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 |
|---|---|---|---|---|
| Implant neuroelectrodes CPT 64553 | $6,842.40 | $8,553.00 | $301.59 – $10,628.62 | 9 |
| Implant neuroelectrodes CPT 64555 | $6,433.49 | $8,041.86 | $287.09 – $6,835.58 | 11 |
| Implant neuroelectrodes CPT 64561 | $3,678.40 | $4,598.00 | $273.14 – $5,593.65 | 9 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $853.46 – $2,274.42 | 7 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,342.28 – $3,578.98 | 7 |
| Implant neurostim arrays CPT 61886 | $2,026.40 | $2,533.00 | $771.34 – $25,973.07 | 9 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $503.00 – $503.00 | 2 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $464.97 – $1,183.21 | 7 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $888.30 – $1,088.30 | 4 |
| Implant single ventricular device 33975 CPT 33975 | $3,195.20 | $3,994.00 | $1,113.98 – $2,973.67 | 7 |
| Implant spinal canal cath CPT 62351 | $2,089.60 | $2,612.00 | $798.07 – $2,124.24 | 7 |
| Implant spine infusion pump CPT 62361 | $1,010.40 | $1,263.00 | $381.19 – $15,063.90 | 9 |
| Implant spine infusion pump CPT 62362 | $936.80 | $1,171.00 | $343.29 – $15,063.90 | 9 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,138.16 – $3,057.17 | 7 |
| Implant ureter in bowel CPT 50800 | not published | not published | $834.73 – $2,224.17 | 7 |
| Implant ureth bulk agent HCPCS L8606 | $1,839.60 | $2,299.50 | $131.41 – $1,954.58 | 9 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $908.77 – $2,312.57 | 7 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $745.22 – $9,481.89 | 7 |
| Impl neurostim electr perc CPT 63650 | $11,605.33 | $14,506.66 | $376.59 – $12,330.66 | 11 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $1,072.00 | $1,340.00 | $189.69 – $504.11 | 7 |
| Implnt spinl canal catheter 62350 CPT 62350 | $5,074.46 | $6,343.07 | $357.41 – $5,458.28 | 11 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $558.20 – $10,966.57 | 9 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $604.26 – $10,966.57 | 9 |
| Impl oi implt skull perq esp CPT 69714 | $5,209.60 | $6,512.00 | $445.26 – $10,966.57 | 9 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $381.95 – $3,102.90 | 7 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $73.29 – $195.44 | 7 |
| Impltj ntrstrml crnl rng seg CPT 65785 | $11,556.80 | $14,446.00 | $399.54 – $1,070.60 | 7 |
| Impltj tot rplcmt hrt sys CPT 33927 | $6,232.00 | $7,790.00 | $2,166.52 – $5,799.58 | 7 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $136.10 – $538.67 | 3 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $5,049.51 – $12,849.58 | 7 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $528.86 – $595.52 | 6 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $5.60 | $7.00 | $1.34 – $3.39 | 7 |
| Impres&prep auricular prosth CPT 21086 | $8,366.40 | $10,458.00 | $1,186.67 – $3,119.58 | 9 |
| Impres&prep def obt prosth CPT 21080 | $4,369.60 | $5,462.00 | $1,219.22 – $3,208.46 | 9 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,015.20 – $8,100.36 | 9 |
| Impres&prep intrm obt prosth CPT 21079 | $3,824.80 | $4,781.00 | $1,084.34 – $2,843.87 | 9 |
| Impres&prep mndbl res prosth CPT 21081 | $4,013.60 | $5,017.00 | $1,117.02 – $5,042.00 | 9 |
| Impres&prep nasal prosth CPT 21087 | $4,183.20 | $5,229.00 | $1,186.67 – $5,042.00 | 9 |
| Impres&prep oral surg splint CPT 21085 | $1,751.20 | $2,189.00 | $197.93 – $1,177.82 | 9 |
| Impres&prep orbital prosth CPT 21077 | $11,244.80 | $14,056.00 | $1,608.86 – $5,042.00 | 9 |
| Impres&prep paltl aug prosth CPT 21082 | $3,716.80 | $4,646.00 | $1,035.31 – $2,764.11 | 9 |
| Impres&prep paltl lft prosth CPT 21083 | $3,540.00 | $4,425.00 | $956.18 – $2,764.11 | 9 |
| Impres&prep sp aid prosth CPT 21084 | $4,054.40 | $5,068.00 | $1,105.49 – $2,904.98 | 9 |
| Impres&prep surg obt prosth CPT 21076 | $2,271.20 | $2,839.00 | $655.70 – $1,717.76 | 9 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.14 – $57.23 | 7 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,209.96 – $9,688.82 | 5 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,031.39 – $9,688.82 | 7 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $2,213.52 – $5,275.21 | 4 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $798.02 – $9,566.00 | 7 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,797.39 | $2,246.73 | $710.42 – $2,104.98 | 9 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,159.16 | $1,448.94 | $425.96 – $1,231.60 | 9 |
| In-111 pentetreotide HCPCS A9572 | $8,836.97 | $11,046.21 | $1,914.61 – $9,389.28 | 9 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,675.00 – $3,901.17 | 4 |
| Inactivated je vacc im CPT 90738 | $280.80 | $351.00 | $132.13 – $358.91 | 6 |
| Inc deep opng b1 crtx thorax CPT 21510 | $1,091.20 | $1,364.00 | $400.80 – $1,070.04 | 7 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $2,872.00 | $3,590.00 | $535.71 – $6,088.70 | 9 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | $2,512.00 | $3,140.00 | $467.90 – $2,765.43 | 9 |
| Incis 1 vertebral seg cerv CPT 22210 | $4,297.60 | $5,372.00 | $1,565.59 – $4,173.70 | 7 |
| Incis 1 vertebral seg lumbar CPT 22214 | $3,628.80 | $4,536.00 | $1,334.31 – $3,549.30 | 7 |
| Incis 1 vertebral seg thorac CPT 22212 | $3,619.20 | $4,524.00 | $1,335.41 – $3,550.26 | 7 |
| Incis addl spine segment CPT 22216 | $880.00 | $1,100.00 | $312.62 – $832.29 | 7 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,111.40 – $2,965.16 | 7 |
| Incise diaphragm nerve CPT 64746 | $2,102.40 | $2,628.00 | $379.67 – $1,664.38 | 9 |
| Incise/drain eyelid lining CPT 68020 | $598.40 | $748.00 | $99.39 – $825.50 | 9 |
| Incise flexor carpi radialis CPT 25001 | $1,691.20 | $2,114.00 | $322.10 – $2,765.43 | 9 |
| Incise hand/finger tendon CPT 26460 | $1,013.60 | $1,267.00 | $405.97 – $1,364.06 | 9 |
| Incise hip/thigh nerve CPT 64763 | $2,500.80 | $3,126.00 | $457.20 – $1,664.38 | 9 |
| Incise hip/thigh nerve CPT 64766 | $3,086.40 | $3,858.00 | $563.00 – $1,664.38 | 9 |
| Incise inner ear CPT 69801 | $1,043.20 | $1,304.00 | $112.27 – $1,262.52 | 9 |
| Incise inner ear nerve CPT 69915 | $7,489.60 | $9,362.00 | $1,345.39 – $3,618.63 | 9 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,565.51 – $4,200.41 | 7 |
| Incise inner eye adhesions CPT 65860 | $1,534.40 | $1,918.00 | $224.22 – $600.30 | 9 |
| Incise inner eye adhesions CPT 65865 | $2,355.20 | $2,944.00 | $428.07 – $1,943.90 | 9 |
| Incise inner eye adhesions CPT 65870 | $2,940.80 | $3,676.00 | $533.64 – $1,943.90 | 9 |
| Incise inner eye adhesions CPT 65875 | $3,132.80 | $3,916.00 | $568.48 – $1,943.90 | 9 |
| Incise inner eye adhesions CPT 65880 | $3,297.60 | $4,122.00 | $597.35 – $3,428.74 | 9 |
| Incise inner eye strands CPT 67030 | $2,688.00 | $3,360.00 | $498.43 – $1,943.90 | 9 |
| Incise nerve back of head CPT 64744 | $2,344.00 | $2,930.00 | $444.35 – $1,664.38 | 9 |
| Incise perq finger tendon 26060 CPT 26060 | $636.80 | $796.00 | $233.82 – $1,364.06 | 9 |
| Incise skull/brain surgery CPT 61720 | $2,984.00 | $3,730.00 | $1,096.77 – $5,458.28 | 9 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,372.95 – $3,660.47 | 7 |
| Incise skull for treatment CPT 61770 | $3,808.00 | $4,760.00 | $1,391.71 – $5,458.28 | 9 |
| Incise skull repair CPT 62121 | not published | not published | $1,365.21 – $3,673.38 | 7 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,468.38 – $3,914.50 | 7 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,453.77 – $3,874.91 | 7 |
| Incise sperm duct pouch CPT 55600 | $2,123.20 | $2,654.00 | $384.76 – $1,745.97 | 9 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,373.44 – $3,660.21 | 7 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,193.76 – $3,180.19 | 7 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,108.41 – $2,948.05 | 7 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,065.09 – $2,836.59 | 7 |
| Incise tear duct opening 68440 CPT 68440 | $507.20 | $634.00 | $90.06 – $254.78 | 9 |
| Incise tendon(s) & muscle(s) CPT 23406 | $1,900.00 | $2,375.00 | $672.75 – $6,088.70 | 9 |
| Incise thigh tendon & fascia CPT 27305 | $2,363.20 | $2,954.00 | $439.87 – $2,765.43 | 9 |
| Incise & treat bladder CPT 51030 | not published | not published | $878.30 – $1,485.07 | 5 |
| Incise wrist/forearm tendon CPT 25290 | $1,073.60 | $1,342.00 | $400.55 – $2,765.43 | 9 |
| Incision anal septum infant CPT 46070 | $647.20 | $809.00 | $243.68 – $2,337.38 | 9 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,313.16 | $1,641.44 | $107.67 – $1,395.22 | 11 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | $2,312.00 | $2,890.00 | $858.72 – $2,279.82 | 7 |
| Incision/fixation of femur CPT 27165 | not published | not published | $1,224.14 – $3,263.24 | 7 |
| Incision of achilles tendon CPT 27605 | $1,700.80 | $2,126.00 | $168.44 – $1,364.06 | 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.