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 |
|---|---|---|---|---|
| Insj stablj dev without dcmprn CPT 22869 | $1,121.60 | $1,402.00 | $394.12 – $10,966.57 | 9 |
| Insj stablj dev without dcmprn CPT 22870 | $314.40 | $393.00 | $106.41 – $285.06 | 7 |
| Ins left heart vent thor inscn ecmo CPT 33988 | $1,901.60 | $2,377.00 | $660.97 – $1,764.79 | 7 |
| Ins lv lead exist pm/icd CPT 33224 | $25,000.72 | $31,250.89 | $439.81 – $26,563.26 | 11 |
| Ins mark abd/pel for right perq CPT 49411 | $1,204.80 | $1,506.00 | $168.35 – $1,166.19 | 9 |
| Ins mark thor for right perq CPT 32553 | $1,304.00 | $1,630.00 | $157.95 – $1,166.19 | 9 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $177.60 | $222.00 | $44.11 – $112.26 | 7 |
| Ins picad w subq port 5yr> CPT 36571 | $6,318.40 | $7,898.00 | $274.23 – $2,682.66 | 9 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,061.60 | $1,327.00 | $72.75 – $526.95 | 9 |
| Ins pm gen exist dual lead CPT 33230 | $43,399.07 | $54,248.83 | $323.50 – $46,111.51 | 11 |
| Ins pm gen w/exist mlt leads CPT 33221 | $887.20 | $1,109.00 | $309.49 – $16,254.62 | 9 |
| Ins pq tunnld ip cath w/img CPT 49418 | $6,195.62 | $7,744.52 | $179.49 – $6,582.84 | 11 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $1,960.41 – $1,960.41 | 1 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $6,536.77 – $19,745.46 | 5 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $883.20 | $1,104.00 | $302.71 – $25,973.07 | 9 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $1,194.40 | $1,493.00 | $412.84 – $16,254.62 | 9 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $16,364.68 | $20,455.85 | $293.07 – $17,387.47 | 11 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $12,886.08 | $16,107.60 | $281.24 – $13,691.46 | 11 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $16,645.37 | $20,806.71 | $394.29 – $17,685.70 | 11 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $782.40 | $978.00 | $265.83 – $18,277.35 | 9 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $64,456.00 | $80,569.99 | $287.13 – $68,484.49 | 9 |
| Insrt/redo neurostim 1 array CPT 61885 | $2,459.20 | $3,074.00 | $463.74 – $18,277.35 | 9 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | $6,646.40 | $8,308.00 | $1,145.71 – $3,081.00 | 6 |
| Ins subq extnsn pertneal cath CPT 49435 | $293.60 | $367.00 | $102.32 – $271.31 | 7 |
| Install spinal shunt CPT 63740 | not published | not published | $858.25 – $2,285.31 | 7 |
| Install spinal shunt 63741 CPT 63741 | $1,612.00 | $2,015.00 | $590.52 – $5,458.28 | 9 |
| Inst fibrinolysis agent ini day CPT 32561 | $706.89 | $883.61 | $60.32 – $751.07 | 11 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $706.89 | $883.61 | $53.84 – $751.07 | 11 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,341.19 – $1,718.39 | 5 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $654.02 | $817.52 | $39.37 – $694.89 | 11 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.76 – $0.78 | 5 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $2,116.46 – $3,563.42 | 5 |
| Instll rx agnt into rnal tub CPT 50391 | $619.20 | $774.00 | $87.77 – $235.06 | 9 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | $968.00 | $1,210.00 | $195.10 – $415.20 | 5 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $7.84 – $8.33 | 5 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $22,545.60 | $28,182.00 | $314.08 – $4,607.36 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $5,324.80 | $6,656.00 | $281.05 – $4,607.36 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,977.60 | $4,972.00 | $230.43 – $2,682.66 | 11 |
| Ins tun intraperit dia cath CPT 49421 | $560.80 | $701.00 | $196.74 – $3,007.87 | 9 |
| Inst via cath agent pleurds CPT 32560 | $632.00 | $790.00 | $67.09 – $526.95 | 9 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $2.49 – $13.88 | 6 |
| Insulin suppression panel CPT 80432 | $386.40 | $483.00 | $99.37 – $231.87 | 7 |
| Insulin tolerance panel CPT 80434 | $570.40 | $713.00 | $171.02 – $399.06 | 7 |
| Insulin tolerance panel CPT 80435 | $258.40 | $323.00 | $61.80 – $160.25 | 7 |
| Insulin total CPT 83525 | $55.00 | $68.75 | $6.86 – $58.44 | 9 |
| Ins vag brachytx device CPT 57156 | $537.60 | $672.00 | $140.03 – $369.70 | 9 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,494.35 – $1,959.10 | 6 |
| Integra meshed bil wound mat HCPCS C9363 | $167.43 | $209.28 | $82.04 – $177.89 | 5 |
| Intens behave ther cardio dx HCPCS G0446 | $60.80 | $76.00 | $25.39 – $55.02 | 9 |
| Intens cardiac rehab no exer HCPCS G0423 | $238.40 | $298.00 | $107.31 – $308.83 | 9 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $238.40 | $298.00 | $107.31 – $308.83 | 9 |
| Intercalary algrft compl CPT 20934 | $1,780.00 | $2,225.00 | $663.16 – $1,767.10 | 7 |
| Interdental fixation CPT 21110 | $2,040.00 | $2,550.00 | $634.09 – $1,710.92 | 9 |
| Interdental wirg oth/thn fx CPT 21497 | $1,693.60 | $2,117.00 | $529.44 – $1,415.10 | 9 |
| Interdiscal perq aspir dx CPT 62267 | $662.40 | $828.00 | $139.42 – $599.68 | 9 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $40.53 – $55.52 | 4 |
| Interferon alfa-2b inj HCPCS J9214 | $36.80 | $46.00 | $15.97 – $42.09 | 6 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $7.78 – $20.30 | 4 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $20.89 – $44.24 | 6 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $53.57 – $71.98 | 7 |
| Interferon beta-1a inj HCPCS J1826 | $1,851.20 | $2,314.00 | $713.06 – $2,313.30 | 7 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $470.95 – $710.56 | 5 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $366.56 – $9,813.21 | 6 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $10.90 – $23.33 | 5 |
| Intermediate visual field xm CPT 92082 | $112.80 | $141.00 | $18.99 – $50.62 | 9 |
| Internal nerve revision 64727 CPT 64727 | $448.80 | $561.00 | $161.85 – $431.82 | 7 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $182.75 – $512.84 | 7 |
| Interrogate subq defib CPT 93261 | $148.00 | $185.00 | $30.27 – $80.44 | 9 |
| Interrogation vad in person CPT 93750 | $126.40 | $158.00 | $35.63 – $92.61 | 9 |
| Interrog dev eval icpms ip CPT 93290 | $108.80 | $136.00 | $18.11 – $49.82 | 9 |
| Interrog dev eval scrms ip CPT 93291 | $104.00 | $130.00 | $16.25 – $42.77 | 9 |
| Interrog device eval heart CPT 93289 | $162.40 | $203.00 | $31.16 – $84.34 | 9 |
| Interrog evl pm/ldls pm ip CPT 93288 | $115.20 | $144.00 | $18.78 – $49.43 | 9 |
| Interrog&prgrmg ipnss CPT 93151 | $200.00 | $250.00 | $36.07 – $145.34 | 7 |
| Interrog&prgrmg ipnss polysm CPT 93152 | $364.00 | $455.00 | $80.28 – $474.88 | 7 |
| Interrog without prgrmg ipnss CPT 93153 | $118.40 | $148.00 | $19.67 – $145.34 | 7 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $10,192.04 – $26,852.57 | 7 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $9,039.91 – $24,507.62 | 7 |
| Interstitial brachy inter CPT 77799 | not published | not published | $93.33 – $173.38 | 7 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,236.57 – $3,289.87 | 7 |
| Intestinal stricturoplasty CPT 44615 | $2,645.60 | $3,307.00 | $941.57 – $2,508.41 | 7 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $5,691.70 – $6,851.51 | 4 |
| Int hrhc lig 1 hroid without img CPT 46945 | $824.80 | $1,031.00 | $308.23 – $2,337.38 | 9 |
| Int hrhc lig 2+hroid without img CPT 46946 | $932.00 | $1,165.00 | $343.88 – $2,337.38 | 9 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $788.32 – $2,006.04 | 7 |
| Intra-atrial pacing CPT 93610 | $636.80 | $796.00 | $55.84 – $6,467.45 | 9 |
| Intra-atrial recording CPT 93602 | $453.60 | $567.00 | $45.51 – $6,467.45 | 9 |
| Intracard echo interv w/s&i CPT 93662 | $838.40 | $1,048.00 | $64.30 – $179.09 | 7 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,289.61 – $3,420.65 | 7 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,179.13 – $3,146.88 | 7 |
| Intracranial complete study CPT 93886 | $588.00 | $735.00 | $41.52 – $206.02 | 9 |
| Intracranial limited study CPT 93888 | $353.60 | $442.00 | $32.77 – $90.64 | 9 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,933.89 – $5,181.52 | 7 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,513.95 – $9,430.85 | 7 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,424.08 – $6,465.97 | 7 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,808.56 – $10,161.72 | 7 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,868.76 – $4,982.21 | 7 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,098.66 – $8,266.86 | 7 |
| Intranasal biopsy 30100 CPT 30100 | $346.40 | $433.00 | $62.16 – $1,262.52 | 9 |
| Intranasal reconstruction CPT 30620 | $1,571.20 | $1,964.00 | $597.66 – $5,042.00 | 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.