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 |
|---|---|---|---|---|
| Chimerism anal no cell selec CPT 81267 | $465.60 | $582.00 | $115.26 – $322.73 | 9 |
| Chimerism anal w/cell select CPT 81268 | $585.60 | $732.00 | $156.47 – $405.69 | 7 |
| Chiropractic manj 5 regions CPT 98942 | $96.80 | $121.00 | $23.79 – $110.89 | 7 |
| Chiropract manj 1-2 regions CPT 98940 | $51.20 | $64.00 | $20.64 – $53.53 | 7 |
| Chiropract manj 3-4 regions CPT 98941 | $74.40 | $93.00 | $23.79 – $82.60 | 7 |
| Chiropract manj xtrspinl 1/> CPT 98943 | $89.69 | $112.11 | $7.00 – $95.29 | 8 |
| Chlamydia culture CPT 87110 | $49.60 | $62.00 | $11.76 – $40.99 | 9 |
| Chlamydia trachomatis ag if CPT 87270 | $30.40 | $38.00 | $7.19 – $18.65 | 7 |
| Chlamydia type CPT 87140 | $38.58 | $48.22 | $3.34 – $40.99 | 9 |
| Chlmyd pneum dna dir probe CPT 87485 | $50.40 | $63.00 | $12.03 – $31.19 | 7 |
| Chlmyd pneum dna quant CPT 87487 | $108.00 | $135.00 | $25.70 – $66.65 | 7 |
| Chlnggrphy intraop addl s&i CPT 74301 | $68.80 | $86.00 | $9.30 – $22.12 | 7 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $28.67 – $49.56 | 6 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $21.05 – $31.69 | 4 |
| Chloride CPT 82435 | $33.57 | $41.96 | $2.76 – $35.67 | 9 |
| Chloride 24 hour urine CPT 82436 | $33.57 | $41.96 | $3.45 – $35.67 | 9 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.31 – $0.32 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.03 – $0.05 | 5 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.60 – $0.63 | 5 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $32.48 – $170.05 | 6 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $37.60 | $47.00 | $29.04 – $38.72 | 6 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.35 – $1.95 | 4 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $1,546.40 | $1,933.00 | $123.36 – $321.96 | 9 |
| Cholangiogram percutaneous compl CPT 47532 | $6,195.62 | $7,744.52 | $188.13 – $6,582.84 | 11 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $585.79 | $732.23 | $11.98 – $622.40 | 9 |
| Cholecystectomy expl duct 47612 CPT 47612 | $3,126.40 | $3,908.00 | $1,113.19 – $2,970.39 | 7 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $2,758.40 | $3,448.00 | $990.32 – $2,639.19 | 7 |
| Cholecystoenterostomy direct 47720 CPT 47720 | $2,832.00 | $3,540.00 | $1,013.56 – $2,703.90 | 7 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,947.66 | $2,434.57 | $297.65 – $3,007.87 | 11 |
| Cholera vaccine live oral CPT 90625 | $264.80 | $331.00 | $265.52 – $320.07 | 4 |
| Cholesterol CPT 82465 | $33.57 | $41.96 | $2.61 – $35.67 | 9 |
| Cholesterol body fluid CPT 84999 | $64.28 | $80.35 | $31.50 – $68.30 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $68.56 | $85.70 | $8.03 – $72.85 | 9 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,062.94 – $5,880.08 | 6 |
| Cholinesterase CPT 82480 | $33.57 | $41.96 | $4.72 – $35.67 | 9 |
| Cholinesterase challenge CPT 95857 | $120.00 | $150.00 | $25.71 – $265.41 | 9 |
| Chorion biopsy CPT 59015 | $376.80 | $471.00 | $112.81 – $742.15 | 9 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $25.60 | $32.00 | $18.25 – $30.13 | 6 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | $156.00 | $195.00 | $68.90 – $146.48 | 7 |
| Chrom analysis CPT 88273 | $127.86 | $159.82 | $34.81 – $135.85 | 9 |
| Chromatogram assay sugars CPT 84375 | $86.42 | $108.02 | $23.40 – $91.82 | 9 |
| Chromatography CPT 83021 | $45.60 | $57.00 | $10.84 – $35.67 | 9 |
| Chromogenic substrate assay CPT 85130 | $33.57 | $41.96 | $7.13 – $35.67 | 9 |
| Chromo high res and frag x - sendout CPT 81243 | $127.86 | $159.82 | $34.22 – $135.85 | 9 |
| Chromosome analys amniotic CPT 88269 | $436.00 | $545.00 | $96.48 – $258.75 | 9 |
| Chromosome analysis 100 CPT 88249 | $434.40 | $543.00 | $96.21 – $269.41 | 9 |
| Chromosome analysis 15-20 cell count CPT 88262 | $315.20 | $394.00 | $74.00 – $193.90 | 9 |
| Chromosome analysis 20-25 CPT 88245 | $434.40 | $543.00 | $173.17 – $269.41 | 7 |
| Chromosome analysis 45 CPT 88263 | $377.60 | $472.00 | $88.87 – $233.80 | 9 |
| Chromosome analysis 5 CPT 88261 | $528.80 | $661.00 | $146.87 – $370.10 | 9 |
| Chromosome analysis 50-100 CPT 88248 | $434.40 | $543.00 | $173.17 – $269.41 | 7 |
| Chromosome analys placenta CPT 88267 | $473.60 | $592.00 | $104.77 – $279.67 | 9 |
| Chromosome banding study CPT 88283 | $172.80 | $216.00 | $68.60 – $135.85 | 9 |
| Chromosome count additional CPT 88285 | $127.86 | $159.82 | $26.91 – $135.85 | 9 |
| Chromosome karyotype study CPT 88280 | $127.86 | $159.82 | $33.47 – $135.85 | 9 |
| Chromosome study additional CPT 88289 | $127.86 | $159.82 | $34.43 – $135.85 | 9 |
| Chronic urticaria - sendout CPT 86343 | $48.57 | $60.71 | $7.48 – $51.60 | 9 |
| Chylomicron screen, bf - sendout CPT 82664 | $123.20 | $154.00 | $36.90 – $91.82 | 9 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $748.64 – $1,905.09 | 7 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $4,128.46 – $10,645.67 | 7 |
| Cidofovir injection HCPCS J0740 | not published | not published | $521.83 – $726.90 | 7 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $107.33 – $273.12 | 7 |
| Cilastatin sodium injection HCPCS J0743 | $56.88 | $71.10 | $6.10 – $60.44 | 8 |
| Ciliary transsleral therapy CPT 66710 | $2,196.80 | $2,746.00 | $352.32 – $1,988.41 | 9 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $507,687.00 – $659,354.70 | 6 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.19 | 4 |
| Cine/video x-rays CPT 76120 | $206.40 | $258.00 | $17.31 – $90.64 | 9 |
| Cine/video x-rays add-on CPT 76125 | $91.20 | $114.00 | $12.28 – $28.07 | 7 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $40.60 | $50.75 | $1.70 – $10.89 | 8 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $28.32 – $29.47 | 4 |
| Circum 28 days or older CPT 54161 | $496.00 | $620.00 | $179.75 – $1,745.97 | 9 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $545.60 | $682.00 | $131.90 – $568.89 | 9 |
| Circumcision (newborn) CPT 54150 | $3,556.94 | $4,446.17 | $86.56 – $3,779.24 | 11 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $4.00 | $5.00 | $2.45 – $5.25 | 6 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $659.20 | $824.00 | $183.07 – $461.35 | 9 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $9.92 – $27.79 | 7 |
| C-laminoplasty w/graft/plate CPT 63051 | $4,108.00 | $5,135.00 | $1,480.31 – $3,944.53 | 7 |
| Clamp neck artery CPT 61703 | not published | not published | $1,173.19 – $3,125.81 | 7 |
| Claviculectomy partial CPT 23120 | $2,875.20 | $3,594.00 | $534.24 – $2,765.43 | 9 |
| Claviculectomy total CPT 23125 | $3,488.00 | $4,360.00 | $642.17 – $2,765.43 | 9 |
| Clean out mastoid cavity CPT 69222 | $1,033.60 | $1,292.00 | $122.95 – $434.04 | 9 |
| Clearance of airways CPT 31720 | $263.20 | $328.99 | $48.17 – $279.64 | 11 |
| Clearance of airways CPT 31725 | $201.60 | $252.00 | $71.41 – $191.17 | 7 |
| Clearance of tear duct CPT 68530 | $2,134.40 | $2,668.00 | $229.10 – $612.60 | 9 |
| C-lens fitg corneosclrl lens CPT 92313 | $203.20 | $254.00 | $39.95 – $109.87 | 9 |
| C-lens fitg tech aphakia 1 CPT 92315 | $160.80 | $201.00 | $19.43 – $109.87 | 9 |
| C-lens fitg tech aphakia ou CPT 92316 | $200.80 | $251.00 | $29.23 – $109.87 | 9 |
| C-lens fitg tech corneosclrl CPT 92317 | $168.00 | $210.00 | $19.43 – $50.36 | 9 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $61.60 – $94.03 | 6 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $44.48 | $55.60 | $0.39 – $2.39 | 8 |
| Clip ligating vesolock lg HCPCS C1760 | $825.45 | $1,031.81 | $404.47 – $877.04 | 5 |
| Clitoroplasty intersex state CPT 56805 | $2,900.00 | $3,625.00 | $1,040.61 – $2,798.24 | 9 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $163.42 – $433.27 | 7 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $1,799.53 – $4,810.76 | 7 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $9.19 – $82.97 | 7 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $31.20 | $39.00 | $16.20 – $28.15 | 6 |
| Close bladder-uterus fistula CPT 51920 | $1,926.40 | $2,408.00 | $692.64 – $1,844.61 | 7 |
| Close bronchial fistula 32815 CPT 32815 | $6,816.80 | $8,521.00 | $2,407.45 – $6,437.99 | 7 |
| Close chest after drainage CPT 32810 | $2,191.20 | $2,739.00 | $782.95 – $2,089.63 | 7 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $1,876.80 | $2,346.00 | $130.05 – $773.30 | 11 |
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.