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., haegarda 10 units HCPCS J0599 | not published | not published | $10.61 – $12.10 | 4 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,500,000.00 – $3,869,530.00 | 5 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $12.21 | $15.26 | $0.27 – $12.97 | 8 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $62.92 – $85.83 | 7 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $77.70 – $88.20 | 5 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $52.40 – $82.59 | 7 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,893.23 | $2,366.53 | $40.28 – $2,011.55 | 9 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $127.20 | $159.00 | $45.05 – $118.56 | 7 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $132.00 | $165.00 | $47.35 – $124.23 | 7 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $98.40 | $123.00 | $23.12 – $91.83 | 7 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $313.60 | $392.00 | $22.67 – $91.83 | 7 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $0.01 – $1.80 | 7 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $4.99 – $5.44 | 5 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $17.60 | $22.00 | $13.64 – $15.66 | 4 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $65.40 – $97.01 | 7 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $9.09 – $11.24 | 5 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.22 – $3.20 | 7 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $50.57 – $94.85 | 6 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.13 – $0.14 | 5 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $483.84 – $615.57 | 7 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $1,079.60 | $1,349.49 | $129.27 – $1,147.07 | 11 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $35.72 – $55.18 | 5 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.45 – $1.49 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $205.36 | $256.69 | $26.71 – $218.19 | 11 |
| Inj intralesional > 7 lsns CPT 11901 | $171.20 | $214.00 | $41.09 – $169.36 | 9 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.53 – $15.87 | 7 |
| Inj ivig privigen 500 mg HCPCS J1459 | $69.60 | $87.00 | $49.18 – $62.78 | 7 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.72 – $2.36 | 7 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.01 – $3.04 | 7 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.47 – $1.85 | 7 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $70.56 | $88.20 | $0.04 – $2.13 | 8 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $79.21 – $87.84 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $24.94 – $63.41 | 7 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.33 – $1.75 | 7 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.68 – $0.71 | 4 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.92 – $28.51 | 7 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $13.19 – $45.92 | 6 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $2.52 | 6 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $18.30 | $22.87 | $6.40 – $19.44 | 9 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.14 – $5.39 | 5 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $1.79 | $2.23 | $0.01 – $0.13 | 7 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $6.34 – $26.08 | 5 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,100,000.00 – $3,424,422.75 | 5 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $318.49 – $415.42 | 7 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.73 – $32.05 | 7 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,045.83 – $3,321.31 | 6 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $422.40 | $528.00 | $53.83 – $112.90 | 5 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $51.73 – $53.25 | 4 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $2.84 – $3.22 | 4 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $110.19 – $874.19 | 7 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $66.07 – $68.02 | 4 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $483.97 – $489.25 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $751.90 – $846.80 | 5 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $122.04 – $242.75 | 6 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $2.22 – $4.28 | 6 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $2.09 – $2.75 | 5 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.11 – $2.29 | 5 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.60 – $1.71 | 5 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.15 – $15.78 | 4 |
| Inj, micafungin (par pharm) HCPCS J2247 | $3.10 | $3.87 | $0.31 – $3.29 | 8 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $34.74 – $50.69 | 5 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $217.73 – $304.41 | 7 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $25.22 – $26.48 | 5 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $7.29 – $12.25 | 6 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $7.10 – $7.82 | 5 |
| Inj multihance HCPCS A9577 | not published | not published | $1.82 – $3.79 | 6 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.81 – $3.23 | 6 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.31 – $0.95 | 4 |
| Inj naloxone hydrochloride HCPCS J2310 | $86.00 | $107.50 | $1.18 – $9.34 | 8 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $609.17 – $792.69 | 7 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,267.20 | $1,584.00 | $59.65 – $1,267.50 | 11 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $1.57 – $2.27 | 5 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | not published | not published | $27.27 – $28.07 | 4 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $94.58 – $103.50 | 5 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $8,129.60 | $10,162.00 | $131.60 – $1,559.08 | 9 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $7,323.20 | $9,154.00 | $103.93 – $1,559.08 | 9 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.52 – $0.58 | 5 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $45.19 – $49.60 | 5 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1,185.20 – $1,455.87 | 3 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $60.00 | $75.00 | $41.79 – $54.81 | 6 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $45.48 – $65.47 | 7 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $58.94 – $64.04 | 2 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.29 – $1.37 | 5 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $371.38 – $490.05 | 7 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.48 – $5.15 | 6 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $3.21 – $4.76 | 7 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $2,391,705.69 – $2,574,721.38 | 5 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $22.42 – $82.76 | 7 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $143.44 – $151.41 | 3 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $59.90 – $61.78 | 5 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $6.50 – $6.70 | 3 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $70.43 – $86.37 | 7 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $372.00 – $591.98 | 6 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $95.94 – $129.97 | 7 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $91.34 – $99.90 | 5 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $143.99 – $196.90 | 7 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $24.71 – $284.73 | 6 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $35.38 – $38.27 | 5 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $46.35 – $81.76 | 7 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.74 – $10.65 | 6 |
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.