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 |
|---|---|---|---|---|
| Head CT scan (with contrast) CPT 70460 | $2,542.60 | $3,178.24 | $49.40 – $2,701.50 | 11 |
| Head CT scan (without contrast) CPT 70450 | $1,521.39 | $1,901.73 | $37.24 – $1,616.47 | 11 |
| Hearing loss dup/del analys CPT 81431 | $1,359.20 | $1,699.00 | $407.74 – $951.46 | 7 |
| Hearing loss sequence analys CPT 81430 | $3,250.40 | $4,063.00 | $975.00 – $2,275.16 | 7 |
| Heart first pass add-on CPT 78496 | $104.00 | $130.00 | $16.69 – $47.36 | 7 |
| Heart first pass multiple CPT 78483 | $558.40 | $698.00 | $63.20 – $458.77 | 9 |
| Heart image spect CPT 78494 | $524.80 | $656.00 | $51.19 – $342.49 | 9 |
| Heart infarct image CPT 78466 | $436.00 | $545.00 | $29.41 – $342.49 | 9 |
| Heart infarct image (ef) CPT 78468 | $427.20 | $534.00 | $34.59 – $458.77 | 9 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,338.67 – $3,570.11 | 7 |
| Heart tmr w/other procedure 33141 CPT 33141 | $322.40 | $403.00 | $112.44 – $300.43 | 7 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $68.39 – $174.02 | 7 |
| Heavy metal qual any number CPT 83015 | $52.80 | $66.00 | $12.56 – $34.15 | 9 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $224.98 | $281.22 | $7.10 – $239.04 | 11 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $45.65 – $116.16 | 7 |
| Heinz bodies direct CPT 85441 | $31.22 | $39.02 | $2.52 – $33.17 | 9 |
| Heinz bodies induced CPT 85445 | $31.22 | $39.02 | $4.09 – $33.17 | 9 |
| Helicobacter pylori antibody igm CPT 86677 | $48.57 | $60.71 | $10.11 – $51.60 | 9 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $322.15 – $1,736.00 | 5 |
| Hemagglutination inhibition CPT 86280 | $17.60 | $22.00 | $4.91 – $12.74 | 7 |
| Hematocrit CPT 85014 | $33.57 | $41.96 | $2.37 – $35.67 | 9 |
| Hematopoietic nuclear tx CPT 79403 | $445.60 | $557.00 | $71.76 – $201.87 | 9 |
| Hemicrt intrclry algrft prtl CPT 20933 | $1,636.00 | $2,045.00 | $608.78 – $1,622.41 | 7 |
| Hemiepiphyseal arrest CPT 24470 | $3,299.20 | $4,124.00 | $609.46 – $2,765.43 | 9 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $28.83 – $40.75 | 7 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $3,590.02 – $9,135.59 | 7 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $3,400.46 – $8,653.22 | 7 |
| Hemodialysis access study CPT 90940 | $126.40 | $158.00 | $62.87 – $145.83 | 6 |
| Hemodialysis one evaluation CPT 90935 | $956.12 | $1,195.14 | $65.00 – $1,015.87 | 11 |
| Hemodialysis repeated eval CPT 90937 | $235.20 | $294.00 | $93.80 – $245.31 | 7 |
| Hemoglobin CPT 85018 | $33.57 | $41.96 | $2.37 – $35.67 | 9 |
| Hemoglobin copper sulfate CPT 83026 | $8.80 | $11.00 | $4.01 – $5.63 | 7 |
| Hemoglobin fetal qualitative CPT 83033 | $17.60 | $22.00 | $4.80 – $11.20 | 7 |
| Hemoglobin f (fetal) chemical CPT 83030 | $33.57 | $41.96 | $6.44 – $35.67 | 9 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $33.57 | $41.96 | $4.92 – $35.67 | 9 |
| Hemoglobin-oxygen affinity CPT 82820 | $33.57 | $41.96 | $8.00 – $35.67 | 9 |
| Hemoglobin plasma CPT 83051 | $33.57 | $41.96 | $4.39 – $35.67 | 9 |
| Hemoglobin thermolabile CPT 83065 | $18.40 | $23.00 | $5.40 – $12.60 | 7 |
| Hemoglobin urine CPT 83069 | $33.57 | $41.96 | $2.37 – $35.67 | 9 |
| Hemolysin acid CPT 85475 | $22.40 | $28.00 | $5.32 – $13.80 | 7 |
| Hemolysins/agglutinins auto CPT 86940 | $57.14 | $71.42 | $5.26 – $60.71 | 9 |
| Hemolysins and agglutinins incubated CPT 86941 | $57.14 | $71.42 | $7.27 – $60.71 | 9 |
| Hemoperfusion CPT 90997 | $202.40 | $253.00 | $80.78 – $211.46 | 7 |
| Hemophilus influenza antibdy CPT 86684 | $48.57 | $60.71 | $9.50 – $51.60 | 9 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $397.84 – $2,337.38 | 9 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $675.20 | $844.00 | $175.28 – $777.06 | 9 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $947.20 | $1,184.00 | $347.49 – $2,337.38 | 9 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $65.15 – $81.00 | 7 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $65.15 – $81.47 | 6 |
| Heparin assay CPT 85520 | $32.85 | $41.06 | $7.85 – $34.90 | 9 |
| Heparin bolus from bag HCPCS J1644 | $75.60 | $94.50 | $0.02 – $0.23 | 8 |
| Heparin neutralization CPT 85525 | $32.85 | $41.06 | $7.10 – $34.90 | 9 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $14.13 | $17.66 | $0.02 – $0.77 | 8 |
| Heparin-protamine tolerance CPT 85530 | $32.85 | $41.06 | $7.85 – $34.90 | 9 |
| Hepatectomy removal of liver 47120 CPT 47120 | $5,722.40 | $7,153.00 | $2,042.09 – $5,450.33 | 7 |
| Hepatitis a antibody igm CPT 86709 | $48.57 | $60.71 | $6.76 – $51.60 | 9 |
| Hepatitis b core antibody igm CPT 86705 | $48.57 | $60.71 | $7.06 – $51.60 | 9 |
| Hepatitis b core antibody total CPT 86704 | $48.57 | $60.71 | $7.23 – $51.60 | 9 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $468.80 | $586.00 | $133.28 – $229.91 | 7 |
| Hepatitis b surface ag quan CPT 87467 | $38.58 | $48.22 | $9.03 – $40.99 | 9 |
| Hepatitis b surface antibody CPT 86706 | $48.57 | $60.71 | $6.44 – $51.60 | 9 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $210.40 | $263.00 | $108.50 – $225.02 | 7 |
| Hepatitis c antibody CPT 86803 | $48.57 | $60.71 | $8.56 – $51.60 | 9 |
| Hepatitis c rna dir probe CPT 87520 | $63.20 | $79.00 | $18.73 – $43.71 | 7 |
| Hepatitis d quantification CPT 87523 | $86.40 | $108.00 | $25.70 – $85.08 | 9 |
| Hepatitis g dna amp probe CPT 87526 | $99.20 | $124.00 | $23.56 – $54.97 | 7 |
| Hepatitis g dna dir probe CPT 87525 | $60.00 | $75.00 | $17.88 – $41.74 | 7 |
| Hepatitis g dna quant CPT 87527 | $104.80 | $131.00 | $25.06 – $64.96 | 7 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $73.82 – $95.96 | 7 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $193.60 | $242.00 | $164.42 – $225.02 | 7 |
| Hereditary colon ca dsordrs CPT 81435 | $1,276.00 | $1,595.00 | $324.97 – $1,369.15 | 9 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $350.94 – $909.91 | 5 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $421.38 | $526.72 | $243.87 – $1,369.15 | 9 |
| Hered rta do gen seq 15 CPT 81434 | $957.60 | $1,197.00 | $358.75 – $837.13 | 7 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $263.36 – $682.82 | 5 |
| Hernia Repair (Inguinal) CPT 49505 | $2,555.20 | $3,194.00 | $463.79 – $3,007.87 | 9 |
| Herpes simplex 1 ag if CPT 87274 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Herpes simplex 2 ag if CPT 87273 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Herpes simplex type 1 antibody igg CPT 86695 | $48.57 | $60.71 | $7.91 – $51.60 | 9 |
| Herpes simplex type 2 antibody igg CPT 86696 | $48.57 | $60.71 | $11.61 – $51.60 | 9 |
| Herpes simplex virus isolation CPT 87255 | $85.60 | $107.00 | $20.32 – $71.34 | 9 |
| Heterophile antibodies screening CPT 86308 | $48.57 | $60.71 | $5.18 – $51.60 | 9 |
| Heterophile antibodies titer CPT 86309 | $16.80 | $21.00 | $3.88 – $10.06 | 7 |
| Heterophile antibody absrbj CPT 86310 | $19.20 | $24.00 | $4.42 – $11.46 | 7 |
| Hexa gene CPT 81255 | $127.86 | $159.82 | $30.87 – $135.85 | 9 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $222.40 | $278.00 | $55.42 – $189.78 | 9 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | not published | not published | $55.42 – $141.01 | 7 |
| Hgb methemoglobin qual CPT 83045 | $14.40 | $18.00 | $3.89 – $9.09 | 7 |
| Hhv-6 dna dir probe CPT 87531 | $116.00 | $145.00 | $34.80 – $81.21 | 7 |
| Hhv-6 dna quant CPT 87533 | $104.80 | $131.00 | $25.06 – $71.34 | 9 |
| Hib-hepb vaccine im CPT 90748 | $60.80 | $76.00 | $55.10 – $111.15 | 4 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | $32.00 | $40.00 | $28.74 – $52.86 | 4 |
| Hi enrgy eswt plantar fascia CPT 28890 | $1,598.40 | $1,998.00 | $205.51 – $1,364.06 | 9 |
| High activity knee frame HCPCS L5930 | not published | not published | $2,015.15 – $5,127.99 | 7 |
| High compres band w>=3"<5"yd HCPCS A6452 | not published | not published | $4.12 – $10.47 | 7 |
| High inten beh couns std 30m HCPCS G0445 | $61.60 | $77.00 | $27.38 – $78.84 | 9 |
| Hinge extension/flex wrist/f HCPCS L3900 | not published | not published | $890.28 – $2,265.52 | 7 |
| Hinge ext/flex wrist finger HCPCS L3901 | not published | not published | $1,031.63 – $2,625.21 | 7 |
| Hip adj flex ext abduct cont HCPCS L2624 | not published | not published | $219.54 – $558.66 | 7 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $349.66 | $437.07 | $9.92 – $371.51 | 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.