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 |
|---|---|---|---|---|
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $432.30 | $540.37 | $13.07 – $459.31 | 11 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $240.82 | $301.02 | $8.33 – $255.87 | 11 |
| Hip arthr0 w/debridement CPT 29862 | $4,000.00 | $5,000.00 | $731.83 – $6,088.70 | 9 |
| Hip arthr0 w/synovectomy CPT 29863 | $4,009.60 | $5,012.00 | $735.08 – $2,765.43 | 9 |
| Hip arthro acetabuloplasty CPT 29915 | $5,043.20 | $6,304.00 | $911.10 – $6,088.70 | 9 |
| Hip arthroscopy dx CPT 29860 | $3,275.20 | $4,094.00 | $596.07 – $6,088.70 | 9 |
| Hip arthro w/fb removal CPT 29861 | $3,552.00 | $4,440.00 | $627.96 – $6,088.70 | 9 |
| Hip arthro w/femoroplasty CPT 29914 | $4,905.60 | $6,132.00 | $894.22 – $6,088.70 | 9 |
| Hip arthro w/labral repair CPT 29916 | $5,046.40 | $6,308.00 | $912.43 – $6,088.70 | 9 |
| Hip canad sing axi cons fric HCPCS L5250 | not published | not published | $3,491.76 – $8,885.54 | 7 |
| Hip clevis/thrust bearing fr HCPCS L2600 | not published | not published | $115.43 – $323.94 | 7 |
| Hip clevis/thrust bearing lo HCPCS L2610 | not published | not published | $136.49 – $383.04 | 7 |
| Hip clevis type 2 posit jnt HCPCS L2570 | not published | not published | $307.99 – $783.76 | 7 |
| Hip disart canadian sach ft HCPCS L5331 | not published | not published | $3,326.82 – $8,465.83 | 7 |
| Hip disartic sach thermopls HCPCS L5595 | not published | not published | $2,411.02 – $6,765.87 | 7 |
| Hip disart sach laminat mold HCPCS L5600 | not published | not published | $2,687.06 – $7,471.57 | 7 |
| Hip flexible cover system HCPCS L5966 | not published | not published | $892.94 – $2,272.28 | 7 |
| Hip flex inner socket ext fr HCPCS L5643 | not published | not published | $931.98 – $2,615.34 | 7 |
| Hip joint adjustable flexion HCPCS L2622 | not published | not published | $181.20 – $483.67 | 7 |
| Hip X-ray CPT 73502 | $290.72 | $363.40 | $9.92 – $308.89 | 11 |
| Histamine CPT 83088 | $86.42 | $108.02 | $17.72 – $91.82 | 9 |
| Histochemical stains add-on CPT 88314 | $292.13 | $365.16 | $18.25 – $310.39 | 9 |
| Histoplasmosis skin test CPT 86510 | $13.60 | $17.00 | $6.05 – $33.46 | 9 |
| Hiv-1 ag ia CPT 87390 | $48.80 | $61.00 | $14.44 – $40.99 | 9 |
| Hiv-1 dna dir probe CPT 87534 | $55.20 | $69.00 | $13.15 – $31.19 | 7 |
| Hiv-2 ag ia CPT 87391 | $44.00 | $55.00 | $13.14 – $30.67 | 7 |
| HIV 2 pcr qual - sendout CPT 87537 | $55.20 | $69.00 | $13.15 – $31.19 | 7 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | $124.80 | $156.00 | $35.17 – $82.08 | 7 |
| HIV prep counsel, clin staff HCPCS G0013 | $44.00 | $55.00 | $8.04 – $47.17 | 9 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.27 – $74.84 | 5 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $1.06 – $1.82 | 5 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $10.40 | $13.00 | $5.84 – $7.38 | 6 |
| Hizentra injection HCPCS J1559 | not published | not published | $11.35 – $16.83 | 7 |
| Hkafo torsion ball bearing j HCPCS L2060 | not published | not published | $337.87 – $915.73 | 7 |
| Hkafo torsion bil rot straps HCPCS L2040 | not published | not published | $99.79 – $280.04 | 7 |
| Hkafo torsion cable hip pelv HCPCS L2050 | not published | not published | $267.73 – $751.33 | 7 |
| Hkafo torsion unilat rot str HCPCS L2070 | not published | not published | $78.25 – $212.11 | 7 |
| Hkafo unilat torsion ball br HCPCS L2090 | not published | not published | $272.99 – $694.69 | 7 |
| Hkafo unilat torsion cable HCPCS L2080 | not published | not published | $219.69 – $567.30 | 7 |
| Hla class i high defin qual CPT 86832 | $648.00 | $810.00 | $179.88 – $453.29 | 9 |
| Hla class ii high defin qual CPT 86833 | $652.00 | $815.00 | $181.01 – $456.14 | 9 |
| Hla class i&ii antibody qual CPT 86828 | $142.14 | $177.67 | $38.51 – $151.02 | 9 |
| Hla class i/ii antibody qual CPT 86829 | $128.80 | $161.00 | $38.51 – $89.88 | 7 |
| Hla class ii phenotype qual CPT 86831 | $164.00 | $205.00 | $49.13 – $114.64 | 7 |
| Hla class ii semiquant panel CPT 86835 | $724.80 | $906.00 | $193.78 – $502.42 | 7 |
| Hla class i phenotype qual CPT 86830 | $191.20 | $239.00 | $57.31 – $151.02 | 9 |
| Hla class i semiquant panel CPT 86834 | $802.40 | $1,003.00 | $214.54 – $556.24 | 7 |
| Hla i & ii type verify lr CPT 81371 | $809.60 | $1,012.00 | $224.75 – $566.36 | 9 |
| Hla i & ii typing hr CPT 81378 | $776.00 | $970.00 | $192.00 – $537.59 | 9 |
| Hla i & ii typing lr CPT 81370 | $902.40 | $1,128.00 | $241.27 – $625.56 | 7 |
| Hla ii typing 1 loc hr CPT 81382 | $277.60 | $347.00 | $74.00 – $192.40 | 9 |
| Hla ii typing ag equiv lr CPT 81375 | $496.00 | $620.00 | $122.64 – $343.40 | 9 |
| Hla i low res one antigen equiv ea CPT 81374 | $164.00 | $205.00 | $44.60 – $135.85 | 9 |
| Hla i typing 1 locus hr CPT 81380 | $398.40 | $498.00 | $98.48 – $275.75 | 9 |
| Hla i typing complete hr CPT 81379 | $752.80 | $941.00 | $186.34 – $521.74 | 9 |
| Hla i typing complete lr CPT 81372 | $807.20 | $1,009.00 | $224.24 – $565.06 | 9 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $340.00 | $425.00 | $94.40 – $237.87 | 9 |
| Hla i typing low res one locus ea CPT 81373 | $255.20 | $319.00 | $74.00 – $178.41 | 9 |
| Hla typing a b or c CPT 86813 | $145.60 | $182.00 | $34.80 – $151.02 | 9 |
| Hla typing dr/dq CPT 86816 | $76.00 | $95.00 | $18.10 – $60.71 | 9 |
| Hla x-match noncytotoxc addl CPT 86826 | $73.60 | $92.00 | $21.92 – $51.15 | 7 |
| Hla x-math non-cytotoxic CPT 86825 | $219.20 | $274.00 | $65.69 – $153.29 | 9 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $2.36 – $6.02 | 7 |
| Hlth bhv assmt/reassessment CPT 96156 | $220.80 | $276.00 | $84.73 – $218.01 | 7 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $162.40 | $203.00 | $28.02 – $155.01 | 7 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | $65.60 | $82.00 | $38.40 – $71.80 | 5 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | $180.00 | $225.00 | $106.70 – $197.97 | 5 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $22.40 | $28.00 | $9.06 – $23.01 | 7 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $151.20 | $189.00 | $58.22 – $146.51 | 7 |
| Hmes or trach valve housing HCPCS A7505 | not published | not published | $3.27 – $8.32 | 7 |
| Ho abduction hip adjustable HCPCS L1650 | not published | not published | $137.06 – $365.18 | 7 |
| Ho abduction static plastic HCPCS L1660 | not published | not published | $96.19 – $269.92 | 7 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | not published | not published | $213.23 – $542.62 | 7 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.18 – $0.24 | 3 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.22 – $0.36 | 6 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.21 – $0.27 | 6 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $72.43 – $203.25 | 7 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $77.72 – $211.31 | 7 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $29.05 – $73.92 | 7 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $1.54 – $3.94 | 7 |
| Home health care supervision CPT 99374 | $124.80 | $156.00 | $75.30 – $127.29 | 6 |
| Home health care supervision CPT 99375 | $215.20 | $269.00 | $119.70 – $200.53 | 6 |
| Home health care supervision HCPCS G0181 | $236.00 | $295.00 | $96.27 – $252.23 | 7 |
| Home health re-certification physician g0179 HCPCS G0179 | $88.80 | $111.00 | $38.33 – $100.10 | 7 |
| Home/res vst est high mdm 60 CPT 99350 | $338.40 | $423.00 | $169.17 – $360.55 | 7 |
| Home/res vst est mod mdm 40 CPT 99349 | $233.60 | $292.00 | $116.43 – $247.53 | 7 |
| Home/res vst est sf mdm 20 CPT 99347 | $98.40 | $123.00 | $41.81 – $93.43 | 7 |
| Home/res vst new high mdm 75 CPT 99345 | $398.40 | $498.00 | $184.13 – $392.68 | 7 |
| Home/res vst new low mdm 30 CPT 99342 | $145.60 | $182.00 | $72.72 – $153.64 | 7 |
| Home/res vst new mod mdm 60 CPT 99344 | $327.20 | $409.00 | $130.64 – $303.51 | 7 |
| Home/res vst new sf mdm 15 CPT 99341 | $98.40 | $123.00 | $45.64 – $96.71 | 7 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $36.36 – $177.22 | 7 |
| Home sleep test/type 3 porta HCPCS G0399 | $456.00 | $570.00 | $39.46 – $121.21 | 7 |
| Home sleep test/type 4 porta HCPCS G0400 | $456.00 | $570.00 | $36.36 – $117.76 | 7 |
| Home vent mgmt supervision CPT 94005 | $204.80 | $256.00 | $169.25 – $236.10 | 6 |
| Home visit est patient 99348 CPT 99348 | $151.20 | $189.00 | $70.67 – $149.60 | 7 |
| Home visit new patient CPT 99343 | not published | not published | $203.00 – $203.00 | 2 |
| Homocysteine CPT 83090 | $55.00 | $68.75 | $10.75 – $58.44 | 9 |
| Homogenization tissue CPT 87176 | $38.58 | $48.22 | $3.53 – $40.99 | 9 |
| Homovanillic acid (hva) CPT 83150 | $56.00 | $70.00 | $13.45 – $58.44 | 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.