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 |
|---|---|---|---|---|
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $406.33 – $1,140.27 | 7 |
| Exam of vagina w/scope 57420 CPT 57420 | $310.40 | $388.00 | $80.55 – $259.27 | 9 |
| Exam pelvic add-on CPT 99459 | $41.60 | $52.00 | $18.90 – $42.69 | 6 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $264.80 | $331.00 | $95.00 – $2,709.95 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $2,668.80 | $3,336.00 | $494.28 – $2,439.36 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $3,412.80 | $4,266.00 | $620.96 – $2,439.36 | 9 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $621.98 – $1,659.80 | 7 |
| Exc abd les sc 3 cm/> CPT 22903 | $1,073.60 | $1,342.00 | $392.63 – $2,439.36 | 9 |
| Exc abdl tum deep < 5 cm CPT 22900 | $1,378.40 | $1,723.00 | $506.15 – $2,439.36 | 9 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $1,632.80 | $2,041.00 | $592.85 – $2,439.36 | 9 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,231.74 – $2,816.02 | 5 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $3,270.55 – $5,377.95 | 5 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $1,987.20 | $2,484.00 | $364.10 – $2,439.36 | 9 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $2,532.80 | $3,166.00 | $298.71 – $1,380.95 | 9 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,268.54 – $6,085.94 | 7 |
| Exc aurl glomus tum trnscanl CPT 69550 | $5,099.20 | $6,374.00 | $950.60 – $5,042.00 | 9 |
| Exc aurl glomus tum trnsmstd CPT 69552 | $7,710.40 | $9,638.00 | $1,420.19 – $5,042.00 | 9 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $1,200.80 | $1,501.00 | $328.14 – $1,380.95 | 9 |
| Exc back tum deep 5 cm/> CPT 21933 | $1,807.20 | $2,259.00 | $655.82 – $2,439.36 | 9 |
| Exc bartholins gland/cyst CPT 56740 | $1,534.40 | $1,918.00 | $281.31 – $2,709.95 | 9 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $696.80 | $871.00 | $205.38 – $1,380.95 | 9 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $960.80 | $1,201.00 | $288.32 – $2,439.36 | 9 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $577.60 | $722.00 | $164.54 – $1,380.95 | 9 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $307.20 | $384.00 | $76.51 – $599.68 | 9 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,052.15 | $1,315.18 | $97.46 – $1,117.90 | 11 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $468.00 | $585.00 | $133.60 – $599.68 | 9 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $556.00 | $695.00 | $162.67 – $1,380.95 | 9 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $392.00 | $490.00 | $99.53 – $599.68 | 9 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $500.80 | $626.00 | $143.72 – $1,380.95 | 9 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $826.40 | $1,033.00 | $243.35 – $2,439.36 | 9 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $473.61 | $592.01 | $96.04 – $503.21 | 11 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $479.20 | $599.00 | $136.01 – $599.68 | 9 |
| Exc breast duct fistula 19112 CPT 19112 | $2,235.20 | $2,794.00 | $289.23 – $3,263.75 | 9 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | $3,356.80 | $4,196.00 | $1,178.75 – $3,178.75 | 7 |
| Exc cervix repair bowel 57556 CPT 57556 | $1,448.80 | $1,811.00 | $526.50 – $4,207.41 | 9 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $745.54 – $2,003.93 | 7 |
| Exc cervix/repair vagina 57555 CPT 57555 | $1,528.80 | $1,911.00 | $554.41 – $4,207.41 | 9 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | $2,880.00 | $3,600.00 | $1,003.56 – $2,687.37 | 9 |
| Exc ch wal tum without lymphadec CPT 21602 | $3,872.00 | $4,840.00 | $1,355.61 – $3,589.80 | 7 |
| Exc ch wal tum w/lymphadec CPT 21603 | $4,279.20 | $5,349.00 | $1,467.96 – $3,929.21 | 7 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $1,101.33 – $2,939.35 | 7 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $1,072.80 – $2,862.82 | 7 |
| Exc coccygl pr ulc flap clsr CPT 15922 | $1,952.00 | $2,440.00 | $717.05 – $3,120.29 | 9 |
| Exc coccygl pr ulc prim sutr CPT 15920 | $1,529.60 | $1,912.00 | $563.36 – $2,439.36 | 9 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | $1,916.00 | $2,395.00 | $732.90 – $2,765.43 | 9 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $2,617.60 | $3,272.00 | $486.86 – $2,765.43 | 9 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | $3,625.60 | $4,532.00 | $666.56 – $6,088.70 | 9 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | $4,235.20 | $5,294.00 | $773.95 – $6,088.70 | 9 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | $3,052.80 | $3,816.00 | $565.89 – $2,765.43 | 9 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | $3,190.40 | $3,988.00 | $590.57 – $6,088.70 | 9 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | $1,091.20 | $1,364.00 | $394.72 – $6,088.70 | 9 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | $2,886.40 | $3,608.00 | $537.29 – $2,765.43 | 9 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $2,852.15 – $4,693.91 | 5 |
| Exc excessive skin buttock CPT 15835 | $2,309.60 | $2,887.00 | $836.92 – $2,439.36 | 9 |
| Exc excessive skin hip CPT 15834 | $4,404.80 | $5,506.00 | $803.01 – $2,439.36 | 9 |
| Exc excessive skin leg CPT 15833 | $4,321.60 | $5,402.00 | $788.52 – $2,439.36 | 9 |
| Exc excessive skin thigh CPT 15832 | $4,540.80 | $5,676.00 | $832.54 – $2,439.36 | 9 |
| Exc excsv skin forearm/hand CPT 15837 | $2,130.40 | $2,663.00 | $645.16 – $2,439.36 | 9 |
| Exc excsv submental fat pad CPT 15838 | $1,586.40 | $1,983.00 | $585.24 – $2,439.36 | 9 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $2,259.20 | $2,824.00 | $294.19 – $2,439.36 | 9 |
| Exc face tum deep < 2 cm CPT 21013 | $1,300.80 | $1,626.00 | $362.42 – $1,380.95 | 9 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $1,283.20 | $1,604.00 | $469.57 – $2,439.36 | 9 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $584.80 | $731.00 | $140.78 – $599.68 | 9 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $782.40 | $978.00 | $205.14 – $1,380.95 | 9 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $2,280.00 | $2,850.00 | $412.56 – $2,439.36 | 9 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $1,968.00 | $2,460.00 | $240.17 – $1,380.95 | 9 |
| Exc forearm les sc 3 cm/> CPT 25071 | $2,078.40 | $2,598.00 | $382.41 – $1,380.95 | 9 |
| Exc forearm tum deep < 3 cm CPT 25076 | $2,547.20 | $3,184.00 | $472.61 – $1,380.95 | 9 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $2,628.80 | $3,286.00 | $485.96 – $2,439.36 | 9 |
| Exc hand les sc < 1.5 cm CPT 26115 | $1,302.40 | $1,628.00 | $305.30 – $1,380.95 | 9 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | $1,348.80 | $1,686.00 | $499.69 – $1,380.95 | 9 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $1,294.40 | $1,618.00 | $480.28 – $1,380.95 | 9 |
| Exchange biliary drg cath CPT 47536 | $6,195.62 | $7,744.52 | $117.80 – $6,582.84 | 11 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $440.80 | $551.00 | $153.82 – $415.41 | 9 |
| Exchange drainage catheter CPT 49423 | $3,407.60 | $4,259.49 | $62.88 – $3,620.57 | 11 |
| Exchange lens prosthesis CPT 66986 | $4,504.00 | $5,630.00 | $809.74 – $2,175.36 | 9 |
| Exchange nephrostomy cath CPT 50435 | $3,647.56 | $4,559.45 | $89.29 – $3,875.53 | 11 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $1,932.80 | $2,416.00 | $225.81 – $2,439.36 | 9 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $1,287.20 | $1,609.00 | $315.89 – $2,439.36 | 9 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $1,055.20 | $1,319.00 | $257.87 – $2,439.36 | 9 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | $2,987.20 | $3,734.00 | $550.46 – $2,439.36 | 9 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | $3,630.40 | $4,538.00 | $656.26 – $2,439.36 | 9 |
| Excimer lsr psriasis 250-500 CPT 96921 | $388.00 | $485.00 | $53.03 – $172.85 | 9 |
| Excimer lsr psriasis<250sqcm CPT 96920 | $353.60 | $442.00 | $46.63 – $169.36 | 9 |
| Excimer lsr psriasis>500sqcm CPT 96922 | $530.40 | $663.00 | $84.75 – $340.53 | 9 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $1,622.40 | $2,028.00 | $593.22 – $2,439.36 | 9 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | $2,444.80 | $3,056.00 | $322.04 – $2,439.36 | 9 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $3,411.20 | $4,264.00 | $623.62 – $2,439.36 | 9 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | $5,114.40 | $6,393.00 | $1,795.68 – $4,794.49 | 7 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $4,017.60 | $5,022.00 | $1,427.18 – $3,821.01 | 9 |
| Exc ischial pr ulc prim sutr CPT 15940 | $1,720.80 | $2,151.00 | $633.41 – $2,439.36 | 9 |
| Exc isch pr ulc prm sut ostc CPT 15941 | $2,252.80 | $2,816.00 | $850.79 – $2,439.36 | 9 |
| Exc isch pr ulc skn flp clsr CPT 15944 | $2,241.60 | $2,802.00 | $839.21 – $3,120.29 | 9 |
| Exc isch pr ulc skn flp ostc CPT 15945 | $2,508.80 | $3,136.00 | $915.85 – $2,435.46 | 9 |
| Excise anal ext tag/papilla CPT 46220 | $559.20 | $699.00 | $109.52 – $1,004.95 | 9 |
| Excise epiphyseal bar CPT 20150 | $4,947.20 | $6,184.00 | $899.03 – $2,765.43 | 9 |
| Excise foot tendon sheath CPT 28086 | $2,667.20 | $3,334.00 | $318.19 – $2,765.43 | 9 |
| Excise foot tendon sheath CPT 28088 | $2,161.60 | $2,702.00 | $270.50 – $2,765.43 | 9 |
| Excise ileoanal reservior CPT 45136 | $4,510.40 | $5,638.00 | $1,594.87 – $4,267.27 | 7 |
| Excise inferior turbinate CPT 30130 | $1,942.40 | $2,428.00 | $372.14 – $2,764.11 | 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.