 6 |
| U2af1 gene common variants CPT 81357 | not published | not published | $115.95 – $292.26 | 7 |
| Ua w/micro/comp poc CPT 81000 | $25.72 | $32.14 | $4.02 – $27.32 | 9 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $111.87 | $139.83 | $19.72 – $75.50 | 9 |
| Ue triple control harness HCPCS L6677 | not published | not published | $177.76 – $452.34 | 7 |
| Ugt1a1 gene analy common variants CPT 81350 | $468.00 | $585.00 | $130.01 – $327.62 | 9 |
| Ultrasound bone density measure CPT 76977 | $29.60 | $37.00 | $2.36 – $90.64 | 9 |
| Ultrasound breast complete CPT 76641 | $385.60 | $482.00 | $32.18 – $371.52 | 11 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $316.80 | $396.00 | $29.97 – $253.37 | 11 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $198.83 | $248.53 | $18.16 – $211.25 | 11 |
| Ultrasound dx ophth b-scan CPT 76512 | $158.40 | $198.00 | $15.50 – $90.64 | 9 |
| Ultrasound elastography ea l target les CPT 76983 | $108.00 | $135.00 | $21.40 – $51.28 | 7 |
| Ultrasound elastography parenchyma CPT 76981 | $189.60 | $237.00 | $26.32 – $90.64 | 9 |
| Ultrasound encephalogram CPT 76506 | $384.62 | $480.77 | $27.76 – $408.65 | 11 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $34.00 – $34.00 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $283.20 | $354.00 | $33.15 – $273.38 | 11 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $736.32 | $920.40 | $33.77 – $782.34 | 11 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $441.60 | $551.99 | $25.55 – $469.19 | 9 |
| Ultrasound guidance for vascular access CPT 76937 | $229.67 | $287.08 | $12.36 – $244.02 | 9 |
| Ultrasound guide intraoperative CPT 76998 | $491.27 | $614.08 | $41.25 – $521.97 | 9 |
| Ultrasound guide tissue ablation CPT 76940 | $401.60 | $502.00 | $67.63 – $189.34 | 7 |
| Ultrasound hips infant dynamic CPT 76885 | $384.62 | $480.77 | $32.50 – $408.65 | 11 |
| Ultrasound infant hips ltd without stress CPT 76886 | $384.62 | $480.77 | $27.29 – $408.65 | 11 |
| Ultrasound joint complete left CPT 76881 | $376.77 | $470.96 | $9.30 – $400.32 | 11 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $191.20 | $239.00 | $13.14 – $104.81 | 9 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $382.29 | $477.86 | $35.59 – $406.18 | 9 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $355.81 | $444.76 | $18.31 – $378.05 | 9 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $497.12 | $621.39 | $77.82 – $528.18 | 11 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $372.81 | $466.01 | $37.54 – $396.11 | 11 |
| Ultrasound prostate/transrectal CPT 76872 | $373.60 | $467.00 | $30.00 – $90.64 | 9 |
| Ultrasound spinal canal and contents CPT 76800 | $384.62 | $480.77 | $55.60 – $408.65 | 11 |
| Ultrasound transabd ea addl gest CPT 76812 | $424.80 | $531.00 | $78.55 – $406.18 | 9 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $516.00 | $645.00 | $70.86 – $163.79 | 7 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $348.00 | $435.00 | $37.24 – $86.25 | 7 |
| Ultraviolet therapy CPT 97028 | $15.20 | $19.00 | $7.46 – $12.46 | 7 |
| Umbilical artery cath newborn 36660 CPT 36660 | $176.80 | $221.00 | $61.82 – $165.84 | 7 |
| Umbilical cord occlud w/us CPT 59072 | $1,262.40 | $1,578.00 | $259.27 – $1,195.73 | 9 |
| Umbilicoplasty 15847 CPT 15847 | $834.40 | $1,043.00 | $331.88 – $1,161.63 | 7 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $7,188.17 – $18,291.86 | 7 |
| Unlistd noninvas vasc dx std CPT 93998 | $44.80 | $55.99 | $20.88 – $47.59 | 10 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $20.88 – $38.78 | 7 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $0.78 – $73.05 | 8 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted CT procedure CPT 76497 | not published | not published | $41.90 – $139.41 | 8 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $342.49 – $636.26 | 7 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $45.54 – $84.60 | 7 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $45.54 – $84.60 | 7 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $133.35 – $247.73 | 7 |
| Unlisted endocrine px dx nuc CPT 78099 | $478.37 | $597.96 | $276.86 – $636.26 | 10 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $171.46 – $318.54 | 7 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $45.11 – $139.41 | 8 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $342.49 – $636.26 | 7 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $342.49 – $636.26 | 7 |
| Unlisted hematology&coagj px CPT 85999 | $33.57 | $41.96 | $16.45 – $35.67 | 5 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $171.46 – $318.54 | 7 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $1,218.40 | $1,523.00 | $4,972.71 – $9,238.12 | 7 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $1,977.60 | $2,472.00 | $4,972.71 – $9,238.12 | 7 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $1,755.20 | $2,194.00 | $4,972.71 – $9,238.12 | 7 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $4,972.71 – $9,238.12 | 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.