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 |
|---|---|---|---|---|
| Entamoeb hist dispr ag ia CPT 87336 | $35.20 | $44.00 | $9.60 – $22.40 | 7 |
| Enterectomy cong add-on CPT 44128 | $596.80 | $746.00 | $209.64 – $559.60 | 7 |
| Enterectomy small intestine addl 44121 CPT 44121 | $593.60 | $742.00 | $208.90 – $557.61 | 7 |
| Enterectomy small intestine single 44120 CPT 44120 | $3,002.40 | $3,753.00 | $1,071.48 – $2,855.72 | 7 |
| Enterectomy without taper cong CPT 44126 | $6,046.40 | $7,558.00 | $2,152.76 – $5,739.32 | 7 |
| Enterectomy w/taper cong CPT 44127 | $6,989.60 | $8,737.00 | $2,482.63 – $6,622.22 | 7 |
| Enteroenterostomy fusion 44130 CPT 44130 | $3,229.60 | $4,037.00 | $1,157.07 – $3,081.37 | 7 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $3,465.60 | $4,332.00 | $1,228.51 – $3,278.95 | 7 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $3,984.00 | $4,980.00 | $1,416.43 – $3,779.48 | 7 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $2,065.60 | $2,582.00 | $739.85 – $1,973.61 | 7 |
| Enterovirus antibody dfa CPT 87267 | $34.40 | $43.00 | $8.05 – $18.78 | 7 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $87.74 – $212.42 | 6 |
| Enzyme cell activity ra CPT 82658 | $88.80 | $111.00 | $26.42 – $61.65 | 7 |
| Enzyme histochemistry CPT 88319 | $786.52 | $983.15 | $24.38 – $835.68 | 11 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $272.24 – $692.77 | 7 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $67.99 – $190.80 | 7 |
| Ep & ablate supravent arrhyt CPT 93653 | $25,683.90 | $32,104.87 | $714.72 – $27,289.14 | 11 |
| Ep & ablate ventric tachy CPT 93654 | $34,432.92 | $43,041.14 | $861.22 – $36,584.97 | 11 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $54.44 – $69.94 | 6 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,977.60 | $2,472.00 | $631.43 – $1,672.07 | 9 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $412.00 | $515.00 | $120.74 – $322.72 | 7 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $1,979.20 | $2,474.00 | $636.76 – $1,701.43 | 9 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $280.80 | $351.00 | $88.94 – $236.59 | 7 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,012.55 | $2,515.68 | $46.23 – $1,069.16 | 9 |
| Epidural lysis mult sessions CPT 62263 | $1,514.40 | $1,893.00 | $295.52 – $788.00 | 9 |
| Epidural lysis on single day 62264 CPT 62264 | $1,858.72 | $2,323.40 | $222.57 – $1,974.89 | 11 |
| Epidurography CPT 72275 | not published | not published | $74.00 – $74.00 | 2 |
| Epiglottidectomy CPT 31420 | $2,032.00 | $2,540.00 | $749.39 – $5,042.00 | 9 |
| Epikeratoplasty CPT 65767 | not published | not published | $2,315.00 – $4,772.40 | 6 |
| Epilepsy gen seq alys panel CPT 81419 | $2,350.62 | $2,938.27 | $1,360.42 – $3,703.10 | 9 |
| Ep induct arrhy by elect pacing CPT 93618 | $952.00 | $1,190.00 | $162.82 – $1,034.70 | 9 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $5.57 | $6.96 | $0.01 – $0.02 | 5 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $10.52 | $13.14 | $4.51 – $9.78 | 5 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | $3,576.00 | $4,470.00 | $661.42 – $2,765.43 | 9 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | $3,028.80 | $3,786.00 | $561.53 – $2,765.43 | 9 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.35 – $2.85 | 6 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $516.80 | $646.00 | $127.29 – $2,709.95 | 9 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1.60 | $2.00 | $0.71 – $1.65 | 6 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $40.99 | $51.23 | $0.81 – $7.94 | 9 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $16.00 | $20.00 | $7.08 – $14.72 | 7 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.08 – $2.23 | 5 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.08 – $2.23 | 7 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $16.08 – $21.48 | 6 |
| Epstein barr early antigen antibody CPT 86663 | $48.57 | $60.71 | $7.87 – $51.60 | 9 |
| Epstein barr nuclear antigen antibody CPT 86664 | $48.57 | $60.71 | $9.17 – $51.60 | 9 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $48.57 | $60.71 | $10.88 – $51.60 | 9 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $49.27 | $61.58 | $0.81 – $11.88 | 8 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $29.76 | $37.20 | $14.58 – $31.62 | 9 |
| Ercp biliary & pancreas CPT 74330 | $809.92 | $1,012.40 | $24.91 – $860.54 | 9 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $1,172.80 | $1,466.00 | $411.34 – $5,073.66 | 9 |
| Ercp ea duct/ampulla dilate CPT 43277 | $958.40 | $1,198.00 | $336.76 – $3,242.65 | 9 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $384.96 – $3,242.65 | 9 |
| Ercp lithotripsy calculi CPT 43265 | $1,098.40 | $1,373.00 | $384.84 – $5,073.66 | 9 |
| Ercp remove duct calculi 43264 CPT 43264 | $921.60 | $1,152.00 | $324.18 – $3,242.65 | 9 |
| Ercp remove forgn body duct 43275 CPT 43275 | $952.80 | $1,191.00 | $334.87 – $1,616.83 | 9 |
| Ercp sphincter pressure meas CPT 43263 | $904.80 | $1,131.00 | $318.21 – $1,616.83 | 9 |
| Ercp stent exchange w/dilate CPT 43276 | $1,220.80 | $1,526.00 | $428.16 – $5,073.66 | 9 |
| Ercp w/specimen collection CPT 43260 | $816.80 | $1,021.00 | $287.14 – $3,242.65 | 9 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $5.73 – $6.77 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $151.20 | $189.00 | $106.68 – $174.22 | 7 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $99.00 | $123.75 | $9.18 – $62.69 | 8 |
| ER Visit (level 1, minor) CPT 99281 | $128.16 | $160.20 | $10.30 – $46.75 | 9 |
| ER Visit (level 2) CPT 99282 | $237.64 | $297.05 | $25.47 – $134.97 | 11 |
| ER Visit (level 3) CPT 99283 | $416.72 | $520.90 | $25.47 – $236.00 | 11 |
| ER Visit (level 4) CPT 99284 | $648.43 | $810.53 | $25.47 – $362.93 | 11 |
| ER Visit (level 5, high severity) CPT 99285 | $931.05 | $1,163.81 | $25.47 – $522.55 | 11 |
| Erwinaze injection HCPCS J9019 | not published | not published | $415.17 – $598.86 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $230.00 | $287.50 | $60.45 – $151.64 | 8 |
| Escharotomy ea addl incision CPT 16036 | $203.20 | $254.00 | $72.15 – $192.36 | 7 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,242.65 – $6,024.08 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.40 – $0.59 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $24.04 | $30.05 | $0.17 – $0.37 | 8 |
| Esophageal dilat s&i CPT 74360 | $323.20 | $404.00 | $24.56 – $54.57 | 7 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $97.78 – $261.50 | 7 |
| Esophageal motility CPT 78258 | $481.60 | $602.00 | $30.88 – $342.49 | 9 |
| Esophageal recording CPT 93615 | $160.00 | $200.00 | $13.14 – $1,034.70 | 9 |
| Esophageal recording CPT 93616 | $959.20 | $1,199.00 | $30.43 – $1,034.70 | 9 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,577.93 – $6,024.08 | 5 |
| Esophagomyotomy abdominal 43330 CPT 43330 | $3,271.20 | $4,089.00 | $1,170.15 – $3,119.21 | 7 |
| Esophagomyotomy thoracic 43331 CPT 43331 | $3,267.20 | $4,084.00 | $1,161.08 – $3,099.63 | 7 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,536.34 – $6,756.81 | 7 |
| Esophagosc dilate balloon 30 CPT 43214 | $485.60 | $607.00 | $173.48 – $1,616.83 | 9 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $87.96 – $799.09 | 9 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $209.40 – $1,616.83 | 9 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $167.28 – $5,073.66 | 9 |
| Esophagoscop ultrasound exam CPT 43231 | $723.20 | $904.00 | $139.75 – $1,616.83 | 9 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,460.00 | $3,075.00 | $105.75 – $1,616.83 | 9 |
| Esophagoscopy control bleed CPT 43227 | $1,519.20 | $1,899.00 | $147.24 – $1,616.83 | 9 |
| Esophagoscopy flex biopsy CPT 43202 | $826.40 | $1,033.00 | $91.96 – $1,616.83 | 9 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $590.40 | $738.00 | $78.27 – $799.09 | 9 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $73.24 – $799.09 | 9 |
| Esophagoscopy flex remove fb CPT 43215 | $939.20 | $1,174.00 | $125.74 – $1,616.83 | 9 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $175.21 – $3,242.65 | 9 |
| Esophagoscopy lesion removal CPT 43216 | $962.40 | $1,203.00 | $119.88 – $1,616.83 | 9 |
| Esophagoscopy retro balloon CPT 43213 | $2,994.40 | $3,743.00 | $229.96 – $1,616.83 | 9 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $166.79 – $3,242.65 | 9 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $384.00 | $480.00 | $140.06 – $1,616.83 | 9 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $1,358.40 | $1,698.00 | $494.41 – $5,042.00 | 9 |
| Esophagoscopy snare les remv CPT 43217 | $985.60 | $1,232.00 | $143.14 – $1,616.83 | 9 |
| Esophagoscopy w/us needle bx CPT 43232 | $859.20 | $1,074.00 | $177.41 – $1,616.83 | 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.