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 |
|---|---|---|---|---|
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $33.57 | $41.96 | $8.17 – $35.67 | 9 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $76.00 | $95.00 | $0.10 – $0.50 | 9 |
| Kidney endoscopy CPT 50551 | $1,808.00 | $2,260.00 | $263.37 – $4,332.84 | 9 |
| Kidney endoscopy CPT 50553 | $1,932.80 | $2,416.00 | $281.30 – $4,332.84 | 9 |
| Kidney endoscopy CPT 50570 | $2,486.40 | $3,108.00 | $439.26 – $2,939.60 | 9 |
| Kidney endoscopy CPT 50575 | $3,617.60 | $4,522.00 | $637.64 – $4,332.84 | 9 |
| Kidney endoscopy & biopsy CPT 50555 | $2,072.00 | $2,590.00 | $305.71 – $7,881.47 | 9 |
| Kidney endoscopy & biopsy CPT 50574 | $2,860.80 | $3,576.00 | $504.97 – $2,939.60 | 9 |
| Kidney endoscopy & treatment CPT 50557 | $2,105.60 | $2,632.00 | $309.51 – $7,881.47 | 9 |
| Kidney endoscopy & treatment CPT 50561 | $2,384.00 | $2,980.00 | $352.85 – $4,332.84 | 9 |
| Kidney endoscopy & treatment CPT 50576 | $2,852.80 | $3,566.00 | $503.71 – $7,881.47 | 9 |
| Kidney endoscopy & treatment CPT 50580 | $3,075.20 | $3,844.00 | $542.33 – $4,332.84 | 9 |
| Kidney function study CPT 78725 | $241.60 | $302.00 | $15.69 – $342.49 | 9 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $50.00 – $50.00 | 2 |
| Kidney imaging morphology CPT 78700 | $376.00 | $470.00 | $19.28 – $342.49 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | $1,566.63 | $1,958.28 | $59.93 – $1,664.54 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,566.63 | $1,958.28 | $40.80 – $1,664.54 | 11 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $515.83 | $644.78 | $32.21 – $548.06 | 11 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $515.83 | $644.78 | $25.41 – $548.06 | 11 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $103.20 | $129.00 | $25.66 – $65.31 | 7 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $20.00 | $25.00 | $4.88 – $12.43 | 7 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $16,468.80 | $20,586.00 | $8,069.71 – $17,498.10 | 5 |
| Kit gene analys d816 variant CPT 81273 | $250.40 | $313.00 | $74.00 – $174.82 | 9 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $9.64 – $24.52 | 7 |
| Kit lead specify 5-6-5 HCPCS C1778 | $11,160.24 | $13,950.30 | $5,468.52 – $11,857.76 | 5 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $22.17 – $35.34 | 6 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,032.10 – $2,626.40 | 7 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $0.79 – $25.61 | 6 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | $3,052.80 | $3,816.00 | $562.05 – $2,765.43 | 9 |
| Knee arthroscopy/drainage CPT 29871 | $2,524.80 | $3,156.00 | $467.59 – $2,765.43 | 9 |
| Knee arthroscopy dx CPT 29870 | $2,803.20 | $3,504.00 | $376.54 – $2,765.43 | 9 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $2,659.20 | $3,324.00 | $490.70 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29850 | $3,062.40 | $3,828.00 | $565.81 – $1,502.39 | 9 |
| Knee arthroscopy/surgery CPT 29851 | $4,576.00 | $5,720.00 | $836.06 – $2,221.42 | 9 |
| Knee arthroscopy/surgery CPT 29873 | $2,596.80 | $3,246.00 | $488.47 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29874 | $2,644.80 | $3,306.00 | $485.54 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29875 | $2,440.00 | $3,050.00 | $450.38 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29876 | $3,216.00 | $4,020.00 | $590.39 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29879 | $3,254.40 | $4,068.00 | $598.26 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29880 | $2,761.60 | $3,452.00 | $508.84 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29882 | $3,408.00 | $4,260.00 | $621.98 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29883 | $4,137.60 | $5,172.00 | $755.67 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29884 | $3,043.20 | $3,804.00 | $560.82 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29886 | $3,124.80 | $3,906.00 | $577.06 – $2,765.43 | 9 |
| Knee arthroscopy/surgery CPT 29887 | $3,691.20 | $4,614.00 | $680.85 – $6,088.70 | 9 |
| Knee arthroscopy/surgery CPT 29888 | $4,832.00 | $6,040.00 | $874.13 – $6,088.70 | 9 |
| Knee arthroscopy/surgery CPT 29889 | $6,014.40 | $7,518.00 | $1,099.52 – $10,966.57 | 9 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $59.95 – $168.24 | 7 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $43.90 – $123.19 | 7 |
| Knee control full kneecap HCPCS L2795 | $192.00 | $240.00 | $47.76 – $134.02 | 7 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $403.41 – $1,026.56 | 7 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $400.38 – $1,074.47 | 7 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $85.73 – $218.15 | 7 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $85.73 – $218.15 | 7 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $72.66 – $184.90 | 7 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $52.15 – $132.69 | 7 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $57.31 – $160.83 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $4,184.76 | $5,230.94 | $94.35 – $4,446.30 | 11 |
| Knee MRI (with contrast) CPT 73722 | $3,521.31 | $4,401.63 | $71.16 – $3,741.39 | 11 |
| Knee MRI (without contrast) CPT 73721 | $2,921.37 | $3,651.71 | $59.32 – $3,103.95 | 11 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $176.04 – $447.97 | 7 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,096.23 – $2,789.59 | 7 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $727.31 – $1,850.78 | 7 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $260.08 – $724.05 | 7 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $489.90 – $1,246.65 | 7 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $342.82 – $877.40 | 7 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $285.38 – $726.22 | 7 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $1,213.84 – $3,088.87 | 7 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $1,516.52 – $3,998.36 | 7 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $914.08 – $2,326.06 | 7 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $646.24 – $1,644.49 | 7 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $8,695.54 – $22,127.69 | 7 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $644.45 – $1,639.95 | 7 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,074.18 – $2,733.48 | 7 |
| Knee X-ray CPT 73564 | $277.84 | $347.30 | $10.22 – $295.21 | 11 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $229.67 | $287.08 | $7.39 – $244.02 | 11 |
| Knee X-ray (3 views, both knees) CPT 73562 | $229.67 | $287.08 | $8.33 – $244.02 | 11 |
| Knee X-ray (standing, both knees) CPT 73565 | $229.67 | $287.08 | $7.69 – $244.02 | 11 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $244.10 – $621.17 | 7 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $2,112.02 – $5,550.96 | 7 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $344.03 – $875.46 | 7 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $344.03 – $875.46 | 7 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $529.46 – $1,450.23 | 7 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $56.26 – $124.24 | 7 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $79.82 – $168.65 | 7 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $536.70 – $1,365.74 | 7 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $536.70 – $1,134.07 | 7 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $766.30 – $1,950.00 | 7 |
| Ko swedish type pre ots HCPCS L1850 | $581.60 | $727.00 | $167.69 – $367.90 | 7 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $471.19 – $1,224.34 | 7 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $627.88 – $1,761.96 | 7 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,130.95 – $2,877.95 | 7 |
| Kras gene addl variants CPT 81276 | $387.20 | $484.00 | $107.37 – $270.57 | 9 |
| Kras gene variants exon 2 CPT 81275 | $387.20 | $484.00 | $107.37 – $270.57 | 9 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,591.20 | $1,989.00 | $779.69 – $1,690.65 | 8 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $1,909.12 – $5,080.98 | 7 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,197.41 – $5,848.79 | 7 |
| Kyphosis pad HCPCS L1020 | not published | not published | $48.58 – $136.33 | 7 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $70.09 – $196.68 | 7 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $67.20 | $84.00 | $16.87 – $45.26 | 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.