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 |
|---|---|---|---|---|
| Cdna analysis for variants CPT 81403 | $370.40 | $463.00 | $102.90 – $259.30 | 9 |
| Cdp-sot 6 cond w/i&r CPT 92548 | $215.20 | $269.00 | $11.96 – $109.87 | 9 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $17.87 – $47.03 | 7 |
| Cebpa gene full sequence CPT 81218 | $528.00 | $660.00 | $134.40 – $376.30 | 9 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $36.06 | $45.07 | $0.12 – $0.83 | 8 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $39.88 | $49.85 | $1.20 – $17.27 | 8 |
| Cefotaxime sodium injection HCPCS J0698 | $8.80 | $11.00 | $2.17 – $10.09 | 5 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $11.52 – $14.19 | 5 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $4.48 – $6.78 | 6 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $7.71 | $9.63 | $2.90 – $8.19 | 9 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $38.60 | $48.25 | $1.60 – $22.63 | 8 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $98.19 – $124.08 | 7 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | $8.00 | $10.00 | $5.24 – $7.29 | 3 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $71.24 | $89.05 | $0.08 – $0.49 | 8 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $1.87 – $4.13 | 6 |
| #celiac hla-dq2 CPT 81377 | $206.40 | $258.00 | $56.84 – $142.82 | 7 |
| #celiac hla-dq8 CPT 81383 | $245.60 | $307.00 | $65.48 – $169.78 | 7 |
| Cell count body fluid CPT 89050 | $56.44 | $70.54 | $2.83 – $59.96 | 9 |
| Cell count w differential body fluid CPT 89051 | $56.44 | $70.54 | $3.36 – $59.96 | 9 |
| Cell cryopreserve/storage CPT 88240 | $56.44 | $70.54 | $12.08 – $59.96 | 9 |
| Cell enumeration & id CPT 86152 | $542.40 | $678.00 | $150.47 – $382.23 | 7 |
| Cell enumeration phys interp CPT 86153 | $61.60 | $77.00 | $20.52 – $46.02 | 7 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $80.04 – $624.34 | 3 |
| Cell function assay w/stim CPT 86352 | $335.20 | $419.00 | $75.48 – $211.35 | 9 |
| Cell marker study CPT 88182 | $302.40 | $378.00 | $34.50 – $74.37 | 11 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $27.70 – $35.70 | 7 |
| Centralization wrist on ulna CPT 25335 | $4,641.60 | $5,802.00 | $849.57 – $2,765.43 | 9 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $4,855.30 – $5,246.10 | 6 |
| Cephalin floculation test HCPCS P2028 | $10.40 | $13.00 | $2.97 – $12.87 | 7 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $206.95 – $554.38 | 7 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $833.60 | $1,042.00 | $318.50 – $2,709.95 | 9 |
| Cerebrospinal fld flw imag CPT 78645 | $722.40 | $903.00 | $24.20 – $458.77 | 9 |
| Cerebrospinal fluid scan CPT 78647 | not published | not published | $82.00 – $82.00 | 2 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $209.80 – $584.40 | 7 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $44.80 | $55.99 | $3.98 – $47.59 | 9 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $294.93 – $781.29 | 7 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $369.38 – $1,017.18 | 7 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $1,302.26 – $3,434.77 | 7 |
| Cervical lymphadenectomy 38720 CPT 38720 | $6,633.60 | $8,292.00 | $1,204.14 – $5,558.33 | 9 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $85.60 | $107.00 | $24.30 – $78.84 | 9 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $97.88 – $249.09 | 7 |
| Cesarean section delivery only 59514 CPT 59514 | $1,844.00 | $2,305.00 | $778.91 – $1,971.58 | 7 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $80.80 | $101.00 | $75.63 – $95.84 | 7 |
| #cf-97variants CPT 81220 | $1,113.60 | $1,392.00 | $309.25 – $779.29 | 9 |
| Cftr gene dup/delet variants CPT 81222 | $870.40 | $1,088.00 | $241.72 – $609.13 | 9 |
| Cftr gene intron poly t CPT 81224 | $337.60 | $422.00 | $101.25 – $236.26 | 7 |
| Cftr gene known fam variants CPT 81221 | $195.20 | $244.00 | $58.33 – $136.12 | 9 |
| Change cystostomy tube; complex 51710 CPT 51710 | $326.40 | $408.00 | $72.32 – $568.89 | 9 |
| Change cystostomy tube simple CPT 51705 | $236.62 | $295.77 | $47.13 – $251.40 | 11 |
| Change gastric port open CPT 43888 | $1,230.40 | $1,538.00 | $413.29 – $3,120.29 | 9 |
| Change g-tube to g-j perc CPT 49446 | $2,198.40 | $2,748.00 | $130.73 – $1,616.83 | 11 |
| Change nephroureteral cath CPT 50387 | $2,681.60 | $3,352.00 | $74.33 – $1,745.97 | 9 |
| Change of ureter tube/stent CPT 50688 | $349.18 | $436.47 | $70.86 – $1,745.97 | 11 |
| Change of windpipe airway 31502 CPT 31502 | $483.82 | $604.77 | $31.07 – $514.05 | 11 |
| Change stent via transureth CPT 50385 | $5,286.40 | $6,608.00 | $193.13 – $1,745.97 | 9 |
| Change ureter stent percut CPT 50382 | $5,390.40 | $6,738.00 | $224.46 – $1,745.97 | 9 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $113.20 – $288.08 | 7 |
| Chct for mal hyperthermia CPT 89049 | $516.80 | $646.00 | $36.04 – $146.06 | 9 |
| Chemical exfoliation acne 17360 CPT 17360 | $307.20 | $384.00 | $85.03 – $225.73 | 7 |
| Chemical peel face epiderm 15788 CPT 15788 | $1,051.20 | $1,314.00 | $197.11 – $524.41 | 9 |
| Chemical peel nonfacial 15793 CPT 15793 | $1,170.40 | $1,463.00 | $325.67 – $862.95 | 9 |
| Chemical peel nonfacial; epidermal CPT 15792 | $942.40 | $1,178.00 | $191.00 – $521.72 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $400.80 | $501.00 | $69.72 – $282.70 | 9 |
| Chemodener muscle larynx emg CPT 64617 | $798.40 | $998.00 | $97.49 – $590.25 | 9 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $641.08 | $801.34 | $61.47 – $681.14 | 9 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $320.55 | $400.68 | $71.10 – $340.58 | 9 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $641.08 | $801.34 | $102.58 – $681.14 | 11 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $641.08 | $801.34 | $94.28 – $681.14 | 11 |
| Chemodenervation anal musc CPT 46505 | $1,465.60 | $1,832.00 | $223.66 – $1,004.95 | 9 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $652.80 | $816.00 | $106.01 – $283.97 | 9 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $1,195.20 | $1,494.00 | $193.94 – $515.50 | 9 |
| Chemodenerv eccrine glands CPT 64653 | $237.60 | $297.00 | $45.45 – $251.60 | 9 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $197.60 | $247.00 | $36.23 – $251.60 | 9 |
| Chemodenerv musc migraine 64615 CPT 64615 | $390.76 | $488.44 | $105.48 – $415.17 | 11 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $635.20 | $794.00 | $94.98 – $415.17 | 11 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $289.60 | $362.00 | $98.44 – $263.68 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $641.08 | $801.34 | $101.64 – $681.14 | 11 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $641.08 | $801.34 | $115.66 – $681.14 | 11 |
| Chemo extend IV infus w/pump HCPCS G0498 | $261.60 | $327.00 | $145.69 – $443.04 | 7 |
| Chemo ia infuse each addl hr CPT 96423 | $138.40 | $173.00 | $39.32 – $168.77 | 9 |
| Chemo ia infusion up to 1 hr CPT 96422 | $299.20 | $374.00 | $131.01 – $361.53 | 9 |
| Chemo ia push tecnique CPT 96420 | $182.40 | $228.00 | $85.98 – $282.70 | 9 |
| Chemo intralesional over 7 CPT 96406 | $237.60 | $297.00 | $40.64 – $179.57 | 9 |
| Chemo intralesional up to 7 96405 CPT 96405 | $175.20 | $219.00 | $26.42 – $68.74 | 9 |
| Chemotaxis assay CPT 86155 | $33.60 | $42.00 | $9.59 – $24.87 | 7 |
| Chemotherapy injection 96542 CPT 96542 | $261.60 | $327.00 | $37.70 – $282.70 | 9 |
| Chemotx admn pertl cav impl CPT 96446 | $353.60 | $442.00 | $17.29 – $282.70 | 9 |
| Chest 2 vws w oblique CPT 71048 | $300.50 | $375.62 | $13.72 – $319.28 | 11 |
| Chest apical lordotic proj CPT 71047 | $284.84 | $356.04 | $12.13 – $302.63 | 11 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,332.60 | $2,915.74 | $54.61 – $2,478.38 | 11 |
| Chest CT scan (with contrast) CPT 71260 | $2,217.88 | $2,772.34 | $50.96 – $2,356.49 | 11 |
| Chest CT scan (without contrast) CPT 71250 | $1,524.04 | $1,905.04 | $47.19 – $1,619.28 | 11 |
| Chest Physiotherapy (first session) CPT 94667 | $86.44 | $108.05 | $22.15 – $109.87 | 11 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $86.44 | $108.05 | $33.96 – $109.87 | 11 |
| Chest Ultrasound CPT 76604 | $415.62 | $519.52 | $25.14 – $441.59 | 11 |
| Chest X-ray CPT 71046 | $284.84 | $356.04 | $9.63 – $302.63 | 11 |
| Chest X-ray (single view) CPT 71045 | $154.16 | $192.69 | $8.04 – $163.79 | 11 |
| Chg pr pul rehab for copd patients CPT 94626 | $361.90 | $452.37 | $23.73 – $384.51 | 11 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $365.43 | $456.78 | $30.62 – $388.26 | 11 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $137.50 – $320.07 | 3 |
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.