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 |
|---|---|---|---|---|
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $1.47 | $1.83 | $0.01 – $0.03 | 8 |
| Metyrapone panel CPT 80436 | $228.80 | $286.00 | $54.70 – $141.81 | 7 |
| Mgmt promoter methylation analysis CPT 81287 | $127.86 | $159.82 | $74.00 – $174.50 | 9 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $3.70 | $4.62 | $0.26 – $2.07 | 8 |
| Microalbumin urine screen CPT 82044 | $25.72 | $32.14 | $6.23 – $27.32 | 9 |
| Microbe susceptible mlc CPT 87187 | $80.80 | $101.00 | $17.43 – $71.34 | 9 |
| Microdissection laser CPT 88380 | $264.00 | $330.00 | $48.29 – $104.72 | 9 |
| Microdissection manual CPT 88381 | $523.20 | $654.00 | $21.43 – $162.83 | 9 |
| Microfluid analy tears CPT 83861 | $47.20 | $59.00 | $22.48 – $31.47 | 7 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $2,727.67 – $6,941.13 | 7 |
| Microsatellite instability CPT 81301 | $697.60 | $872.00 | $193.66 – $488.01 | 9 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $511.20 | $639.00 | $182.67 – $487.26 | 7 |
| Microvolt t-wave assess CPT 93025 | $319.20 | $399.00 | $34.01 – $133.35 | 9 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,527.12 – $5,938.52 | 5 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $161.88 | $202.34 | $9.30 – $171.99 | 11 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $70.48 | $88.10 | $0.04 – $0.14 | 8 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $1.19 | $1.48 | $0.06 – $0.21 | 8 |
| Middle cerebral artery echo CPT 76821 | $208.00 | $260.00 | $30.91 – $90.64 | 9 |
| Mifepristone 200 mg ta HCPCS S0190 | $85.60 | $107.00 | $43.00 – $140.69 | 6 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $23.59 | $29.48 | $1.39 – $23.29 | 8 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $319.49 – $896.57 | 7 |
| Minocycline hydrochloride HCPCS J2265 | $2.40 | $3.00 | $0.89 – $2.80 | 6 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.46 – $2.41 | 6 |
| Miroderm HCPCS Q4175 | not published | not published | $62.86 – $82.78 | 5 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $66.87 – $85.42 | 7 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | $2.44 | $3.05 | $0.97 – $2.54 | 8 |
| Mitochondrial gene CPT 81440 | $6,648.00 | $8,310.00 | $1,846.81 – $4,653.90 | 9 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $84.80 | $106.00 | $25.60 – $145.30 | 7 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $306.66 – $390.97 | 7 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $56.65 | 7 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | $6,837.60 | $8,547.00 | $2,406.88 – $6,427.34 | 7 |
| Mlh1 gene CPT 81288 | $384.80 | $481.00 | $106.85 – $269.27 | 9 |
| Mlh1 gene dup/delete variant CPT 81294 | $404.80 | $506.00 | $112.45 – $283.38 | 9 |
| Mlh1 gene full seq CPT 81292 | $1,351.20 | $1,689.00 | $375.25 – $945.63 | 9 |
| Mlh1 gene known variants CPT 81293 | $662.40 | $828.00 | $198.60 – $463.42 | 7 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $19.96 – $51.77 | 7 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.65 – $14.09 | 7 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | $5,200.00 | $6,500.00 | $949.95 – $10,966.57 | 9 |
| Mnl appl strs jt radiography CPT 77071 | $450.00 | $562.49 | $48.41 – $478.12 | 11 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $209.60 | $262.00 | $74.22 – $199.49 | 7 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $361.60 | $452.00 | $132.54 – $352.40 | 7 |
| Mnl prep&insj imed rx dev CPT 20702 | $347.20 | $434.00 | $126.06 – $335.38 | 7 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $961.60 | $1,202.00 | $177.64 – $1,364.06 | 9 |
| Mnpj elbow under anes CPT 24300 | $2,094.40 | $2,618.00 | $406.82 – $1,364.06 | 9 |
| Mnpj of tmj w/anesth CPT 21073 | $1,891.20 | $2,364.00 | $225.30 – $1,262.52 | 9 |
| Mnt subs tx for change dx HCPCS G0270 | $72.00 | $90.00 | $25.34 – $65.91 | 7 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $389.65 – $991.56 | 7 |
| Mobilization of colon 44139 CPT 44139 | $298.40 | $373.00 | $104.63 – $279.07 | 7 |
| Modification of contact lens CPT 92325 | $88.80 | $111.00 | $39.72 – $109.87 | 9 |
| Modified maze/limited 33254 CPT 33254 | $3,297.60 | $4,122.00 | $1,173.24 – $3,138.21 | 7 |
| Modified maze/limited /w other op 33257 CPT 33257 | $1,418.40 | $1,773.00 | $506.15 – $1,348.29 | 7 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $76.00 | $95.00 | $7.23 – $51.60 | 9 |
| Molded inner boot HCPCS L2280 | not published | not published | $254.50 – $714.19 | 7 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $1,577.14 – $4,013.36 | 7 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $2,454.53 – $6,246.08 | 7 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $844.12 – $2,148.04 | 7 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $2,608.28 – $6,637.33 | 7 |
| Molecular pathology interpr HCPCS G0452 | $100.00 | $125.00 | $0.03 – $7.38 | 7 |
| Mometasone sinus sinuva HCPCS J7402 | $22.63 | $28.28 | $10.08 – $24.04 | 9 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $175.35 – $446.21 | 7 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $210.68 – $536.11 | 7 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $11,236.72 – $28,594.25 | 7 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $17,120.23 | $21,400.28 | $8,388.91 – $18,190.24 | 5 |
| Monovisc inj per dose HCPCS J7327 | $1,300.00 | $1,625.00 | $539.15 – $1,128.77 | 7 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $28.03 – $204.05 | 6 |
| Mopath procedure level 1 CPT 81400 | $128.00 | $160.00 | $38.38 – $135.85 | 9 |
| Mopath procedure level 3 CPT 81402 | $300.80 | $376.00 | $88.87 – $210.48 | 9 |
| Mopath procedure level 5 CPT 81404 | $550.40 | $688.00 | $152.70 – $384.78 | 9 |
| Mopath procedure level 6 CPT 81405 | $603.20 | $754.00 | $167.43 – $421.92 | 9 |
| Mopath procedure level 7 CPT 81406 | $566.40 | $708.00 | $157.17 – $396.06 | 9 |
| Mopath procedure level 8 CPT 81407 | $1,692.80 | $2,116.00 | $470.19 – $1,184.85 | 9 |
| Mopath procedure level 9 CPT 81408 | $4,000.00 | $5,000.00 | $1,111.20 – $2,800.18 | 9 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $76.00 | $95.00 | $0.37 – $4.63 | 8 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $74.60 | $93.25 | $4.55 – $17.35 | 8 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $8.01 – $412.72 | 6 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $116.36 | $145.45 | $9.52 – $46.61 | 8 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $491.20 | $614.00 | $38.20 – $310.39 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $328.79 | $410.98 | $39.44 – $349.33 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $311.20 | $389.00 | $37.68 – $310.39 | 11 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $637.19 – $818.53 | 7 |
| Motion analysis video/3d CPT 96000 | $209.60 | $262.00 | $77.42 – $452.24 | 9 |
| Motion test w/ft press meas CPT 96001 | $248.00 | $310.00 | $97.46 – $867.14 | 9 |
| Motor &/ sens nrve cndj test CPT 95905 | $124.80 | $156.00 | $2.36 – $340.11 | 9 |
| Mouth piece HCPCS A4617 | $8.80 | $11.00 | $2.16 – $5.50 | 7 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $941.60 | $1,177.00 | $259.02 – $2,764.11 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $292.13 | $365.16 | $23.19 – $310.39 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $694.40 | $868.00 | $59.02 – $310.39 | 11 |
| M/phmtrc alysishquant/semiq CPT 88369 | $292.13 | $365.16 | $31.06 – $310.39 | 9 |
| M/phmtrc alys skeletal musc CPT 88355 | $380.80 | $476.00 | $48.93 – $163.27 | 9 |
| Mpl gene analysis common variants CPT 81338 | $300.80 | $376.00 | $88.87 – $185.01 | 9 |
| M.pneumon dna dir probe CPT 87580 | $50.40 | $63.00 | $12.03 – $31.19 | 7 |
| M.pneumon dna quant CPT 87582 | $605.60 | $757.00 | $80.40 – $423.70 | 7 |
| Mpsv4 vaccine subq CPT 90733 | $148.80 | $186.00 | $166.84 – $237.56 | 4 |
| MRA abdomen post contrast CPT 74185 | $945.60 | $1,182.00 | $78.01 – $187.60 | 7 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $945.60 | $1,182.00 | $78.34 – $187.60 | 7 |
| MRA chest w IV cont HCPCS C8909 | $3,521.84 | $4,402.29 | $304.39 – $3,741.95 | 10 |
| MRA chest wo IV cont HCPCS C8910 | $2,013.37 | $2,516.71 | $206.02 – $2,139.20 | 10 |
| MRA chest wwo IV cont HCPCS C8911 | $4,477.34 | $5,596.67 | $304.39 – $4,757.17 | 10 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $945.60 | $1,182.00 | $78.66 – $189.10 | 7 |
| MRA pelvis CPT 72198 | $945.60 | $1,182.00 | $78.31 – $188.30 | 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.