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 |
|---|---|---|---|---|
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $27.61 – $46.96 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.64 – $0.87 | 5 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.80 – $7.01 | 6 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $14.74 – $71.40 | 6 |
| Cyclosporine 2 hour CPT 80158 | $66.43 | $83.03 | $10.83 – $70.58 | 9 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.74 – $1.11 | 6 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.02 – $4.19 | 6 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $273.20 – $413.19 | 5 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $52.79 – $950.00 | 5 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $391.59 – $1,016.79 | 3 |
| Cyp2c19 gene com variants CPT 81225 | $583.20 | $729.00 | $161.88 – $407.93 | 9 |
| Cyp2c9 gene com variants CPT 81227 | $350.40 | $438.00 | $97.12 – $244.74 | 9 |
| Cyp2d6 gene com variants CPT 81226 | $902.40 | $1,128.00 | $250.52 – $631.32 | 9 |
| Cyp3a4 gene common variants CPT 81230 | $350.40 | $438.00 | $97.12 – $244.74 | 9 |
| Cyp3a5 gene common variants CPT 81231 | $350.40 | $438.00 | $97.12 – $244.74 | 9 |
| Cystatin c CPT 82610 | $64.28 | $80.35 | $11.11 – $68.30 | 9 |
| Cystic fibrosis cftr CPT 81223 | $998.40 | $1,248.00 | $277.24 – $698.64 | 9 |
| Cystine urine quantitative CPT 82131 | $64.28 | $80.35 | $13.79 – $68.30 | 9 |
| Cysto cgen post urtl valves CPT 52400 | $1,205.60 | $1,507.00 | $431.43 – $2,939.60 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $274.69 | $343.36 | $13.90 – $304.39 | 11 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $8,696.39 – $14,641.91 | 5 |
| Cysto insj dev ischmc rmdlg CPT 53865 | $5,203.20 | $6,504.00 | $147.98 – $14,641.91 | 6 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $8,696.39 – $14,641.91 | 5 |
| Cystometrogram w/up 51727 CPT 51727 | $851.20 | $1,064.00 | $95.13 – $568.89 | 9 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $2,256.00 | $2,820.00 | $805.99 – $2,152.62 | 7 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $1,863.20 | $2,329.00 | $668.52 – $7,881.47 | 9 |
| Cysto rx balo cath urtl strx CPT 52284 | $6,853.60 | $8,567.00 | $147.98 – $8,049.40 | 9 |
| Cystoscopy and biopsy CPT 52007 | $2,324.80 | $2,906.00 | $149.23 – $2,939.60 | 9 |
| Cystoscopy and radiotracer CPT 52250 | $604.00 | $755.00 | $214.65 – $2,939.60 | 9 |
| Cystoscopy and treatment CPT 52214 | $1,786.40 | $2,233.00 | $157.08 – $2,939.60 | 9 |
| Cystoscopy and treatment CPT 52224 | $1,868.00 | $2,335.00 | $181.51 – $2,939.60 | 9 |
| Cystoscopy and treatment CPT 52234 | $620.00 | $775.00 | $220.33 – $2,939.60 | 9 |
| Cystoscopy and treatment CPT 52235 | $728.00 | $910.00 | $258.22 – $2,939.60 | 9 |
| Cystoscopy and treatment CPT 52240 | $991.20 | $1,239.00 | $350.55 – $4,332.84 | 9 |
| Cystoscopy and treatment CPT 52260 | $531.20 | $664.00 | $188.50 – $1,745.97 | 9 |
| Cystoscopy and treatment CPT 52265 | $934.40 | $1,168.00 | $145.31 – $1,745.97 | 9 |
| Cystoscopy and treatment CPT 52276 | $668.00 | $835.00 | $237.02 – $1,745.97 | 9 |
| Cystoscopy and treatment CPT 52277 | $816.00 | $1,020.00 | $289.34 – $2,939.60 | 9 |
| Cystoscopy and treatment CPT 52283 | $806.40 | $1,008.00 | $181.20 – $1,745.97 | 9 |
| Cystoscopy and treatment CPT 52285 | $802.40 | $1,003.00 | $176.11 – $568.89 | 9 |
| Cystoscopy and treatment CPT 52290 | $616.00 | $770.00 | $218.59 – $1,745.97 | 9 |
| Cystoscopy and treatment CPT 52300 | $706.40 | $883.00 | $250.74 – $2,939.60 | 9 |
| Cystoscopy and treatment CPT 52301 | $732.00 | $915.00 | $259.72 – $2,939.60 | 9 |
| Cystoscopy and treatment CPT 52305 | $704.00 | $880.00 | $248.97 – $4,332.84 | 9 |
| Cystoscopy and treatment CPT 52310 | $714.40 | $893.00 | $136.23 – $1,745.97 | 9 |
| Cystoscopy and treatment CPT 52315 | $1,150.40 | $1,438.00 | $245.73 – $1,745.97 | 9 |
| Cystoscopy and treatment CPT 52320 | $1,246.40 | $1,558.00 | $220.82 – $2,939.60 | 9 |
| Cystoscopy and treatment CPT 52330 | $2,864.00 | $3,580.00 | $235.81 – $2,939.60 | 9 |
| Cystoscopy (Bladder Scope) CPT 52000 | $516.00 | $645.00 | $72.23 – $568.89 | 9 |
| Cystoscopy chemodenervation CPT 52287 | $886.40 | $1,108.00 | $151.65 – $1,745.97 | 9 |
| Cystoscopy & duct catheter CPT 52010 | $976.80 | $1,221.00 | $148.78 – $568.89 | 9 |
| Cystoscopy implant stent CPT 52282 | $850.40 | $1,063.00 | $301.36 – $2,939.60 | 9 |
| Cystoscopy inject material CPT 52327 | $1,329.60 | $1,662.00 | $231.80 – $4,332.84 | 9 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $4,780.84 – $8,049.40 | 5 |
| Cystoscopy removal of clots CPT 52001 | $1,033.60 | $1,292.00 | $257.04 – $2,939.60 | 9 |
| Cystoscopy & revise urethra CPT 52270 | $989.60 | $1,237.00 | $163.33 – $1,745.97 | 9 |
| Cystoscopy & revise urethra CPT 52275 | $1,300.00 | $1,625.00 | $222.89 – $1,745.97 | 9 |
| Cystoscopy stone removal CPT 52325 | $1,619.20 | $2,024.00 | $286.36 – $4,332.84 | 9 |
| Cystoscopy & ureter catheter CPT 52005 | $722.40 | $903.00 | $119.93 – $1,745.97 | 9 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $727.20 | $909.00 | $266.18 – $1,745.97 | 9 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $1,179.20 | $1,474.00 | $428.46 – $2,939.60 | 9 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | $3,940.80 | $4,926.00 | $706.72 – $2,939.60 | 9 |
| Cystouretero & or pyeloscope CPT 52351 | $985.20 | $1,231.50 | $271.20 – $2,939.60 | 11 |
| Cysto/uretero stricture tx CPT 52344 | $1,864.00 | $2,330.00 | $330.68 – $2,939.60 | 9 |
| Cystouretero w/biopsy CPT 52354 | $2,108.80 | $2,636.00 | $373.37 – $4,332.84 | 9 |
| Cystouretero w/excise tumor CPT 52355 | $2,363.20 | $2,954.00 | $418.42 – $4,332.84 | 9 |
| Cysto/uretero w/lithotripsy CPT 52356 | $2,100.80 | $2,626.00 | $372.04 – $4,332.84 | 9 |
| Cystouretero w/lithotripsy CPT 52353 | $1,982.40 | $2,478.00 | $350.55 – $4,332.84 | 9 |
| Cystouretero w/renal strict CPT 52346 | $2,256.00 | $2,820.00 | $399.08 – $4,332.84 | 9 |
| Cystouretero w/stone remove CPT 52352 | $1,792.00 | $2,240.00 | $317.29 – $2,939.60 | 9 |
| Cysto/uretero w/up stricture CPT 52345 | $1,993.60 | $2,492.00 | $352.91 – $2,939.60 | 9 |
| Cystourethro cut ejacul duct CPT 52402 | $676.00 | $845.00 | $237.37 – $2,939.60 | 9 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $790.40 | $988.00 | $136.80 – $1,745.97 | 9 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $944.80 | $1,181.00 | $127.19 – $1,745.97 | 9 |
| Cystourethro w/addl implant 52442 CPT 52442 | $2,406.40 | $3,008.00 | $45.52 – $120.92 | 7 |
| Cystourethro w/implant CPT 52441 | $3,312.80 | $4,141.00 | $188.16 – $500.80 | 7 |
| Cysto w/renal stricture tx CPT 52343 | $1,739.20 | $2,174.00 | $308.16 – $2,939.60 | 9 |
| Cysto w/up stricture tx CPT 52342 | $1,560.00 | $1,950.00 | $276.80 – $2,939.60 | 9 |
| Cysto w/ureter stricture tx CPT 52341 | $1,433.60 | $1,792.00 | $254.28 – $2,939.60 | 9 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.76 – $1.48 | 6 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $517.70 – $921.34 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | $1,113.60 | $1,392.00 | $644.50 – $1,257.84 | 9 |
| Cytogenetics 25-99 CPT 88274 | $127.86 | $159.82 | $42.38 – $135.85 | 9 |
| Cytogenetics 3-5 CPT 88272 | $127.86 | $159.82 | $40.70 – $135.85 | 9 |
| Cytogenomic neo microra alys CPT 81277 | $1,113.60 | $1,392.00 | $644.50 – $1,218.00 | 9 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,800.00 | $2,250.00 | $500.04 – $1,260.10 | 9 |
| Cytog genom-wid alys hem mal CPT 81195 | $2,527.20 | $3,159.00 | $1,263.53 – $2,868.72 | 6 |
| Cytomegalovirus ag ia CPT 87332 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $48.57 | $60.71 | $8.63 – $51.60 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $48.57 | $60.71 | $10.11 – $51.60 | 9 |
| Cytomegalovirus dfa CPT 87271 | $34.40 | $43.00 | $8.05 – $18.78 | 7 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,410.17 – $2,350.23 | 7 |
| Cytomeg dna dir probe CPT 87495 | $60.80 | $76.00 | $18.02 – $42.04 | 7 |
| Cyto/molecular report CPT 88291 | $63.20 | $79.00 | $31.29 – $60.50 | 7 |
| Cytopath c/v auto in fluid CPT 88174 | $56.00 | $70.00 | $25.37 – $35.52 | 7 |
| Cytopath c/v automated CPT 88147 | $101.60 | $127.00 | $22.11 – $70.77 | 7 |
| Cytopath c/v auto redo CPT 88152 | $56.00 | $70.00 | $20.12 – $38.70 | 7 |
| Cytopath c/v auto rescreen CPT 88148 | $39.20 | $49.00 | $16.00 – $23.65 | 7 |
| Cytopath c/v index add-on CPT 88155 | $29.60 | $37.00 | $10.06 – $20.52 | 7 |
| Cytopath c/v manual CPT 88150 | $36.80 | $46.00 | $15.12 – $23.09 | 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.