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 |
|---|---|---|---|---|
| Cytopath c/v redo CPT 88153 | $48.80 | $61.00 | $20.12 – $33.64 | 7 |
| Cytopath c/v thin layer redo CPT 88143 | $50.40 | $63.00 | $23.04 – $32.27 | 7 |
| Cytopath fl nongyn filter CPT 88106 | $169.60 | $212.00 | $17.14 – $38.78 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $145.60 | $182.00 | $25.05 – $74.37 | 11 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $67.20 | $84.00 | $26.61 – $58.44 | 9 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $55.00 | $68.75 | $20.26 – $58.44 | 9 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $166.40 | $208.00 | $20.29 – $74.37 | 11 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $160.00 | $200.00 | $25.35 – $74.37 | 11 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $70.00 | $87.49 | $6.55 – $74.37 | 9 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $180.00 | $224.99 | $17.51 – $191.24 | 11 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $335.20 | $419.00 | $45.54 – $114.60 | 11 |
| Cytopath smear other source CPT 88160 | $156.00 | $195.00 | $23.03 – $74.37 | 9 |
| Cytopath smear other source CPT 88162 | $247.20 | $309.00 | $35.66 – $78.32 | 9 |
| Cytopath smear oth prep screen & interp CPT 88161 | $166.40 | $208.00 | $23.03 – $74.37 | 9 |
| Cytopath tbs c/v auto redo CPT 88166 | $36.80 | $46.00 | $15.12 – $23.09 | 7 |
| Cytopath tbs c/v manual CPT 88164 | $36.80 | $46.00 | $15.12 – $23.09 | 7 |
| Cytopath tbs c/v redo CPT 88165 | $84.80 | $106.00 | $20.12 – $59.11 | 9 |
| Cytopath tbs c/v select CPT 88167 | $36.80 | $46.00 | $15.12 – $23.09 | 7 |
| Cytotoxic antibody screening CPT 86807 | $157.60 | $197.00 | $47.19 – $151.02 | 9 |
| Cytotoxic antibody screening CPT 86808 | $75.20 | $94.00 | $17.81 – $60.71 | 9 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $988.00 | $1,235.00 | $44.16 – $146.06 | 9 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $3.60 – $6.42 | 6 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $288.80 – $1,571.70 | 7 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $29.07 | $36.33 | $14.24 – $30.88 | 9 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $16.04 – $22.62 | 6 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.43 | $0.53 | $0.02 – $0.23 | 8 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.05 | 5 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $51.00 – $63.77 | 7 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $13.56 | $16.94 | $2.92 – $13.53 | 9 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $7.20 | $9.00 | $2.92 – $4.97 | 7 |
| Dark field exam spec collj CPT 87164 | $31.20 | $39.00 | $6.44 – $22.95 | 7 |
| Dark field exam without collj CPT 87166 | $28.80 | $36.00 | $6.78 – $17.58 | 7 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $241.05 – $301.29 | 7 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $20.16 – $59.22 | 7 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $65.53 – $276.00 | 4 |
| Dbrdmt prmlg les w/pdt CPT 96574 | $575.20 | $719.00 | $169.36 – $653.02 | 9 |
| D&c after delivery 59160 CPT 59160 | $2,461.77 | $3,077.21 | $162.97 – $2,709.95 | 11 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $695.20 | $869.00 | $209.46 – $2,709.95 | 9 |
| Dch glucoscan CPT 82948 | $33.57 | $41.96 | $5.04 – $35.67 | 9 |
| Dch pulmonary stress test CPT 94621 | $345.60 | $432.00 | $61.88 – $265.41 | 9 |
| Dch validity tests CPT 81002 | $25.72 | $32.14 | $3.48 – $27.32 | 9 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $4,679.85 | $5,849.81 | $547.26 – $4,972.34 | 11 |
| Dcmprn orbit only transcrnl CPT 61330 | $8,420.80 | $10,526.00 | $1,540.60 – $4,108.24 | 9 |
| Dcmprn plantar digital nerve CPT 64726 | $679.20 | $849.00 | $249.76 – $1,664.38 | 9 |
| D&c of cervical stump CPT 57558 | $356.00 | $445.00 | $115.00 – $2,709.95 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | $48.57 | $60.71 | $6.92 – $51.60 | 9 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,742.40 | $2,178.00 | $612.79 – $1,631.98 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $140.00 | $175.00 | $24.72 – $521.72 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $263.88 | $329.84 | $17.43 – $280.36 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,990.43 | $2,488.03 | $200.85 – $2,114.83 | 11 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $406.70 | $508.37 | $48.09 – $432.11 | 9 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,192.18 | $1,490.22 | $85.25 – $1,266.69 | 9 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $418.26 | $522.82 | $54.67 – $444.40 | 11 |
| Debride nail1-5 11720 CPT 11720 | $112.91 | $141.13 | $13.16 – $119.96 | 11 |
| Debride nail6 or more 11721 CPT 11721 | $112.91 | $141.13 | $21.90 – $119.96 | 11 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,288.00 | $1,610.00 | $264.50 – $702.41 | 9 |
| Debride skin bone at fx site CPT 11012 | $3,283.11 | $4,103.88 | $368.28 – $3,488.30 | 11 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,427.20 | $1,784.00 | $499.40 – $1,333.35 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,914.40 | $2,393.00 | $670.05 – $1,790.34 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $406.70 | $508.37 | $22.23 – $432.11 | 9 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $488.00 | $610.00 | $46.49 – $169.36 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,160.00 | $1,450.00 | $246.88 – $859.52 | 11 |
| Debr inf skin add-on 11001 CPT 11001 | $58.40 | $73.00 | $13.40 – $35.93 | 7 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $605.40 | $756.74 | $137.84 – $643.23 | 11 |
| Decalcification CPT 88311 | $98.56 | $123.20 | $7.24 – $104.72 | 9 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $28.80 | $36.00 | $1.43 – $25.99 | 8 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $362.98 | $453.72 | $30.42 – $385.66 | 11 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $2,368.00 | $2,960.00 | $417.48 – $2,765.43 | 9 |
| Decomp forearm 1 space 25020 CPT 25020 | $3,137.60 | $3,922.00 | $656.30 – $1,774.44 | 9 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $5,931.20 | $7,414.00 | $1,099.24 – $2,923.45 | 9 |
| Decompress fasciotomyhand 26037 CPT 26037 | $2,788.80 | $3,486.00 | $511.86 – $2,765.43 | 9 |
| Decompress fingers/hand CPT 26035 | $2,107.20 | $2,634.00 | $778.46 – $2,765.43 | 9 |
| Decompress forearm 1 space CPT 25023 | $5,883.20 | $7,354.00 | $1,165.03 – $3,127.29 | 9 |
| Decompress forearm 2 spaces CPT 25024 | $3,851.20 | $4,814.00 | $701.67 – $2,765.43 | 9 |
| Decompression fasct forearm CPT 24495 | $3,988.80 | $4,986.00 | $816.34 – $6,088.70 | 9 |
| Decompression of leg CPT 27892 | $2,705.60 | $3,382.00 | $486.47 – $2,765.43 | 9 |
| Decompression of leg CPT 27893 | $3,000.00 | $3,750.00 | $557.24 – $6,088.70 | 9 |
| Decompression of leg CPT 27894 | $4,134.40 | $5,168.00 | $730.30 – $2,765.43 | 9 |
| Decompression of lower leg CPT 27600 | $1,990.40 | $2,488.00 | $358.68 – $2,765.43 | 9 |
| Decompression of lower leg CPT 27601 | $2,196.80 | $2,746.00 | $395.21 – $2,765.43 | 9 |
| Decompression of thigh/knee CPT 27496 | $2,676.80 | $3,346.00 | $500.33 – $2,765.43 | 9 |
| Decompression of thigh/knee CPT 27497 | $2,857.60 | $3,572.00 | $526.51 – $2,765.43 | 9 |
| Decompression of thigh/knee CPT 27498 | $3,217.60 | $4,022.00 | $596.44 – $1,583.38 | 9 |
| Decompression of thigh/knee CPT 27499 | $3,443.20 | $4,304.00 | $635.23 – $6,088.70 | 9 |
| Decompression of tibia nerve CPT 28035 | $2,625.60 | $3,282.00 | $332.20 – $1,664.38 | 9 |
| Decompression unspecified nerve 64722 CPT 64722 | $886.40 | $1,108.00 | $334.45 – $1,664.38 | 9 |
| Decompressive craniotomy CPT 61322 | $5,584.80 | $6,981.00 | $2,038.10 – $5,442.01 | 7 |
| Decompress optic nerve CPT 67570 | $6,134.40 | $7,668.00 | $1,130.14 – $3,214.08 | 9 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $3,861.60 | $4,827.00 | $1,404.67 – $6,088.70 | 9 |
| Decompress small bowel CPT 44021 | $2,394.40 | $2,993.00 | $855.74 – $2,273.41 | 7 |
| Decompress spinal cord lmbr CPT 63056 | $3,568.00 | $4,460.00 | $1,295.49 – $6,088.70 | 9 |
| Decompress spinal cord thrc CPT 63064 | $4,239.20 | $5,299.00 | $1,530.17 – $6,088.70 | 9 |
| Decompress spine cord add-on CPT 63066 | $483.20 | $604.00 | $172.36 – $459.99 | 7 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $768.00 | $960.00 | $274.39 – $730.92 | 7 |
| Deep muscle biopsy 20205 CPT 20205 | $716.00 | $895.00 | $135.38 – $2,439.36 | 9 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $6.90 – $11.63 | 6 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $6.40 | $8.00 | $4.27 – $5.44 | 7 |
| Delayed breast prosthesis 19342 CPT 19342 | $4,585.60 | $5,732.00 | $684.85 – $8,155.83 | 9 |
| Delay flap arms/legs CPT 15610 | $880.00 | $1,100.00 | $221.36 – $1,559.08 | 9 |
| Delay flap eye/nos/ear/lip CPT 15630 | $1,125.60 | $1,407.00 | $312.43 – $1,559.08 | 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.