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 |
|---|---|---|---|---|
| Myelogphy 2/> spine regions CPT 72270 | $750.40 | $937.99 | $59.86 – $797.29 | 11 |
| Myelography l-s spine CPT 72265 | $750.40 | $937.99 | $36.89 – $797.29 | 11 |
| Myelography neck spine CPT 72240 | $750.40 | $937.99 | $39.92 – $797.29 | 11 |
| Myelography thoracic spine CPT 72255 | $750.40 | $937.99 | $39.77 – $797.29 | 11 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $802.10 | $1,002.62 | $110.57 – $852.23 | 11 |
| Myelography via inj w/s&i cervical CPT 62302 | $801.47 | $1,001.83 | $107.60 – $851.56 | 11 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $802.10 | $1,002.62 | $106.01 – $852.23 | 11 |
| Myelography via inj w/s&i thoracic CPT 62303 | $877.12 | $1,096.40 | $107.60 – $931.94 | 11 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $64.28 | $80.35 | $6.92 – $68.30 | 9 |
| Myocardial resection 33542 CPT 33542 | $6,414.40 | $8,018.00 | $2,257.02 – $6,009.48 | 7 |
| Myocrd img pet 1std rst/strs CPT 78491 | $2,753.60 | $3,442.00 | $66.56 – $1,243.18 | 9 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $73.32 – $1,243.18 | 9 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $88.96 – $183.46 | 7 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $95.11 – $200.61 | 7 |
| Myocrd img pet mlt rst&strs CPT 78492 | $2,770.40 | $3,463.00 | $77.27 – $1,243.18 | 9 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $81.10 – $171.47 | 7 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $69.38 – $1,243.18 | 9 |
| Myomectomy abdom complex CPT 58146 | $2,896.00 | $3,620.00 | $1,031.27 – $2,770.05 | 7 |
| Myomectomy abdom method CPT 58140 | $2,315.20 | $2,894.00 | $823.69 – $2,213.97 | 7 |
| Myomectomy vag method CPT 58145 | $1,399.20 | $1,749.00 | $503.52 – $2,709.95 | 9 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $434.58 – $1,236.00 | 3 |
| Myringoplasty CPT 69620 | $3,449.60 | $4,312.00 | $447.27 – $2,764.11 | 9 |
| Nabilone oral HCPCS J8650 | not published | not published | $19.25 – $40.38 | 4 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $0.84 | $1.04 | $0.23 – $0.88 | 7 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $77.16 | $96.45 | $0.47 – $3.23 | 8 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $3.68 | $4.59 | $0.02 – $0.05 | 5 |
| Naltrexone, depot form HCPCS J2315 | $4.80 | $6.00 | $4.06 – $5.15 | 7 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $3.75 – $29.71 | 4 |
| Narcosynthesis CPT 90865 | $378.40 | $473.00 | $112.69 – $298.92 | 9 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $471.20 | $589.00 | $57.73 – $165.47 | 9 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $197.93 – $367.70 | 7 |
| Nasal function studies CPT 92512 | $129.60 | $162.00 | $24.88 – $265.41 | 9 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $305.55 – $3,887.60 | 7 |
| Nasal/sinus endoscopy surg CPT 31287 | $1,003.20 | $1,254.00 | $180.55 – $5,900.12 | 9 |
| Nasal/sinus endoscopy surg CPT 31290 | $5,662.40 | $7,078.00 | $1,025.51 – $2,740.31 | 7 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,089.48 – $2,912.69 | 7 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $1,243.20 | $1,554.00 | $144.21 – $1,469.79 | 9 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $1,166.40 | $1,458.00 | $209.71 – $5,900.12 | 9 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $785.60 | $982.00 | $143.05 – $1,469.79 | 9 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $2,067.20 | $2,584.00 | $218.01 – $5,900.12 | 9 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $1,617.60 | $2,022.00 | $289.37 – $5,900.12 | 9 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $1,888.00 | $2,360.00 | $338.26 – $5,900.12 | 9 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $1,281.60 | $1,602.00 | $121.61 – $330.96 | 9 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | $1,465.60 | $1,832.00 | $144.32 – $1,469.79 | 9 |
| Nasal sinus therapy CPT 30210 | $364.80 | $456.00 | $93.55 – $1,262.52 | 9 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $272.80 | $341.00 | $34.79 – $212.04 | 11 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $45.77 | $57.21 | $1.24 – $25.33 | 9 |
| Natriuretic peptide CPT 83880 | $96.80 | $121.00 | $23.56 – $91.82 | 9 |
| Natural killer cells total count CPT 86357 | $110.00 | $137.50 | $22.64 – $116.88 | 9 |
| Navigational bronchoscopy 31627 CPT 31627 | $3,104.80 | $3,881.00 | $85.96 – $230.21 | 7 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | $151.20 | $189.00 | $45.34 – $146.47 | 7 |
| N block inj common digit CPT 64632 | $440.00 | $550.00 | $62.23 – $251.60 | 9 |
| N block inj hypogas plxs CPT 64517 | $827.27 | $1,034.08 | $115.46 – $878.97 | 11 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | $313.60 | $392.00 | $12.85 – $207.29 | 9 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $195.20 | $244.00 | $17.87 – $109.87 | 9 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $24.00 | $30.00 | $11.58 – $32.40 | 9 |
| Ndl insj without njx 3+ musc CPT 20561 | $24.00 | $30.00 | $11.58 – $43.60 | 9 |
| Ndl oculoelectromyography 1+ CPT 92265 | $180.00 | $225.00 | $37.06 – $98.33 | 9 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | $3,521.60 | $4,402.00 | $700.47 – $6,088.70 | 8 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | $426.40 | $533.00 | $147.92 – $394.03 | 7 |
| Nebulizer Breathing Treatment CPT 94640 | $75.39 | $94.23 | $6.94 – $173.36 | 11 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $147.16 | $183.95 | $8.04 – $156.36 | 11 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,920.60 | $3,650.75 | $55.26 – $3,103.14 | 11 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,714.27 | $3,392.83 | $53.20 – $2,883.91 | 11 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,396.27 | $2,995.33 | $43.57 – $2,546.03 | 11 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,124.82 | $3,906.02 | $100.51 – $3,320.12 | 11 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,124.82 | $3,906.02 | $78.55 – $3,320.12 | 11 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,991.06 | $2,488.82 | $64.86 – $2,115.50 | 11 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $261.31 | $326.63 | $9.92 – $277.64 | 11 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $363.36 | $454.19 | $12.13 – $386.06 | 11 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $359.47 | $449.33 | $13.25 – $381.93 | 11 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,612.45 | $4,515.56 | $78.60 – $3,838.23 | 11 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,535.24 | $4,419.05 | $65.50 – $3,756.19 | 11 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,989.84 | $3,737.30 | $52.55 – $3,176.71 | 11 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,262.30 | $2,827.87 | $70.56 – $2,403.69 | 11 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $2,147.51 | $2,684.38 | $60.29 – $2,281.72 | 11 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,524.04 | $1,905.04 | $56.17 – $1,619.28 | 11 |
| Neck spine disk surgery CPT 63020 | $5,550.40 | $6,938.00 | $965.96 – $6,088.70 | 9 |
| Neck spine disk surgery 63075 CPT 63075 | $3,244.80 | $4,056.00 | $1,180.15 – $6,088.70 | 9 |
| Neck spine disk surgery 63076 CPT 63076 | $591.20 | $739.00 | $209.26 – $555.81 | 7 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $170.40 | $213.00 | $17.73 – $46.67 | 7 |
| Neg press ventilation cnp CPT 94662 | $80.80 | $101.00 | $31.52 – $563.46 | 9 |
| Neg pres wound ther drsg set HCPCS A6550 | not published | not published | $15.47 – $41.95 | 7 |
| Neisseria meningitidis CPT 86741 | $48.57 | $60.71 | $7.91 – $51.60 | 9 |
| Nelarabine injection HCPCS J9261 | not published | not published | $63.18 – $190.75 | 7 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $134.80 – $172.54 | 4 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $28.72 | $35.90 | $0.41 – $5.93 | 8 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $64.75 – $245.11 | 4 |
| Nephrectomy open 50220 CPT 50220 | $5,256.00 | $6,570.00 | $946.41 – $2,514.66 | 7 |
| Nephrectomy partial CPT 50240 | $6,691.20 | $8,364.00 | $1,197.35 – $3,191.79 | 7 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $843.85 – $2,247.47 | 7 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $218.40 | $273.00 | $73.90 – $265.41 | 9 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $189.60 | $237.00 | $62.40 – $164.24 | 7 |
| Nerve conduction 7-8 studies CPT 95910 | $419.20 | $524.00 | $61.87 – $265.41 | 9 |
| Nerve conduction studies 11-12 CPT 95912 | $576.80 | $721.00 | $77.67 – $452.24 | 9 |
| Nerve conduction studies 1-2 CPT 95907 | $209.60 | $262.00 | $32.34 – $133.35 | 9 |
| Nerve conduction studies 13+ CPT 95913 | $668.00 | $835.00 | $88.89 – $452.24 | 9 |
| Nerve conduction studies 3-4 CPT 95908 | $266.40 | $333.00 | $40.31 – $265.41 | 9 |
| Nerve conduction studies 5-6 CPT 95909 | $319.20 | $399.00 | $48.58 – $265.41 | 9 |
| Nerve conduction studies 9-10 CPT 95911 | $504.00 | $630.00 | $69.84 – $452.24 | 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.