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 |
|---|---|---|---|---|
| Nerve graft add-on CPT 64901 | $1,475.20 | $1,844.00 | $520.45 – $1,386.24 | 7 |
| Nerve graft add-on CPT 64902 | $1,708.80 | $2,136.00 | $602.51 – $1,604.39 | 7 |
| Nerve graft head/neck <4 cm CPT 64885 | $2,752.00 | $3,440.00 | $966.99 – $5,458.28 | 9 |
| Nerve graft head/neck >4 cm CPT 64886 | $3,179.20 | $3,974.00 | $1,156.65 – $5,458.28 | 9 |
| Nerve palsy fascial graft CPT 15840 | $2,499.20 | $3,124.00 | $906.19 – $3,120.29 | 9 |
| Nerve palsy microsurg graft CPT 15842 | $6,726.40 | $8,408.00 | $1,559.08 – $6,394.64 | 9 |
| Nerve palsy muscle graft CPT 15841 | $4,416.80 | $5,521.00 | $1,590.74 – $4,228.08 | 9 |
| Nerve pedicle transfer CPT 64905 | $2,517.60 | $3,147.00 | $887.20 – $5,458.28 | 9 |
| Nerve pedicle transfer CPT 64907 | $3,207.20 | $4,009.00 | $1,156.37 – $5,458.28 | 9 |
| Nerve repair w/allograft CPT 64910 | $1,948.80 | $2,436.00 | $686.43 – $5,458.28 | 9 |
| Nerve surgery CPT 64859 | $615.20 | $769.00 | $216.63 – $577.17 | 7 |
| Nerve teasing preparations CPT 88362 | $786.52 | $983.15 | $100.46 – $835.68 | 11 |
| Nesiritide injection HCPCS J2325 | not published | not published | $36.87 – $104.03 | 4 |
| Neurectomy foot CPT 28055 | $1,955.20 | $2,444.00 | $358.81 – $1,664.38 | 9 |
| Neurectomy hamstring CPT 27325 | $2,756.80 | $3,446.00 | $512.74 – $1,664.38 | 9 |
| Neurectomy popliteal CPT 27326 | $2,544.00 | $3,180.00 | $475.69 – $1,664.38 | 9 |
| Neuroeltrd stim post tibial CPT 64566 | $307.20 | $384.00 | $26.94 – $251.60 | 9 |
| Neuroendoscopy add-on CPT 62160 | $443.20 | $554.00 | $158.04 – $421.59 | 7 |
| Neurolysis celiac plexus CPT 64680 | $1,882.55 | $2,353.18 | $146.76 – $2,000.20 | 11 |
| Neurolysis trigeminal nerve CPT 64600 | $1,086.40 | $1,358.00 | $212.72 – $758.81 | 9 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $204.00 | $255.00 | $31.21 – $133.35 | 9 |
| Neuroplasty digital 1/both same digit CPT 64702 | $1,242.40 | $1,553.00 | $468.15 – $1,664.38 | 9 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | $806.40 | $1,008.00 | $298.49 – $1,664.38 | 9 |
| Neurorraphy w/vein autograft CPT 64911 | $2,518.40 | $3,148.00 | $914.49 – $5,458.28 | 9 |
| Neurovascular pedicle flap CPT 15750 | $2,264.00 | $2,830.00 | $833.44 – $3,120.29 | 9 |
| Neutrlzg antb sarscov2 scr CPT 86408 | $84.80 | $106.00 | $22.98 – $54.77 | 7 |
| Neutrlzg antb sarscov2 titer CPT 86409 | $160.00 | $200.00 | $57.35 – $125.14 | 7 |
| Neutron beam tx complex CPT 77423 | $148.80 | $186.00 | $74.93 – $493.04 | 9 |
| New Patient Office Visit (level 2) CPT 99202 | $133.60 | $167.00 | $42.93 – $89.40 | 7 |
| New Patient Office Visit (level 3) CPT 99203 | $189.60 | $237.00 | $74.50 – $153.98 | 7 |
| New Patient Office Visit (level 4) CPT 99204 | $289.60 | $362.00 | $121.61 – $251.15 | 7 |
| New Patient Office Visit (level 5) CPT 99205 | $367.20 | $459.00 | $165.20 – $341.28 | 7 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $154.47 – $575.23 | 7 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $157.79 – $341.89 | 7 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $837.55 – $2,231.35 | 7 |
| N. gonorrhoeae assay w/optic CPT 87850 | $49.60 | $62.00 | $14.74 – $34.38 | 7 |
| N.gonorrhoeae dna quant CPT 87592 | $108.00 | $135.00 | $25.70 – $66.65 | 7 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $0.50 | $0.62 | $0.06 – $0.14 | 8 |
| Nikaidoh proc CPT 33782 | not published | not published | $2,755.61 – $7,369.17 | 7 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $2,976.87 – $7,961.93 | 7 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,534.40 | $1,918.00 | $32.38 – $1,610.94 | 9 |
| Nipple/areola reconst 19350 CPT 19350 | $4,075.20 | $5,094.00 | $605.98 – $3,263.75 | 9 |
| Nipple exploration CPT 19110 | $2,371.20 | $2,964.00 | $314.63 – $3,263.75 | 9 |
| Nitroblue tetrazolium dye CPT 86384 | $33.60 | $42.00 | $8.17 – $19.06 | 7 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $85.80 – $1,602.74 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $70.04 | $87.55 | $1.34 – $3.49 | 8 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $34.40 | $43.00 | $2.49 – $35.40 | 9 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $190.50 – $243.30 | 7 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $316.80 | $396.00 | $58.80 – $758.81 | 9 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $2,510.32 | $3,137.90 | $74.71 – $1,333.61 | 11 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $305.60 | $382.00 | $69.01 – $758.81 | 9 |
| Njx aa&/strd vagus nrv CPT 64408 | $416.00 | $520.00 | $40.50 – $251.60 | 9 |
| Njx cath slct p angrph mapca CPT 93575 | $1,454.20 | $1,817.74 | $83.52 – $1,545.08 | 9 |
| Njx cath slct p-art angrp bi CPT 93573 | $984.18 | $1,230.22 | $56.52 – $1,045.69 | 9 |
| Njx cath slct pulm vn angrph CPT 93574 | $1,088.24 | $1,360.29 | $62.82 – $1,156.25 | 9 |
| Njx chemonucleolysis lmbr CPT 62292 | $1,460.00 | $1,825.00 | $529.40 – $1,664.38 | 9 |
| Njx cth slct p-art angrp uni CPT 93569 | $590.54 | $738.17 | $33.94 – $627.44 | 9 |
| Njx interlaminar crv/thrc CPT 62324 | $356.00 | $445.00 | $81.81 – $758.81 | 9 |
| Njx interlaminar crv/thrc CPT 62325 | $1,650.27 | $2,062.83 | $99.52 – $1,753.41 | 11 |
| Njx interlaminar lmbr/sac CPT 62326 | $365.60 | $457.00 | $77.96 – $758.81 | 9 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,650.27 | $2,062.83 | $96.61 – $1,753.41 | 11 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $2,784.00 | $3,480.00 | $137.81 – $1,267.50 | 11 |
| Njx px peyronie ds exps plaq CPT 54205 | $1,341.60 | $1,677.00 | $484.19 – $4,332.84 | 9 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $1,069.03 – $2,848.75 | 7 |
| Nl removal calculus CPT 50060 | $5,761.60 | $7,202.00 | $1,028.10 – $2,740.92 | 7 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $1,312.66 – $3,499.93 | 7 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $1,089.70 – $2,904.19 | 7 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,301.28 | $1,626.60 | $42.04 – $1,382.61 | 11 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,330.12 | $1,662.64 | $42.66 – $1,413.24 | 11 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,566.63 | $1,958.28 | $51.69 – $1,664.54 | 11 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,131.44 | $2,664.29 | $45.83 – $2,264.65 | 11 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $901.92 | $1,127.39 | $21.49 – $958.28 | 11 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $428.44 | $535.54 | $45.48 – $455.21 | 11 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $1,559.71 – $4,077.48 | 7 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $1,825.88 – $4,646.36 | 7 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $25,862.57 – $43,544.22 | 5 |
| Non-card vasc flow imaging CPT 78445 | $393.60 | $492.00 | $21.61 – $342.49 | 9 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $38.04 – $106.74 | 7 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $36.91 – $62.15 | 5 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $19.77 – $39.25 | 6 |
| Non-imaging heart function CPT 78414 | $434.40 | $543.00 | $19.43 – $458.77 | 9 |
| Noninv pace analysis CPT 93724 | $761.60 | $952.00 | $40.90 – $255.62 | 9 |
| Non-molded lacer HCPCS L2320 | not published | not published | $123.64 – $324.52 | 7 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $304.39 – $565.48 | 7 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.03 – $0.07 | 7 |
| Noonan spectrum disorders CPT 81442 | $4,287.20 | $5,359.00 | $1,190.98 – $3,001.23 | 9 |
| No pt prsnt train add 15 HCPCS G0542 | not published | not published | $23.23 – $37.10 | 6 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $43.13 – $69.10 | 6 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $253.09 | $316.36 | $7.71 – $268.91 | 11 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $719.37 – $1,030.00 | 3 |
| Npm1 gene CPT 81310 | $493.60 | $617.00 | $136.96 – $345.16 | 9 |
| Nps surg dilat eust tube bi CPT 69706 | $8,365.60 | $10,457.00 | $218.01 – $582.07 | 7 |
| Nps surg dilat eust tube uni CPT 69705 | $8,123.20 | $10,154.00 | $156.11 – $416.79 | 7 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $57.60 | $72.00 | $22.07 – $55.20 | 7 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $11.20 | $14.00 | $4.15 – $10.06 | 7 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $52.80 | $66.00 | $20.01 – $49.32 | 7 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $300.00 | $375.00 | $99.64 – $452.24 | 9 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $225.60 | $282.00 | $71.37 – $188.24 | 7 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | $40.80 | $51.00 | $20.29 – $50.67 | 7 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | $62.40 | $78.00 | $30.74 – $75.06 | 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.