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 |
|---|---|---|---|---|
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.19 – $1.56 | 7 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.36 – $2.95 | 7 |
| Anti mog serum - sendout CPT 86362 | $48.57 | $60.71 | $7.23 – $51.60 | 9 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $48.57 | $60.71 | $7.23 – $51.60 | 9 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $48.57 | $60.71 | $7.23 – $51.60 | 9 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $1,748.00 | $2,185.00 | $620.91 – $1,657.34 | 7 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $1,816.80 | $2,271.00 | $646.13 – $1,723.80 | 7 |
| Antinuclear antibodies CPT 86038 | $48.57 | $60.71 | $7.25 – $51.60 | 9 |
| Antinuclear antibodies titer CPT 86039 | $48.57 | $60.71 | $6.70 – $51.60 | 9 |
| Antiphosphatidylserine antibody CPT 86148 | $48.57 | $60.71 | $9.64 – $51.60 | 9 |
| Antipsychotics nos 1-3 CPT 80342 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Antipsychotics nos 4-6 CPT 80343 | $36.00 | $45.00 | $25.10 – $44.51 | 3 |
| Antipsychotics nos 7/more CPT 80344 | $12.80 | $16.00 | $11.46 – $23.90 | 3 |
| Antistreptolysin o screen CPT 86063 | $48.57 | $60.71 | $3.46 – $51.60 | 9 |
| Antistreptolysin o titer CPT 86060 | $48.57 | $60.71 | $4.38 – $51.60 | 9 |
| Antithrombin iii activity CPT 85300 | $32.85 | $41.06 | $7.11 – $34.90 | 9 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $3.89 – $5.03 | 7 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $0.07 – $144.72 | 4 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $1,253.72 – $5,263.77 | 7 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $826.27 – $1,207.73 | 7 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $2,172.80 | $2,716.00 | $780.56 – $4,207.41 | 9 |
| Ant sgm img ir flrscn angrph CPT 92287 | $322.40 | $403.00 | $21.65 – $109.87 | 9 |
| Ant sgm img i&r speclr mic CPT 92286 | $90.40 | $113.00 | $15.50 – $109.87 | 9 |
| Ant thrc vrt body tethrg <7 CPT 22836 | $4,508.80 | $5,636.00 | $1,563.03 – $4,180.30 | 6 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | $4,968.00 | $6,210.00 | $1,722.32 – $4,605.62 | 6 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $565.99 – $1,440.31 | 7 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $192.00 | $240.00 | $23.85 – $164.59 | 11 |
| Aortic circulation assist 33971 CPT 33971 | $1,719.20 | $2,149.00 | $611.74 – $1,639.05 | 7 |
| Aortic dysfunction/dilation CPT 81410 | $1,008.00 | $1,260.00 | $280.02 – $705.64 | 9 |
| Aortic dysfunction/dilation CPT 81411 | $2,700.80 | $3,376.00 | $810.11 – $1,890.39 | 7 |
| Aortic hemiarch graft 33866 CPT 33866 | $2,260.80 | $2,826.00 | $784.19 – $2,095.36 | 7 |
| Aortic suspension CPT 33800 | not published | not published | $850.80 – $2,271.63 | 7 |
| Apc gene dup/delet variants CPT 81203 | $400.00 | $500.00 | $111.12 – $280.02 | 9 |
| Apc gene full sequence CPT 81201 | $1,560.00 | $1,950.00 | $433.37 – $1,092.07 | 9 |
| Apc gene known fam variants CPT 81202 | $268.80 | $336.00 | $155.57 – $392.03 | 9 |
| Aphakia prosth service temp CPT 92358 | $25.60 | $32.00 | $20.75 – $57.51 | 9 |
| Apheresis immunoads slctv CPT 36516 | $4,728.80 | $5,911.00 | $76.16 – $3,993.24 | 9 |
| Apheresis plasma CPT 36514 | $1,643.20 | $2,054.00 | $84.54 – $1,397.18 | 9 |
| Apheresis platelets CPT 36513 | $275.20 | $344.00 | $97.48 – $372.61 | 9 |
| Apheresis rbc CPT 36512 | $277.60 | $347.00 | $96.44 – $1,397.18 | 9 |
| Apheresis wbc CPT 36511 | $280.80 | $351.00 | $101.46 – $1,397.18 | 9 |
| Apl(pml-rara) quant - sendout CPT 81315 | $465.60 | $582.00 | $115.18 – $322.50 | 9 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $3.69 – $48.92 | 6 |
| Appendectomy CPT 44950 | $1,576.80 | $1,971.00 | $565.44 – $5,318.23 | 9 |
| Appendectomy add-on 44955 CPT 44955 | $206.40 | $258.00 | $72.83 – $194.56 | 7 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $2,149.60 | $2,687.00 | $770.31 – $2,053.35 | 7 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $1,134.54 – $3,022.09 | 7 |
| Appendix Removal (Laparoscopic) CPT 44970 | $1,472.80 | $1,841.00 | $532.67 – $4,972.71 | 9 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,214.89 | $2,768.61 | $197.76 – $2,353.32 | 11 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $851.85 | $1,064.81 | $49.04 – $905.09 | 9 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $851.85 | $1,064.81 | $22.38 – $905.09 | 9 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $3,827.68 | $4,784.60 | $171.55 – $4,066.91 | 11 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $851.85 | $1,064.81 | $38.58 – $905.09 | 9 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $851.85 | $1,064.81 | $15.10 – $905.09 | 9 |
| Appl bdy cst sho to hip 1thi CPT 29044 | $682.40 | $853.00 | $134.49 – $399.06 | 9 |
| Appl bdy cst sho to hip b th CPT 29046 | $748.00 | $935.00 | $169.51 – $448.01 | 9 |
| Appl bdy cst sho to hip head CPT 29040 | $696.00 | $870.00 | $156.57 – $413.29 | 9 |
| Appl body cast sho to hips CPT 29035 | $608.00 | $760.00 | $129.91 – $343.33 | 9 |
| Appl cast figure-of-eight CPT 29049 | $237.60 | $297.00 | $63.05 – $226.36 | 9 |
| Appl cast plaster velpeau CPT 29058 | $298.40 | $373.00 | $84.46 – $226.36 | 9 |
| Appl cast shoulder spica CPT 29055 | $530.40 | $663.00 | $124.33 – $328.36 | 9 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $777.91 – $2,067.80 | 7 |
| Appl halo type body cast CPT 29000 | $808.80 | $1,011.00 | $173.06 – $459.09 | 9 |
| Appl hip spica cast1&1/2 CPT 29325 | $654.40 | $818.00 | $160.25 – $422.75 | 9 |
| Appl hip spica cast 1 leg CPT 29305 | $590.40 | $738.00 | $143.04 – $377.78 | 9 |
| Application clubfoot cast CPT 29450 | $718.40 | $898.00 | $101.98 – $273.59 | 9 |
| Application finger splntstatic 29130 CPT 29130 | $203.20 | $254.00 | $25.92 – $191.41 | 11 |
| Application halo femoral CPT 20663 | $2,318.40 | $2,898.00 | $437.01 – $2,765.43 | 9 |
| Application halo pelvic CPT 20662 | $1,260.80 | $1,576.00 | $473.95 – $1,364.06 | 9 |
| Application long leg splint 29505 CPT 29505 | $414.40 | $518.00 | $47.57 – $203.19 | 11 |
| Application lower leg splint 29515 CPT 29515 | $345.60 | $432.00 | $45.17 – $203.19 | 11 |
| Application multi layer compression below knee (both sides) CPT 29581 | $443.20 | $554.00 | $24.63 – $136.77 | 11 |
| Application of body cast CPT 29010 | $650.40 | $813.00 | $144.75 – $382.37 | 9 |
| Application of body cast CPT 29015 | $700.00 | $875.00 | $162.43 – $429.78 | 9 |
| Application of cylinder cast 29365 CPT 29365 | $592.00 | $740.00 | $78.48 – $226.36 | 9 |
| Application of forearm cast 29075 CPT 29075 | $416.00 | $520.00 | $56.80 – $356.01 | 11 |
| Application of long arm cast 29065 CPT 29065 | $462.40 | $578.00 | $61.52 – $356.01 | 11 |
| Application of long leg cast CPT 29355 | $689.60 | $862.00 | $94.97 – $253.18 | 9 |
| Application of long leg cast 29345 CPT 29345 | $657.60 | $822.00 | $89.15 – $269.24 | 11 |
| Application of paste boot 29580 CPT 29580 | $310.40 | $388.00 | $23.70 – $136.77 | 11 |
| Application short leg cast 29405 CPT 29405 | $388.80 | $486.00 | $53.20 – $356.01 | 11 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,214.89 | $2,768.61 | $85.19 – $2,353.32 | 11 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,214.89 | $2,768.61 | $75.55 – $2,353.32 | 11 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $175.20 | $219.00 | $85.85 – $186.15 | 5 |
| Appl long leg cast brace CPT 29358 | $769.60 | $962.00 | $92.48 – $245.31 | 9 |
| Appl mltpln uni ext fixj sys CPT 20692 | $2,767.20 | $3,459.00 | $1,020.55 – $10,966.57 | 9 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $95.08 | $118.84 | $5.59 – $101.01 | 9 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $109.80 | $137.24 | $10.99 – $116.65 | 9 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $21.10 – $62.15 | 6 |
| Appl multlay comprs arm/hand CPT 29584 | $409.60 | $512.00 | $14.72 – $134.49 | 9 |
| Appl patllr tdn bearing cast CPT 29435 | $556.80 | $696.00 | $77.75 – $226.36 | 9 |
| Appl unipln uni ext fixj sys CPT 20690 | $1,470.40 | $1,838.00 | $537.12 – $6,088.70 | 9 |
| Apply finger cast 29086 CPT 29086 | $382.40 | $478.00 | $45.31 – $134.49 | 9 |
| Apply forearm splintdynamic 29126 CPT 29126 | $376.00 | $470.00 | $45.03 – $148.23 | 11 |
| Apply halo w/removal cranial CPT 20661 | $1,201.60 | $1,502.00 | $458.41 – $1,238.42 | 7 |
| Apply hand/wrist cast 29085 CPT 29085 | $459.20 | $574.00 | $61.22 – $191.41 | 11 |
| Apply interstit radiat compl CPT 77778 | $1,941.60 | $2,427.00 | $414.34 – $869.51 | 9 |
| Apply intrcav radiat compl CPT 77763 | $1,484.80 | $1,856.00 | $297.25 – $624.30 | 9 |
| Apply intrcav radiat interm CPT 77762 | $1,043.20 | $1,304.00 | $225.92 – $493.04 | 9 |
| Apply intrcav radiat simple CPT 77761 | $780.80 | $976.00 | $189.51 – $493.04 | 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.