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 |
|---|---|---|---|---|
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $699.16 – $1,785.08 | 7 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $910.54 – $2,497.14 | 7 |
| Legion pneumo dna dir prob CPT 87540 | $50.40 | $63.00 | $12.03 – $31.19 | 7 |
| Legion pneumo dna quant CPT 87542 | $104.80 | $131.00 | $25.06 – $64.96 | 7 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $939.37 – $2,408.60 | 7 |
| Leg vein fusion 34530 CPT 34530 | $4,569.60 | $5,712.00 | $804.79 – $2,682.66 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $666.42 | $833.02 | $29.58 – $708.07 | 11 |
| Leishmania antibody CPT 86717 | $48.57 | $60.71 | $7.35 – $51.60 | 9 |
| Lengthening of hand tendon CPT 26478 | $1,560.80 | $1,951.00 | $590.93 – $2,765.43 | 9 |
| Lengthening of palate CPT 42227 | $2,042.40 | $2,553.00 | $759.84 – $5,042.00 | 9 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $2,182.40 | $2,728.00 | $815.60 – $5,042.00 | 9 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,060.76 – $2,822.20 | 7 |
| Lengthening of thigh tendon CPT 27393 | $2,502.40 | $3,128.00 | $457.42 – $6,088.70 | 9 |
| Lengthening of thigh tendons CPT 27394 | $1,608.00 | $2,010.00 | $593.85 – $6,088.70 | 9 |
| Lengthening of thigh tendons CPT 27395 | $2,164.00 | $2,705.00 | $794.50 – $2,765.43 | 9 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $960.80 – $2,556.83 | 7 |
| Lengthen metacarpal/finger CPT 26568 | $2,229.60 | $2,787.00 | $827.63 – $6,088.70 | 9 |
| Lengthen radius or ulna CPT 25391 | $4,900.80 | $6,126.00 | $894.90 – $10,966.57 | 9 |
| Lengthen radius & ulna CPT 25393 | $5,558.40 | $6,948.00 | $1,011.33 – $6,088.70 | 9 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | not published | not published | $415.70 – $557.13 | 4 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $537.59 | $671.98 | $71.27 – $571.18 | 9 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $71.27 – $272.06 | 7 |
| Lepirudin HCPCS J1945 | not published | not published | $183.90 – $793.54 | 4 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $9.60 | $12.00 | $3.51 – $5.81 | 6 |
| Leukacyte transfusion CPT 86950 | $89.60 | $112.00 | $43.01 – $165.89 | 9 |
| Leukocyte phagocytosis CPT 86344 | $23.20 | $29.00 | $6.23 – $14.54 | 7 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,259.20 | $1,574.00 | $158.53 – $281.14 | 7 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $1,714.40 | $2,143.00 | $1,131.28 – $2,033.99 | 7 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,684.00 – $7,361.90 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | $48.00 | $60.00 | $4.65 – $58.82 | 6 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $461.86 | 7 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.38 – $81.93 | 7 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $71.65 – $133.11 | 7 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $94.32 – $175.22 | 7 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $159.03 – $295.44 | 7 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $243.37 – $452.13 | 7 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $344.24 – $639.52 | 7 |
| Levalbuterol comp unit HCPCS J7615 | $2.40 | $3.00 | $0.05 – $2.45 | 4 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.22 – $0.40 | 6 |
| Levalbuterol non-comp unit HCPCS J7614 | $1.60 | $2.00 | $0.05 – $0.83 | 8 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $1.67 | $2.08 | $0.05 – $0.22 | 8 |
| Levetiracetam therapeutic drug level CPT 80177 | $66.43 | $83.03 | $7.95 – $70.58 | 9 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $79.60 | $99.50 | $0.67 – $1.45 | 8 |
| Levonorgestrel implant sys HCPCS J7306 | $933.60 | $1,167.00 | $475.92 – $1,194.94 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $19.58 | $24.47 | $0.99 – $10.88 | 8 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $0.03 – $2,741.40 | 9 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.04 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $7.19 | $8.98 | $0.01 – $0.02 | 7 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.04 | $0.05 | $0.01 – $0.04 | 8 |
| Lidocaine therapeutic drug level CPT 80176 | $66.43 | $83.03 | $8.81 – $70.58 | 9 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $118.47 – $301.47 | 7 |
| Lift heel adj small gl60404sm HCPCS L3332 | $177.60 | $222.00 | $44.11 – $112.26 | 7 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $22.81 – $58.05 | 7 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $338.51 – $861.41 | 7 |
| Ligate esophagus veins CPT 43400 | $3,728.00 | $4,660.00 | $1,331.11 – $3,549.44 | 7 |
| Ligate leg veins open CPT 37761 | $2,646.40 | $3,308.00 | $458.97 – $2,682.66 | 9 |
| Ligate leg veins radical 37760 CPT 37760 | $3,043.20 | $3,804.00 | $494.78 – $2,682.66 | 9 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $192.80 | $241.00 | $66.99 – $179.70 | 7 |
| Ligate/staple esophagus CPT 43405 | $3,550.40 | $4,438.00 | $1,265.60 – $3,378.06 | 7 |
| Ligate/strip long leg vein CPT 37722 | $2,300.80 | $2,876.00 | $394.51 – $2,682.66 | 9 |
| Ligate/strip short leg vein CPT 37718 | $2,052.80 | $2,566.00 | $338.90 – $2,682.66 | 9 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $919.20 | $1,149.00 | $332.64 – $2,709.95 | 9 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,751.56 | $2,189.44 | $179.29 – $1,861.02 | 11 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,146.33 – $3,056.51 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $1,193.60 | $1,492.00 | $212.47 – $2,682.66 | 9 |
| Ligation external carotid artery 37600 CPT 37600 | $1,824.00 | $2,280.00 | $669.78 – $2,682.66 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,796.00 | $2,245.00 | $631.04 – $2,682.66 | 9 |
| Ligation internal jugular vein 37565 CPT 37565 | $3,564.80 | $4,456.00 | $641.72 – $2,682.66 | 9 |
| Ligation major artery chest CPT 37616 | $2,701.60 | $3,377.00 | $993.62 – $2,613.99 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | $948.80 | $1,186.00 | $342.29 – $917.83 | 7 |
| Ligation major artery neck CPT 37615 | $1,288.80 | $1,611.00 | $458.76 – $2,682.66 | 9 |
| Ligation nasal sinus artery CPT 30915 | $1,448.80 | $1,811.00 | $539.99 – $2,682.66 | 9 |
| Ligation of abdomen artery 37617 CPT 37617 | $3,266.40 | $4,083.00 | $1,149.55 – $3,077.42 | 7 |
| Ligation of femoral vein CPT 37650 | $2,232.00 | $2,790.00 | $395.30 – $2,682.66 | 9 |
| Ligation of inf vena cava CPT 37619 | $4,729.67 | $5,912.08 | $1,500.18 – $5,025.27 | 11 |
| Ligation of neck artery CPT 37606 | $1,693.60 | $2,117.00 | $636.61 – $2,682.66 | 9 |
| Ligation of salivary duct CPT 42665 | $844.80 | $1,056.00 | $198.33 – $2,764.11 | 9 |
| Ligation of shunt CPT 49428 | $1,056.80 | $1,321.00 | $378.92 – $1,009.76 | 7 |
| Ligation upper jaw artery CPT 30920 | $2,101.60 | $2,627.00 | $779.58 – $2,682.66 | 9 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $1,728.00 | $2,160.00 | $218.54 – $2,682.66 | 9 |
| Lig/band angioaccess av fistula CPT 37607 | $915.20 | $1,144.00 | $323.72 – $2,682.66 | 9 |
| Lig&div&compl strpg saph vn CPT 37735 | $2,827.20 | $3,534.00 | $499.54 – $2,682.66 | 9 |
| Liletta, 52 mg HCPCS J7297 | $1,223.20 | $1,529.00 | $913.98 – $986.37 | 4 |
| Limb exercise test CPT 95875 | $290.40 | $363.00 | $53.30 – $139.91 | 9 |
| Limb nerve surgery add-on CPT 64783 | $536.80 | $671.00 | $189.12 – $503.37 | 7 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $26.72 – $74.98 | 7 |
| Limited autopsy CPT 88036 | not published | not published | $93.94 – $601.77 | 6 |
| Limited autopsy CPT 88037 | not published | not published | $83.47 – $487.86 | 6 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $69.62 – $195.38 | 7 |
| Limited visual field xm CPT 92081 | $79.20 | $99.00 | $14.58 – $50.62 | 9 |
| Lincomycin injection HCPCS J2010 | $10.40 | $13.00 | $6.24 – $15.46 | 6 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $40.10 | $50.12 | $0.78 – $3.47 | 8 |
| Lipase CPT 83690 | $33.57 | $41.96 | $4.13 – $35.67 | 9 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $1,204.80 | $1,506.00 | $317.76 – $2,764.11 | 9 |
| Lipoprotein blood high res frac & quant CPT 83701 | $86.42 | $108.02 | $20.32 – $91.82 | 9 |
| Lipoprotein blood quant CPT 83704 | $86.42 | $108.02 | $20.51 – $91.82 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | $33.57 | $41.96 | $4.91 – $35.67 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $33.57 | $41.96 | $6.30 – $35.67 | 9 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $20.51 – $49.10 | 7 |
| Lip surgery procedure CPT 40799 | not published | not published | $197.93 – $367.70 | 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.