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 |
|---|---|---|---|---|
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $120.27 – $306.05 | 7 |
| Foot arch support remov prem HCPCS L3030 | $183.20 | $229.00 | $45.65 – $116.16 | 7 |
| Foot arch supp premold metat HCPCS L3050 | $113.60 | $142.00 | $28.16 – $71.66 | 7 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $179.20 | $224.00 | $44.57 – $116.21 | 7 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $125.56 – $341.26 | 7 |
| Foot insert plastazote or eq HCPCS L3002 | $388.00 | $485.00 | $96.61 – $245.83 | 7 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $79.12 – $201.32 | 7 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $104.23 – $265.25 | 7 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $73.26 – $186.42 | 7 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $104.23 – $265.25 | 7 |
| Foot longitud/metatarsal sup HCPCS L3020 | $476.00 | $595.00 | $118.67 – $301.99 | 7 |
| Foot plas heel stabi pre ots HCPCS L3170 | $122.40 | $153.00 | $30.43 – $77.43 | 7 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $235.29 – $598.74 | 7 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $151.97 – $391.58 | 7 |
| Foot X-ray CPT 73630 | $224.98 | $281.22 | $7.42 – $239.04 | 11 |
| Foot X-ray (2 views, both feet) CPT 73620 | $142.08 | $177.60 | $6.80 – $150.96 | 11 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $590.39 – $1,502.37 | 7 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,510.40 | $1,888.00 | $376.64 – $1,009.50 | 7 |
| Forearm X-ray (both sides) CPT 73090 | $214.27 | $267.83 | $7.10 – $227.66 | 11 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $2,767.20 | $3,459.00 | $897.38 – $3,120.29 | 9 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $522.10 – $2,023.82 | 6 |
| Forensic cytopathology CPT 88125 | $54.40 | $68.00 | $11.28 – $45.54 | 9 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $518.80 | $648.50 | $51.44 – $551.23 | 11 |
| Formoterol comp unit HCPCS J7640 | $2.40 | $3.00 | $0.97 – $1.52 | 3 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.70 – $14.85 | 6 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $2.40 | $3.00 | $0.12 – $2.57 | 6 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $15.90 – $54.15 | 7 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $7.20 | $8.99 | $0.33 – $2.65 | 8 |
| Fractionation ketosteroids CPT 83593 | $72.00 | $90.00 | $17.10 – $40.91 | 7 |
| Fracture assessment via dxa CPT 77086 | $62.40 | $78.00 | $7.42 – $75.04 | 9 |
| _fragile x methylation-sendout CPT 81244 | $127.86 | $159.82 | $26.93 – $135.85 | 9 |
| Fragmenting of kidney stone CPT 50590 | $3,678.40 | $4,598.00 | $519.67 – $2,939.60 | 9 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $333.62 – $890.15 | 7 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $345.39 – $969.24 | 7 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $416.41 – $1,132.22 | 7 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $436.56 – $1,155.43 | 7 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $1,433.30 – $5,395.43 | 7 |
| Freeing of bowel adhesion 44005 CPT 44005 | $2,684.00 | $3,355.00 | $958.07 – $2,553.49 | 7 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $1,880.84 – $4,949.09 | 7 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $1,433.30 – $5,442.09 | 7 |
| Free omental flap microvasc CPT 49906 | $4,726.40 | $5,908.00 | $1,880.84 – $5,994.27 | 7 |
| Free/remove chest lining 32320 CPT 32320 | $3,890.40 | $4,863.00 | $1,389.95 – $3,712.01 | 7 |
| Free skin flap microvasc CPT 15757 | not published | not published | $1,433.30 – $5,416.73 | 7 |
| Frenectomy 41115 CPT 41115 | $622.40 | $778.00 | $131.88 – $1,262.52 | 9 |
| Frenotomy 40806 CPT 40806 | $243.20 | $304.00 | $27.16 – $434.04 | 9 |
| Frenulotomy of penis CPT 54164 | $482.40 | $603.00 | $177.90 – $1,745.97 | 9 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $302.84 | $378.55 | $60.59 – $321.77 | 11 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $302.84 | $378.55 | $71.84 – $321.77 | 11 |
| Fresh frozen plasma thawing ea un CPT 86927 | $164.99 | $206.23 | $11.20 – $175.30 | 11 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $7.38 – $77.47 | 8 |
| Frozen blood freeze/thaw CPT 86932 | $144.00 | $180.00 | $33.46 – $111.15 | 9 |
| Frozen blood prep CPT 86930 | $156.80 | $196.00 | $66.19 – $167.33 | 9 |
| Frozen blood thaw CPT 86931 | $126.40 | $158.00 | $49.69 – $165.89 | 9 |
| Frozen cell preparation CPT 88241 | $24.80 | $31.00 | $12.08 – $16.93 | 7 |
| Frozen plasma, pooled, sd HCPCS P9023 | $302.84 | $378.55 | $53.11 – $321.77 | 11 |
| Fructosamine glycated protein CPT 82985 | $64.28 | $80.35 | $16.76 – $68.30 | 9 |
| Ft arch suprt premold longit HCPCS L3040 | $113.60 | $142.00 | $28.16 – $71.66 | 7 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $516.80 | $646.00 | $120.42 – $322.27 | 7 |
| Fth/gft fr trnk each addl CPT 15201 | $358.40 | $448.00 | $67.36 – $179.91 | 7 |
| Ft insert ucb berkeley shell HCPCS L3000 | $753.60 | $942.00 | $187.90 – $478.15 | 7 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $892.42 – $2,082.46 | 7 |
| Ftl cgen abnor five anal CPT 81512 | $139.20 | $174.00 | $41.71 – $97.33 | 7 |
| Ftl cgen abnor four anal CPT 81511 | $307.20 | $384.00 | $88.87 – $214.91 | 9 |
| Ftl cgen abnor three anal CPT 81510 | $111.20 | $139.00 | $33.32 – $77.77 | 7 |
| Ftl cgen abnor two proteins CPT 81508 | $127.86 | $159.82 | $32.58 – $135.85 | 9 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $232.99 – $592.89 | 7 |
| Full field erg w/i&r CPT 92273 | $266.40 | $333.00 | $32.80 – $265.41 | 9 |
| Full mouth x-ray of teeth CPT 70320 | $112.80 | $141.00 | $10.22 – $206.02 | 9 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $32.71 – $83.23 | 7 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $310.08 | $387.60 | $13.87 – $329.46 | 11 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,475.20 | $3,094.00 | $767.84 – $2,041.16 | 9 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,894.40 | $2,368.00 | $550.68 – $1,559.08 | 9 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $331.20 | $414.00 | $61.09 – $163.08 | 7 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,292.00 | $2,865.00 | $719.93 – $1,916.61 | 9 |
| Functional brain mapping CPT 96020 | $682.40 | $853.00 | $90.14 – $379.08 | 7 |
| Fundus photography with i&r 92250 CPT 92250 | $148.80 | $186.00 | $14.32 – $109.87 | 9 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,019.93 – $2,595.42 | 7 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $36.28 | $45.34 | $0.02 – $0.77 | 7 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $71.04 | $88.80 | $0.31 – $0.67 | 6 |
| Fuse bile ducts and bowel 47785 CPT 47785 | $7,967.20 | $9,959.00 | $2,814.05 – $7,525.55 | 7 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,207.99 – $3,220.33 | 7 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,212.81 – $3,239.60 | 7 |
| Fuse esophagus & stomach CPT 43320 | $3,421.60 | $4,277.00 | $1,223.07 – $3,259.98 | 7 |
| Fuse gallbladder & bowel CPT 47740 | $3,220.80 | $4,026.00 | $1,149.87 – $3,068.38 | 7 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,290.72 – $3,444.26 | 7 |
| Fuse/graft added joint CPT 26863 | $563.20 | $704.00 | $200.85 – $535.64 | 7 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $2,833.60 – $4,678.32 | 5 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,634.74 – $7,033.87 | 7 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,459.65 – $3,894.25 | 7 |
| Fuse pancreas cyst and bowel CPT 48540 | $3,209.60 | $4,012.00 | $1,142.86 – $3,047.61 | 7 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | $2,683.20 | $3,354.00 | $963.26 – $2,569.36 | 7 |
| Fuse upper gi structures CPT 47721 | $3,321.60 | $4,152.00 | $1,185.98 – $3,164.44 | 7 |
| Fusion/graft of finger joint CPT 26862 | $1,812.80 | $2,266.00 | $687.40 – $2,765.43 | 9 |
| Fusion/graft of hand joint CPT 26844 | $2,040.80 | $2,551.00 | $768.93 – $6,088.70 | 9 |
| Fusion of ankle joint open CPT 27870 | $5,059.20 | $6,324.00 | $908.56 – $10,966.57 | 9 |
| Fusion of big toe joint CPT 28750 | $3,966.40 | $4,958.00 | $524.27 – $6,088.70 | 9 |
| Fusion of big toe joint CPT 28755 | $2,544.00 | $3,180.00 | $309.07 – $6,088.70 | 9 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,107.33 – $2,956.23 | 7 |
| Fusion of finger jnt add-on CPT 26861 | $255.20 | $319.00 | $90.10 – $240.12 | 7 |
| Fusion of finger joint CPT 26860 | $1,422.40 | $1,778.00 | $548.58 – $2,765.43 | 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.