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 |
|---|---|---|---|---|
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $296.80 | $371.00 | $96.59 – $251.89 | 7 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $303.20 | $379.00 | $121.18 – $318.94 | 7 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $592.80 | $741.00 | $145.18 – $381.34 | 7 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $837.60 | $1,047.00 | $51.47 – $265.41 | 9 |
| Eeg recording awake and asleep CPT 95819 | $931.20 | $1,164.00 | $51.47 – $730.82 | 11 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $265.41 – $1,107.05 | 9 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $516.88 | $646.09 | $103.65 – $549.18 | 11 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $452.24 – $2,270.22 | 9 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $452.24 – $1,801.33 | 9 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $265.41 – $937.30 | 9 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $160.94 – $597.62 | 9 |
| E equine encephalitis igg CPT 86652 | $48.57 | $60.71 | $7.91 – $51.60 | 9 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.12 – $41.70 | 7 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $574.40 | $718.00 | $202.54 – $1,616.83 | 9 |
| Egd control bleeding any CPT 43255 | $1,935.39 | $2,419.23 | $178.95 – $2,056.35 | 11 |
| Egd dilate stricture CPT 43245 | $1,440.00 | $1,800.00 | $156.48 – $1,616.83 | 9 |
| Egd endo mucosal resection CPT 43254 | $684.00 | $855.00 | $240.82 – $1,616.83 | 9 |
| Egd endoscopic stent place CPT 43266 | $548.80 | $686.00 | $193.55 – $5,073.66 | 9 |
| Egd esophagogastrc fndoplsty CPT 43210 | $1,077.60 | $1,347.00 | $380.35 – $8,873.63 | 9 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $157.90 – $422.38 | 7 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $143.59 – $382.02 | 7 |
| Egd guide wire insertion CPT 43248 | $955.20 | $1,194.00 | $148.18 – $799.09 | 9 |
| Egd injection varices CPT 43243 | $600.00 | $750.00 | $211.22 – $1,616.83 | 9 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $358.40 | $448.00 | $127.06 – $1,616.83 | 9 |
| Egd lesion ablation CPT 43270 | $1,750.40 | $2,188.00 | $200.30 – $1,616.83 | 9 |
| Egd optical endomicroscopy CPT 43252 | $797.60 | $997.00 | $150.09 – $1,616.83 | 9 |
| Egd remove foreign body CPT 43247 | $911.20 | $1,139.00 | $157.31 – $799.09 | 9 |
| Egd remove lesion snare CPT 43251 | $1,170.40 | $1,463.00 | $174.71 – $1,616.83 | 9 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $1,059.20 | $1,324.00 | $151.30 – $1,616.83 | 9 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $572.80 | $716.00 | $201.86 – $1,616.83 | 9 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $588.00 | $735.00 | $207.51 – $1,616.83 | 9 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $665.60 | $832.00 | $234.07 – $1,616.83 | 9 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $666.40 | $833.00 | $234.22 – $1,616.83 | 9 |
| Egd varices ligation CPT 43244 | $620.80 | $776.00 | $218.38 – $1,616.83 | 9 |
| Egd w/thrml txmnt gerd CPT 43257 | $587.20 | $734.00 | $207.19 – $3,242.65 | 9 |
| Egd w/transmural drain cyst CPT 43240 | $993.60 | $1,242.00 | $348.68 – $5,073.66 | 9 |
| Egfr gene com variants CPT 81235 | $351.41 | $439.26 | $194.75 – $454.45 | 9 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $70.40 | $88.00 | $21.05 – $71.34 | 9 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | $48.57 | $60.71 | $11.74 – $51.60 | 9 |
| EKG (Electrocardiogram) CPT 93000 | $37.60 | $47.00 | $12.88 – $33.90 | 7 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $37.60 | $47.00 | $12.88 – $33.90 | 7 |
| EKG interpret & report preve g0405 HCPCS G0405 | $19.20 | $24.00 | $7.42 – $19.53 | 7 |
| EKG tracing for initial prev HCPCS G0404 | $18.40 | $23.00 | $5.46 – $15.17 | 7 |
| EKG (Tracing Only) CPT 93005 | $188.55 | $235.68 | $5.46 – $200.33 | 11 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $2,085.30 – $5,306.48 | 7 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $1,410.09 – $3,588.29 | 7 |
| Elbow arthroscopy CPT 29830 | $2,241.60 | $2,802.00 | $416.29 – $2,765.43 | 9 |
| Elbow arthroscopy/surgery CPT 29834 | $2,420.80 | $3,026.00 | $449.70 – $2,765.43 | 9 |
| Elbow arthroscopy/surgery CPT 29835 | $2,499.20 | $3,124.00 | $462.97 – $2,765.43 | 9 |
| Elbow arthroscopy/surgery CPT 29836 | $2,873.60 | $3,592.00 | $531.92 – $6,088.70 | 9 |
| Elbow arthroscopy/surgery CPT 29837 | $2,595.20 | $3,244.00 | $472.78 – $2,765.43 | 9 |
| Elbow arthroscopy/surgery CPT 29838 | $2,916.80 | $3,646.00 | $539.46 – $2,765.43 | 9 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $1,894.65 – $4,821.35 | 7 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $1,699.00 – $4,323.48 | 7 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $1,955.86 – $4,977.12 | 7 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $1,526.84 – $3,885.38 | 7 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $373.79 – $951.21 | 7 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $448.55 – $1,141.44 | 7 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $1,775.90 – $4,519.16 | 7 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $164.11 | $205.13 | $7.39 – $174.36 | 11 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $224.98 | $281.22 | $7.71 – $239.04 | 11 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $671.01 | $838.76 | $30.98 – $712.95 | 11 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $14,318.95 – $36,437.66 | 7 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $14,383.57 – $36,602.11 | 7 |
| Elec stim unattend for press HCPCS G0281 | $30.40 | $38.00 | $10.70 – $28.16 | 7 |
| Elect analysis of infusion pump 62367 CPT 62367 | $639.06 | $798.82 | $22.17 – $679.00 | 11 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $669.48 | $836.84 | $31.27 – $711.31 | 11 |
| Electrical bone stim 20974 CPT 20974 | $192.00 | $240.00 | $45.75 – $120.36 | 7 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $129.31 | $161.63 | $13.55 – $137.39 | 9 |
| Electrical stimulation/unattended 97014 CPT 97014 | $30.40 | $38.00 | $13.85 – $23.47 | 6 |
| Electric stim/w chemodenervation 95873 CPT 95873 | $166.40 | $208.00 | $17.73 – $46.67 | 7 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $98.40 | $123.00 | $17.40 – $113.17 | 6 |
| Electrocochleography CPT 92584 | $196.00 | $245.00 | $97.91 – $263.90 | 9 |
| Electroconvulsive therapy 90870 CPT 90870 | $867.11 | $1,083.88 | $97.70 – $921.30 | 11 |
| Electrocorticography durng sx CPT 95829 | $4,179.20 | $5,224.00 | $297.72 – $783.59 | 7 |
| Electrodes, pair HCPCS A4556 | not published | not published | $7.19 – $18.30 | 7 |
| Electrode stimulation brain CPT 95961 | $672.80 | $841.00 | $144.06 – $867.14 | 9 |
| Electroejaculation CPT 55870 | $438.40 | $548.00 | $127.76 – $341.13 | 7 |
| Electrogastrography CPT 91132 | $768.00 | $960.00 | $23.91 – $265.41 | 9 |
| Electrogastrography w/test CPT 91133 | $811.20 | $1,014.00 | $30.50 – $109.87 | 9 |
| Electrolyte panel CPT 80051 | $68.56 | $85.70 | $4.21 – $72.85 | 9 |
| Electromagntic tx for ulcers HCPCS G0329 | $19.20 | $24.00 | $9.47 – $24.93 | 7 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $6,522.81 – $16,598.70 | 7 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $100.00 | $125.00 | $39.02 – $102.31 | 7 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $160.00 | $200.00 | $44.20 – $116.74 | 9 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $24,013.07 – $61,106.45 | 7 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $21,638.30 – $55,063.35 | 7 |
| Electron microscopy diagnostic CPT 88348 | $936.80 | $1,171.00 | $70.25 – $835.68 | 11 |
| Electro-oculography w/i&r CPT 92270 | $230.40 | $288.00 | $38.75 – $109.87 | 9 |
| Electrophysiologic study CPT 93624 | $943.20 | $1,179.00 | $81.87 – $6,467.45 | 9 |
| Electrophysiology evaluation CPT 93619 | $1,744.80 | $2,181.00 | $316.69 – $6,467.45 | 9 |
| Electrophysiology evaluation CPT 93620 | $2,459.20 | $3,074.00 | $348.36 – $6,467.45 | 9 |
| Electrophysiology evaluation CPT 93621 | $810.40 | $1,013.00 | $39.76 – $223.30 | 7 |
| Electrophysiology evaluation CPT 93622 | $945.60 | $1,182.00 | $0.03 – $383.27 | 7 |
| Electrophysiology evaluation CPT 93641 | $1,711.50 | $2,139.37 | $264.78 – $1,818.46 | 9 |
| Electrophysiology evaluation CPT 93642 | $1,288.16 | $1,610.20 | $71.91 – $1,368.67 | 11 |
| Electrophysiology evaluation CPT 93644 | $514.40 | $643.00 | $43.86 – $192.11 | 7 |
| Electrophys map 3d add-on CPT 93613 | $717.60 | $897.00 | $183.46 – $769.12 | 7 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | $48.57 | $60.71 | $10.97 – $51.60 | 9 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $4.51 – $11.83 | 6 |
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.