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 |
|---|---|---|---|---|
| MRA pelvis w IV cont HCPCS C8918 | $3,521.31 | $4,401.63 | $304.39 – $3,741.39 | 10 |
| MRA pelvis wo IV cont HCPCS C8919 | $733.60 | $917.00 | $206.02 – $382.74 | 7 |
| MRA spinal canal CPT 72159 | $996.00 | $1,245.00 | $78.60 – $188.30 | 7 |
| MRA upper extremity post contrast-bil CPT 73225 | $968.00 | $1,210.00 | $73.98 – $177.20 | 7 |
| MRA w/cont, abd HCPCS C8900 | $3,888.77 | $4,860.96 | $304.39 – $4,131.82 | 10 |
| MRA w/cont, lwr ext HCPCS C8912 | $4,477.34 | $5,596.67 | $304.39 – $4,757.17 | 10 |
| Mra, w/dye, spinal canal HCPCS C8931 | $3,888.77 | $4,860.96 | $304.39 – $4,131.82 | 10 |
| Mra, w/dye, upper extremity HCPCS C8934 | $3,288.84 | $4,111.04 | $304.39 – $3,494.38 | 10 |
| MRA without cont, abd HCPCS C8901 | $3,289.59 | $4,111.98 | $206.02 – $3,495.18 | 10 |
| MRA without cont, lwr ext HCPCS C8913 | $2,922.12 | $3,652.64 | $206.02 – $3,104.74 | 10 |
| Mra, without dye, spinal canal HCPCS C8932 | $3,288.84 | $4,111.04 | $206.02 – $3,494.38 | 10 |
| Mra, without dye, upper extr HCPCS C8935 | $3,288.84 | $4,111.04 | $206.02 – $3,494.38 | 10 |
| MRA without fol w/cont, abd HCPCS C8902 | $4,477.34 | $5,596.67 | $304.39 – $4,757.17 | 10 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $5,855.32 | $7,319.15 | $304.39 – $6,221.28 | 10 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $733.60 | $917.00 | $304.39 – $565.48 | 7 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $304.39 – $565.48 | 7 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $4,552.23 | $5,690.28 | $304.39 – $4,836.74 | 10 |
| Mr elastography CPT 76391 | $488.80 | $611.00 | $48.13 – $206.02 | 9 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $2,038.40 | $2,548.00 | $1,019.16 – $19,745.46 | 6 |
| MRI brain w/dye CPT 70558 | $3,514.40 | $4,393.00 | $151.73 – $326.15 | 9 |
| MRI brain without dye CPT 70557 | $3,324.00 | $4,155.00 | $139.14 – $467.32 | 9 |
| MRI brain without & w/dye CPT 70559 | $3,313.60 | $4,142.00 | $144.27 – $303.56 | 9 |
| MRI breast c- unilateral CPT 77046 | $1,684.53 | $2,105.66 | $63.15 – $1,789.81 | 11 |
| MRI breast c-+ w/cad uni CPT 77048 | $710.40 | $888.00 | $92.15 – $221.80 | 7 |
| MRI breast without cont bi CPT 77047 | $1,917.33 | $2,396.66 | $69.92 – $2,037.16 | 11 |
| MRI breast w IV cont bi CPT 77049 | $1,920.03 | $2,400.03 | $100.83 – $2,040.03 | 9 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $769.60 | $962.00 | $102.00 – $244.20 | 9 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,021.60 | $1,277.00 | $113.04 – $304.39 | 9 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,209.60 | $1,512.00 | $129.53 – $673.38 | 9 |
| MRI chest without contrast CPT 71550 | $2,782.26 | $3,477.82 | $63.91 – $2,956.15 | 11 |
| MRI chest without & w/contrast CPT 71552 | $4,184.76 | $5,230.94 | $98.95 – $4,446.30 | 11 |
| MRI chest w IV cont CPT 71551 | $3,521.31 | $4,401.63 | $75.45 – $3,741.39 | 11 |
| MRI compatible system HCPCS L0859 | not published | not published | $684.70 – $1,921.43 | 7 |
| MRI fetal ea addl gestation CPT 74713 | $420.00 | $525.00 | $81.40 – $195.80 | 7 |
| MRI fetal sngl/1st gestation CPT 74712 | $864.00 | $1,080.00 | $131.89 – $317.10 | 9 |
| MRI guid ndl plc s&i CPT 77021 | $931.20 | $1,164.00 | $65.50 – $156.30 | 7 |
| MRI guid parenchymal tiss ablation CPT 77022 | $2,527.20 | $3,159.00 | $183.22 – $440.70 | 7 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,176.02 – $1,980.03 | 5 |
| MRI loex nonjt w IV cont CPT 73719 | $3,521.31 | $4,401.63 | $70.86 – $3,741.39 | 11 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,921.37 | $3,651.71 | $59.03 – $3,103.95 | 11 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,477.34 | $5,596.67 | $94.35 – $4,757.17 | 11 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,201.19 | $4,001.48 | $70.86 – $3,401.26 | 11 |
| MRI tmj CPT 70336 | $2,921.27 | $3,651.58 | $64.26 – $3,103.84 | 11 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,921.37 | $3,651.71 | $59.32 – $3,103.95 | 11 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,477.34 | $5,596.67 | $94.35 – $4,757.17 | 11 |
| MRI upper extremity w/dye CPT 73219 | $945.60 | $1,182.00 | $70.86 – $304.39 | 9 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,732.08 | $2,165.09 | $335.86 – $1,840.33 | 8 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,777.16 | $2,221.45 | $167.42 – $1,888.23 | 8 |
| MRI without fol w/cont, breast HCPCS C8908 | $1,824.70 | $2,280.87 | $335.86 – $1,938.74 | 8 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,869.76 | $2,337.20 | $335.86 – $1,986.62 | 8 |
| Mr safety determination physician/other qhp CPT 76016 | $178.60 | $223.25 | $26.05 – $189.76 | 9 |
| Mr safety implant elec prepj CPT 76018 | $207.20 | $259.00 | $32.68 – $197.82 | 9 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $92.80 | $116.00 | $24.34 – $90.80 | 9 |
| Mr safety implt pos&/immoblj CPT 76019 | $268.00 | $335.00 | $25.46 – $128.02 | 9 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $49.68 | $62.09 | $9.60 – $52.78 | 9 |
| Mr sfty med physics xm cstmz CPT 76017 | $490.31 | $612.88 | $33.15 – $520.95 | 9 |
| Mr spectroscopy CPT 76390 | $1,018.40 | $1,273.00 | $75.04 – $149.60 | 9 |
| Msh2 gene dup/delete variant CPT 81297 | $427.20 | $534.00 | $118.51 – $298.65 | 9 |
| Msh2 gene full seq CPT 81295 | $764.00 | $955.00 | $212.07 – $534.42 | 9 |
| Msh2 gene known variants CPT 81296 | $676.00 | $845.00 | $182.28 – $472.86 | 7 |
| Msh6 gene dup/delete variant CPT 81300 | $476.00 | $595.00 | $132.23 – $333.23 | 9 |
| Msh6 gene full seq CPT 81298 | $1,284.00 | $1,605.00 | $356.61 – $898.64 | 9 |
| Msh6 gene known variants CPT 81299 | $616.00 | $770.00 | $171.12 – $431.24 | 9 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,440.26 – $6,496.69 | 7 |
| Mthfr gene analy common variants CPT 81291 | $131.20 | $164.00 | $39.20 – $135.85 | 9 |
| M.tuberculo dna dir probe CPT 87555 | $58.40 | $73.00 | $16.13 – $37.64 | 7 |
| M.tuberculo dna quant CPT 87557 | $108.00 | $135.00 | $25.70 – $66.65 | 7 |
| Mucin synovial fluid CPT 83872 | $33.57 | $41.96 | $3.52 – $35.67 | 9 |
| Mucopolysaccharides CPT 83864 | $86.42 | $108.02 | $17.10 – $91.82 | 9 |
| Mucormycosis antibody CPT 86732 | $38.40 | $48.00 | $9.00 – $21.01 | 7 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $9.50 – $28.84 | 6 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $2,464.01 – $6,270.21 | 7 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $427.75 – $1,088.52 | 7 |
| Multi den insert custom mold HCPCS A5513 | $108.80 | $136.00 | $26.98 – $68.65 | 7 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $18.08 – $46.01 | 7 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $404.01 – $1,028.09 | 7 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $408.76 – $1,040.17 | 7 |
| Multi family grp psychotherapy CPT 90849 | $80.80 | $101.00 | $28.41 – $136.94 | 9 |
| Multifocal erg w/i&r CPT 92274 | $181.60 | $227.00 | $30.51 – $133.35 | 9 |
| Multiple sleep latency test CPT 95805 | $1,442.48 | $1,803.09 | $52.40 – $1,532.63 | 11 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $1,890.19 – $4,810.00 | 7 |
| Mumps antibody igg CPT 86735 | $48.57 | $60.71 | $7.83 – $51.60 | 9 |
| Muscle-skin graft arm CPT 15736 | $3,014.40 | $3,768.00 | $1,085.48 – $2,893.67 | 9 |
| Muscle-skin graft leg CPT 15738 | $3,197.60 | $3,997.00 | $1,125.52 – $3,120.29 | 9 |
| Muscle-skin graft trunk CPT 15734 | $3,704.80 | $4,631.00 | $1,330.56 – $3,542.41 | 9 |
| Muscle test cran nerv unilat CPT 95867 | $233.60 | $292.00 | $37.96 – $265.41 | 9 |
| Muscle test hemidiaphragm CPT 95866 | $295.20 | $369.00 | $57.74 – $140.30 | 9 |
| Muscle test larynx CPT 95865 | $335.20 | $419.00 | $57.44 – $158.18 | 9 |
| Muscle test one fiber CPT 95872 | $442.40 | $553.00 | $33.22 – $133.35 | 9 |
| Muscle transfers CPT 23397 | $2,810.40 | $3,513.00 | $1,018.83 – $6,088.70 | 9 |
| Muscle transfer shoulder/arm CPT 23395 | $3,160.00 | $3,950.00 | $1,152.02 – $6,088.70 | 9 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $2,586.40 | $3,233.00 | $922.75 – $3,120.29 | 9 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $1,844.80 | $2,306.00 | $677.92 – $6,088.70 | 9 |
| Mycobacteria dna amp probe CPT 87551 | $101.60 | $127.00 | $28.94 – $71.34 | 9 |
| Mycobacteria dna dir probe CPT 87550 | $50.40 | $63.00 | $12.03 – $31.19 | 7 |
| Mycobacteria dna quant CPT 87552 | $108.00 | $135.00 | $25.70 – $66.65 | 7 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $0.64 | $0.80 | $0.15 – $0.43 | 8 |
| Mycophenolic acid HCPCS J7518 | $3.27 | $4.08 | $0.19 – $0.41 | 8 |
| Mycoplasma antibody igm CPT 86738 | $48.57 | $60.71 | $7.94 – $51.60 | 9 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $168.39 | $210.48 | $97.45 – $245.58 | 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.