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 |
|---|---|---|---|---|
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $34.67 – $88.23 | 7 |
| Hopd covid-19 spec collect HCPCS C9803 | not published | not published | $52.99 – $52.99 | 1 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $67.73 | $84.66 | $28.02 – $71.96 | 8 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $173.12 | $216.39 | $86.99 – $183.93 | 8 |
| Hopd mntl hlt, grp HCPCS C7903 | $139.78 | $174.72 | $28.02 – $148.51 | 8 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $512.69 – $1,438.74 | 7 |
| Hospice care supervision CPT 99377 | $124.80 | $156.00 | $75.30 – $127.29 | 6 |
| Hospice care supervision CPT 99378 | $239.20 | $299.00 | $119.70 – $200.53 | 6 |
| Hpa-15 genotyping CPT 81112 | $244.80 | $306.00 | $73.33 – $190.12 | 9 |
| Hpa-1 genotyping CPT 81105 | $244.80 | $306.00 | $73.33 – $190.12 | 9 |
| Hpa-2 genotyping CPT 81106 | $244.80 | $306.00 | $73.33 – $190.12 | 9 |
| Hpa-3 genotyping CPT 81107 | $244.80 | $306.00 | $73.33 – $190.12 | 9 |
| Hpa-4 genotyping CPT 81108 | $244.80 | $306.00 | $73.33 – $190.12 | 9 |
| Hpa-5 genotyping CPT 81109 | $244.80 | $306.00 | $73.33 – $190.12 | 9 |
| Hpa-6 genotyping CPT 81110 | $244.80 | $306.00 | $73.33 – $190.12 | 9 |
| Hpa-9 genotyping CPT 81111 | $244.80 | $306.00 | $73.33 – $190.12 | 9 |
| Hpv combo assay ca screen HCPCS G0476 | $70.40 | $88.00 | $21.05 – $71.34 | 9 |
| Hpv low-risk types CPT 87623 | $77.60 | $97.00 | $21.05 – $54.59 | 7 |
| Hpv types 16 & 18 only CPT 87625 | $81.60 | $102.00 | $24.33 – $71.34 | 9 |
| H pylori ag ia CPT 87339 | $35.20 | $44.00 | $9.60 – $22.40 | 7 |
| H pylori (c-13) blood CPT 83009 | $169.60 | $212.00 | $40.42 – $104.79 | 7 |
| H pylori (c-13) breath CPT 83013 | $291.41 | $364.26 | $40.42 – $309.62 | 9 |
| H pylori drug admin CPT 83014 | $20.00 | $25.00 | $4.72 – $12.22 | 7 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,481.60 | $1,852.00 | $377.28 – $1,369.15 | 9 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $263.36 – $682.82 | 5 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,276.00 | $1,595.00 | $324.97 – $909.91 | 9 |
| Hrdtry perph neurphy panel CPT 81448 | $1,170.40 | $1,463.00 | $324.97 – $909.91 | 9 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,720.28 – $2,896.40 | 5 |
| Hsv dna dir probe CPT 87528 | $50.40 | $63.00 | $12.03 – $31.19 | 7 |
| Htt gene charac alleles CPT 81274 | not published | not published | $164.90 – $384.78 | 7 |
| Htt gene detc abnor alleles CPT 81271 | $153.56 | $191.95 | $82.20 – $191.82 | 9 |
| Human epididymis protein 4 (he4) CPT 86305 | $52.80 | $66.00 | $12.49 – $51.60 | 9 |
| Human ig IV CPT 90283 | not published | not published | $59.82 – $83.45 | 5 |
| Human ig sc CPT 90284 | not published | not published | $14.60 – $17.69 | 5 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $5.08 | $6.34 | $1.29 – $5.39 | 9 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $52.00 | $65.00 | $29.09 – $55.80 | 6 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.42 – $0.68 | 6 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.36 – $0.47 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $85.68 | $107.10 | $0.92 – $4.40 | 8 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $15.89 – $40.44 | 7 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $11.72 – $29.84 | 7 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $5.51 – $14.03 | 7 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $18.40 | $23.00 | $4.56 – $11.62 | 7 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $8.54 – $21.72 | 7 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.36 – $3.31 | 3 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $104.31 | $130.38 | $9.02 – $62.91 | 8 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $5.86 – $6.90 | 3 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $5.07 – $12.90 | 7 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $27.38 – $69.68 | 7 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $16.58 – $42.19 | 7 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $11.33 – $28.82 | 7 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $4.78 – $12.18 | 7 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $3.27 – $8.32 | 7 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $36.35 | $45.43 | $0.03 – $0.14 | 7 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $56.50 – $179.56 | 6 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $4.05 – $5.97 | 2 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.01 | 6 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.48 – $2.34 | 6 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $20.80 | $26.00 | $0.61 – $17.76 | 6 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $0.94 | $1.17 | $0.09 – $0.20 | 8 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $55.00 | $68.75 | $10.74 – $58.44 | 9 |
| Hymenotomy CPT 56442 | $117.60 | $147.00 | $42.82 – $2,709.95 | 9 |
| Hymovis injection 1 mg HCPCS J7322 | $28.00 | $35.00 | $17.50 – $22.44 | 7 |
| Hyoid myotomy & suspension CPT 21685 | $2,443.20 | $3,054.00 | $885.39 – $5,042.00 | 9 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $28.33 – $55.62 | 6 |
| Hyperbaric oxygen therapy CPT 99183 | $1,965.94 | $2,457.42 | $95.28 – $2,088.81 | 9 |
| #hypersens-actinomyces ab CPT 86602 | $48.57 | $60.71 | $6.11 – $51.60 | 9 |
| Hyperthermia ext gen deep CPT 77605 | $1,683.20 | $2,104.00 | $88.32 – $591.34 | 9 |
| Hyperthermia ext gen supfc CPT 77600 | $1,002.40 | $1,253.00 | $66.15 – $224.14 | 9 |
| Hyperthermia gen intrcv prb CPT 77620 | $1,173.60 | $1,467.00 | $72.91 – $493.04 | 9 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | $1,803.20 | $2,254.00 | $64.38 – $493.04 | 9 |
| Hyperthermia ntrstl prb>5 CPT 77615 | $1,995.20 | $2,494.00 | $90.68 – $493.04 | 9 |
| Hypnotherapy CPT 90880 | $244.80 | $306.00 | $80.44 – $213.64 | 7 |
| Hypothermia ill neonate CPT 99184 | $414.40 | $518.00 | $195.62 – $514.10 | 7 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.56 – $22.21 | 7 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $960.16 – $2,584.02 | 7 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $887.87 – $2,383.75 | 7 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $947.20 – $2,545.70 | 7 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $820.07 – $2,203.87 | 7 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $677.60 | $847.00 | $238.08 – $639.45 | 7 |
| Hysterosalpingography s&i CPT 74740 | $914.08 | $1,142.60 | $16.72 – $971.21 | 11 |
| Hysteroscopy ablation CPT 58563 | $661.60 | $827.00 | $219.02 – $4,207.41 | 9 |
| Hysteroscopy biopsy CPT 58558 | $627.20 | $784.00 | $206.22 – $2,709.95 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | $381.60 | $477.00 | $135.49 – $2,709.95 | 9 |
| Hysteroscopy lysis CPT 58559 | $719.20 | $899.00 | $252.53 – $4,207.41 | 9 |
| Hysteroscopy remove fb CPT 58562 | $558.40 | $698.00 | $197.32 – $2,709.95 | 9 |
| Hysteroscopy remove myoma CPT 58561 | $971.20 | $1,214.00 | $318.20 – $4,207.41 | 9 |
| Hysteroscopy resect septum CPT 58560 | $790.40 | $988.00 | $278.00 – $4,207.41 | 9 |
| Hysterotomy abdominal 59100 CPT 59100 | $2,051.20 | $2,564.00 | $741.89 – $4,207.41 | 9 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $212.00 | $265.00 | $215.51 – $238.53 | 4 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,074.81 – $8,868.94 | 7 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,388.02 – $3,542.36 | 6 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $130.29 | $162.86 | $63.84 – $138.43 | 8 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $42.75 – $208.07 | 4 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $124.52 – $492.80 | 3 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $886.96 – $2,347.38 | 4 |
| I131 iodide cap, rx HCPCS A9517 | $162.52 | $203.14 | $23.13 – $172.67 | 9 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $6.68 – $26.42 | 7 |
| I131 max 100uci HCPCS A9531 | not published | not published | $2.56 – $16.48 | 3 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $84.39 – $593.84 | 3 |
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.