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, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $81.37 – $91.64 | 5 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $9.90 – $9.90 | 1 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $4.69 – $11.32 | 6 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $1.97 – $13.72 | 7 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.12 – $28.32 | 5 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $3.87 – $19.59 | 6 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $6,583.50 – $6,912.68 | 5 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $81.06 – $88.70 | 5 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $13.25 – $52.26 | 3 |
| Inj peritoneal venous shunt CPT 49427 | $100.80 | $126.00 | $35.29 – $92.67 | 7 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $9.99 – $15.11 | 7 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $32.38 – $33.92 | 5 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.13 – $4.68 | 7 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $89.14 – $100.39 | 3 |
| Inj proc ankle arthr CPT 27648 | $982.40 | $1,228.00 | $45.97 – $122.91 | 7 |
| Inj proc elbow arthro CPT 24220 | $883.20 | $1,104.00 | $59.95 – $232.12 | 9 |
| Inj proc for lymphang CPT 38790 | $792.92 | $991.15 | $73.63 – $842.48 | 9 |
| Inj proc lumbr disk ea lvl CPT 62290 | $2,404.65 | $3,005.81 | $142.52 – $2,554.94 | 9 |
| Inj proc myelogram lumbar CPT 62284 | $1,280.61 | $1,600.76 | $74.92 – $1,360.65 | 9 |
| Inj proc sialogram CPT 42550 | $1,064.46 | $1,330.57 | $55.79 – $1,130.98 | 9 |
| Inj progesterone per 50 mg HCPCS J2675 | $3.20 | $4.00 | $0.66 – $2.25 | 6 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.43 – $3.45 | 6 |
| Inj protirelin per 250 mcg HCPCS J2725 | $24.00 | $30.00 | $20.55 – $30.30 | 3 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.14 – $2.70 | 7 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.41 – $0.70 | 7 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.68 – $1.42 | 7 |
| Inj retro urethrocysto CPT 51610 | $296.80 | $371.00 | $58.63 – $185.52 | 9 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $15.20 | $19.00 | $13.00 – $16.93 | 7 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $11,667.97 – $12,986.62 | 5 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $0.92 – $1.03 | 2 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $28.52 – $37.11 | 5 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $12.29 – $13.68 | 5 |
| Inj scleros sol mult veins CPT 36471 | $955.20 | $1,194.00 | $65.80 – $340.53 | 9 |
| Inj scleros sol sgl vein CPT 36470 | $534.40 | $668.00 | $33.42 – $340.53 | 9 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $0.67 – $1.05 | 6 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $510.50 – $588.27 | 6 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $23.34 – $45.98 | 7 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $17.56 – $18.74 | 5 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.06 – $1.33 | 5 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $92.88 | $116.10 | $45.51 – $98.69 | 9 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $113.60 | $142.00 | $76.82 – $340.53 | 8 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $80.65 | $100.81 | $18.72 – $85.25 | 8 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $79.74 – $105.02 | 7 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $17.77 – $23.10 | 7 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $298.93 – $423.22 | 7 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $40.64 – $58.54 | 7 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $31.75 – $40.10 | 7 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.78 – $2.32 | 7 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $36.95 – $47.13 | 7 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $310.45 – $426.40 | 7 |
| Inj testostero enanthate 1mg HCPCS J3121 | $0.20 | $0.25 | $0.05 – $0.07 | 6 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $1.25 – $1.39 | 5 |
| Inj testosterone cypionate HCPCS J1071 | $0.20 | $0.25 | $0.03 – $0.04 | 6 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.43 – $1.05 | 3 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $12.48 – $12.85 | 4 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $257.60 | $322.00 | $67.02 – $140.50 | 5 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $446.40 | $558.00 | $60.19 – $126.40 | 5 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $2.32 – $2.58 | 4 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $281.52 | $351.89 | $128.76 – $299.11 | 9 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $58.56 – $63.38 | 5 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $150.83 – $196.09 | 6 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.72 – $6.08 | 5 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $191.58 – $205.01 | 5 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $21.60 | $27.00 | $17.83 – $23.68 | 7 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.16 – $0.19 | 3 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.19 – $13.35 | 7 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,098.36 – $3,961.49 | 6 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $5.55 – $10.28 | 7 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $4.06 – $4.92 | 5 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $46.40 – $50.19 | 5 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $3.23 – $3.33 | 4 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $2.45 – $2.53 | 4 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $24.62 – $32.11 | 6 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $5.94 – $7.77 | 5 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $6.48 – $8.55 | 5 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.48 – $1.57 | 5 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $2.99 – $3.50 | 5 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $44.49 – $94.14 | 7 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $432.60 – $488.30 | 5 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $240.44 – $271.61 | 4 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $52.29 – $58.09 | 4 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $25.70 – $65.39 | 7 |
| Inj w/fluor eval cv device CPT 36598 | $593.60 | $742.00 | $31.91 – $372.66 | 11 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $14.28 – $18.44 | 7 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $48.23 – $63.16 | 7 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $493.40 – $687.70 | 7 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $25.58 – $26.33 | 4 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $33.27 – $34.25 | 4 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,413.64 – $9,107.07 | 7 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,618.85 – $3,354.19 | 7 |
| Inpatient consultation CPT 99251 | not published | not published | $79.00 – $79.00 | 2 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | not published | not published | $40.33 – $103.04 | 7 |
| Inpt/ed teleconsult30 HCPCS G0425 | $221.60 | $277.00 | $84.11 – $220.97 | 7 |
| Inpt/ed teleconsult50 HCPCS G0426 | $301.60 | $377.00 | $118.98 – $312.75 | 7 |
| Inpt/ed teleconsult70 HCPCS G0427 | $446.40 | $558.00 | $170.05 – $446.00 | 7 |
| Inpt/tele follow up 15 HCPCS G0406 | $87.20 | $109.00 | $36.99 – $97.73 | 7 |
| Inpt/tele follow up 25 HCPCS G0407 | $160.00 | $200.00 | $65.78 – $171.96 | 7 |
| Inpt/tele follow up 35 HCPCS G0408 | $230.40 | $288.00 | $95.26 – $250.33 | 7 |
| Ins cath ren art 1st bi CPT 36252 | $3,644.00 | $4,555.00 | $305.90 – $3,377.02 | 11 |
| Ins cath ren art 1st uni CPT 36251 | $3,395.20 | $4,244.00 | $221.39 – $3,377.02 | 11 |
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.