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 |
|---|---|---|---|---|
| Lymph vessel x-ray arm/leg CPT 75801 | $919.20 | $1,149.00 | $38.16 – $526.95 | 9 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,340.00 | $2,925.00 | $51.28 – $1,324.02 | 9 |
| Lymph vessel x-ray trunk CPT 75805 | $4,700.00 | $5,875.00 | $35.65 – $2,682.66 | 9 |
| Lymph vessel x-ray trunk CPT 75807 | $4,714.40 | $5,893.00 | $48.04 – $2,682.66 | 9 |
| Lysis intranasal synechia 30560 CPT 30560 | $714.40 | $893.00 | $134.81 – $434.04 | 9 |
| Lysis of labial adhesions CPT 56441 | $408.00 | $510.00 | $139.47 – $2,709.95 | 9 |
| Lysis penil circumic lesion CPT 54162 | $641.60 | $802.00 | $182.41 – $1,745.97 | 9 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $20.24 | 5 |
| Macro exam dissect molec study ea CPT 88387 | $77.60 | $97.00 | $6.35 – $18.32 | 7 |
| Macroscopic exam arthropod CPT 87168 | $38.58 | $48.22 | $2.56 – $40.99 | 9 |
| Macroscopic exam parasite CPT 87169 | $38.58 | $48.22 | $2.59 – $40.99 | 9 |
| Magnesium CPT 83735 | $33.57 | $41.96 | $4.02 – $35.67 | 9 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $42.44 | $53.05 | $0.05 – $0.50 | 8 |
| Magnetic image bone marrow CPT 77084 | $880.80 | $1,101.00 | $70.21 – $206.02 | 9 |
| Makena, 10 mg HCPCS J1726 | $35.20 | $44.00 | $13.82 – $31.03 | 5 |
| Malaria antibody CPT 86750 | $48.57 | $60.71 | $7.91 – $51.60 | 9 |
| Male sling procedure CPT 53440 | $1,900.80 | $2,376.00 | $682.46 – $11,073.63 | 9 |
| Management of liver hemorrhage 47361 CPT 47361 | $7,440.00 | $9,300.00 | $2,627.17 – $7,002.47 | 7 |
| Manipulate finger w/anesth CPT 26340 | $1,675.20 | $2,094.00 | $331.86 – $1,364.06 | 9 |
| Manipulate wrist w/anesthes CPT 25259 | $2,084.80 | $2,606.00 | $387.77 – $1,364.06 | 9 |
| Manipulation of hip joint CPT 27275 | $449.60 | $562.00 | $167.34 – $1,364.06 | 9 |
| Manipulation of spine CPT 22505 | $320.80 | $401.00 | $129.16 – $1,364.06 | 9 |
| Manipulat palm cord post inj CPT 26341 | $521.60 | $652.00 | $70.78 – $204.46 | 9 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $4.80 | $6.00 | $2.10 – $4.37 | 6 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.90 – $6.78 | 5 |
| Man's shoe oxford brace HCPCS L3225 | $188.80 | $236.00 | $47.00 – $119.60 | 7 |
| Manual diff wbc count b-coat CPT 85009 | $11.20 | $14.00 | $3.04 – $7.09 | 7 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $584.80 | $731.00 | $98.34 – $254.18 | 7 |
| Mapping io sentinel lymph node CPT 38900 | $676.80 | $846.00 | $119.71 – $319.54 | 7 |
| Map tachycard site(s) CPT 93609 | $1,076.80 | $1,346.00 | $112.11 – $616.85 | 7 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $38.22 – $61.17 | 7 |
| Marker biop eviva buckle ss HCPCS A4648 | $209.60 | $262.00 | $226.01 – $268.10 | 2 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,137.96 – $11,948.90 | 5 |
| Marsupialization liver lesion 47300 CPT 47300 | $2,771.20 | $3,464.00 | $995.86 – $2,662.38 | 7 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $68.19 – $440.78 | 6 |
| Mastectomy form HCPCS L8020 | not published | not published | $142.64 – $363.00 | 7 |
| Mastectomy partial CPT 19301 | $3,208.00 | $4,010.00 | $582.43 – $3,263.75 | 9 |
| Mast mod rad CPT 19307 | $5,886.40 | $7,358.00 | $1,038.85 – $5,558.33 | 9 |
| Mastoidectomy CPT 69501 | $3,524.80 | $4,406.00 | $636.67 – $5,042.00 | 9 |
| Mastoidectomy complete 69502 CPT 69502 | $4,686.40 | $5,858.00 | $844.71 – $5,042.00 | 9 |
| Mastoids complete CPT 70130 | $421.94 | $527.42 | $15.13 – $448.31 | 11 |
| Mastoid surgery revision CPT 69603 | $6,180.80 | $7,726.00 | $1,148.64 – $5,042.00 | 9 |
| Mastopexy CPT 19316 | $3,820.80 | $4,776.00 | $710.04 – $5,558.33 | 9 |
| Mast radical CPT 19305 | $5,561.60 | $6,952.00 | $1,009.01 – $2,701.20 | 7 |
| Mast rad urban type CPT 19306 | $5,900.80 | $7,376.00 | $1,075.72 – $2,867.88 | 7 |
| Mast simple complete CPT 19303 | $4,684.80 | $5,856.00 | $845.55 – $5,558.33 | 9 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $86.35 – $145.86 | 5 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,200.00 – $2,266.00 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.98 – $24.12 | 5 |
| M.avium-intra dna amp prob CPT 87561 | $88.80 | $111.00 | $21.05 – $54.59 | 7 |
| M.avium-intra dna dir prob CPT 87560 | $58.40 | $73.00 | $16.37 – $38.20 | 7 |
| M.avium-intra dna quant CPT 87562 | $108.00 | $135.00 | $25.70 – $66.65 | 7 |
| Maxillofacial fixation CPT 21100 | $2,070.40 | $2,588.00 | $330.79 – $5,042.00 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $64.28 | $80.35 | $8.68 – $68.30 | 9 |
| Mayo aathr protein s free CPT 85306 | $39.20 | $49.00 | $9.19 – $34.90 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | $39.20 | $49.00 | $9.19 – $35.67 | 9 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $77.60 | $97.00 | $23.14 – $70.58 | 9 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $72.14 | $90.17 | $15.10 – $76.64 | 7 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $126.43 | $158.03 | $13.16 – $134.33 | 8 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $64.28 | $80.35 | $8.87 – $68.30 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo alpha 1 antitrypsin CPT 82103 | $64.28 | $80.35 | $8.06 – $68.30 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $66.43 | $83.03 | $9.05 – $70.58 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $72.14 | $90.17 | $18.20 – $76.64 | 7 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $265.60 | $332.00 | $72.98 – $189.21 | 9 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $206.40 | $258.00 | $55.00 – $142.59 | 9 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $153.56 | $191.95 | $82.20 – $191.82 | 9 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,320.00 | $2,900.00 | $644.50 – $1,624.11 | 9 |
| Mayo androstenedione CPT 82157 | $73.60 | $92.00 | $17.57 – $58.44 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $64.28 | $80.35 | $8.76 – $68.30 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | $32.85 | $41.06 | $6.49 – $34.90 | 9 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $48.57 | $60.71 | $9.03 – $51.60 | 9 |
| Mayo avwpr vw factor activity CPT 85397 | $95.72 | $119.64 | $18.52 – $101.69 | 9 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $70.40 | $88.00 | $21.05 – $71.34 | 9 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $48.57 | $60.71 | $6.11 – $51.60 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $325.60 | $407.00 | $86.90 – $225.32 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $429.60 | $537.00 | $119.24 – $300.50 | 9 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $48.57 | $60.71 | $7.74 – $51.60 | 9 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $48.57 | $60.71 | $7.91 – $51.60 | 9 |
| Mayo brcmg brucella antibody igm CPT 86622 | $48.57 | $60.71 | $5.36 – $51.60 | 9 |
| Mayo c1 esterase inhibitor CPT 83883 | $48.57 | $60.71 | $8.16 – $51.60 | 9 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $64.28 | $80.35 | $10.12 – $68.30 | 9 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $110.00 | $137.50 | $16.07 – $116.88 | 9 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $274.40 | $343.00 | $73.33 – $190.12 | 9 |
| Mayo ceruloplasmin CPT 82390 | $33.57 | $41.96 | $6.44 – $35.67 | 9 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $64.28 | $80.35 | $8.47 – $68.30 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $48.57 | $60.71 | $7.73 – $51.60 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $48.57 | $60.71 | $7.09 – $51.60 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $48.57 | $60.71 | $7.61 – $51.60 | 9 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $292.80 | $366.00 | $104.17 – $191.24 | 9 |
| Mayo chromium CPT 82495 | $40.80 | $51.00 | $10.06 – $34.15 | 9 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo coccidioides antibody CPT 86635 | $48.57 | $60.71 | $6.88 – $51.60 | 9 |
| Mayo cocou cortisone urine CPT 82542 | $64.28 | $80.35 | $14.45 – $68.30 | 9 |
| Mayo cortisol free CPT 82530 | $64.28 | $80.35 | $10.03 – $68.30 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $84.80 | $106.00 | $25.28 – $68.83 | 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.