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 |
|---|---|---|---|---|
| Ghs insertion of needle - bone CPT 36680 | $466.04 | $582.54 | $52.85 – $495.16 | 11 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $943.20 | $1,179.00 | $216.14 – $466.34 | 11 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,051.20 | $1,314.00 | $251.43 – $732.51 | 11 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,214.89 | $2,768.61 | $290.81 – $2,353.32 | 11 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $672.80 | $841.00 | $17.43 – $714.85 | 8 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $523.20 | $654.00 | $120.07 – $317.46 | 11 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $68.59 | $85.73 | $16.28 – $72.87 | 11 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,257.60 | $1,572.00 | $252.62 – $559.20 | 11 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $713.53 | $891.91 | $137.97 – $758.12 | 11 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $617.60 | $772.00 | $137.05 – $466.34 | 11 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $619.20 | $774.00 | $131.87 – $527.36 | 11 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $667.20 | $834.00 | $152.89 – $466.34 | 11 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $750.40 | $938.00 | $180.70 – $466.34 | 11 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $738.40 | $923.00 | $177.52 – $527.36 | 11 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $875.20 | $1,094.00 | $194.83 – $466.34 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $795.20 | $994.00 | $185.41 – $466.34 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $911.20 | $1,139.00 | $193.56 – $830.63 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $920.00 | $1,150.00 | $198.13 – $466.34 | 11 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $995.20 | $1,244.00 | $243.87 – $830.63 | 11 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,190.40 | $1,488.00 | $254.02 – $549.78 | 11 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,188.80 | $1,486.00 | $280.57 – $830.63 | 11 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,397.60 | $1,747.00 | $340.53 – $913.88 | 9 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,304.00 | $1,630.00 | $310.75 – $1,559.08 | 9 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,485.60 | $1,857.00 | $340.53 – $996.82 | 9 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $33.57 | $41.96 | $5.16 – $35.67 | 9 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $14.90 – $20.59 | 2 |
| Ghs mbp CPT 83873 | $64.28 | $80.35 | $10.32 – $68.30 | 9 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $278.86 | $348.57 | $21.93 – $296.28 | 9 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $226.85 | $283.56 | $74.90 – $241.03 | 9 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $278.86 | $348.57 | $67.25 – $296.28 | 9 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $139.44 | $174.29 | $10.34 – $148.15 | 9 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $142.40 | $178.00 | $52.10 – $148.15 | 9 |
| Ghs musc test done w/n test comp CPT 95886 | $212.80 | $266.00 | $41.26 – $107.80 | 7 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $136.00 | $170.00 | $16.78 – $44.17 | 7 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $184.80 | $231.00 | $33.75 – $88.04 | 7 |
| Ghs myocardial strain img spckl track CPT 93356 | $664.15 | $830.18 | $10.72 – $705.65 | 9 |
| Ghs nailbed repair/nail removal CPT 11760 | $689.43 | $861.78 | $99.39 – $732.51 | 11 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $931.08 | $1,163.85 | $22.38 – $989.27 | 11 |
| Ghs nerve blk intercostal, single level CPT 64420 | $931.08 | $1,163.85 | $53.25 – $989.27 | 11 |
| Ghs nerve block axillary nerve CPT 64417 | $1,641.71 | $2,052.13 | $58.77 – $1,744.31 | 11 |
| Ghs nerve block brachial plexus CPT 64415 | $886.74 | $1,108.42 | $63.73 – $942.16 | 11 |
| Ghs nerve block celiac plexus CPT 64530 | $1,327.94 | $1,659.92 | $85.96 – $1,410.93 | 11 |
| Ghs nerve block interscaline CPT 64510 | $1,314.73 | $1,643.41 | $69.29 – $1,396.90 | 11 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,268.04 | $1,585.04 | $77.19 – $1,347.28 | 11 |
| Ghs nerve block sciatic nerve CPT 64445 | $931.08 | $1,163.85 | $65.34 – $989.27 | 11 |
| Ghs nerve block suprascapular CPT 64418 | $1,066.47 | $1,333.08 | $50.20 – $1,133.12 | 11 |
| Ghs ng placement w fluoro guidance CPT 43752 | $466.04 | $582.54 | $35.95 – $495.16 | 11 |
| Ghs o2 saturation CPT 82810 | $33.57 | $41.96 | $5.86 – $35.67 | 9 |
| Ghs o2 uptake rest & exercise CPT 94680 | $118.40 | $148.00 | $11.36 – $133.35 | 9 |
| Ghs o2 uptake rest & indirect CPT 94690 | $108.80 | $136.00 | $3.30 – $50.62 | 9 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $28.80 | $36.00 | $30.52 – $46.14 | 8 |
| Ghs opcc repair cvp without subq port CPT 36575 | $392.00 | $490.00 | $30.09 – $526.95 | 9 |
| Ghs opcc repair cvp w subq port CPT 36576 | $829.60 | $1,037.00 | $160.96 – $1,324.02 | 9 |
| Ghs optokenetic CPT 92544 | $50.40 | $63.00 | $2.80 – $133.35 | 9 |
| Ghs oscillating trac CPT 92545 | $46.40 | $58.00 | $2.83 – $265.41 | 9 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $69.60 | $87.00 | $20.93 – $55.09 | 9 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $100.80 | $126.00 | $21.56 – $83.77 | 9 |
| Ghs ot dds rom CPT 95851 | $48.00 | $60.00 | $7.10 – $18.67 | 7 |
| Ghs ot group caregiver training CPT 97552 | $52.00 | $65.00 | $9.95 – $16.62 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | $107.31 | $134.13 | $38.18 – $114.01 | 9 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $113.60 | $142.00 | $36.58 – $116.66 | 9 |
| Ghs ot work hardening-additional hours CPT 97546 | $103.66 | $129.57 | $59.43 – $110.13 | 8 |
| Ghs pacing - transcutaneous CPT 92953 | $467.00 | $583.74 | $0.77 – $557.74 | 11 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,247.88 | $2,809.84 | $54.36 – $1,194.18 | 9 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,043.52 | $2,554.40 | $46.82 – $1,085.62 | 9 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $55.20 | $69.00 | $22.73 – $49.54 | 7 |
| Ghs peritonsillar abscess i andd CPT 42700 | $468.80 | $586.00 | $123.28 – $366.32 | 11 |
| Ghs phenylketonurid CPT 84030 | $33.57 | $41.96 | $3.30 – $35.67 | 9 |
| Ghs picc line insert < 5 CPT 36568 | $2,318.73 | $2,898.41 | $83.17 – $2,463.65 | 11 |
| Ghs plngl fx pm cl CPT 26725 | $832.80 | $1,041.00 | $175.64 – $618.00 | 11 |
| Ghs plt ct-manual CPT 85032 | $33.57 | $41.96 | $2.59 – $35.67 | 9 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,924.00 | $2,405.00 | $112.90 – $867.14 | 9 |
| Ghs pos nystagmus CPT 92542 | $73.60 | $92.00 | $2.82 – $109.87 | 9 |
| Ghs ppd (tb intradermal) CPT 86580 | $48.57 | $60.71 | $8.34 – $51.60 | 11 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $33.57 | $41.96 | $5.80 – $35.67 | 9 |
| Ghs protein, misc fluid CPT 84160 | $33.57 | $41.96 | $3.37 – $35.67 | 9 |
| Ghs protoporphyrins fract CPT 84202 | $64.28 | $80.35 | $8.61 – $68.30 | 9 |
| Ghs pr without cont pulse ox CPT 94625 | $361.90 | $452.37 | $16.08 – $384.51 | 11 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $31.20 | $39.00 | $7.35 – $19.06 | 7 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $207.41 | $259.26 | $117.34 – $220.37 | 8 |
| Ghs quinidine CPT 80194 | $66.43 | $83.03 | $8.76 – $70.58 | 9 |
| Ghs refill of implantable pump CPT 95990 | $189.60 | $237.00 | $76.49 – $282.70 | 9 |
| Ghs removal intranasal foreign body CPT 30300 | $464.00 | $580.00 | $103.68 – $225.50 | 11 |
| Ghs removal pharyngeal foreign body CPT 42809 | $718.13 | $897.66 | $113.77 – $763.01 | 11 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,414.40 | $1,768.00 | $536.90 – $1,364.06 | 11 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $1,212.80 | $1,516.00 | $452.69 – $2,765.43 | 9 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $48.57 | $60.71 | $9.53 – $51.60 | 9 |
| Ghs reticulocyte count CPT 85044 | $33.57 | $41.96 | $2.59 – $35.67 | 9 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $38.58 | $48.22 | $8.35 – $40.99 | 9 |
| Ghs sedimentation rate CPT 85651 | $33.57 | $41.96 | $4.27 – $35.67 | 9 |
| Ghs semen analysis fert CPT 89320 | $56.44 | $70.54 | $12.31 – $59.96 | 9 |
| Ghs semen analysis, post-vas CPT 89300 | $56.44 | $70.54 | $9.84 – $59.96 | 9 |
| Ghs sensitivity (per antimicro) CPT 87184 | $38.58 | $48.22 | $4.49 – $40.99 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $497.96 | $622.45 | $83.07 – $529.08 | 11 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $525.60 | $657.00 | $111.95 – $466.34 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $497.96 | $622.45 | $102.42 – $529.08 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $438.91 | $548.63 | $134.92 – $466.34 | 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.