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 |
|---|---|---|---|---|
| Warde mitochondrial antibody each CPT 86381 | $51.20 | $64.00 | $15.27 – $51.60 | 9 |
| Warde neutralization rabies CPT 86382 | $48.57 | $60.71 | $10.15 – $51.60 | 9 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $66.43 | $83.03 | $7.95 – $70.58 | 9 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $64.28 | $80.35 | $13.78 – $68.30 | 9 |
| Warde protein c antigen CPT 85302 | $32.85 | $41.06 | $7.21 – $34.90 | 9 |
| Warde sex hormone binding globulin CPT 84270 | $64.28 | $80.35 | $13.04 – $68.30 | 9 |
| Warde somatomedin CPT 84305 | $55.00 | $68.75 | $12.76 – $58.44 | 9 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $33.57 | $41.96 | $3.30 – $35.67 | 9 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $55.00 | $68.75 | $9.46 – $58.44 | 9 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $128.00 | $160.00 | $30.52 – $116.11 | 9 |
| Warde topiramate therapeutic drug level CPT 80201 | $66.43 | $83.03 | $7.15 – $70.58 | 9 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $65.60 | $82.00 | $15.64 – $40.99 | 9 |
| Warde viscosity CPT 85810 | $33.57 | $41.96 | $7.00 – $35.67 | 9 |
| Warde vitamin a CPT 84590 | $64.28 | $80.35 | $6.97 – $68.30 | 9 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $64.28 | $80.35 | $12.74 – $68.30 | 9 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $86.42 | $108.02 | $16.86 – $91.82 | 9 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $33.57 | $41.96 | $5.93 – $35.67 | 9 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $96.80 | $121.00 | $23.10 – $91.82 | 9 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $64.28 | $80.35 | $8.51 – $68.30 | 9 |
| Warde zinc CPT 84630 | $32.15 | $40.18 | $6.83 – $34.15 | 9 |
| Warfarin respon genetic test HCPCS G9143 | $241.60 | $302.00 | $72.43 – $313.87 | 7 |
| Wash harvest stem cells CPT 38209 | not published | not published | $22.10 – $423.23 | 7 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $0.20 – $0.61 | 7 |
| Wbc automated CPT 85048 | $33.57 | $41.96 | $1.52 – $35.67 | 9 |
| Wcd device interrogate CPT 93292 | $104.80 | $131.00 | $18.93 – $49.82 | 9 |
| Wedge biopsy of liver 47100 CPT 47100 | $2,076.80 | $2,596.00 | $748.55 – $1,998.15 | 7 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | $1,776.00 | $2,220.00 | $639.07 – $6,302.70 | 9 |
| Wedge resect of lung add-on 32506 CPT 32506 | $381.60 | $477.00 | $132.93 – $356.61 | 7 |
| Wedge resect of lung diag 32507 CPT 32507 | $381.60 | $477.00 | $132.93 – $355.82 | 7 |
| Wedge resect of lung initial 32505 CPT 32505 | $2,268.80 | $2,836.00 | $808.09 – $2,154.69 | 7 |
| Wedging of cast CPT 29740 | $240.00 | $300.00 | $61.04 – $226.36 | 9 |
| Wedging of clubfoot cast CPT 29750 | $521.60 | $652.00 | $68.37 – $226.36 | 9 |
| Western blot test CPT 84181 | $48.57 | $60.71 | $10.22 – $51.60 | 9 |
| Wet mounts/ w preparations HCPCS Q0111 | $36.80 | $46.00 | $8.04 – $46.18 | 7 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $1,610.60 – $4,519.75 | 7 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $123.25 – $313.64 | 7 |
| Whfo w/joint(s) custom fab HCPCS L3806 | not published | not published | $247.28 – $629.25 | 7 |
| Whole blood for transfusion HCPCS P9010 | $302.84 | $378.55 | $99.50 – $321.77 | 11 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $206.64 – $383.88 | 8 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $302.84 | $378.55 | $49.59 – $321.77 | 11 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,147.57 | $1,434.46 | $36.97 – $1,219.29 | 11 |
| Whole body photography CPT 96904 | $144.80 | $181.00 | $58.62 – $159.74 | 7 |
| Whole mitochondrial genome CPT 81460 | $2,574.40 | $3,218.00 | $715.06 – $1,801.91 | 9 |
| Whole mitochondrial genome CPT 81465 | $1,872.00 | $2,340.00 | $520.04 – $1,310.48 | 9 |
| Whole Skeleton X-ray Survey CPT 77075 | $1,031.68 | $1,289.60 | $24.14 – $1,096.16 | 11 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $289.37 – $736.37 | 7 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $289.37 – $736.37 | 7 |
| Wilate injection HCPCS J7183 | $1.60 | $2.00 | $1.23 – $1.68 | 7 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.17 – $0.43 | 7 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $298.40 | $373.00 | $78.63 – $209.75 | 7 |
| Woman's shoe oxford brace HCPCS L3224 | $162.40 | $203.00 | $40.40 – $102.79 | 7 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $263.88 | $329.84 | $32.44 – $280.36 | 11 |
| Wound closure by adhesive HCPCS G0168 | $258.40 | $323.00 | $12.83 – $51.57 | 7 |
| Woundfix biowound plus xplus HCPCS Q4217 | $837.60 | $1,047.00 | $273.51 – $1,046.27 | 5 |
| Wound pouch each HCPCS A6154 | not published | not published | $10.01 – $25.48 | 7 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $591.20 | $739.00 | $19.02 – $354.40 | 11 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $616.00 | $770.00 | $21.67 – $409.43 | 11 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $238.58 | $298.22 | $22.96 – $253.49 | 11 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $438.91 | $548.63 | $24.87 – $466.34 | 11 |
| Wrist arthroscopy CPT 29840 | $2,222.40 | $2,778.00 | $414.69 – $2,765.43 | 9 |
| Wrist arthroscopy/surgery CPT 29843 | $2,382.40 | $2,978.00 | $442.89 – $2,765.43 | 9 |
| Wrist arthroscopy/surgery CPT 29844 | $2,464.00 | $3,080.00 | $456.31 – $2,765.43 | 9 |
| Wrist arthroscopy/surgery CPT 29845 | $2,875.20 | $3,594.00 | $532.72 – $2,765.43 | 9 |
| Wrist arthroscopy/surgery CPT 29846 | $2,576.00 | $3,220.00 | $476.13 – $2,765.43 | 9 |
| Wrist arthroscopy/surgery CPT 29847 | $2,672.00 | $3,340.00 | $493.30 – $6,088.70 | 9 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,007.18 – $2,626.64 | 7 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $856.34 – $2,312.67 | 7 |
| Wrist endoscopy/surgery CPT 29848 | $2,512.00 | $3,140.00 | $468.22 – $1,364.06 | 9 |
| Wrist X-ray CPT 73110 | $224.98 | $281.22 | $7.71 – $239.04 | 11 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $149.20 | $186.49 | $7.39 – $158.52 | 11 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,364.02 – $3,471.03 | 7 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $700.88 – $3,428.74 | 8 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $3,724.80 | $4,656.00 | $669.56 – $1,943.90 | 9 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $615.01 – $4,397.69 | 9 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $572.27 – $3,428.74 | 8 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $13.00 – $1,219.56 | 4 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $769.21 – $4,397.69 | 9 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $90.39 – $487.34 | 6 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,868.00 | $2,335.00 | $565.99 – $1,559.08 | 9 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,708.80 | $2,136.00 | $513.38 – $1,559.08 | 9 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $548.40 – $1,279.68 | 7 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $548.40 – $1,279.68 | 7 |
| Xm archive tissue molec anal CPT 88363 | $70.00 | $87.49 | $17.28 – $74.37 | 11 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $1,819.20 | $2,274.00 | $317.36 – $847.36 | 7 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,246.40 | $1,558.00 | $174.07 – $666.36 | 7 |
| X-ray abdomen >=3 views CPT 74021 | $315.19 | $393.98 | $11.83 – $334.88 | 11 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $312.04 | $390.05 | $24.70 – $331.54 | 11 |
| X-ray assay calculus CPT 82370 | $64.28 | $80.35 | $7.51 – $68.30 | 9 |
| X-ray bone length studies CPT 77073 | $461.91 | $577.38 | $11.95 – $490.77 | 11 |
| X-ray bone survey infant CPT 77076 | $472.36 | $590.44 | $30.91 – $501.87 | 11 |
| X-ray consultation CPT 76140 | $36.00 | $45.00 | $2.70 – $34.70 | 7 |
| Xray endovasc thor ao repr CPT 75956 | $2,688.80 | $3,361.00 | $0.01 – $684.57 | 7 |
| Xray endovasc thor ao repr CPT 75957 | $3,518.40 | $4,398.00 | $0.01 – $586.49 | 7 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $419.92 | $524.89 | $15.90 – $446.16 | 11 |
| X-ray exam entire spi 6/> vw CPT 72084 | $574.96 | $718.69 | $18.58 – $610.89 | 11 |
| X-ray exam of arm infant CPT 73092 | $182.76 | $228.45 | $7.10 – $194.18 | 11 |
| X-ray exam of femur 1 CPT 73551 | $232.36 | $290.44 | $7.39 – $246.87 | 11 |
| X-ray exam of jaw joint CPT 70328 | $91.20 | $114.00 | $8.04 – $75.04 | 9 |
| X-ray exam of jaw joint CPT 70332 | $176.80 | $221.00 | $23.82 – $206.02 | 9 |
| X-ray exam of mastoids CPT 70120 | $84.00 | $105.00 | $8.04 – $90.64 | 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.