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 |
|---|---|---|---|---|
| Cryopreservation oocyte(s) CPT 89337 | $200.00 | $250.00 | $161.15 – $271.34 | 6 |
| Cryopreservation sperm CPT 89259 | $90.40 | $113.00 | $86.00 – $271.34 | 8 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $83.20 – $423.23 | 7 |
| Cryopreserve testicular tiss CPT 89335 | $304.80 | $381.00 | $50.25 – $84.60 | 6 |
| Cryosurg ablate fa each CPT 19105 | $13,220.80 | $16,526.00 | $182.87 – $3,263.75 | 9 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $346.40 | $433.00 | $103.01 – $271.97 | 9 |
| Cryotherapy of acne 17340 CPT 17340 | $131.20 | $164.00 | $44.69 – $118.72 | 9 |
| Cryptococcus abs qn - sendout CPT 86641 | $48.57 | $60.71 | $8.65 – $51.60 | 9 |
| Cryptosporidium antigen CPT 87272 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Crystal identification light microscopy CPT 89060 | $56.44 | $70.54 | $4.40 – $59.96 | 9 |
| C-Section Delivery (full care) CPT 59510 | $4,739.20 | $5,924.00 | $2,322.97 – $5,892.65 | 7 |
| C-section delivery incl p/p care 59515 CPT 59515 | $2,556.80 | $3,196.00 | $1,153.40 – $2,922.33 | 7 |
| Csf leakage imaging CPT 78650 | $730.40 | $913.00 | $22.83 – $1,112.68 | 9 |
| Csf shunt reprogram 62252 CPT 62252 | $192.00 | $240.00 | $37.06 – $255.62 | 9 |
| Csf ventriculography CPT 78635 | $756.00 | $945.00 | $26.67 – $458.77 | 9 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $82.20 – $191.82 | 7 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $164.90 – $384.78 | 7 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $111.12 – $259.30 | 7 |
| CT 3d report other modality w/workstation CPT 76377 | $578.93 | $723.66 | $34.71 – $615.11 | 9 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,474.96 | $3,093.69 | $82.43 – $2,629.64 | 11 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,953.68 | $6,192.09 | $95.82 – $5,263.28 | 11 |
| CT Angiogram of the Abdomen CPT 74175 | $3,007.43 | $3,759.28 | $79.25 – $3,195.39 | 11 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $5,201.36 | $6,501.69 | $103.47 – $5,526.44 | 11 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,914.68 | $3,643.34 | $79.54 – $3,096.84 | 11 |
| CT Angiogram of the Head CPT 70496 | $2,882.41 | $3,603.01 | $76.39 – $3,062.56 | 11 |
| CT Angiogram of the Neck CPT 70498 | $2,891.67 | $3,614.58 | $76.39 – $3,072.39 | 11 |
| CT angio hrt w/3d image CPT 75574 | $2,357.12 | $2,946.39 | $104.51 – $2,504.43 | 11 |
| CT angio pelvis CPT 72191 | $2,981.67 | $3,727.08 | $78.34 – $3,168.02 | 11 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,474.96 | $3,093.69 | $78.34 – $2,629.64 | 11 |
| CT bone density axial CPT 77078 | $271.88 | $339.85 | $10.89 – $288.87 | 11 |
| CT colonography dx CPT 74261 | $972.80 | $1,216.00 | $90.64 – $218.20 | 9 |
| CT colonography dx w/dye CPT 74262 | $1,016.80 | $1,271.00 | $109.66 – $247.75 | 9 |
| CT colonography screening CPT 74263 | $1,289.60 | $1,612.00 | $104.76 – $231.90 | 9 |
| CT guidance for needle placement CPT 77012 | $797.24 | $996.54 | $50.65 – $847.06 | 9 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $515.17 | $643.96 | $49.47 – $547.37 | 9 |
| CT guid cryo ablat intramuscular CPT 20999 | $166.40 | $208.00 | $204.46 – $379.83 | 7 |
| CT guid parench tis ablat CPT 77013 | $1,458.40 | $1,823.00 | $110.25 – $396.27 | 7 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $192.00 | $240.00 | $25.41 – $84.15 | 9 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $720.80 | $901.00 | $111.28 – $304.39 | 9 |
| CT hrt w/3d image CPT 75572 | $526.40 | $658.00 | $75.95 – $304.39 | 9 |
| CT limited or localized follow-up study CPT 76380 | $487.85 | $609.81 | $41.59 – $518.34 | 11 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $1,515.05 – $3,855.36 | 7 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $1,257.03 – $3,294.04 | 7 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $42.10 – $107.13 | 7 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $1,193.45 – $3,202.12 | 7 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,191.90 | $2,739.87 | $52.90 – $2,328.89 | 11 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $860.80 | $1,076.00 | $117.50 – $462.26 | 11 |
| CT scan for localization CPT 77011 | $512.80 | $641.00 | $56.42 – $118.99 | 7 |
| CT scan for therapy guide CPT 77014 | $1,048.88 | $1,311.09 | $41.97 – $1,114.43 | 9 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,310.47 | $5,388.08 | $87.76 – $4,579.87 | 11 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,256.17 | $5,320.21 | $79.84 – $4,522.18 | 11 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,573.57 | $4,466.96 | $76.07 – $3,796.92 | 11 |
| CT t-spine w /wo contrast CPT 72130 | $2,920.60 | $3,650.75 | $55.55 – $3,103.14 | 11 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,919.76 | $2,399.70 | $52.90 – $2,039.75 | 11 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $624.46 – $1,649.50 | 7 |
| Cultr oocyte/embryo <4 days CPT 89250 | $2,114.40 | $2,643.00 | $146.06 – $1,284.08 | 9 |
| Cultr oocyte/embryo <4 days CPT 89251 | $2,200.00 | $2,750.00 | $161.15 – $1,335.76 | 7 |
| Cult skin graft fnhfg 15155 CPT 15155 | $1,972.80 | $2,466.00 | $653.47 – $3,120.29 | 9 |
| Cult skin grft t/arm/leg CPT 15150 | $1,709.60 | $2,137.00 | $563.21 – $1,559.08 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $38.58 | $48.22 | $4.85 – $40.99 | 9 |
| Culture afb any source CPT 87116 | $38.58 | $48.22 | $6.48 – $40.99 | 9 |
| Culture anaerobic additional method definitive id each CPT 87076 | $38.58 | $48.22 | $4.85 – $40.99 | 9 |
| Culture anaerobic except blood CPT 87075 | $38.58 | $48.22 | $5.68 – $40.99 | 9 |
| Culture bacteria anaerobic CPT 87073 | $38.58 | $48.22 | $5.80 – $40.99 | 9 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $10.61 – $41.96 | 6 |
| Culture bact stool aero addl path ea CPT 87046 | $38.58 | $48.22 | $5.66 – $40.99 | 9 |
| Culture body fluid CPT 87070 | $38.58 | $48.22 | $5.17 – $40.99 | 9 |
| Culture fungi definitive id mold CPT 87107 | $38.58 | $48.22 | $6.19 – $40.99 | 9 |
| Culture fungi definitive id yeast CPT 87106 | $38.58 | $48.22 | $6.19 – $40.99 | 9 |
| Culture fungi other (except blood) CPT 87102 | $38.58 | $48.22 | $5.05 – $40.99 | 9 |
| Culture fungi skin/hair/nail CPT 87101 | $38.58 | $48.22 | $4.63 – $40.99 | 9 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $38.58 | $48.22 | $8.77 – $40.99 | 9 |
| Culture mycoplasma any source CPT 87109 | $38.58 | $48.22 | $5.36 – $40.99 | 9 |
| Culture of specimen by kit CPT 87084 | $54.40 | $68.00 | $14.75 – $37.90 | 7 |
| Culture quantitative aerobic other source CPT 87071 | $38.58 | $48.22 | $5.93 – $40.99 | 9 |
| Culture screening strep group a CPT 87081 | $38.58 | $48.22 | $3.98 – $40.99 | 9 |
| Culture type pulse field gel CPT 87152 | $38.58 | $48.22 | $4.64 – $40.99 | 9 |
| Culture typing added method CPT 87158 | $38.58 | $48.22 | $4.64 – $40.99 | 9 |
| Culture typing glc/hplc CPT 87143 | $38.58 | $48.22 | $7.51 – $40.99 | 9 |
| Culture typing immunologic CPT 87147 | $38.58 | $48.22 | $3.11 – $40.99 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $209.34 | $261.67 | $121.15 – $228.96 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Culture urine each isolate CPT 87088 | $38.58 | $48.22 | $4.85 – $40.99 | 9 |
| Culture virus isolation CPT 87250 | $39.20 | $49.00 | $11.74 – $30.42 | 7 |
| Curette/treat cornea CPT 65435 | $1,141.56 | $1,426.95 | $62.84 – $1,212.91 | 11 |
| Curette/treat cornea CPT 65436 | $1,921.60 | $2,402.00 | $333.55 – $1,988.41 | 9 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $788.32 – $2,006.04 | 7 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $788.32 – $2,006.04 | 7 |
| Custom glove for term device HCPCS L6895 | not published | not published | $382.96 – $974.55 | 7 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $611.17 – $1,560.92 | 7 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $372.28 – $947.35 | 7 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $861.08 – $2,191.22 | 7 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $605.76 – $1,541.49 | 7 |
| Cutter lead HCPCS C1773 | $928.56 | $1,160.70 | $454.99 – $986.60 | 5 |
| Cv line/pic reposition CPT 36597 | $2,318.73 | $2,898.41 | $53.61 – $2,463.65 | 11 |
| Cv stress test i&r only 93018 CPT 93018 | $35.20 | $44.00 | $13.10 – $33.70 | 7 |
| Cv stress test/supervision only 93016 CPT 93016 | $51.20 | $64.00 | $19.43 – $51.14 | 7 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $64.28 | $80.35 | $8.59 – $68.30 | 9 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $81.08 | $101.35 | $0.24 – $1.11 | 8 |
| Cyclic citrullinated peptide antibody CPT 86200 | $48.57 | $60.71 | $7.77 – $51.60 | 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.