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 |
|---|---|---|---|---|
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.46 – $1.88 | 7 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $4.52 – $4.52 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.45 – $7.22 | 7 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $133.74 – $138.11 | 5 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $43.45 – $78.76 | 7 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.11 – $10.14 | 5 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $125.00 – $138.13 | 5 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $28.36 | $35.44 | $13.89 – $30.12 | 9 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,445.58 – $4,353.69 | 4 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.86 – $2.01 | 5 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.86 – $4.02 | 7 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $46.63 – $54.42 | 5 |
| Inj. asceniv HCPCS J1554 | not published | not published | $496.68 – $638.83 | 7 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $52.60 – $66.24 | 7 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $30.88 – $33.79 | 5 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $107.44 – $111.19 | 5 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $75.41 – $98.82 | 7 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.27 – $45.45 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $309.64 | $387.04 | $149.50 – $324.16 | 9 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $40.02 – $60.69 | 5 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,800,000.00 – $3,098,221.00 | 5 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.87 – $51.82 | 7 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $203.01 – $268.07 | 7 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $14.32 | $17.90 | $0.17 – $15.22 | 8 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $26.26 – $29.58 | 5 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $4.91 – $53.13 | 6 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $3.10 – $53.13 | 6 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.57 – $4.34 | 5 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $74.50 – $76.74 | 3 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $425.40 – $443.97 | 5 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,701.62 – $1,775.87 | 5 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $308.81 – $422.81 | 7 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $429.23 – $1,092.27 | 7 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.40 – $1.45 | 5 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.48 – $0.54 | 5 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $63.40 – $243.76 | 7 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.51 – $1.64 | 6 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $23.92 – $284.20 | 6 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.25 – $1.60 | 5 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $72.44 | $90.55 | $0.25 – $0.98 | 9 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $0.97 – $1.05 | 5 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.65 – $7.33 | 5 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $5.04 – $6.85 | 5 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.26 – $2.82 | 7 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $6.79 – $9.58 | 7 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $103.72 – $115.85 | 4 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $14.96 – $19.59 | 7 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $88.24 – $340.70 | 7 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $88.14 – $94.29 | 5 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.75 – $3.53 | 5 |
| Inj, clindamycin (baxter) HCPCS J0737 | $43.56 | $54.45 | $2.28 – $9.83 | 8 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $769.60 | $962.00 | $36.13 – $573.67 | 9 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $88.81 – $171.19 | 5 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,043.55 – $2,891.38 | 7 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $520.29 – $579.09 | 5 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.14 – $18.05 | 5 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.49 – $20.70 | 7 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $5.61 – $5.61 | 2 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $3.76 – $9.91 | 5 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.80 – $3.35 | 7 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.79 – $1.93 | 5 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $4.29 – $4.75 | 5 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.07 – $0.07 | 3 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.06 – $0.08 | 5 |
| Inj daptomycin (xellia) HCPCS J0873 | $0.35 | $0.43 | $0.03 – $0.32 | 9 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.99 – $3.26 | 5 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.78 – $2.06 | 5 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,200,000.00 – $3,490,800.50 | 5 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $28.09 – $28.91 | 4 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.25 – $0.25 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $828.00 | $1,035.00 | $130.16 – $346.81 | 7 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $53.52 – $55.09 | 4 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.18 – $4.35 | 5 |
| Inj dupuytren cord w/enzyme CPT 20527 | $416.00 | $520.00 | $58.93 – $251.60 | 9 |
| Inj, durolane 1 mg HCPCS J7318 | $16.00 | $20.00 | $6.66 – $756.70 | 7 |
| Inj dx for sinogram CPT 20501 | $914.08 | $1,142.60 | $32.85 – $971.21 | 9 |
| Inject for sacroiliac joint HCPCS G0259 | $1,323.20 | $1,654.00 | $230.40 – $1,692.77 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,255.16 | $1,568.95 | $75.01 – $1,333.61 | 11 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,072.00 | $1,340.00 | $61.25 – $573.67 | 9 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $48.74 – $63.55 | 7 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $396.75 – $576.55 | 7 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.71 – $20.80 | 5 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $779.24 – $779.24 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $385.60 | $482.00 | $50.79 – $293.03 | 11 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $148.35 – $164.80 | 4 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $0.13 – $4.65 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $64.38 – $80.22 | 7 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.47 – $0.47 | 2 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.33 – $1.74 | 6 |
| Injection during cath supravalvular aortography CPT 93567 | $4,549.08 | $5,686.35 | $32.10 – $4,833.40 | 9 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $19.21 – $28.36 | 7 |
| Injection epidural blood patch or clot CPT 62273 | $883.11 | $1,103.88 | $103.07 – $938.30 | 11 |
| Injection estrone per 1 mg HCPCS J1435 | $0.80 | $1.00 | $0.03 – $0.41 | 4 |
| Injection eye drug CPT 67028 | $504.00 | $630.00 | $83.20 – $282.70 | 9 |
| Injection, famotidine, 20 mg HCPCS S0028 | $71.44 | $89.30 | $0.90 – $75.91 | 6 |
| Injection for arthrography wrist (both sides) CPT 25246 | $910.40 | $1,138.00 | $65.66 – $573.67 | 9 |
| Injection for bladder x-ray CPT 51600 | $586.36 | $732.95 | $39.10 – $623.01 | 9 |
| Injection for hip x-ray CPT 27095 | $1,432.00 | $1,790.00 | $73.04 – $195.12 | 7 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $752.00 | $940.00 | $45.05 – $573.67 | 9 |
| Injection for spleen x-ray CPT 38200 | $341.60 | $427.00 | $117.44 – $313.07 | 7 |
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.