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 |
|---|---|---|---|---|
| Drain shoulder bone lesion CPT 23035 | $3,345.60 | $4,182.00 | $614.54 – $1,628.35 | 9 |
| Drain shoulder bursa 23031 CPT 23031 | $1,976.00 | $2,470.00 | $201.59 – $2,439.36 | 9 |
| Drain shoulder lesion CPT 23030 | $1,062.40 | $1,328.00 | $229.94 – $2,439.36 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,208.84 | $6,511.04 | $459.28 – $5,534.38 | 11 |
| Drain thyroid/tongue cyst CPT 60000 | $429.60 | $537.00 | $144.05 – $1,262.52 | 9 |
| Drain to peritoneal cavity CPT 49062 | $1,880.00 | $2,350.00 | $677.21 – $1,803.99 | 7 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $376.80 | $471.00 | $91.07 – $209.55 | 11 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $201.60 | $252.00 | $49.99 – $169.36 | 11 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $474.40 | $593.00 | $117.05 – $340.53 | 11 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $116.00 | $145.00 | $39.78 – $521.72 | 9 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $45.70 – $57.67 | 6 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $789.74 – $2,102.32 | 7 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $736.00 | $920.00 | $263.03 – $702.44 | 7 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $53,976.33 – $136,014.38 | 7 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | $242.40 | $303.00 | $79.53 – $210.57 | 7 |
| Drm agrft t/a/l ea addl CPT 15131 | $244.80 | $306.00 | $79.53 – $210.57 | 7 |
| Drng appendix abscess open 44900 CPT 44900 | $1,916.80 | $2,396.00 | $689.27 – $1,837.54 | 7 |
| Drng hand tendon sheath 26020 CPT 26020 | $1,364.00 | $1,705.00 | $507.73 – $2,765.43 | 9 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,364.80 | $1,706.00 | $105.24 – $353.84 | 11 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,313.16 | $1,641.44 | $167.85 – $1,395.22 | 11 |
| Drng of hydrocele 55000 CPT 55000 | $587.20 | $734.00 | $76.53 – $599.68 | 9 |
| Drng of mouth lesion 40801 CPT 40801 | $744.00 | $930.00 | $184.01 – $482.94 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $856.80 | $1,071.00 | $283.68 – $2,709.95 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | $2,416.00 | $3,020.00 | $449.08 – $2,765.43 | 9 |
| Drng of palm single bursa 26025 CPT 26025 | $2,070.40 | $2,588.00 | $381.69 – $2,765.43 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,056.80 | $1,321.00 | $385.28 – $1,027.19 | 9 |
| Drng of salivary cyst 42409 CPT 42409 | $894.40 | $1,118.00 | $212.12 – $2,764.11 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,101.41 | $1,376.76 | $152.49 – $1,380.95 | 11 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $2,708.80 | $3,386.00 | $973.92 – $2,573.39 | 7 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $2,461.60 | $3,077.00 | $885.71 – $2,353.44 | 7 |
| Drng ovary abscess perqt 58822 CPT 58822 | $3,547.20 | $4,434.00 | $639.57 – $1,719.64 | 7 |
| Drng peritoneal abscess open 49020 CPT 49020 | $3,915.20 | $4,894.00 | $1,401.45 – $3,738.12 | 7 |
| Drng salivary gland simple 42300 CPT 42300 | $524.80 | $656.00 | $141.72 – $1,262.52 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $433.60 | $542.00 | $123.55 – $434.04 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.05 – $6.39 | 6 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $76.29 | $95.36 | $0.79 – $9.31 | 8 |
| Drop lock knee HCPCS L2182 | not published | not published | $61.81 – $157.29 | 7 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $19.01 – $49.98 | 7 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $8.64 – $16.89 | 6 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $392.92 | $491.15 | $11.79 – $417.48 | 8 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $7.84 – $18.03 | 6 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $9.62 – $38.09 | 6 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $7.62 – $19.40 | 7 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $161.79 – $166.64 | 3 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $9.06 – $29.55 | 6 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $388.70 | $485.87 | $33.51 – $412.99 | 8 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $193.54 – $226.60 | 4 |
| Drug admin & hemodynmic meas CPT 93463 | $485.47 | $606.83 | $88.03 – $515.81 | 9 |
| Drug assay caffeine CPT 80155 | $77.60 | $97.00 | $23.14 – $70.58 | 9 |
| Drug assay posaconazole CPT 80187 | $66.43 | $83.03 | $16.27 – $70.58 | 9 |
| Drug assay rufinamide CPT 80210 | $66.43 | $83.03 | $16.27 – $70.58 | 9 |
| Drug assay vedolizumab CPT 80280 | $66.43 | $83.03 | $23.14 – $70.58 | 9 |
| Drug assay voriconazole CPT 80285 | $66.43 | $83.03 | $16.27 – $70.58 | 9 |
| Drug asy hydroxychloroquine CPT 80220 | $66.43 | $83.03 | $11.18 – $70.58 | 9 |
| Drug of abuse screen urine CPT 80305 | $72.14 | $90.17 | $7.56 – $76.64 | 9 |
| Drug screening tapentadol CPT 80372 | $36.00 | $45.00 | $13.16 – $28.76 | 5 |
| Drug screen quant tiagabine CPT 80199 | $66.43 | $83.03 | $16.27 – $70.58 | 9 |
| Drug/substance nos 4-6 CPT 80376 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Drug test def 15-21 classes HCPCS G0482 | $397.60 | $497.00 | $119.24 – $312.66 | 9 |
| Drug test def 1-7 classes HCPCS G0480 | $229.60 | $287.00 | $68.66 – $143.44 | 9 |
| Drug test def 22+ classes HCPCS G0483 | $494.40 | $618.00 | $148.15 – $312.66 | 9 |
| Drug test def 8-14 classes HCPCS G0481 | $313.60 | $392.00 | $93.95 – $312.66 | 9 |
| Drug test def simple all cl HCPCS G0659 | $124.80 | $156.00 | $37.28 – $161.56 | 7 |
| Drug test prsmv instrmnt CPT 80306 | $72.14 | $90.17 | $10.28 – $76.64 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $127.20 | $159.00 | $37.28 – $134.33 | 9 |
| Drvvt confirm - quest CPT 85597 | $45.60 | $57.00 | $10.79 – $34.90 | 9 |
| Dstrj extensive retinopathy CPT 67227 | $2,158.40 | $2,698.00 | $228.98 – $3,214.08 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,452.12 | $4,315.14 | $133.88 – $3,667.87 | 9 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $702.40 | $878.00 | $183.69 – $488.40 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $603.20 | $754.00 | $155.24 – $412.87 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $688.00 | $860.00 | $181.18 – $521.72 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $886.40 | $1,108.00 | $247.10 – $652.96 | 9 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $515.93 – $1,528.90 | 7 |
| Ductogram sgl duct CPT 77053 | $131.20 | $164.00 | $15.78 – $206.02 | 9 |
| Duodenal exclusion CPT 48547 | $4,393.60 | $5,492.00 | $1,564.01 – $4,171.02 | 7 |
| Duodenal motility study CPT 91022 | $367.20 | $459.00 | $66.07 – $452.24 | 9 |
| Duplex scan bilateral study 93985 CPT 93985 | $620.00 | $775.00 | $33.71 – $559.50 | 11 |
| Duplex scan unilateral study 93986 CPT 93986 | $357.60 | $447.00 | $20.60 – $283.26 | 11 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $359.20 | $449.00 | $20.46 – $283.26 | 11 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $586.98 | $733.72 | $21.34 – $623.66 | 11 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $676.51 | $845.63 | $34.30 – $718.79 | 11 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $81.87 – $104.92 | 7 |
| Dxa bone density axl vrt fx CPT 77085 | $100.00 | $125.00 | $13.10 – $90.64 | 9 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $186.40 | $233.00 | $61.55 – $247.73 | 9 |
| Dx aly aud oi snd prcsr each CPT 92623 | $48.00 | $60.00 | $16.14 – $42.48 | 6 |
| Dx bronchoscope/brush 31623 CPT 31623 | $666.40 | $833.00 | $118.59 – $1,469.79 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,338.01 | $4,172.51 | $120.22 – $3,546.63 | 11 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,896.07 | $3,620.08 | $118.02 – $3,077.07 | 11 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $22.00 – $340.11 | 9 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $608.80 | $761.00 | $45.58 – $799.09 | 9 |
| Dx duod intub w/asp specs CPT 43757 | $837.60 | $1,047.00 | $69.11 – $799.09 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | $441.60 | $552.00 | $34.05 – $265.41 | 9 |
| Dx gastr intub w/asp specs CPT 43755 | $421.60 | $527.00 | $54.03 – $143.76 | 9 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | $64.00 | $80.00 | $0.01 – $66.65 | 6 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | $171.20 | $214.00 | $0.01 – $179.63 | 6 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | $55.20 | $69.00 | $0.01 – $57.90 | 6 |
| Dx laryngoscopy newborn CPT 31520 | $385.60 | $482.00 | $140.55 – $375.05 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | $387.20 | $484.00 | $141.17 – $1,469.79 | 9 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | $108.80 | $136.00 | $0.01 – $113.90 | 6 |
| Dynamic cavernosometry CPT 54231 | $354.40 | $443.00 | $104.97 – $279.23 | 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.