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 |
|---|---|---|---|---|
| Gel-one HCPCS J7326 | $1,056.00 | $1,320.00 | $520.99 – $744.52 | 7 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1.60 | $2.00 | $0.56 – $0.72 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $67.72 | $84.65 | $3.26 – $23.65 | 8 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $216.05 – $294.16 | 7 |
| General health panel CPT 80050 | $70.40 | $88.00 | $25.73 – $72.85 | 8 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $81.49 – $118.92 | 5 |
| Genetic tstg severe inh cond CPT 81443 | $4,897.60 | $6,122.00 | $1,360.42 – $3,428.21 | 9 |
| Genioplasty augmentation CPT 21120 | $1,643.20 | $2,054.00 | $453.22 – $5,042.00 | 9 |
| Geniop sldg augmentation CPT 21123 | $2,196.80 | $2,746.00 | $763.30 – $2,764.11 | 9 |
| Geniop sldg osteot 1 CPT 21121 | $1,696.80 | $2,121.00 | $488.60 – $2,764.11 | 9 |
| Geniop sldg osteot 2/> CPT 21122 | $1,895.20 | $2,369.00 | $667.90 – $5,042.00 | 9 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,402.59 – $3,272.93 | 7 |
| Genome sequence analysis CPT 81425 | $4,829.96 | $6,037.44 | $2,795.33 – $7,044.15 | 9 |
| Genome sequence analysis CPT 81426 | $2,601.56 | $3,251.94 | $1,505.65 – $3,794.18 | 9 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $76.48 | $95.60 | $0.08 – $2.47 | 8 |
| Gentamicin peak therapeutic drug level CPT 80170 | $66.43 | $83.03 | $9.83 – $70.58 | 9 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.13 – $12.20 | 7 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,040.80 | $1,301.00 | $73.43 – $486.71 | 11 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $127.72 – $338.27 | 7 |
| Ghs abscess perianal iandd CPT 46050 | $1,273.40 | $1,591.74 | $91.50 – $1,352.98 | 11 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,283.11 | $4,103.88 | $159.46 – $3,488.30 | 11 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $33.57 | $41.96 | $5.89 – $35.67 | 9 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $64.28 | $80.35 | $10.27 – $68.30 | 9 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $204.80 | $256.00 | $61.36 – $143.18 | 9 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $777.80 | $972.25 | $16.79 – $826.41 | 11 |
| Ghs antibodies (torch) igm CPT 86694 | $48.57 | $60.71 | $8.63 – $51.60 | 9 |
| Ghs aspiration bladder - needle CPT 51100 | $798.73 | $998.41 | $34.98 – $848.65 | 11 |
| Ghs bladder cath - complex-foley CPT 51703 | $344.00 | $430.00 | $68.67 – $158.89 | 11 |
| Ghs bleeding time (ivy) CPT 85002 | $32.85 | $41.06 | $2.89 – $34.90 | 9 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $931.08 | $1,163.85 | $49.48 – $989.27 | 11 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,283.28 | $2,854.10 | $76.61 – $2,682.66 | 11 |
| Ghs change cysto/gastrost CPT 43762 | $551.20 | $689.00 | $32.97 – $350.89 | 11 |
| Ghs chemo >8 hrs CPT 96416 | $488.88 | $611.10 | $107.06 – $519.44 | 11 |
| Ghs chemo infusion >8 hrs CPT 96425 | $316.80 | $396.00 | $140.76 – $389.51 | 9 |
| Ghs chemo IV push, ea addtl CPT 96411 | $109.60 | $137.00 | $46.49 – $112.70 | 11 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $689.60 | $862.00 | $175.64 – $536.50 | 11 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,849.60 | $2,312.00 | $204.46 – $775.90 | 11 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,299.20 | $2,874.00 | $393.74 – $2,025.48 | 11 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $2,036.80 | $2,546.00 | $204.46 – $1,100.02 | 9 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,627.20 | $3,284.00 | $447.80 – $2,421.47 | 11 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $3,938.99 | $4,923.73 | $715.82 – $4,185.17 | 11 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $1,635.20 | $2,044.00 | $130.05 – $625.10 | 11 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,347.20 | $2,934.00 | $402.58 – $1,870.60 | 11 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,683.20 | $3,354.00 | $451.79 – $1,529.86 | 11 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $2,564.80 | $3,206.00 | $130.05 – $939.50 | 11 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $815.20 | $1,019.00 | $175.64 – $636.60 | 11 |
| Ghs community re-entry 15 minutes CPT 97537 | $109.80 | $137.24 | $30.14 – $116.65 | 9 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $466.04 | $582.54 | $32.87 – $495.16 | 11 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $273.37 | $341.71 | $26.33 – $290.45 | 11 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $466.04 | $582.54 | $36.85 – $495.16 | 11 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $339.20 | $424.00 | $45.48 – $290.45 | 11 |
| Ghs cricothyroidotomy CPT 31605 | $1,418.08 | $1,772.60 | $197.93 – $1,506.71 | 11 |
| Ghs cutdown placement age 1 and over CPT 36425 | $640.77 | $800.96 | $34.92 – $680.82 | 11 |
| Ghs cutdown placement under 1 yr CPT 36420 | $118.40 | $148.00 | $41.09 – $110.61 | 9 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $48.57 | $60.71 | $9.13 – $51.60 | 9 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,817.60 | $2,272.00 | $130.05 – $691.80 | 11 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $647.71 | $809.63 | $93.64 – $799.09 | 11 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $335.08 | $418.84 | $29.66 – $356.01 | 11 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,255.16 | $1,568.95 | $93.28 – $1,333.61 | 11 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $133.35 – $606.19 | 9 |
| Ghs electrostagmgraphy CPT 92537 | $289.36 | $361.69 | $7.53 – $307.44 | 11 |
| Ghs elect torsion swing CPT 92546 | $242.40 | $303.00 | $13.66 – $133.35 | 9 |
| Ghs elect vertical elct CPT 92547 | $18.40 | $23.00 | $4.65 – $17.60 | 7 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $380.00 | $475.00 | $64.50 – $340.53 | 9 |
| Ghs excision ingrown nail CPT 11765 | $438.91 | $548.63 | $85.24 – $466.34 | 11 |
| Ghs eye exam CPT 92002 | $174.40 | $218.00 | $41.75 – $109.90 | 9 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,272.00 | $1,590.00 | $104.15 – $284.93 | 9 |
| Ghs fat & muscle CPT 89160 | $56.44 | $70.54 | $2.91 – $59.96 | 9 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,342.40 | $2,928.00 | $286.93 – $2,022.63 | 11 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,162.40 | $1,453.00 | $223.64 – $2,439.36 | 9 |
| Ghs fb removal - incisional CPT 10121 | $1,657.43 | $2,071.78 | $165.86 – $1,761.01 | 11 |
| Ghs fb removal - non-incisional CPT 20520 | $1,903.66 | $2,379.57 | $134.26 – $2,022.63 | 11 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $48.57 | $60.71 | $4.19 – $51.60 | 9 |
| Ghs fish cytogen CPT 88271 | $127.86 | $159.82 | $21.42 – $135.85 | 9 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $127.86 | $159.82 | $51.19 – $135.85 | 9 |
| Ghs flow volume loop CPT 94375 | $351.39 | $439.23 | $13.13 – $373.35 | 11 |
| Ghs gastric intub aspiration lavage CPT 43753 | $351.39 | $439.23 | $19.13 – $373.35 | 11 |
| Ghs hcv amplificaiton CPT 87521 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $64.28 | $80.35 | $11.40 – $68.30 | 9 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $48.57 | $60.71 | $9.29 – $51.60 | 9 |
| Ghs hgb stability-thal CPT 83068 | $33.57 | $41.96 | $5.68 – $35.67 | 9 |
| Ghs histoplasma antigen CPT 87385 | $38.58 | $48.22 | $7.95 – $40.99 | 9 |
| Ghs HIV antibody CPT 86703 | $48.57 | $60.71 | $8.23 – $51.60 | 9 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $212.80 | $266.00 | $63.68 – $151.02 | 9 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,379.77 | $2,974.71 | $193.91 – $2,528.50 | 11 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,417.49 | $3,021.86 | $383.84 – $2,568.58 | 11 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,313.16 | $1,641.44 | $152.64 – $1,395.22 | 11 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $808.96 | $1,011.20 | $94.69 – $859.52 | 11 |
| Ghs immun0electrophoresis CPT 86320 | $110.00 | $137.50 | $10.94 – $116.88 | 9 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $471.20 | $589.00 | $99.18 – $257.44 | 11 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $520.00 | $650.00 | $120.67 – $322.90 | 9 |
| Ghs inf midline insertion CPT 36140 | $1,164.00 | $1,455.00 | $76.43 – $852.92 | 9 |
| Ghs inhibitor screen CPT 85335 | $32.85 | $41.06 | $7.72 – $34.90 | 9 |
| Ghs init tx 1st degree burn CPT 16000 | $180.80 | $226.00 | $40.75 – $169.36 | 11 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,259.81 | $1,574.76 | $161.85 – $1,338.55 | 11 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,265.13 | $1,581.41 | $109.38 – $1,344.20 | 11 |
| Ghs inj tendon origin/insertion CPT 20551 | $364.72 | $455.89 | $34.89 – $387.51 | 11 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,946.21 | $2,432.76 | $55.95 – $1,033.92 | 9 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,645.36 | $3,306.70 | $119.11 – $1,405.35 | 11 |
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.