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 semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $56.44 | $70.54 | $15.50 – $59.96 | 9 |
| Mayo serotonin CPT 84260 | $109.28 | $136.60 | $18.59 – $116.11 | 9 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $48.57 | $60.71 | $11.61 – $51.60 | 9 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $66.43 | $83.03 | $8.24 – $70.58 | 9 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $132.85 | $166.06 | $65.10 – $141.15 | 5 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $48.57 | $60.71 | $2.56 – $51.60 | 9 |
| Mayo tau phosphorylated 217 each CPT 84393 | $64.28 | $80.35 | $31.50 – $68.30 | 5 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $468.80 | $586.00 | $116.07 – $325.00 | 9 |
| Mayo tgrp testosterone free CPT 84402 | $64.00 | $80.00 | $15.28 – $58.44 | 9 |
| Mayo tgrp testosterone total CPT 84403 | $64.80 | $81.00 | $15.49 – $58.44 | 9 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $64.28 | $80.35 | $13.30 – $68.30 | 9 |
| Mayo thyroglobulin CPT 84432 | $55.00 | $68.75 | $9.64 – $58.44 | 9 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $48.57 | $60.71 | $6.11 – $51.60 | 9 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $48.57 | $60.71 | $7.43 – $51.60 | 9 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $116.00 | $145.00 | $30.77 – $116.11 | 9 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $48.57 | $60.71 | $8.50 – $51.60 | 9 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $66.43 | $83.03 | $8.12 – $70.58 | 9 |
| Mayo vasoactive intestinal peptide CPT 84586 | $109.28 | $136.60 | $11.40 – $116.11 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $64.28 | $80.35 | $12.14 – $68.30 | 9 |
| Mayo vitamin b3 (niacin) CPT 84591 | $64.28 | $80.35 | $10.24 – $68.30 | 9 |
| Mayo vitamin k CPT 84597 | $64.28 | $80.35 | $8.23 – $68.30 | 9 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $66.43 | $83.03 | $7.95 – $70.58 | 9 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | $2,059.20 | $2,574.00 | $735.18 – $1,959.12 | 7 |
| Mcoln1 gene CPT 81290 | $127.86 | $159.82 | $23.59 – $135.85 | 9 |
| Mcp joint arthroscopy dx CPT 29900 | $2,444.80 | $3,056.00 | $460.29 – $2,765.43 | 9 |
| Mcp joint arthroscopy surg CPT 29901 | $2,632.00 | $3,290.00 | $492.56 – $2,765.43 | 9 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | $2,795.20 | $3,494.00 | $521.78 – $1,385.45 | 9 |
| Mcrscp xm hair pluck/clipped CPT 96902 | $50.40 | $63.00 | $29.50 – $54.23 | 6 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | $3,700.00 | $4,625.00 | $826.09 – $3,120.29 | 9 |
| Md inr test revie inter mgmt HCPCS G0250 | $20.80 | $26.00 | $8.04 – $21.16 | 7 |
| Md service required for pmd HCPCS G0372 | $20.80 | $26.00 | $8.01 – $21.09 | 7 |
| Meas lung vol thru 2 yrs CPT 94013 | $53.60 | $67.00 | $16.95 – $452.24 | 9 |
| Measure kidney pressure CPT 50396 | $595.20 | $744.00 | $104.82 – $568.89 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | $349.66 | $437.07 | $10.04 – $371.51 | 11 |
| Measure ureter pressure CPT 50686 | $348.80 | $436.00 | $80.15 – $213.03 | 9 |
| Mecasermin injection HCPCS J2170 | not published | not published | $8.60 – $367.63 | 6 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $246.56 – $627.45 | 7 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $160.55 – $403.27 | 4 |
| #mec-opiates CPT 80356 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Mecp2 gene dup/delet variant CPT 81304 | $300.00 | $375.00 | $88.87 – $210.01 | 9 |
| Mecp2 gene full seq CPT 81302 | $1,056.00 | $1,320.00 | $293.28 – $739.06 | 9 |
| Mecp2 gene known variant CPT 81303 | $240.00 | $300.00 | $72.00 – $168.02 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $300.80 | $376.00 | $103.40 – $103.40 | 2 |
| Medial canthopexy CPT 21280 | $2,867.20 | $3,584.00 | $533.05 – $2,764.11 | 9 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $984.80 | $1,231.00 | $347.80 – $4,972.71 | 9 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $752.80 | $941.00 | $267.24 – $4,972.71 | 9 |
| Medical services after hrs CPT 99050 | $39.20 | $49.00 | $11.60 – $44.67 | 6 |
| Medical testimony CPT 99075 | $197.60 | $247.00 | $130.00 – $251.98 | 4 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $452.24 – $1,686.60 | 9 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.84 | $1.04 | $0.26 – $0.78 | 8 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | $39.20 | $49.00 | $6.25 – $44.67 | 6 |
| Med serv eve/wkend/holiday CPT 99051 | $39.20 | $49.00 | $30.52 – $48.62 | 6 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.19 – $0.78 | 6 |
| Meg evoked each addl CPT 95967 | $1,808.80 | $2,261.00 | $156.60 – $409.06 | 7 |
| Meg evoked single CPT 95966 | $2,315.20 | $2,894.00 | $181.34 – $867.14 | 9 |
| Meg spontaneous CPT 95965 | $4,640.80 | $5,801.00 | $374.07 – $983.76 | 9 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $5.74 – $16.06 | 6 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $527.20 | $659.00 | $220.70 – $467.56 | 5 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $126.19 – $405.42 | 6 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $21.82 – $584.43 | 4 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $181.01 – $276.46 | 5 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $41,409.84 – $65,822.00 | 5 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $49.54 – $383.38 | 4 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $63.68 – $95.74 | 5 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $63.30 – $149.58 | 6 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $230.75 – $260.75 | 3 |
| Meniscal trnspl knee w/scpe CPT 29868 | $8,228.80 | $10,286.00 | $1,489.01 – $6,088.70 | 9 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $82.08 | $102.60 | $5.99 – $40.42 | 8 |
| Meperidine/promethazine inj HCPCS J2180 | $11.20 | $14.00 | $3.79 – $9.43 | 4 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $51.80 | $64.74 | $25.38 – $55.03 | 9 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.85 – $11.77 | 6 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $17.20 | $21.49 | $0.32 – $4.93 | 8 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $0.84 – $0.84 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $637.60 | $797.00 | $223.42 – $598.16 | 7 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.49 – $4.82 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $68.56 | $85.70 | $5.08 – $72.85 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $68.56 | $85.70 | $6.34 – $72.85 | 9 |
| Metabolic panel ionized ca CPT 80047 | $68.56 | $85.70 | $8.24 – $72.85 | 9 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $941.64 – $2,642.46 | 7 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $209.60 – $588.20 | 7 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $9.95 – $37.74 | 2 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $1.60 | $2.00 | $0.72 – $1.63 | 6 |
| Methadone injection HCPCS J1230 | not published | not published | $12.88 – $25.57 | 6 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.21 – $0.78 | 6 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $62.40 | $78.00 | $6.36 – $79.23 | 6 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $2.31 | $2.88 | $0.22 – $2.45 | 8 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $144.23 | $180.28 | $0.60 – $2.83 | 8 |
| Methotrexate therapeutic drug level CPT 80204 | $77.60 | $97.00 | $23.14 – $70.58 | 9 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $94.74 – $116.40 | 3 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $11.88 – $58.98 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $1.09 – $8.25 | 6 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $119.74 | $149.67 | $5.39 – $21.29 | 8 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $3.14 | $3.92 | $0.54 – $2.89 | 8 |
| Methylphenidate CPT 80360 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.24 – $1.01 | 6 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $2.15 | $2.68 | $0.11 – $2.28 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $10.62 | $13.27 | $0.01 – $0.27 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $74.28 | $92.85 | $0.31 – $1.13 | 8 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $14.83 | $18.53 | $1.64 – $3.56 | 5 |
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.