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 |
|---|---|---|---|---|
| Intraop colon lavage add-on CPT 44701 | $416.80 | $521.00 | $146.65 – $390.64 | 7 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $4,144.80 | $5,181.00 | $337.23 – $889.54 | 7 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $317.27 – $333.13 | 4 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $392.80 | $491.00 | $97.42 – $434.04 | 9 |
| Intrapul surf admin endo tube CPT 94610 | $124.80 | $156.00 | $50.96 – $173.36 | 9 |
| Intrauterine transfusion ftl CPT 36460 | $872.00 | $1,090.00 | $304.26 – $816.20 | 9 |
| Intraventricular pacing CPT 93612 | $632.00 | $790.00 | $66.36 – $6,467.45 | 9 |
| Intrinsic factor antibody CPT 86340 | $48.57 | $60.71 | $9.05 – $51.60 | 9 |
| Intrm oph exam est patient CPT 92012 | $183.20 | $229.00 | $45.85 – $120.69 | 9 |
| Intro cath dialysis circuit CPT 36901 | $1,689.60 | $2,112.00 | $147.68 – $1,324.02 | 11 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,606.03 | $10,757.53 | $210.14 – $9,143.90 | 11 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $19,810.62 | $24,763.27 | $275.23 – $21,048.78 | 11 |
| Intro catheter aorta CPT 36200 | $2,867.20 | $3,584.00 | $119.59 – $1,981.76 | 9 |
| Intro cath svc/ivc CPT 36010 | $2,568.00 | $3,210.00 | $93.70 – $1,013.33 | 9 |
| Intro long gi tube CPT 44500 | $696.81 | $871.01 | $17.34 – $799.09 | 11 |
| Intro long gi tube w/mult fluo CPT 74340 | $276.00 | $345.00 | $23.52 – $293.10 | 9 |
| Intro windpipe wire/tube CPT 31730 | $2,885.60 | $3,607.00 | $130.59 – $1,469.79 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,836.80 | $3,546.00 | $76.83 – $1,545.36 | 9 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $457.60 | $572.00 | $61.35 – $163.40 | 7 |
| Intubation endotracheal emergency procedure CPT 31500 | $399.10 | $498.87 | $126.43 – $424.04 | 11 |
| Io anal gast n-stim init CPT 95980 | $98.40 | $123.00 | $39.17 – $102.70 | 7 |
| Io anal gast n-stim subsq CPT 95981 | $76.80 | $96.00 | $15.76 – $50.62 | 9 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $1,796.00 | $2,245.00 | $293.79 – $2,170.20 | 6 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $208.58 – $494.36 | 7 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $320.36 – $365.25 | 4 |
| Io ga n-stim subsq w/reprog CPT 95982 | $121.60 | $152.00 | $31.78 – $84.11 | 9 |
| Ionm in operatng room 15 min CPT 95940 | $73.60 | $92.00 | $29.45 – $76.73 | 7 |
| Ionm remote/>1 pt or per hr CPT 95941 | $232.00 | $290.00 | $240.20 – $289.28 | 3 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $25.40 | $31.75 | $0.24 – $6.15 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $105.28 | $131.60 | $0.14 – $1.06 | 8 |
| Io radiation tx management CPT 77469 | $593.60 | $742.00 | $296.45 – $618.58 | 7 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $6,515.51 – $12,104.28 | 7 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $6,515.51 – $12,104.28 | 8 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.39 – $0.68 | 2 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $188.80 | $236.00 | $176.78 – $224.14 | 7 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $208.80 | $261.00 | $140.60 – $260.46 | 6 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $303.20 | $379.00 | $194.50 – $378.79 | 6 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $365.60 | $457.00 | $261.30 – $456.02 | 6 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $136.00 | $170.00 | $99.40 – $169.13 | 6 |
| Ipratropium bromide comp HCPCS J7645 | $2.40 | $3.00 | $0.02 – $2.17 | 3 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.20 | $1.49 | $0.24 – $1.27 | 8 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $6.40 | $8.00 | $1.79 – $6.64 | 6 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $57.35 – $80.63 | 7 |
| Iron CPT 83540 | $33.57 | $41.96 | $3.88 – $35.67 | 9 |
| Iron binding capacity CPT 83550 | $33.57 | $41.96 | $5.24 – $35.67 | 9 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $33.72 | $42.15 | $16.52 – $35.83 | 9 |
| Iron stain peripheral blood CPT 85536 | $17.60 | $22.00 | $4.13 – $10.06 | 7 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.40 | $1.74 | $0.10 – $0.57 | 8 |
| Irradiation of blood product each unit reference CPT 86945 | $164.99 | $206.23 | $16.50 – $175.30 | 11 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $88.29 | $110.36 | $21.23 – $93.81 | 11 |
| Irrigation sphenoid sinus CPT 31002 | $936.00 | $1,170.00 | $168.24 – $1,262.52 | 9 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.12 – $5.41 | 7 |
| Irrigation tray HCPCS A4320 | not published | not published | $3.31 – $8.42 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $132.00 | $165.00 | $22.82 – $61.61 | 9 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $69.87 – $99.45 | 7 |
| Island pedicle flap graft CPT 15740 | $2,468.80 | $3,086.00 | $759.29 – $2,021.42 | 9 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $157.11 – $1,030.00 | 6 |
| Ivc venogram s&i CPT 75825 | $2,266.70 | $2,833.37 | $47.95 – $2,682.66 | 11 |
| IV Fluids (each additional hour) CPT 96361 | $68.59 | $85.73 | $10.74 – $72.87 | 11 |
| IV Fluids (first hour) CPT 96360 | $309.40 | $386.75 | $27.80 – $328.74 | 11 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $101.34 – $149.00 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $101.69 | $127.11 | $17.16 – $108.04 | 9 |
| IV inj ra drug dx study CPT 78808 | $80.80 | $101.00 | $35.65 – $342.49 | 9 |
| IV Medicine Infusion (additional drug) CPT 96367 | $101.69 | $127.11 | $24.60 – $108.04 | 11 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $68.59 | $85.73 | $18.08 – $72.87 | 11 |
| IV Medicine Infusion (first hour) CPT 96365 | $309.40 | $386.75 | $52.86 – $328.74 | 11 |
| IV njx tst vasc flo flap/grf CPT 15860 | $268.00 | $335.00 | $94.09 – $340.11 | 9 |
| IV Push Injection (each additional drug) CPT 96375 | $68.59 | $85.73 | $13.13 – $72.87 | 11 |
| IV Push Injection (first drug) CPT 96374 | $309.40 | $386.75 | $31.22 – $328.74 | 11 |
| Ivp w/nephrotomography CPT 74415 | $1,151.08 | $1,438.84 | $21.31 – $1,223.01 | 11 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $916.64 | $1,145.80 | $21.17 – $973.93 | 11 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $105.59 – $166.50 | 7 |
| Jak2 targeted sequence analysis CPT 81279 | $370.40 | $463.00 | $102.90 – $227.47 | 9 |
| Jaw arthroscopy/surgery CPT 29800 | $2,595.20 | $3,244.00 | $481.60 – $2,765.43 | 9 |
| Jaw arthroscopy/surgery CPT 29804 | $3,110.40 | $3,888.00 | $544.75 – $2,765.43 | 9 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $552.96 | $691.20 | $10.57 – $587.52 | 11 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $349.38 | $436.72 | $11.19 – $371.21 | 11 |
| Jejunstmy tube plcmt CPT 44372 | $604.80 | $756.00 | $213.23 – $1,616.83 | 9 |
| John cunningham antibody CPT 86711 | $48.57 | $60.71 | $10.13 – $51.60 | 9 |
| J-tube placement CPT 44015 | $348.80 | $436.00 | $122.12 – $326.40 | 7 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $656.27 – $1,841.65 | 7 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $606.38 – $1,597.80 | 7 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $963.76 – $2,704.53 | 7 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $543.59 – $1,525.46 | 7 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $673.03 – $1,888.67 | 7 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $671.09 – $1,865.23 | 7 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $453.39 – $1,272.33 | 7 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,240.60 – $3,156.97 | 7 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $936.14 – $2,627.03 | 7 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $103.61 – $263.65 | 7 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $570.07 – $1,599.76 | 7 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $2,451.01 – $6,237.11 | 7 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $522.47 – $1,458.33 | 7 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $803.57 – $2,255.01 | 7 |
| Keratomileusis CPT 65760 | not published | not published | $1,134.20 – $3,535.32 | 6 |
| Keratophakia CPT 65765 | not published | not published | $1,639.90 – $5,125.89 | 6 |
| Keratoprosthesis CPT 65770 | $6,963.20 | $8,704.00 | $1,263.01 – $12,178.98 | 9 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $580.92 – $580.92 | 1 |
| Ketamine and metabolite screen - quest CPT 80357 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Ketogenic steroids fract CPT 83582 | $39.20 | $49.00 | $9.28 – $22.06 | 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.