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 |
|---|---|---|---|---|
| Dynamic fine wire emg CPT 96003 | not published | not published | $29.80 – $45.28 | 5 |
| Dynamic surface emg CPT 96002 | $49.60 | $62.00 | $19.61 – $265.41 | 9 |
| Ear and throat examination CPT 92502 | $210.40 | $263.00 | $87.24 – $434.04 | 9 |
| Ear canal biopsy 69105 CPT 69105 | $688.00 | $860.00 | $58.36 – $1,262.52 | 9 |
| Ear cartilage graft CPT 21235 | $1,787.20 | $2,234.00 | $517.41 – $5,042.00 | 9 |
| Ear irrigation 69209 CPT 69209 | $107.68 | $134.60 | $13.73 – $114.41 | 11 |
| Ear protector evaluation CPT 92596 | $141.60 | $177.00 | $33.46 – $179.17 | 9 |
| Ecallantide injection HCPCS J1290 | not published | not published | $522.66 – $701.13 | 7 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $16.00 | $20.00 | $6.18 – $16.28 | 7 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $129.64 | $162.04 | $5.76 – $137.73 | 11 |
| Ecg < 30 days transmission & analysis CPT 93271 | $377.60 | $472.00 | $78.23 – $333.06 | 9 |
| Ecg external < 48 hours recording CPT 93225 | $470.16 | $587.70 | $15.80 – $249.77 | 11 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $830.12 | $1,037.64 | $30.27 – $441.00 | 11 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $33.60 | $42.00 | $10.19 – $33.46 | 9 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $46.40 | $58.00 | $10.19 – $33.46 | 9 |
| Ecg record/review CPT 93268 | $469.60 | $587.00 | $150.01 – $417.70 | 7 |
| Ecg/review interpret only CPT 93272 | $57.60 | $72.00 | $22.14 – $58.27 | 7 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,789.17 | $2,236.46 | $63.17 – $1,900.99 | 11 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $355.22 | $444.02 | $22.76 – $377.42 | 11 |
| Echocardiography doppler color flow mapping CPT 93325 | $384.36 | $480.45 | $2.85 – $408.38 | 9 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,931.25 | $2,414.06 | $673.38 – $2,051.95 | 10 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,254.34 | $1,567.92 | $335.86 – $1,332.73 | 8 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $338.30 | $422.87 | $6.48 – $359.44 | 9 |
| Echo exam of eye CPT 76516 | $140.80 | $176.00 | $20.76 – $90.64 | 9 |
| Echo exam of eye CPT 76519 | $172.00 | $215.00 | $27.95 – $90.64 | 9 |
| Echo exam of eye CPT 76529 | $168.00 | $210.00 | $28.77 – $75.04 | 9 |
| Echo exam of eye thickness CPT 76514 | $29.60 | $37.00 | $3.10 – $20.88 | 9 |
| Echo exam of fetal heart CPT 76825 | $526.40 | $658.00 | $72.92 – $467.32 | 9 |
| Echo exam of fetal heart CPT 76826 | $296.00 | $370.00 | $36.30 – $206.02 | 9 |
| Echo exam of fetal heart CPT 76827 | $175.20 | $219.00 | $25.55 – $90.64 | 9 |
| Echo exam of fetal heart CPT 76828 | $112.00 | $140.00 | $19.34 – $90.64 | 9 |
| Echo exam uterus 76831- CPT 76831 | $482.84 | $603.55 | $31.85 – $513.02 | 11 |
| Echograp trans r pros study CPT 76873 | $336.80 | $421.00 | $70.66 – $149.27 | 9 |
| Echo guidance radiotherapy CPT 76965 | $313.60 | $392.00 | $24.66 – $51.79 | 7 |
| Echo guidance radiotherapy HCPCS G6001 | $322.40 | $403.00 | $29.39 – $76.60 | 7 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $56.00 – $56.00 | 2 |
| Echo guide for amniocentesis CPT 76946 | $462.58 | $578.22 | $13.44 – $491.49 | 9 |
| Echo guide for artery repair CPT 76936 | $726.69 | $908.36 | $84.60 – $772.11 | 11 |
| Echo guide for heart biopsy CPT 76932 | $192.80 | $241.00 | $31.71 – $67.73 | 7 |
| Echo guide for transfusion CPT 76941 | $273.60 | $342.00 | $59.14 – $125.73 | 7 |
| Echo guide ova aspiration CPT 76948 | $144.80 | $181.00 | $24.75 – $62.71 | 7 |
| Echo guide villus sampling CPT 76945 | $191.20 | $239.00 | $29.50 – $63.90 | 7 |
| Echo stress CPT 93350 | $603.68 | $754.59 | $63.17 – $641.40 | 11 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $65.60 | $82.00 | $23.25 – $467.32 | 9 |
| Echo tee guidance CPT 93355 | $517.60 | $647.00 | $203.16 – $533.16 | 7 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,008.83 | $1,261.03 | $97.58 – $1,071.88 | 11 |
| Echo transesophageal CPT 93313 | $99.20 | $124.00 | $10.18 – $467.32 | 9 |
| Echo transesophageal CPT 93314 | $564.80 | $706.00 | $80.22 – $209.59 | 7 |
| Echo transesophageal CPT 93315 | $1,312.80 | $1,641.00 | $115.07 – $1,259.62 | 11 |
| Echo transesophageal CPT 93317 | $603.20 | $754.00 | $79.90 – $208.73 | 7 |
| Echo transesophageal intraop CPT 93318 | $1,251.20 | $1,564.00 | $92.43 – $467.32 | 9 |
| Echo transthoracic CPT 93303 | $1,185.52 | $1,481.90 | $56.23 – $1,259.62 | 11 |
| Echo transthoracic CPT 93304 | $1,185.52 | $1,481.90 | $32.53 – $1,259.62 | 11 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $997.40 | $1,246.75 | $39.95 – $1,059.74 | 11 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $580.00 | $725.00 | $203.88 – $542.19 | 7 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $599.20 | $749.00 | $208.98 – $556.24 | 7 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $844.00 | $1,055.00 | $295.25 – $788.48 | 7 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $761.60 | $952.00 | $266.90 – $712.80 | 7 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $704.40 – $1,882.08 | 7 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $2,040.80 | $2,551.00 | $711.93 – $1,905.46 | 7 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $402.80 – $1,075.00 | 7 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $360.96 – $962.77 | 7 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $1,165.60 | $1,457.00 | $407.08 – $1,085.71 | 7 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,050.40 | $1,313.00 | $365.84 – $979.02 | 7 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $436.74 – $1,166.45 | 7 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $1,280.00 | $1,600.00 | $448.43 – $1,194.22 | 7 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $667.20 | $834.00 | $231.77 – $619.76 | 7 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $157.40 – $419.47 | 7 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $694.40 | $868.00 | $242.19 – $646.94 | 7 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $581.60 | $727.00 | $203.02 – $542.64 | 7 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $419.55 – $1,121.51 | 7 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $397.76 – $1,062.28 | 7 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $199.68 – $533.29 | 7 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $157.40 – $419.47 | 7 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $572.80 | $716.00 | $199.68 – $533.29 | 7 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $452.00 | $565.00 | $157.40 – $419.47 | 7 |
| Ecog impltd brn npgt <30 d CPT 95836 | $240.80 | $301.00 | $31.78 – $251.73 | 9 |
| E coli 0157 ag ia CPT 87335 | $32.00 | $40.00 | $7.60 – $18.65 | 7 |
| Ecp ciliary body destruction CPT 66711 | $2,486.40 | $3,108.00 | $454.38 – $1,943.90 | 9 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.81 – $47.01 | 5 |
| Eculizumab injection HCPCS J1300 | not published | not published | $225.47 – $293.39 | 3 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $58.16 – $7,012.54 | 7 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.41 – $1.49 | 4 |
| Ed svc ckd grp per session HCPCS G0421 | $58.40 | $73.00 | $24.00 – $65.49 | 7 |
| Ed svc ckd ind per session HCPCS G0420 | $249.60 | $312.00 | $99.73 – $262.50 | 7 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $57.60 | $72.00 | $41.90 – $70.75 | 6 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $852.00 | $1,064.99 | $51.47 – $905.24 | 11 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $747.66 | $934.57 | $35.01 – $794.38 | 11 |
| Eeg during surgery CPT 95955 | $452.00 | $565.00 | $48.32 – $127.19 | 7 |
| Eeg monitoring/function test CPT 95958 | $1,373.60 | $1,717.00 | $203.60 – $867.14 | 9 |
| Eeg monitoring/giving drugs CPT 95954 | $844.80 | $1,056.00 | $101.99 – $452.24 | 9 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $779.20 | $974.00 | $51.47 – $265.41 | 9 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $889.60 | $1,112.00 | $77.83 – $905.24 | 11 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | $1,456.00 | $1,820.00 | $186.14 – $490.70 | 7 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | $1,456.00 | $1,820.00 | $226.16 – $594.85 | 7 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | $2,048.00 | $2,560.00 | $228.37 – $596.39 | 7 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $2,048.00 | $2,560.00 | $287.11 – $750.62 | 7 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | $2,072.80 | $2,591.00 | $261.50 – $687.10 | 7 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | $2,072.80 | $2,591.00 | $364.80 – $960.15 | 7 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $592.80 | $741.00 | $186.58 – $491.09 | 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.