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 |
|---|---|---|---|---|
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $288.54 – $365.18 | 7 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $7.57 – $9.59 | 7 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $179.92 – $194.58 | 5 |
| Embedded ip cath exit-site 49436 CPT 49436 | $970.40 | $1,213.00 | $164.33 – $1,616.83 | 9 |
| Emboli detcj wo IV mbubb njx CPT 93897 | $400.00 | $500.00 | $33.95 – $67.80 | 5 |
| Embolization s&i CPT 75894 | $2,049.60 | $2,562.00 | $62.76 – $131.84 | 7 |
| Embo or occlude vascular arterial s&i CPT 37242 | $31,402.13 | $39,252.66 | $415.66 – $33,364.76 | 11 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $17,178.40 | $21,473.00 | $586.69 – $9,665.73 | 9 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $23,377.60 | $29,222.00 | $499.08 – $9,665.73 | 9 |
| Embo or occlude vascular venous s&i CPT 37241 | $11,966.40 | $14,958.00 | $374.60 – $9,665.73 | 9 |
| Embryo hatching CPT 89253 | $212.80 | $266.00 | $161.15 – $217.70 | 6 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $143.61 – $508.18 | 7 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $5,004.80 | $6,256.00 | $868.96 – $4,607.36 | 9 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $4,636.80 | $5,796.00 | $808.57 – $4,607.36 | 9 |
| Emb w/colposcopy 58110 CPT 58110 | $126.40 | $158.00 | $35.98 – $95.74 | 7 |
| Emb without cervical dilation 58100 CPT 58100 | $240.80 | $301.00 | $56.27 – $171.46 | 9 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $375.20 | $469.00 | $66.30 – $186.16 | 9 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $464.00 | $580.00 | $89.87 – $236.16 | 9 |
| Emg cranial nerve bilateral CPT 95868 | $308.00 | $385.00 | $56.18 – $265.41 | 9 |
| Emg needle test 1-extremity CPT 95860 | $272.00 | $340.00 | $46.11 – $121.37 | 9 |
| Emg needle test 4-extremities CPT 95864 | $543.20 | $679.00 | $95.38 – $251.42 | 9 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $206.40 | $258.00 | $17.87 – $265.41 | 9 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $128.59 – $327.24 | 7 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $151.96 – $386.70 | 7 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $53.38 – $135.84 | 7 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $662.43 – $1,685.70 | 7 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $421.39 – $1,072.31 | 7 |
| Encephalitis, california igg/igm CPT 86651 | $48.57 | $60.71 | $7.91 – $51.60 | 9 |
| Encephalitis, st louis igg/igm CPT 86653 | $48.57 | $60.71 | $7.91 – $51.60 | 9 |
| Encephalitis, western equine igg/igm CPT 86654 | $48.57 | $60.71 | $7.91 – $51.60 | 9 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $5,160.00 | $6,450.00 | $240.71 – $2,682.66 | 9 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $6,633.60 | $8,292.00 | $238.94 – $2,682.66 | 9 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $317.71 – $891.58 | 7 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $76.60 – $214.95 | 7 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $500.48 – $1,307.32 | 7 |
| Endo assay seven anal CPT 81506 | not published | not published | $41.35 – $104.54 | 7 |
| Endo below knee alignable sy HCPCS L5910 | not published | not published | $216.86 – $608.58 | 7 |
| Endo bk ultra-light material HCPCS L5940 | not published | not published | $398.36 – $1,013.71 | 7 |
| Endo cath bile duct s&i CPT 74328 | $515.17 | $643.96 | $21.11 – $547.37 | 9 |
| Endo cath panc duct s&i CPT 74329 | $468.93 | $586.16 | $21.40 – $498.24 | 9 |
| Endocerv curettage w/scope 57456 CPT 57456 | $359.20 | $449.00 | $89.82 – $259.27 | 9 |
| Endocervical curettage 57505 CPT 57505 | $316.80 | $396.00 | $97.86 – $742.15 | 9 |
| Endo cholangiopancreatograph CPT 43261 | $856.80 | $1,071.00 | $301.12 – $3,242.65 | 9 |
| Endo cholangiopancreatograph CPT 43262 | $904.80 | $1,131.00 | $317.76 – $3,242.65 | 9 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $9,791.13 – $16,485.10 | 5 |
| Endo hip ultra-light materia HCPCS L5960 | not published | not published | $640.09 – $1,628.85 | 7 |
| Endo knee-shin fluid swg/sta HCPCS L5828 | not published | not published | $1,877.84 – $4,778.59 | 7 |
| Endo knee-shin fluid swing p HCPCS L5824 | not published | not published | $952.40 – $2,576.90 | 7 |
| Endo knee-shin frct swg & st HCPCS L5812 | not published | not published | $363.24 – $949.89 | 7 |
| Endo knee-shin frct swg & st HCPCS L5818 | not published | not published | $678.63 – $1,726.92 | 7 |
| Endo knee-shin hydral swg ph HCPCS L5814 | not published | not published | $2,225.75 – $5,663.92 | 7 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | not published | not published | $459.09 – $1,225.50 | 7 |
| Endo knee-shin pneum swg frc HCPCS L5822 | not published | not published | $1,019.68 – $2,861.45 | 7 |
| Endo knee-shin pneum/swg pha HCPCS L5830 | not published | not published | $1,243.45 – $3,188.50 | 7 |
| Endo knee-shin polyc mch sta HCPCS L5816 | not published | not published | $509.24 – $1,429.04 | 7 |
| Endoluminal bx biliary tree CPT 47543 | $1,138.40 | $1,423.00 | $127.31 – $339.15 | 7 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $3,065.60 | $3,832.00 | $124.52 – $778.00 | 9 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,705.06 | $2,131.32 | $81.86 – $1,811.62 | 9 |
| Endoluminl ivus oct c ea CPT 92979 | $882.66 | $1,103.32 | $65.34 – $937.82 | 9 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $564.00 | $705.00 | $206.53 – $4,207.41 | 9 |
| Endometrial cryoablation w/us 58356 CPT 58356 | $884.00 | $1,105.00 | $314.41 – $4,207.41 | 9 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $9,791.13 – $16,485.10 | 5 |
| Endo poly hip, pneu/hyd/rot HCPCS L5961 | not published | not published | $2,922.71 – $7,437.48 | 7 |
| Endoscopic injection/implant CPT 51715 | $844.80 | $1,056.00 | $178.69 – $2,939.60 | 9 |
| Endoscopic pancreatoscopy CPT 43273 | $304.80 | $381.00 | $105.98 – $283.89 | 7 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $494.40 | $618.00 | $174.56 – $1,616.83 | 9 |
| Endoscopic vein harvest 33508 CPT 33508 | $40.00 | $50.00 | $13.72 – $36.81 | 7 |
| Endoscopy bowel pouch/biop CPT 44386 | $733.60 | $917.00 | $79.83 – $777.06 | 9 |
| Endoscopy ligate perf veins 37500 CPT 37500 | $3,080.00 | $3,850.00 | $540.70 – $4,607.36 | 9 |
| Endoscopy maxillary sinus CPT 31267 | $1,323.20 | $1,654.00 | $237.48 – $5,900.12 | 9 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $491.20 | $614.00 | $65.10 – $777.06 | 9 |
| Endoscopy of ureter CPT 50951 | $1,891.20 | $2,364.00 | $274.68 – $2,939.60 | 9 |
| Endoscopy of ureter CPT 50953 | $2,004.80 | $2,506.00 | $292.79 – $2,939.60 | 9 |
| Endoscopy swallow (fees) i&r CPT 92613 | $84.80 | $106.00 | $33.60 – $87.65 | 7 |
| Endoscopy swallow (fees) vid CPT 92612 | $432.80 | $541.00 | $61.31 – $160.21 | 7 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,225.60 | $1,532.00 | $150.51 – $1,469.79 | 9 |
| Endoskeletal axial rotation HCPCS L5984 | not published | not published | $399.72 – $1,017.17 | 7 |
| Endoskel knee-shin mnl lock HCPCS L5810 | not published | not published | $291.53 – $818.10 | 7 |
| Endoskel posit rotat unit HCPCS L5926 | not published | not published | $469.46 – $1,813.09 | 7 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $9,791.13 – $16,485.10 | 5 |
| Endovasc prosth delayed 33886 CPT 33886 | $2,336.80 | $2,921.00 | $816.90 – $2,191.39 | 7 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $10,798.85 | $13,498.56 | $1,296.84 – $11,473.78 | 9 |
| Endovasc tempory vessel occl CPT 61623 | $1,381.60 | $1,727.00 | $494.07 – $9,665.73 | 9 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $1,128.06 – $3,570.66 | 6 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $1,247.76 – $3,909.25 | 6 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $1,372.54 – $4,290.16 | 6 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $1,497.31 – $4,747.24 | 6 |
| Endovas iliac a device addon CPT 34808 | $486.40 | $608.00 | $171.23 – $458.56 | 7 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,582.40 | $1,978.00 | $117.33 – $313.55 | 7 |
| Endovenous mchnchem 1st vein CPT 36473 | $6,891.20 | $8,614.00 | $156.49 – $2,682.66 | 9 |
| Endovenous mchnchem add-on CPT 36474 | $1,403.20 | $1,754.00 | $77.58 – $205.75 | 7 |
| Endovenous rf abl vein addl CPT 36476 | $1,500.80 | $1,876.00 | $114.96 – $306.82 | 7 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $9,212.80 | $11,516.00 | $155.31 – $4,607.36 | 9 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $756.80 | $946.00 | $76.25 – $202.96 | 7 |
| Energy storing foot HCPCS L5976 | not published | not published | $377.72 – $961.21 | 7 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $29.94 – $45.54 | 7 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.41 – $45.66 | 6 |
| Enlarge breast CPT 19324 | not published | not published | $961.00 – $961.00 | 2 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $24.78 | $30.97 | $0.13 – $0.58 | 8 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $38.58 | $48.22 | $7.19 – $40.99 | 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.