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 |
|---|---|---|---|---|
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $48.57 | $60.71 | $6.71 – $51.60 | 9 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $72.14 | $90.17 | $24.70 – $76.64 | 7 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $72.14 | $90.17 | $22.27 – $76.64 | 7 |
| Mayo cyanide CPT 82600 | $48.80 | $61.00 | $11.64 – $34.15 | 9 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,109.60 | $1,387.00 | $52.99 – $191.24 | 11 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $48.57 | $60.71 | $7.95 – $51.60 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $64.28 | $80.35 | $15.16 – $68.30 | 9 |
| Mayo dihydrotestosterone CPT 82642 | $59.20 | $74.00 | $17.57 – $58.44 | 9 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $33.57 | $41.96 | $9.64 – $35.67 | 9 |
| Mayo efpo chloride stool CPT 82438 | $33.57 | $41.96 | $3.00 – $35.67 | 9 |
| Mayo estriol CPT 82677 | $60.80 | $76.00 | $14.51 – $58.44 | 9 |
| Mayo estrone CPT 82679 | $63.20 | $79.00 | $14.97 – $58.44 | 9 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $66.43 | $83.03 | $9.80 – $70.58 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | $66.43 | $83.03 | $8.24 – $70.58 | 9 |
| Mayo factor ii CPT 85210 | $32.85 | $41.06 | $7.79 – $34.90 | 9 |
| Mayo factor v CPT 85220 | $39.20 | $49.00 | $10.59 – $34.90 | 9 |
| Mayo factor vii CPT 85230 | $39.20 | $49.00 | $10.74 – $34.90 | 9 |
| Mayo factor viii vw factor antigen CPT 85246 | $95.72 | $119.64 | $13.76 – $101.69 | 9 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $95.72 | $119.64 | $13.76 – $101.69 | 9 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $95.72 | $119.64 | $13.76 – $101.69 | 9 |
| Mayo factor x CPT 85260 | $39.20 | $49.00 | $10.74 – $34.90 | 9 |
| Mayo factor xi CPT 85270 | $39.20 | $49.00 | $10.74 – $34.90 | 9 |
| Mayo fat/lipids feces quantitative CPT 82710 | $64.28 | $80.35 | $10.08 – $68.30 | 9 |
| Mayo fbl culture fungi blood CPT 87103 | $41.60 | $52.00 | $12.28 – $40.99 | 9 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $161.60 | $202.00 | $12.08 – $112.64 | 9 |
| Mayo ffspg allergen clam igg CPT 86001 | $48.57 | $60.71 | $4.69 – $51.60 | 9 |
| Mayo fibrinogen antigen CPT 85385 | $32.85 | $41.06 | $8.68 – $34.90 | 9 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $66.43 | $83.03 | $13.00 – $70.58 | 9 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $127.86 | $159.82 | $62.65 – $135.85 | 5 |
| Mayo hemosiderin qualitative urine CPT 83070 | $33.57 | $41.96 | $2.85 – $35.67 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $48.57 | $60.71 | $8.27 – $51.60 | 9 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $64.80 | $81.00 | $15.49 – $60.71 | 9 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $48.57 | $60.71 | $5.33 – $51.60 | 9 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $48.57 | $60.71 | $8.11 – $51.60 | 9 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $68.80 | $86.00 | $16.30 – $58.44 | 9 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $64.28 | $80.35 | $10.36 – $68.30 | 9 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $48.57 | $60.71 | $8.99 – $51.60 | 9 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $52.80 | $66.00 | $12.49 – $51.60 | 9 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $52.80 | $66.00 | $12.49 – $51.60 | 9 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $70.40 | $88.00 | $19.50 – $79.67 | 9 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $38.58 | $48.22 | $9.64 – $40.99 | 9 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $87.20 | $109.00 | $21.05 – $71.34 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $70.40 | $88.00 | $21.05 – $71.34 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $70.40 | $88.00 | $35.09 – $79.67 | 9 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $108.00 | $135.00 | $25.70 – $71.34 | 9 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $144.80 | $181.00 | $43.31 – $135.85 | 9 |
| Mayo infliximab therapeutic drug level CPT 80230 | $77.60 | $97.00 | $23.14 – $70.58 | 9 |
| Mayo inhab inhibin a CPT 86336 | $48.57 | $60.71 | $9.35 – $51.60 | 9 |
| Mayo insft insulin free CPT 83527 | $55.00 | $68.75 | $7.77 – $58.44 | 9 |
| Mayo insulin antibodies CPT 86337 | $54.40 | $68.00 | $12.85 – $51.60 | 9 |
| Mayo iodine CPT 83789 | $64.28 | $80.35 | $14.47 – $68.30 | 9 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $66.43 | $83.03 | $16.27 – $70.58 | 9 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $66.43 | $83.03 | $16.27 – $70.58 | 9 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $66.43 | $83.03 | $7.95 – $70.58 | 9 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $64.28 | $80.35 | $7.67 – $68.30 | 9 |
| Mayo legionella antibody CPT 86713 | $48.57 | $60.71 | $9.18 – $51.60 | 9 |
| Mayo leptospira antibody igm CPT 86720 | $48.57 | $60.71 | $9.72 – $51.60 | 9 |
| Mayo lipoprotein electrophoresis CPT 83700 | $64.28 | $80.35 | $6.76 – $68.30 | 9 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $48.57 | $60.71 | $9.29 – $51.60 | 9 |
| Mayo manganese CPT 83785 | $59.20 | $74.00 | $15.99 – $38.26 | 9 |
| Mayo metanephrines plasma CPT 83835 | $55.00 | $68.75 | $10.16 – $58.44 | 9 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $48.57 | $60.71 | $11.04 – $51.60 | 9 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $48.57 | $60.71 | $11.04 – $51.60 | 9 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $48.57 | $60.71 | $8.73 – $51.60 | 9 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $66.43 | $83.03 | $11.18 – $70.58 | 9 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $274.40 | $343.00 | $82.20 – $191.82 | 9 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $370.40 | $463.00 | $102.90 – $227.47 | 9 |
| Mayo muramidase CPT 85549 | $47.20 | $59.00 | $11.25 – $35.67 | 9 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $48.57 | $60.71 | $11.04 – $51.60 | 9 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $66.43 | $83.03 | $10.83 – $70.58 | 9 |
| Mayo myoglobin CPT 83874 | $64.28 | $80.35 | $7.75 – $68.30 | 9 |
| Mayo nickel CPT 83885 | $61.60 | $77.00 | $14.71 – $38.13 | 9 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $64.28 | $80.35 | $12.73 – $68.30 | 9 |
| Mayo organic acids qualitative each specimen CPT 83919 | $64.28 | $80.35 | $9.87 – $68.30 | 9 |
| Mayo oxalate 24 hour urine CPT 83945 | $64.28 | $80.35 | $8.67 – $68.30 | 9 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $64.28 | $80.35 | $6.92 – $68.30 | 9 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $48.57 | $60.71 | $9.02 – $51.60 | 9 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $48.57 | $60.71 | $7.23 – $51.60 | 9 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $88.80 | $111.00 | $21.05 – $71.34 | 9 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $45.60 | $57.00 | $10.79 – $34.90 | 9 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $66.43 | $83.03 | $8.26 – $70.58 | 9 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $33.57 | $41.96 | $5.06 – $35.67 | 9 |
| Mayo pregnenolone CPT 84140 | $55.00 | $68.75 | $12.40 – $58.44 | 9 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $66.43 | $83.03 | $9.95 – $70.58 | 9 |
| Mayo proinsulin CPT 84206 | $55.00 | $68.75 | $16.01 – $58.44 | 9 |
| Mayo psaft prostate specific antigen free CPT 84154 | $64.28 | $80.35 | $11.03 – $68.30 | 9 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $64.28 | $80.35 | $11.04 – $68.30 | 9 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $33.60 | $42.00 | $8.02 – $35.67 | 9 |
| Mayo receptor assay transferrin soluble CPT 84238 | $92.00 | $115.00 | $21.94 – $91.82 | 9 |
| Mayo renin CPT 84244 | $55.20 | $69.00 | $13.19 – $58.44 | 9 |
| Mayo repu protein electrophoresis urine CPT 84166 | $64.28 | $80.35 | $10.70 – $68.30 | 9 |
| Mayo selenium CPT 84255 | $51.20 | $64.00 | $15.32 – $39.73 | 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.