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 |
|---|---|---|---|---|
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $646.40 | $808.00 | $143.04 – $400.49 | 9 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $67.15 | $83.93 | $19.66 – $71.34 | 9 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | $71.20 | $89.00 | $21.17 – $49.41 | 7 |
| Infect ag ia optc obs influenza CPT 87804 | $38.58 | $48.22 | $14.00 – $40.99 | 9 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $30.40 | $38.00 | $7.19 – $18.65 | 7 |
| Infect ag if hep delta agent CPT 87380 | $46.40 | $58.00 | $11.02 – $25.70 | 7 |
| Infect ag if influenza a CPT 87276 | $35.20 | $44.00 | $9.64 – $22.50 | 7 |
| Infect ag if influenza b CPT 87275 | $31.20 | $39.00 | $7.35 – $18.65 | 7 |
| Infect ag if legionella pneumophila CPT 87278 | $38.58 | $48.22 | $9.36 – $40.99 | 9 |
| Infect ag if nos ea CPT 87299 | $38.58 | $48.22 | $9.66 – $40.99 | 9 |
| Infect ag if pneumocystis carinii CPT 87281 | $30.40 | $38.00 | $7.19 – $18.65 | 7 |
| Infect ag if varicella zoster CPT 87290 | $38.58 | $48.22 | $8.05 – $40.99 | 9 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | $107.20 | $134.00 | $32.08 – $74.86 | 7 |
| Infect ag na hep b amp CPT 87516 | $88.80 | $111.00 | $21.05 – $54.59 | 7 |
| Infect ag na herpes simplex quant CPT 87530 | $108.00 | $135.00 | $25.70 – $71.34 | 9 |
| Infect ag na hpv high-risk types CPT 87624 | $77.60 | $97.00 | $21.05 – $71.34 | 9 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $206.40 | $258.00 | $57.48 – $141.15 | 9 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $124.80 | $156.00 | $30.79 – $79.84 | 7 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $29.07 – $116.49 | 7 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $935.20 | $1,169.00 | $231.56 – $648.37 | 9 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,225.60 | $1,532.00 | $271.50 – $760.18 | 9 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $127.86 | $159.82 | $15.64 – $135.85 | 9 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $39.73 | $49.66 | $22.99 – $43.45 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $38.58 | $48.22 | $8.05 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $38.58 | $48.22 | $8.29 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $38.58 | $48.22 | $8.63 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $38.58 | $48.22 | $6.20 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $38.58 | $48.22 | $6.20 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $48.80 | $61.00 | $14.45 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $89.60 | $112.00 | $22.36 – $71.34 | 9 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $909.60 | $1,137.00 | $231.56 – $648.37 | 9 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $87.20 | $109.00 | $21.05 – $71.34 | 9 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $101.60 | $127.00 | $25.01 – $71.34 | 9 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $103.20 | $129.00 | $38.86 – $84.01 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $285.60 | $357.00 | $79.25 – $149.76 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $285.60 | $357.00 | $79.25 – $149.76 | 9 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $88.80 | $111.00 | $35.09 – $71.34 | 9 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $79.20 | $99.00 | $21.05 – $71.34 | 9 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $153.60 | $192.00 | $42.65 – $174.30 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $919.20 | $1,149.00 | $231.56 – $648.37 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $283.20 | $354.00 | $76.89 – $199.57 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $526.40 | $658.00 | $146.12 – $368.21 | 9 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $108.00 | $135.00 | $25.70 – $71.34 | 9 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $108.00 | $135.00 | $25.70 – $71.34 | 9 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $108.00 | $135.00 | $25.70 – $71.34 | 9 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $213.60 | $267.00 | $47.28 – $132.38 | 9 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $288.00 | $360.00 | $79.25 – $199.70 | 9 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $187.79 | $234.73 | $30.52 – $80.75 | 9 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $81.56 | $101.94 | $19.75 – $85.82 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $152.57 | $190.71 | $15.91 – $162.10 | 9 |
| Influenza dna amp prob addl CPT 87503 | $59.20 | $74.00 | $17.53 – $40.91 | 7 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $76.00 | $95.00 | $46.01 – $103.07 | 6 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $29.60 | $37.00 | $22.22 – $39.65 | 7 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $811.20 | $1,014.00 | $67.02 – $140.50 | 5 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,713.92 – $7,258.51 | 7 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,672.45 – $7,181.77 | 7 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $624.00 | $780.00 | $73.08 – $152.70 | 5 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $820.80 | $1,026.00 | $69.58 – $145.70 | 5 |
| Infuse radioactive materials CPT 77750 | $744.00 | $930.00 | $118.13 – $248.30 | 9 |
| Ingest challenge ea addl 60 min CPT 95079 | $264.80 | $331.00 | $62.80 – $164.14 | 7 |
| Ingest challenge ini 120 min CPT 95076 | $367.20 | $459.00 | $68.16 – $452.24 | 9 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $263.20 | $328.99 | $12.32 – $279.64 | 11 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,179.34 – $3,001.06 | 7 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,007.41 – $2,563.57 | 7 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $43.13 – $69.10 | 6 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $788.32 – $2,006.04 | 7 |
| Initial foot exam pt lops HCPCS G0245 | $117.60 | $147.00 | $36.44 – $96.69 | 7 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $629.60 | $787.00 | $308.09 – $672.40 | 7 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $244.00 | $305.00 | $121.92 – $258.87 | 7 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $333.60 | $417.00 | $166.67 – $354.00 | 7 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $162.40 | $203.00 | $73.33 – $155.57 | 7 |
| Initial observation care CPT 99218 | not published | not published | $159.00 – $159.00 | 2 |
| Initial observation care CPT 99219 | not published | not published | $215.00 – $215.00 | 2 |
| Initial observation care CPT 99220 | not published | not published | $291.00 – $291.00 | 2 |
| Init nb em per day non-fac CPT 99461 | $167.20 | $209.00 | $55.52 – $118.36 | 7 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $296.00 | $370.00 | $178.96 – $289.92 | 6 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $35.24 – $92.38 | 9 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.87 – $7.65 | 6 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $8.00 | $10.00 | $5.53 – $8.85 | 7 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.22 – $0.23 | 5 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.07 | 5 |
| Inj acetaminophen -fresenius HCPCS J0134 | $0.94 | $1.17 | $0.05 – $0.36 | 8 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.07 | 5 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,479.53 – $5,323.91 | 5 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $86.53 – $96.31 | 5 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.51 – $12.98 | 5 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,235.61 – $69,201.23 | 5 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $7.77 | 7 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.52 – $37.36 | 5 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $795.86 – $912.54 | 5 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $321.18 – $335.72 | 5 |
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.