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 |
|---|---|---|---|---|
| Unlisted laps px bladder CPT 51999 | $1,531.20 | $1,914.00 | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px ovidct ovry CPT 58679 | $1,158.40 | $1,448.00 | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px renal CPT 50549 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px testis CPT 54699 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unlisted laps px uterus CPT 58578 | $768.00 | $960.00 | $4,972.71 – $9,238.12 | 7 |
| Unlisted maaa CPT 81599 | $127.86 | $159.82 | $62.65 – $135.85 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted misc path test CPT 89240 | not published | not published | $45.54 – $84.60 | 7 |
| Unlisted mr procedure CPT 76498 | not published | not published | $36.81 – $139.41 | 8 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $342.49 – $636.26 | 7 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $133.35 – $247.73 | 7 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $342.49 – $636.26 | 7 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $20.88 – $38.78 | 7 |
| Unlisted orl service/px CPT 92700 | not published | not published | $20.88 – $38.78 | 7 |
| Unlisted procedure colon CPT 45399 | not published | not published | $777.06 – $1,443.60 | 7 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $799.09 – $1,484.53 | 7 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $254.78 – $473.33 | 7 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted procedure liver CPT 47399 | not published | not published | $599.68 – $1,114.06 | 7 |
| Unlisted procedure microbiology CPT 87999 | $38.58 | $48.22 | $18.90 – $40.99 | 5 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $254.78 – $473.33 | 7 |
| Unlisted procedure pancreas CPT 48999 | $1,849.60 | $2,312.00 | $599.68 – $1,114.06 | 7 |
| Unlisted procedure rectum CPT 45999 | $1,002.62 | $1,253.27 | $580.26 – $1,443.60 | 10 |
| Unlisted procedure spine CPT 22899 | not published | not published | $204.46 – $379.83 | 7 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $813.52 – $2,185.51 | 7 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $25.39 – $47.17 | 7 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $204.46 – $379.83 | 7 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,943.90 – $3,611.30 | 7 |
| Unlisted px arthroscopy CPT 29999 | $2,765.60 | $3,457.00 | $204.46 – $379.83 | 7 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $799.09 – $1,484.53 | 7 |
| Unlisted px casting/strpg CPT 29799 | $78.40 | $98.00 | $134.49 – $249.85 | 7 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $254.78 – $473.33 | 7 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $599.68 – $1,114.06 | 7 |
| Unlisted px external ear CPT 69399 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $254.78 – $473.33 | 7 |
| Unlisted px foot/toes CPT 28899 | $1,740.80 | $2,176.00 | $204.46 – $379.83 | 7 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $204.46 – $379.83 | 7 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $204.46 – $379.83 | 7 |
| Unlisted px inner ear CPT 69949 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $254.78 – $473.33 | 7 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $204.46 – $379.83 | 7 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $207.29 – $385.10 | 7 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $113.16 – $210.23 | 7 |
| Unlisted px middle ear CPT 69799 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted px pelvis/hip joint CPT 27299 | $1,415.20 | $1,769.00 | $204.46 – $379.83 | 7 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,943.90 – $3,611.30 | 7 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted px small intestine CPT 44799 | $2,636.80 | $3,296.00 | $799.09 – $1,484.53 | 7 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $113.16 – $210.23 | 7 |
| Unlisted px tongue flr mouth CPT 41599 | $208.00 | $260.00 | $197.93 – $367.70 | 7 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $197.93 – $367.70 | 7 |
| Unlisted reprod med lab proc CPT 89398 | $70.00 | $87.49 | $40.51 – $84.60 | 10 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $342.49 – $636.26 | 7 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $169.36 – $314.63 | 7 |
| Unlisted special svc px/rprt CPT 99199 | $25.60 | $32.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $45.54 – $84.60 | 7 |
| Unlisted transfusion med px CPT 86999 | $57.14 | $71.42 | $20.88 – $60.71 | 10 |
| Unlisted ultrasound procedure CPT 76999 | $384.62 | $480.77 | $75.04 – $408.65 | 10 |
| Unlisted urinalysis px CPT 81099 | $25.72 | $32.14 | $12.60 – $27.32 | 5 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $526.95 – $978.95 | 7 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $342.49 – $636.26 | 7 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $4,972.71 – $9,238.12 | 7 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $934.16 | $1,167.70 | $540.65 – $992.55 | 9 |
| Upgrade pm system CPT 33214 | $22,204.42 | $27,755.52 | $415.05 – $23,592.19 | 11 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $234.44 | $293.05 | $7.10 – $249.09 | 11 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,714.26 | $3,392.82 | $53.34 – $2,883.90 | 11 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,396.27 | $2,995.33 | $43.57 – $2,546.03 | 11 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,477.34 | $5,596.67 | $100.51 – $4,757.17 | 11 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,888.77 | $4,860.96 | $77.96 – $4,131.82 | 11 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,921.37 | $3,651.71 | $64.86 – $3,103.95 | 11 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $262.65 | $328.31 | $8.98 – $279.06 | 11 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $345.39 | $431.73 | $9.95 – $366.97 | 11 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $687.20 | $859.00 | $109.69 – $799.09 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $914.40 | $1,143.00 | $123.53 – $799.09 | 9 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $857.60 | $1,072.00 | $213.91 – $576.18 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | $627.20 | $784.00 | $158.52 – $497.76 | 7 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $530.77 | $663.46 | $39.15 – $563.94 | 11 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $425.53 | $531.91 | $35.33 – $452.12 | 11 |
| Uppr gi scope w/submuc inj CPT 43236 | $916.80 | $1,146.00 | $123.53 – $799.09 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $1,605.60 | $2,007.00 | $579.39 – $4,972.71 | 9 |
| Urea nitrogen CPT 84520 | $33.57 | $41.96 | $2.37 – $35.67 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | $33.57 | $41.96 | $3.34 – $35.67 | 9 |
| Urea nitrogen clearance CPT 84545 | $33.57 | $41.96 | $4.32 – $35.67 | 9 |
| Urea nitrogen semi-quant CPT 84525 | $10.40 | $13.00 | $3.08 – $7.18 | 7 |
| Ureteral embolization/occl CPT 50705 | $9,249.60 | $11,562.00 | $159.01 – $420.61 | 7 |
| Ureteral reflux study CPT 78740 | $503.20 | $629.00 | $24.93 – $342.49 | 9 |
| Ureter endoscopy CPT 50970 | $1,875.20 | $2,344.00 | $331.65 – $2,939.60 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | $2,140.80 | $2,676.00 | $315.49 – $4,332.84 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | $2,392.00 | $2,990.00 | $422.71 – $4,332.84 | 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.