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 |
|---|---|---|---|---|
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $18.29 – $46.55 | 7 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $4,029.60 | $5,037.00 | $1,974.50 – $4,281.45 | 5 |
| Fimbrioplasty 58760 CPT 58760 | $4,092.80 | $5,116.00 | $733.99 – $1,972.95 | 7 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.15 – $4.65 | 6 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $726.40 | $908.00 | $80.26 – $599.68 | 9 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $413.60 | $517.00 | $46.74 – $439.20 | 9 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $128.80 | $161.00 | $38.73 – $103.09 | 7 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $413.37 | $516.71 | $45.05 – $439.20 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | $438.91 | $548.63 | $49.41 – $466.34 | 11 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $201.73 – $566.12 | 7 |
| Finger tendon transfer CPT 26497 | $2,152.80 | $2,691.00 | $808.19 – $2,765.43 | 9 |
| Finger tendon transfer CPT 26498 | $2,832.80 | $3,541.00 | $1,051.22 – $2,820.00 | 9 |
| Finger X-ray (both hands) CPT 73140 | $133.60 | $167.00 | $6.12 – $141.95 | 11 |
| Fistula repair & colostomy CPT 57307 | $2,642.40 | $3,303.00 | $972.87 – $2,608.61 | 7 |
| Fistula repair transperine 57308 CPT 57308 | $1,652.00 | $2,065.00 | $601.42 – $1,607.83 | 7 |
| Fit aphakia spectcl monofocl CPT 92352 | $90.40 | $113.00 | $33.30 – $57.51 | 9 |
| Fit aphakia spectcl multifoc CPT 92353 | $104.80 | $131.00 | $45.00 – $58.50 | 9 |
| Fitg c-lens keratoconus 1st CPT 92072 | $270.40 | $338.00 | $86.17 – $227.58 | 7 |
| Fitg spect low vis 1system CPT 92354 | $126.40 | $158.00 | $24.81 – $38.00 | 9 |
| Fitg spect lw vis cmpnd lens CPT 92355 | $64.80 | $81.00 | $33.46 – $50.13 | 9 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $41.90 – $64.08 | 6 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $33.30 – $49.89 | 6 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $47.50 – $71.73 | 6 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $174.40 | $218.00 | $42.14 – $171.46 | 9 |
| Fixation of ankle joint CPT 27860 | $844.80 | $1,056.00 | $149.67 – $2,765.43 | 9 |
| Fixation of knee joint CPT 27570 | $740.80 | $926.00 | $140.30 – $1,364.06 | 9 |
| Fixation of shoulder blade CPT 23400 | $4,782.40 | $5,978.00 | $873.66 – $6,088.70 | 9 |
| Fix g/colon tube w/device CPT 49460 | $1,776.80 | $2,221.00 | $45.08 – $799.09 | 11 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $3,257.60 | $4,072.00 | $610.07 – $2,765.43 | 9 |
| Flebogamma injection HCPCS J1572 | $49.60 | $62.00 | $45.66 – $58.55 | 7 |
| Flecainide (tambocor)-sendout CPT 80181 | $66.43 | $83.03 | $11.18 – $70.58 | 9 |
| Fl exam g/colon tube w contrast CPT 49465 | $425.52 | $531.90 | $27.29 – $452.12 | 11 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $1,370.82 – $3,488.34 | 7 |
| Flex foot system HCPCS L5980 | not published | not published | $2,470.91 – $6,287.78 | 7 |
| Flexible keel foot HCPCS L5972 | not published | not published | $233.58 – $594.40 | 7 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $110.78 – $281.92 | 7 |
| Flexible Sigmoidoscopy CPT 45330 | $427.20 | $534.00 | $50.95 – $777.06 | 9 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $227.26 – $578.31 | 7 |
| Flexor-plasty elbow CPT 24330 | $3,528.00 | $4,410.00 | $649.53 – $6,088.70 | 9 |
| Flexor-plasty elbw w/advmnt CPT 24331 | $3,865.60 | $4,832.00 | $708.91 – $6,088.70 | 9 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $91.70 – $257.32 | 7 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $1,999.68 – $5,088.62 | 7 |
| Floor of mouth biopsy 41108 CPT 41108 | $381.60 | $477.00 | $83.13 – $1,380.95 | 9 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,273.76 – $2,800.00 | 5 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $399.00 – $3,895.50 | 5 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $651.67 – $704.78 | 5 |
| Flow cytometry interp 16 or more CPT 88189 | $204.00 | $255.00 | $76.11 – $203.39 | 7 |
| Flow cytometry marker each additional CPT 88185 | $96.80 | $121.00 | $20.08 – $74.37 | 9 |
| Flow cytometry one marker technical component CPT 88184 | $328.79 | $410.98 | $61.52 – $349.33 | 11 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $180.00 – $185.40 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $83.49 – $143.35 | 5 |
| #flow interp 9 - 15 markers CPT 88188 | $155.20 | $194.00 | $55.80 – $163.40 | 7 |
| Floxuridine injection HCPCS J9200 | not published | not published | $62.48 – $4,838.65 | 7 |
| Flt3 gene CPT 81245 | $331.20 | $414.00 | $91.96 – $231.73 | 9 |
| Flt3 gene analysis CPT 81246 | $166.40 | $208.00 | $49.80 – $135.85 | 9 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $99.92 | $124.90 | $2.45 – $49.09 | 8 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $59.53 – $226.16 | 7 |
| Fluidotherapy charges pt CPT 97022 | $109.80 | $137.24 | $14.51 – $116.65 | 9 |
| Fluid pressure muscle 20950 CPT 20950 | $808.96 | $1,011.20 | $79.60 – $859.52 | 11 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | $17.60 | $22.00 | $11.07 – $16.89 | 3 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $488.70 – $638.23 | 7 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $316.27 – $25,234.22 | 7 |
| Fluorescein angioscopy i&r CPT 92230 | $242.40 | $303.00 | $28.86 – $452.24 | 9 |
| Fluorescein angrph mltiframe CPT 92235 | $325.60 | $407.00 | $38.88 – $265.41 | 9 |
| Fluorescein&icg angiography CPT 92242 | $596.00 | $745.00 | $49.48 – $265.41 | 9 |
| Fluorescent antibody titer dna CPT 86256 | $48.57 | $60.71 | $7.23 – $51.60 | 9 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $498.62 – $523.56 | 5 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $498.67 – $4,615.00 | 6 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $350.75 | $438.43 | $26.05 – $372.67 | 9 |
| Fluoroguide needle placement CPT 77002 | $350.75 | $438.43 | $24.41 – $372.67 | 9 |
| Fluoro polarize fetal lung CPT 83663 | $48.00 | $60.00 | $11.35 – $29.41 | 7 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $649.87 | $812.33 | $13.69 – $690.48 | 11 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $4.80 | $6.00 | $2.01 – $4.18 | 6 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $25.60 | $32.00 | $8.83 – $31.50 | 6 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $500.00 – $556.50 | 5 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $1.57 – $35.94 | 6 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,866.58 – $3,300.00 | 5 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | $20.80 | $26.00 | $16.76 – $28.76 | 4 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $72.80 | $91.00 | $16.77 – $44.66 | 6 |
| Fmri brain by phys/psych CPT 70555 | $2,100.80 | $2,626.00 | $109.48 – $262.80 | 9 |
| Fmri brain by tech CPT 70554 | $1,156.80 | $1,446.00 | $92.91 – $224.10 | 9 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,145.60 | $1,432.00 | $97.91 – $878.42 | 11 |
| Fna bx w/ct gdn ea addl CPT 10010 | $692.00 | $865.00 | $65.04 – $439.20 | 9 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $599.68 – $1,114.06 | 8 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $435.98 – $536.18 | 2 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $6.80 – $33.44 | 6 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $13.89 – $35.35 | 7 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $6.77 – $17.23 | 7 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $7.18 – $18.27 | 7 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $20.47 – $52.10 | 7 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $21.60 | $27.00 | $5.21 – $13.26 | 7 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $5.30 – $13.49 | 7 |
| Foam stability fetal lung CPT 83662 | $48.00 | $60.00 | $11.35 – $29.41 | 7 |
| Folic acid CPT 82746 | $64.28 | $80.35 | $8.82 – $68.30 | 9 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $7.21 | $9.01 | $0.01 – $0.06 | 7 |
| Follow-up angiography CPT 75898 | $4,728.80 | $5,911.00 | $42.96 – $2,682.66 | 11 |
| Followup eval of foot pt lop HCPCS G0246 | $71.20 | $89.00 | $18.40 – $48.41 | 7 |
| Follow-up surgery of eye CPT 66250 | $3,718.40 | $4,648.00 | $499.59 – $1,988.41 | 9 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.15 – $12.43 | 7 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.86 – $5.19 | 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.