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 |
|---|---|---|---|---|
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | $22.40 | $28.00 | $10.89 – $28.68 | 7 |
| Nras gene variants exon 2&3 CPT 81311 | $592.00 | $740.00 | $164.34 – $414.14 | 9 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $9,826.76 | $12,283.44 | $862.79 – $10,440.92 | 11 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | $2,759.20 | $3,449.00 | $999.06 – $5,458.28 | 9 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | $2,586.40 | $3,233.00 | $937.11 – $5,458.28 | 9 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | $2,659.20 | $3,324.00 | $962.88 – $5,458.28 | 9 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | $2,828.80 | $3,536.00 | $1,023.45 – $5,458.28 | 9 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | $3,122.40 | $3,903.00 | $1,127.37 – $5,458.28 | 9 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | $3,380.80 | $4,226.00 | $1,220.89 – $5,458.28 | 9 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | $3,268.80 | $4,086.00 | $1,178.79 – $5,458.28 | 9 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | $3,524.80 | $4,406.00 | $1,271.22 – $5,458.28 | 9 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $2,227.20 | $2,784.00 | $800.02 – $5,458.28 | 9 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | $444.80 | $556.00 | $151.54 – $407.31 | 7 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | $5,326.40 | $6,658.00 | $962.20 – $5,900.12 | 9 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | $4,928.00 | $6,160.00 | $887.78 – $5,900.12 | 9 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $2,356.80 | $2,946.00 | $421.68 – $5,900.12 | 9 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $9,268.80 | $11,586.00 | $161.56 – $5,900.12 | 9 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | $17,432.00 | $21,790.00 | $228.85 – $5,900.12 | 9 |
| Nsl/sins ndsc surg max sins CPT 31295 | $9,142.40 | $11,428.00 | $141.83 – $5,900.12 | 9 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | $6,099.20 | $7,624.00 | $1,099.84 – $5,900.12 | 9 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $9,068.80 | $11,336.00 | $129.14 – $5,900.12 | 9 |
| Nsl/sins ndsc total CPT 31253 | $2,500.80 | $3,126.00 | $446.78 – $5,900.12 | 9 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $2,227.20 | $2,784.00 | $398.63 – $5,900.12 | 9 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | $3,044.80 | $3,806.00 | $550.69 – $3,142.44 | 9 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $6,218.40 | $7,773.00 | $141.53 – $9,366.84 | 7 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | $6,406.40 | $8,008.00 | $141.53 – $9,366.84 | 7 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | $2,219.20 | $2,774.00 | $397.00 – $1,469.79 | 9 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $145.63 – $152.91 | 4 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $124.39 – $269.50 | 7 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $124.39 – $269.50 | 7 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $124.39 – $269.50 | 7 |
| Ntrk translocation analysis CPT 81194 | $497.56 | $621.94 | $287.96 – $637.33 | 9 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | $65.60 | $82.00 | $32.68 – $69.80 | 7 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | $97.60 | $122.00 | $48.73 – $103.91 | 7 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | $132.00 | $165.00 | $65.66 – $138.64 | 7 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $66.40 | $83.00 | $31.50 – $67.91 | 7 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $32.80 | $41.00 | $16.19 – $34.42 | 7 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | $66.40 | $83.00 | $32.09 – $66.34 | 7 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,023.68 | $2,529.60 | $435.77 – $2,150.16 | 11 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,609.48 | $2,011.84 | $434.97 – $1,710.06 | 11 |
| Nuclear exam of tear flow CPT 78660 | $386.40 | $483.00 | $19.95 – $342.49 | 9 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $95.00 – $95.00 | 2 |
| Nuclear matrix protein 22 CPT 86386 | $44.00 | $55.00 | $13.07 – $30.48 | 7 |
| Nuclear rx intra-arterial CPT 79445 | $472.00 | $590.00 | $54.65 – $211.49 | 9 |
| Nuclear rx intra-articular CPT 79440 | $297.60 | $372.00 | $34.85 – $191.03 | 9 |
| Nuclear rx intracav admin CPT 79200 | $328.80 | $411.00 | $46.22 – $191.03 | 9 |
| Nuclear rx IV admin CPT 79101 | $504.82 | $631.02 | $47.25 – $536.37 | 11 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,354.12 | $2,942.65 | $69.68 – $2,501.25 | 11 |
| Nuclr rx interstit colloid CPT 79300 | $392.80 | $491.00 | $59.73 – $191.03 | 9 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $233.14 – $617.01 | 7 |
| Nudt15 gene common variants CPT 81306 | $279.71 | $349.63 | $161.88 – $407.93 | 9 |
| Nursing fac care supervision CPT 99379 | $124.80 | $156.00 | $75.30 – $127.29 | 6 |
| Nursing fac care supervision CPT 99380 | $187.20 | $234.00 | $119.70 – $200.53 | 6 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $239.20 | $299.00 | $119.56 – $254.48 | 7 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $149.60 | $187.00 | $74.51 – $158.40 | 7 |
| Nushield 1 square cm HCPCS Q4160 | $316.80 | $396.00 | $92.65 – $405.42 | 6 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,183.65 – $1,309.28 | 6 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $275,782.50 – $283,893.75 | 4 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $75.20 | $94.00 | $74.15 – $91.44 | 7 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,316.42 – $3,515.17 | 7 |
| Observation care discharge CPT 99217 | not published | not published | $116.00 – $116.00 | 2 |
| Observation direct referral from physician office for admission HCPCS G0379 | $142.50 | $178.12 | $32.74 – $613.10 | 11 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $390.40 | $488.00 | $189.45 – $403.68 | 7 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $239.20 | $299.00 | $88.91 – $225.13 | 7 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $303.20 | $379.00 | $144.97 – $308.81 | 7 |
| Observation per hour HCPCS G0378 | $88.18 | $110.22 | $19.94 – $43.24 | 7 |
| Obstetrical care 59410 CPT 59410 | $2,112.80 | $2,641.00 | $936.78 – $2,371.13 | 7 |
| Obstetric panel inc HIV tstg CPT 80081 | $164.00 | $205.00 | $41.59 – $116.46 | 9 |
| Obstetrics panel CPT 80055 | $96.00 | $120.00 | $28.69 – $74.37 | 9 |
| Obtaining screen pap smear HCPCS Q0091 | $80.80 | $101.00 | $16.69 – $58.44 | 9 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $224.80 | $281.00 | $51.24 – $111.34 | 9 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $148.00 | $185.00 | $23.77 – $60.82 | 7 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $624.00 | $780.00 | $226.54 – $2,709.95 | 9 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $279.81 | $349.76 | $87.28 – $297.30 | 9 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $235.68 | $294.59 | $87.61 – $250.40 | 9 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $257.74 | $322.17 | $87.28 – $273.84 | 9 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $106.50 | $133.12 | $51.58 – $111.84 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $38.60 | $48.25 | $0.03 – $0.90 | 8 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $372.81 | $466.01 | $181.82 – $394.25 | 9 |
| Ocular function screen CPT 99172 | $41.60 | $52.00 | $8.01 – $44.03 | 6 |
| Ocular instrumnt screen bil CPT 99174 | $13.60 | $17.00 | $11.70 – $16.08 | 6 |
| Ocular instrumnt screen bil CPT 99177 | $9.60 | $12.00 | $6.83 – $11.28 | 5 |
| Ocular photodynamic ther CPT 67221 | $696.80 | $871.00 | $187.94 – $502.18 | 9 |
| Ocular reconst transplant CPT 65780 | $3,297.60 | $4,122.00 | $532.03 – $3,214.08 | 9 |
| Ocular reconst transplant CPT 65781 | $6,619.20 | $8,274.00 | $1,191.91 – $4,397.69 | 9 |
| Ocular reconst transplant CPT 65782 | $5,710.40 | $7,138.00 | $1,029.38 – $3,214.08 | 9 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $62.15 – $253.93 | 7 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $151.10 – $937.85 | 7 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $151.10 – $972.53 | 7 |
| Office consultation CPT 99241 | not published | not published | $52.00 – $52.00 | 2 |
| Office emergency care CPT 99058 | $50.40 | $63.00 | $30.60 – $53.70 | 6 |
| Off/op cnsltj new/est low 30 CPT 99243 | $219.20 | $274.00 | $124.50 – $216.83 | 6 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $328.80 | $411.00 | $188.80 – $348.60 | 6 |
| Off/op consltj new/est hi 55 CPT 99245 | $401.60 | $502.00 | $253.20 – $431.47 | 6 |
| Off/op consltj new/est sf 20 CPT 99242 | $160.00 | $200.00 | $78.10 – $154.97 | 6 |
| Offset knee joint each HCPCS L2390 | not published | not published | $61.52 – $172.65 | 7 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $92.52 – $246.78 | 7 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $16.84 | $21.05 | $0.30 – $0.98 | 8 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.92 – $3.79 | 7 |
| Ol dig e/m svc 11-20 min CPT 99422 | $54.40 | $68.00 | $23.26 – $49.99 | 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.