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 |
|---|---|---|---|---|
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | $1,285.60 | $1,607.00 | $446.87 – $1,194.81 | 7 |
| Cabg vein five CPT 33514 | $6,372.80 | $7,966.00 | $2,238.19 – $5,972.84 | 7 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | $5,184.00 | $6,480.00 | $1,825.81 – $4,874.91 | 7 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | $5,904.80 | $7,381.00 | $2,077.20 – $5,550.48 | 7 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | $6,062.40 | $7,578.00 | $2,123.65 – $5,668.35 | 7 |
| Cabg vein six or more CPT 33516 | not published | not published | $2,316.46 – $6,181.60 | 7 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | $1,726.40 | $2,158.00 | $159.46 – $426.97 | 7 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | $1,764.80 | $2,206.00 | $350.45 – $935.77 | 7 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | $1,803.20 | $2,254.00 | $462.80 – $1,237.95 | 7 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | $1,841.60 | $2,302.00 | $555.40 – $1,483.95 | 7 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | $1,918.40 | $2,398.00 | $623.70 – $1,667.19 | 7 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $704.33 – $1,881.50 | 7 |
| Cable cath 22-pin diag HCPCS C1730 | $456.41 | $570.51 | $223.64 – $484.93 | 5 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $22.42 – $29.38 | 7 |
| Cacna1a gen detc abnor allel CPT 81184 | $153.56 | $191.95 | $82.20 – $191.82 | 9 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $507.76 – $1,184.85 | 7 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $111.12 – $259.30 | 7 |
| Cad breast MRI w/r&i HCPCS C8937 | $92.68 | $115.85 | $45.41 – $98.47 | 5 |
| Cadd pump refill CPT 96521 | $309.40 | $386.75 | $103.96 – $328.74 | 11 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $1.00 – $3.69 | 6 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $76.39 – $94.75 | 5 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,537.60 | $3,172.00 | $329.08 – $1,500.00 | 9 |
| Calcitonin stimul panel CPT 80410 | $201.60 | $252.00 | $48.22 – $125.05 | 7 |
| Calcium 24 hour urine CPT 82340 | $33.57 | $41.96 | $3.62 – $35.67 | 9 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.01 – $0.01 | 2 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $1.01 | $1.26 | $0.01 – $0.05 | 8 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $1.02 | $1.27 | $0.08 – $0.71 | 8 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $11.46 – $15.40 | 4 |
| Calcium infusion test CPT 82331 | $27.20 | $34.00 | $8.00 – $18.68 | 7 |
| Calcium ionized CPT 82330 | $64.28 | $80.35 | $8.21 – $68.30 | 9 |
| Calcium total CPT 82310 | $33.57 | $41.96 | $3.10 – $35.67 | 9 |
| Calculi urinary-sendout CPT 82360 | $64.28 | $80.35 | $7.72 – $68.30 | 9 |
| Calculus analysis qual CPT 82355 | $29.60 | $37.00 | $6.95 – $18.01 | 7 |
| Caloric vestibular test CPT 92533 | $60.00 | $75.00 | $38.60 – $60.48 | 6 |
| Caloric vstblr test w/rec CPT 92538 | $50.40 | $63.00 | $5.46 – $133.35 | 9 |
| Calprotectin fecal CPT 83993 | $64.28 | $80.35 | $11.78 – $68.30 | 9 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $37.87 – $101.18 | 7 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $35.92 – $91.39 | 7 |
| Campylobacter antibody CPT 86625 | $48.57 | $60.71 | $7.87 – $51.60 | 9 |
| Canakinumab injection HCPCS J0638 | not published | not published | $126.55 – $161.62 | 7 |
| Candida dna CPT 87480 | $50.40 | $63.00 | $12.03 – $40.99 | 9 |
| Candida dna quant CPT 87482 | $120.80 | $151.00 | $33.44 – $78.04 | 7 |
| Candida skin test CPT 86485 | $24.00 | $30.00 | $10.79 – $24.50 | 9 |
| Cannabinoids synthetic 1-3 CPT 80350 | $36.00 | $45.00 | $13.16 – $28.76 | 5 |
| Cannabinoids synthetic 4-6 CPT 80351 | $18.40 | $23.00 | $22.93 – $24.30 | 3 |
| Cannabinoid synthetic 7/more CPT 80352 | $72.14 | $90.17 | $22.27 – $76.64 | 7 |
| Cannula declotting 36861 CPT 36861 | $339.20 | $424.00 | $118.88 – $4,607.36 | 9 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $620.33 | $775.41 | $303.96 – $659.10 | 5 |
| Cannula nasal HCPCS A4615 | not published | not published | $0.51 – $1.37 | 7 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $682.26 – $703.07 | 5 |
| Canthotomy 67715 CPT 67715 | $2,558.12 | $3,197.65 | $96.75 – $2,718.00 | 11 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.05 – $0.07 | 5 |
| Cap nerve 2x15mm HCPCS C1763 | $1,967.58 | $2,459.47 | $964.11 – $2,090.55 | 5 |
| Capsaicin 8% patch HCPCS J7336 | $4.80 | $6.00 | $3.33 – $4.25 | 7 |
| Capsular contracture release CPT 23020 | $3,395.20 | $4,244.00 | $625.14 – $2,765.43 | 9 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $915.26 – $2,433.87 | 7 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $1,958.40 | $2,448.00 | $232.82 – $1,364.06 | 9 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $2,464.00 | $3,080.00 | $308.91 – $2,765.43 | 9 |
| Cap trach decann 15mm HCPCS C1750 | $1,171.85 | $1,464.81 | $574.21 – $1,245.09 | 5 |
| Carbamazepine free CPT 80157 | $66.43 | $83.03 | $7.95 – $70.58 | 9 |
| Carbamazepine free -sendout CPT 80161 | $66.43 | $83.03 | $11.18 – $70.58 | 9 |
| Carbamazepine total therapeutic drug level CPT 80156 | $66.43 | $83.03 | $8.74 – $70.58 | 9 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $234.90 – $296.08 | 7 |
| Carbohydrate deficient transf - sendout CPT 82373 | $64.28 | $80.35 | $10.84 – $68.30 | 9 |
| Carbohydrate urine - sendout CPT 84377 | $33.57 | $41.96 | $3.30 – $35.67 | 9 |
| Carbon dioxide CPT 82374 | $33.57 | $41.96 | $2.93 – $35.67 | 9 |
| Carbon graphite lamination HCPCS L2755 | not published | not published | $78.15 – $198.87 | 7 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $79.88 | $99.85 | $3.21 – $84.87 | 8 |
| Carboxyhemoglobin quantitative CPT 82375 | $64.28 | $80.35 | $7.39 – $68.30 | 9 |
| Car-car bp grft/endovas taa CPT 33891 | $4,699.20 | $5,874.00 | $814.75 – $2,178.91 | 7 |
| Carcinoembryonic ag (cea) CPT 82378 | $64.28 | $80.35 | $11.38 – $68.30 | 9 |
| Cardiac drug stress test CPT 93024 | $239.20 | $299.00 | $50.54 – $340.11 | 9 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $515.64 – $868.18 | 5 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $515.64 – $868.18 | 5 |
| Cardiac MRI w/stress img CPT 75559 | $955.20 | $1,194.00 | $126.73 – $467.32 | 9 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $929.60 | $1,162.00 | $58.41 – $1,112.68 | 9 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $648.00 | $810.00 | $42.68 – $1,112.68 | 9 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,119.67 | $2,649.58 | $59.11 – $2,252.14 | 11 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $170.64 | $213.29 | $12.31 – $181.30 | 11 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $170.64 | $213.29 | $7.74 – $181.30 | 9 |
| Cardiac shunt imaging CPT 78428 | $403.20 | $504.00 | $33.35 – $342.49 | 9 |
| Cardiac Stress Test CPT 93015 | $168.00 | $210.00 | $66.20 – $171.89 | 7 |
| Cardioassist external CPT 92971 | not published | not published | $86.05 – $225.32 | 7 |
| Cardioassist internal CPT 92970 | not published | not published | $161.24 – $423.23 | 7 |
| Cardiokymography HCPCS Q0035 | $43.20 | $54.00 | $7.57 – $19.53 | 7 |
| Cardiolipin antibody iga CPT 86147 | $64.00 | $80.00 | $15.27 – $51.60 | 9 |
| Cardiology hrt trnspl mrna CPT 81595 | $6,480.00 | $8,100.00 | $1,944.00 – $4,536.30 | 7 |
| Cardioversion/elective/internal 92961 CPT 92961 | $535.20 | $669.00 | $209.65 – $557.74 | 9 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $650.64 | $813.29 | $98.07 – $691.30 | 11 |
| Card MRI veloc flow mapping CPT 75565 | $132.80 | $166.00 | $10.89 – $26.10 | 7 |
| Caregiver health risk assmt CPT 96161 | $7.20 | $9.00 | $2.66 – $6.99 | 7 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $126.40 | $158.00 | $43.13 – $71.05 | 6 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $63.20 | $79.00 | $23.23 – $38.30 | 6 |
| Care manage beh svs 20mins HCPCS G0323 | not published | not published | $28.02 – $105.61 | 7 |
| Care mgmt svc bhvl hlth cond CPT 99484 | $100.80 | $126.00 | $25.39 – $85.93 | 9 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $51.20 | $64.00 | $45.57 – $61.21 | 7 |
| Carinal reconstruction CPT 31766 | $4,328.00 | $5,410.00 | $1,527.92 – $4,082.93 | 7 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $1,276.00 | $1,595.00 | $324.97 – $909.91 | 9 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $1,276.00 | $1,595.00 | $324.97 – $909.91 | 9 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $145.60 – $4,867.60 | 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.