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 |
|---|---|---|---|---|
| Biopsy of prostate CPT 55705 | $670.40 | $838.00 | $240.38 – $2,939.60 | 9 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $740.00 | $925.00 | $273.33 – $2,337.38 | 9 |
| Biopsy of sacroiliac joint CPT 27050 | $1,972.80 | $2,466.00 | $371.58 – $1,364.06 | 9 |
| Biopsy of salivary gland 42400 CPT 42400 | $795.09 | $993.86 | $48.12 – $844.78 | 11 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $742.40 | $928.00 | $205.65 – $1,262.52 | 9 |
| Biopsy of stomach CPT 43605 | $2,057.60 | $2,572.00 | $742.57 – $1,963.09 | 7 |
| Biopsy of tear gland CPT 68510 | $2,246.40 | $2,808.00 | $258.96 – $1,988.41 | 9 |
| Biopsy of tear sac CPT 68525 | $1,316.80 | $1,646.00 | $231.87 – $1,988.41 | 9 |
| Biopsy of testis CPT 54500 | $374.40 | $468.00 | $67.48 – $2,439.36 | 9 |
| Biopsy of testis CPT 54505 | $1,057.60 | $1,322.00 | $190.74 – $2,939.60 | 9 |
| Biopsy of toe joint lining CPT 28054 | $1,872.00 | $2,340.00 | $217.66 – $2,765.43 | 9 |
| Biopsy of upper nose/throat CPT 42804 | $484.80 | $606.00 | $111.13 – $2,764.11 | 9 |
| Biopsy of urethra CPT 53200 | $395.20 | $494.00 | $127.93 – $1,745.97 | 9 |
| Biopsy of wrist joint CPT 25100 | $1,704.00 | $2,130.00 | $321.12 – $2,765.43 | 9 |
| Biopsy oocyte polar body CPT 89291 | $1,571.20 | $1,964.00 | $161.15 – $1,500.00 | 6 |
| Biopsy oocyte polar body <=5 CPT 89290 | $1,571.20 | $1,964.00 | $161.15 – $1,500.00 | 6 |
| Biopsy/removal lymph nodes CPT 38525 | $2,140.80 | $2,676.00 | $391.26 – $3,263.75 | 9 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $2,284.80 | $2,856.00 | $418.94 – $3,263.75 | 9 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,659.20 | $3,324.00 | $113.76 – $1,380.95 | 11 |
| Biopsy roof of mouth CPT 42100 | $364.80 | $456.00 | $100.40 – $1,262.52 | 9 |
| Biopsy skin incisional single lesion CPT 11106 | $449.38 | $561.72 | $50.83 – $521.72 | 11 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,894.92 | $2,368.65 | $140.61 – $2,013.35 | 11 |
| Biopsy thigh soft tissues CPT 27324 | $3,283.11 | $4,103.88 | $371.84 – $3,488.30 | 11 |
| Biopsy tongue anterior two-thirds CPT 41100 | $431.20 | $539.00 | $97.62 – $434.04 | 9 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $392.00 | $490.00 | $131.30 – $2,709.95 | 9 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $392.00 | $490.00 | $81.66 – $434.04 | 9 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $1,032.00 | $1,290.00 | $379.52 – $6,088.70 | 9 |
| Biopsy vrt bdy open thoracic CPT 20250 | $951.20 | $1,189.00 | $346.13 – $2,765.43 | 9 |
| Biospy of bladder CPT 53899 | not published | not published | $207.29 – $385.10 | 7 |
| Biotinidase - quest CPT 82261 | $64.28 | $80.35 | $10.12 – $68.30 | 9 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $133.66 – $445.54 | 5 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $550.64 – $1,059.21 | 3 |
| Bis xtracell fluid analysis CPT 93702 | $292.80 | $366.00 | $104.54 – $284.49 | 9 |
| Bivalirudin HCPCS J0583 | $0.86 | $1.07 | $0.05 – $0.20 | 8 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $397.13 – $1,010.58 | 7 |
| Bk back check HCPCS L5686 | not published | not published | $32.98 – $85.85 | 7 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $477.77 – $1,340.72 | 7 |
| Bk fork strap HCPCS L5684 | not published | not published | $31.90 – $81.17 | 7 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $26.76 – $68.11 | 7 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $317.59 – $828.49 | 7 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $216.98 – $608.91 | 7 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $61.20 – $169.69 | 7 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $162.48 – $455.96 | 7 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $1,557.81 – $3,964.18 | 7 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $184.60 – $501.06 | 7 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $402.77 – $1,050.86 | 7 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $200.02 – $511.44 | 7 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $59.72 – $164.43 | 7 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $42.48 – $108.11 | 7 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $33.44 – $101.68 | 6 |
| Bladder Catheter Insertion (simple) CPT 51702 | $150.40 | $188.00 | $22.52 – $129.95 | 11 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $224.72 | $280.90 | $26.94 – $238.77 | 11 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $6.15 – $15.64 | 7 |
| Bld exchange truj oth thn nb CPT 36455 | $309.60 | $387.00 | $107.55 – $372.61 | 9 |
| Bld prd mix CPT 86965 | $164.99 | $206.23 | $18.46 – $175.30 | 11 |
| Bld push tfuj 2 yr/< CPT 36440 | $131.20 | $164.00 | $45.13 – $372.61 | 9 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $23.59 – $43.46 | 6 |
| Blepharoplasty lower 15820 CPT 15820 | $2,835.20 | $3,544.00 | $466.25 – $1,559.08 | 9 |
| Blepharoplasty upper 15822 CPT 15822 | $2,236.80 | $2,796.00 | $358.39 – $1,559.08 | 9 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $3,041.60 | $3,802.00 | $497.01 – $1,559.08 | 9 |
| Blepharp lwr eyelid fat pad CPT 15821 | $3,033.60 | $3,792.00 | $496.65 – $1,559.08 | 9 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $138.27 – $189.23 | 7 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $10,665.13 – $17,956.63 | 5 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $499.00 – $840.15 | 5 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $16,458.17 – $27,710.25 | 5 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $16,458.17 – $27,710.25 | 5 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,169.76 – $15,438.91 | 5 |
| Blink reflex test CPT 95933 | $178.40 | $223.00 | $28.39 – $74.72 | 9 |
| Blm gene CPT 81209 | $127.86 | $159.82 | $23.59 – $135.85 | 9 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $439.20 | $549.00 | $215.21 – $466.65 | 5 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $698.14 | $872.67 | $342.09 – $741.77 | 5 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $5,340.00 | $6,674.99 | $2,616.60 – $5,673.74 | 5 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $15,708.44 | $19,635.54 | $7,697.13 – $16,690.21 | 5 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $34.40 | $43.00 | $8.55 – $21.76 | 7 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $332.80 | $416.00 | $70.63 – $758.81 | 9 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $316.80 | $396.00 | $66.01 – $758.81 | 9 |
| Block paracervical nrv CPT 64435 | $483.20 | $604.00 | $38.88 – $590.25 | 9 |
| Block plantar digital nerve CPT 64455 | $243.20 | $304.00 | $30.61 – $251.60 | 9 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,467.44 | $1,834.30 | $55.18 – $1,559.16 | 9 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,173.96 | $1,467.44 | $47.68 – $1,247.32 | 9 |
| Blood clot lysis time CPT 85175 | $40.80 | $51.00 | $8.71 – $28.53 | 7 |
| Blood clot retraction CPT 85170 | $32.80 | $41.00 | $6.71 – $22.83 | 7 |
| Blood Clotting (PT/INR) Test CPT 85610 | $32.85 | $41.06 | $4.29 – $34.90 | 9 |
| Blood Clotting (PTT) Test CPT 85730 | $32.85 | $41.06 | $3.61 – $34.90 | 9 |
| Blood component/product noc HCPCS P9099 | not published | not published | $41.70 – $77.47 | 7 |
| Blood Count (CBC) Test CPT 85025 | $33.57 | $41.96 | $4.66 – $35.67 | 9 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $33.57 | $41.96 | $3.88 – $35.67 | 9 |
| Blood count spun microhematocrit CPT 85013 | $33.57 | $41.96 | $4.03 – $35.67 | 9 |
| Blood Culture Test CPT 87040 | $38.58 | $48.22 | $6.19 – $40.99 | 9 |
| Blood draw capillary 36416 CPT 36416 | $12.95 | $16.18 | $3.00 – $7.58 | 8 |
| Blood Draw (Venipuncture) CPT 36415 | $12.95 | $16.18 | $3.00 – $9.54 | 9 |
| Blood gases o2 saturation direct measurement CPT 82805 | $291.41 | $364.26 | $37.52 – $309.62 | 9 |
| Blood gases ph venous CPT 82800 | $64.28 | $80.35 | $6.60 – $68.30 | 9 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $71.74 – $133.27 | 8 |
| Blood mucoprotein HCPCS P2038 | $10.40 | $13.00 | $2.97 – $12.87 | 7 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $64.28 | $80.35 | $15.92 – $68.30 | 9 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $33.57 | $41.96 | $4.23 – $35.67 | 9 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $33.57 | $41.96 | $4.38 – $35.67 | 9 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $33.57 | $41.96 | $5.32 – $35.67 | 9 |
| Blood smear interpretation CPT 85060 | $46.40 | $58.00 | $14.34 – $44.09 | 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.