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 |
|---|---|---|---|---|
| Dlyd plmt xtn prosth ea addl CPT 34711 | $730.40 | $913.00 | $249.62 – $666.87 | 7 |
| Dmd dup/delet analysis CPT 81161 | $267.84 | $334.80 | $155.01 – $390.64 | 9 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $164.90 – $384.78 | 7 |
| Dmpk gene detc abnor allele CPT 81234 | $153.56 | $191.95 | $82.20 – $191.82 | 9 |
| Dna antibody native/double stranded CPT 86225 | $48.57 | $60.71 | $8.24 – $51.60 | 9 |
| Dna gardnerella CPT 87510 | $50.40 | $63.00 | $12.03 – $40.99 | 9 |
| Dna probe chlamydia CPT 87490 | $57.60 | $72.00 | $13.65 – $40.99 | 9 |
| Dna probe gc CPT 87590 | $58.40 | $73.00 | $16.13 – $40.99 | 9 |
| Dna trichomonas CPT 87660 | $50.40 | $63.00 | $12.03 – $40.99 | 9 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $67.00 | $83.75 | $7.58 – $70.34 | 8 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $11.17 | $13.96 | $0.67 – $2.85 | 8 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.06 – $56.49 | 5 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $4.51 – $12.20 | 4 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $59.12 – $132.91 | 6 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $98.00 – $98.00 | 2 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $155.00 – $155.00 | 2 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $219.00 – $219.00 | 2 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $313.00 – $313.00 | 2 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $88.00 – $88.00 | 2 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $128.00 – $128.00 | 2 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $222.00 – $222.00 | 2 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $299.00 – $299.00 | 2 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $352.00 – $352.00 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $5.35 | $6.68 | $0.71 – $5.34 | 8 |
| Doppler echo complete CPT 93320 | $384.36 | $480.45 | $16.28 – $408.38 | 9 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $666.40 | $833.00 | $62.51 – $662.12 | 9 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $359.81 | $449.76 | $19.13 – $382.30 | 11 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $199.20 | $249.00 | $10.60 – $128.17 | 11 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.81 – $0.92 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | $49.53 | $61.91 | $24.27 – $53.59 | 8 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $11,360.81 – $29,203.27 | 7 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $47.18 – $129.16 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $236.47 – $303.24 | 7 |
| Double transfer toe-hand CPT 26554 | not published | not published | $786.83 – $9,012.73 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $6.40 | $8.00 | $3.26 – $5.89 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $111.13 – $452.95 | 7 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.12 | $1.40 | $0.03 – $0.12 | 7 |
| Dpyd gene common variants CPT 81232 | $350.40 | $438.00 | $97.12 – $244.74 | 9 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $11.97 – $30.46 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $808.96 | $1,011.20 | $109.34 – $859.52 | 11 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,124.80 | $1,406.00 | $129.67 – $752.94 | 11 |
| Drainage external ear complex 69005 CPT 69005 | $1,064.00 | $1,330.00 | $145.92 – $1,380.95 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $916.80 | $1,146.00 | $113.20 – $859.52 | 11 |
| Drainage lymph node lesion 38300 CPT 38300 | $796.80 | $996.00 | $187.39 – $2,439.36 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | $1,189.60 | $1,487.00 | $440.11 – $2,439.36 | 9 |
| Drainage mouth roof lesion CPT 42000 | $503.12 | $628.90 | $98.99 – $534.57 | 11 |
| Drainage of abdomen CPT 48000 | $4,616.80 | $5,771.00 | $1,641.97 – $4,379.76 | 7 |
| Drainage of arm bursa 23931 CPT 23931 | $1,794.68 | $2,243.34 | $145.91 – $1,906.84 | 11 |
| Drainage of bladder abscess CPT 51080 | $1,028.80 | $1,286.00 | $373.43 – $2,439.36 | 9 |
| Drainage of bone lesion CPT 26992 | not published | not published | $786.83 – $2,415.58 | 7 |
| Drainage of bone lesion CPT 27303 | $3,153.60 | $3,942.00 | $580.26 – $1,542.33 | 7 |
| Drainage of eye CPT 65800 | $595.20 | $744.00 | $80.65 – $1,943.90 | 9 |
| Drainage of eye CPT 65810 | $2,302.40 | $2,878.00 | $416.84 – $1,943.90 | 9 |
| Drainage of eye CPT 65815 | $3,172.80 | $3,966.00 | $429.02 – $1,943.90 | 9 |
| Drainage of forearm bursa CPT 25031 | $1,726.40 | $2,158.00 | $337.89 – $1,364.06 | 9 |
| Drainage of kidney lesion CPT 50390 | $1,383.04 | $1,728.80 | $84.67 – $1,469.48 | 11 |
| Drainage of mouth lesion CPT 41005 | $535.20 | $669.00 | $107.20 – $281.64 | 9 |
| Drainage of mouth lesion CPT 41006 | $852.80 | $1,066.00 | $214.36 – $1,262.52 | 9 |
| Drainage of mouth lesion CPT 41007 | $836.80 | $1,046.00 | $205.55 – $1,262.52 | 9 |
| Drainage of mouth lesion CPT 41008 | $951.20 | $1,189.00 | $238.62 – $2,764.11 | 9 |
| Drainage of mouth lesion CPT 41009 | $1,022.40 | $1,278.00 | $261.77 – $691.92 | 9 |
| Drainage of mouth lesion CPT 41015 | $1,008.80 | $1,261.00 | $275.95 – $726.39 | 9 |
| Drainage of mouth lesion CPT 41016 | $1,124.80 | $1,406.00 | $313.77 – $5,042.00 | 9 |
| Drainage of mouth lesion CPT 41017 | $1,122.40 | $1,403.00 | $311.55 – $2,764.11 | 9 |
| Drainage of mouth lesion CPT 41018 | $1,265.60 | $1,582.00 | $364.95 – $1,262.52 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | $615.20 | $769.00 | $110.48 – $293.22 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | $621.60 | $777.00 | $110.93 – $434.04 | 9 |
| Drainage of pelvis bursa CPT 26991 | $1,741.60 | $2,177.00 | $472.92 – $1,364.06 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | $1,605.60 | $2,007.00 | $609.36 – $2,765.43 | 9 |
| Drainage of prostate abscess CPT 52700 | $1,112.80 | $1,391.00 | $403.09 – $2,939.60 | 9 |
| Drainage of prostate abscess CPT 55720 | $1,140.80 | $1,426.00 | $411.30 – $2,939.60 | 9 |
| Drainage of prostate abscess CPT 55725 | $1,496.80 | $1,871.00 | $542.31 – $2,939.60 | 9 |
| Drainage of rectal abscess CPT 45005 | $712.80 | $891.00 | $149.37 – $1,004.95 | 9 |
| Drainage of rectal abscess 45020 CPT 45020 | $1,409.60 | $1,762.00 | $514.50 – $2,337.38 | 9 |
| Drainage of salivary gland CPT 42305 | $1,061.60 | $1,327.00 | $393.13 – $2,764.11 | 9 |
| Drainage of salivary gland CPT 42320 | $629.60 | $787.00 | $162.54 – $434.44 | 9 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,218.58 – $3,244.77 | 7 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,484.21 – $3,957.75 | 7 |
| Drainage of throat abscess CPT 42725 | $1,998.40 | $2,498.00 | $721.43 – $5,042.00 | 9 |
| Drainage of urethra abscess CPT 53040 | $988.00 | $1,235.00 | $357.77 – $2,939.60 | 9 |
| Drainage of urethra abscess 53060 CPT 53060 | $463.20 | $579.00 | $149.30 – $1,745.97 | 9 |
| Drainage of urinary leakage CPT 53080 | $1,057.60 | $1,322.00 | $383.47 – $1,021.58 | 9 |
| Drainage of urinary leakage CPT 53085 | $1,636.80 | $2,046.00 | $588.76 – $1,745.97 | 9 |
| Drain bladder by trocar/cath CPT 51101 | $1,275.16 | $1,593.95 | $45.84 – $1,354.86 | 11 |
| Drain blood from under nail 11740 CPT 11740 | $148.33 | $185.41 | $29.84 – $157.60 | 11 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,903.44 | $3,629.29 | $183.99 – $3,084.90 | 11 |
| Drain cath image guided visceral pq CPT 49405 | $2,903.44 | $3,629.29 | $174.28 – $3,084.90 | 11 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $872.22 | $1,090.27 | $80.06 – $926.73 | 11 |
| Drain chest lesion CPT 21502 | $1,234.40 | $1,543.00 | $448.76 – $2,765.43 | 9 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $52.73 – $134.19 | 7 |
| Drain finger abscess;simple 26010 CPT 26010 | $736.80 | $921.00 | $119.84 – $276.60 | 11 |
| Drain lower leg bursa CPT 27604 | $2,348.80 | $2,936.00 | $301.02 – $2,765.43 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | $2,817.51 | $3,521.88 | $351.25 – $2,993.60 | 11 |
| Drain neck/chest lesion 21501 CPT 21501 | $1,144.80 | $1,431.00 | $305.06 – $2,439.36 | 9 |
| Drain open lung lesion 32200 CPT 32200 | $2,765.60 | $3,457.00 | $991.18 – $2,643.88 | 7 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $1.88 – $4.80 | 7 |
| Drain ovarn cyst abd CPT 58805 | $1,043.20 | $1,304.00 | $383.25 – $2,709.95 | 9 |
| Drain ovary abscess open CPT 58820 | $1,630.40 | $2,038.00 | $304.13 – $2,709.95 | 9 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | $2,690.40 | $3,363.00 | $962.62 – $2,568.04 | 7 |
| Drain penis lesion CPT 54015 | $772.00 | $965.00 | $276.16 – $1,380.95 | 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.