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 |
|---|---|---|---|---|
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $496,390.21 – $616,009.57 | 6 |
| Listeria monocytogenes CPT 86723 | $33.60 | $42.00 | $7.91 – $20.52 | 7 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $96.64 – $245.92 | 7 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $38.77 – $98.66 | 7 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $302.46 – $769.68 | 7 |
| Lithium therapeutic drug level CPT 80178 | $66.43 | $83.03 | $3.97 – $70.58 | 9 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,186.57 | $2,733.21 | $131.51 – $2,323.23 | 9 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,034.53 – $2,740.74 | 7 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,227.23 – $3,278.29 | 7 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $2,970.40 | $3,713.00 | $1,065.56 – $2,839.85 | 7 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $756.00 | $945.00 | $176.19 – $999.76 | 7 |
| Liver elastography 91200 CPT 91200 | $80.80 | $101.00 | $9.60 – $133.35 | 9 |
| Liver Function Test CPT 80076 | $68.56 | $85.70 | $4.90 – $72.85 | 9 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,248.81 – $3,382.94 | 7 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $85.00 – $85.00 | 2 |
| Liver imaging CPT 78201 | $417.60 | $522.00 | $18.66 – $458.77 | 9 |
| Liver imaging (3d) CPT 78205 | not published | not published | $61.00 – $61.00 | 2 |
| Liver imag w/vasclr flow CPT 78202 | $446.40 | $558.00 | $21.96 – $458.77 | 9 |
| Liver/spleen imag static only CPT 78215 | $1,048.74 | $1,310.92 | $21.17 – $1,114.28 | 11 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,197.98 | $1,497.47 | $25.08 – $1,272.85 | 11 |
| Lmtd oph exam general anes CPT 92019 | $155.20 | $194.00 | $67.03 – $1,988.41 | 9 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $3,280.00 | $4,100.00 | $426.83 – $2,765.43 | 9 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $1,701.44 – $4,329.68 | 7 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.44 | $0.54 | $0.21 – $1.89 | 8 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $12.99 – $121.49 | 6 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $206.41 – $260.82 | 7 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $67.55 – $185.75 | 7 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $0.40 – $0.57 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $73.52 | $91.90 | $0.22 – $1.57 | 8 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $46.63 – $96.54 | 7 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $46.63 – $118.65 | 7 |
| Loudness balance test CPT 92562 | $93.60 | $117.00 | $43.86 – $265.41 | 9 |
| Low back disk surgery CPT 63030 | $4,667.20 | $5,834.00 | $805.66 – $6,088.70 | 9 |
| Low cost skin substitute app HCPCS C5271 | $1,103.34 | $1,379.17 | $575.67 – $1,172.29 | 8 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,720.28 – $2,896.40 | 5 |
| Low cost skin substitute app HCPCS C5275 | $1,103.34 | $1,379.17 | $575.67 – $1,172.29 | 8 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $575.67 – $969.24 | 5 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $260.80 | $326.00 | $47.19 – $168.06 | 11 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,920.60 | $3,650.75 | $55.26 – $3,103.14 | 11 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,714.26 | $3,392.82 | $53.20 – $2,883.90 | 11 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,398.52 | $2,998.14 | $43.57 – $2,548.42 | 11 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,477.34 | $5,596.67 | $100.51 – $4,757.17 | 11 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,888.77 | $4,860.96 | $78.25 – $4,131.82 | 11 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,921.37 | $3,651.71 | $64.86 – $3,103.95 | 11 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $328.23 | $410.28 | $9.92 – $348.74 | 11 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $352.70 | $440.87 | $11.81 – $374.74 | 11 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $135.20 | $169.00 | $13.54 – $90.64 | 9 |
| Lower jaw bone graft CPT 21215 | $10,059.20 | $12,574.00 | $728.45 – $5,042.00 | 9 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $241.04 | $301.30 | $7.10 – $256.11 | 11 |
| Low frequency non-thermal Ultrasound CPT 97610 | $728.00 | $910.00 | $16.63 – $27.77 | 7 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.00 – $112.30 | 4 |
| Lsh uterus 250 g or less CPT 58541 | $1,818.40 | $2,273.00 | $656.72 – $8,873.63 | 9 |
| Lsh uterus above 250 g CPT 58543 | $2,100.00 | $2,625.00 | $753.74 – $8,873.63 | 9 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $2,068.80 | $2,586.00 | $743.64 – $8,873.63 | 9 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $2,262.40 | $2,828.00 | $810.90 – $8,873.63 | 9 |
| Lso corset front HCPCS L0972 | not published | not published | $58.81 – $162.32 | 7 |
| Lso flex no ri stays pre ots HCPCS L0628 | $164.80 | $206.00 | $50.18 – $103.89 | 7 |
| Lso full corset HCPCS L0976 | not published | not published | $100.13 – $254.81 | 7 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $96.86 – $246.47 | 7 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $788.90 – $2,007.51 | 7 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $712.41 – $1,475.06 | 7 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $96.86 – $200.54 | 7 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $601.58 – $1,530.87 | 7 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $989.53 – $2,518.09 | 7 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $171.51 – $436.45 | 7 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $171.51 – $355.12 | 7 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $625.90 – $1,592.73 | 7 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $712.41 – $1,812.88 | 7 |
| L/s ratio fetal lung CPT 83661 | $55.20 | $69.00 | $13.19 – $34.22 | 7 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.12 – $2.83 | 7 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $35.75 – $100.33 | 7 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $43.64 – $122.46 | 7 |
| Lumbar diskogram s&i CPT 72295 | $318.40 | $398.00 | $36.59 – $1,664.38 | 9 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $44.32 – $123.04 | 7 |
| Lumbar sling HCPCS L1090 | not published | not published | $52.03 – $144.57 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $3,842.40 | $4,803.00 | $1,386.72 – $15,674.10 | 9 |
| Lumizyme injection HCPCS J0221 | $216.00 | $270.00 | $201.57 – $256.46 | 7 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $223.93 | $279.91 | $9.33 – $265.41 | 11 |
| Lung function test (mbc/mvv) CPT 94200 | $48.00 | $60.00 | $2.36 – $50.62 | 9 |
| Lung Function Test (Spirometry) CPT 94010 | $203.75 | $254.68 | $7.42 – $216.48 | 11 |
| Lung perfusion imaging CPT 78580 | $916.51 | $1,145.63 | $31.91 – $973.79 | 11 |
| Lung transplant double CPT 32853 | not published | not published | $3,934.93 – $10,485.68 | 7 |
| Lung transplant single CPT 32851 | not published | not published | $2,812.69 – $7,508.06 | 7 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,040.50 – $8,112.02 | 7 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,158.98 – $11,103.34 | 7 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,273.83 – $3,400.53 | 7 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $185.70 – $260.01 | 7 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $35.67 – $51.96 | 7 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $286.34 – $328.32 | 6 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $240.20 – $265.84 | 5 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $306.06 – $778.84 | 7 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $132.00 | $165.00 | $20.88 – $76.37 | 9 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $169.07 – $430.24 | 7 |
| Lyme dis dna dir probe CPT 87475 | $50.40 | $63.00 | $12.03 – $31.19 | 7 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $1,748.00 | $2,185.00 | $635.24 – $1,691.02 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $1,266.18 | $1,582.72 | $51.07 – $1,345.31 | 11 |
| Lymphocyte culture mixed CPT 86821 | $92.00 | $115.00 | $21.94 – $56.87 | 7 |
| Lymphocyte transformation mitogen CPT 86353 | $123.20 | $154.00 | $29.42 – $116.88 | 9 |
| Lymphocytotoxicity assay CPT 86805 | $379.20 | $474.00 | $100.51 – $265.34 | 7 |
| Lymphocytotoxicity assay CPT 86806 | $120.00 | $150.00 | $28.55 – $74.05 | 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.