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 |
|---|---|---|---|---|
| Ol dig e/m svc 21+ min CPT 99423 | $87.20 | $109.00 | $36.51 – $80.11 | 7 |
| Ol dig e/m svc 5-10 min CPT 99421 | $28.00 | $35.00 | $11.63 – $25.31 | 7 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $80.20 | $100.24 | $6.19 – $42.59 | 9 |
| Omental flap extra-abdom 49904 CPT 49904 | $3,446.40 | $4,308.00 | $1,220.20 – $3,275.67 | 7 |
| Omental flap intra-abdom 49905 CPT 49905 | $871.20 | $1,089.00 | $306.52 – $819.09 | 7 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $2,323.80 – $5,034.90 | 7 |
| Onc breast mrna 58 genes CPT 81520 | $5,020.80 | $6,276.00 | $1,506.13 – $3,905.02 | 7 |
| Onc breast mrna 70 genes CPT 81521 | $7,746.40 | $9,683.00 | $2,323.80 – $5,422.56 | 7 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $2,323.80 – $5,422.56 | 7 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | $3,718.08 | $4,647.60 | $2,151.84 – $4,066.65 | 9 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $4,315.80 – $9,350.90 | 7 |
| Oncology colon mrna CPT 81525 | $6,232.00 | $7,790.00 | $1,869.60 – $4,362.69 | 7 |
| Oncology colorectal scr CPT 81528 | $1,018.40 | $1,273.00 | $305.32 – $712.46 | 7 |
| Oncology gynecologic CPT 81535 | $1,159.20 | $1,449.00 | $347.68 – $811.29 | 7 |
| Oncology gynecologic CPT 81536 | $355.20 | $444.00 | $106.54 – $248.60 | 7 |
| Oncology lung CPT 81538 | $5,742.40 | $7,178.00 | $1,722.60 – $4,019.67 | 7 |
| Oncology prostate prob score CPT 81539 | $1,520.00 | $1,900.00 | $422.26 – $1,064.07 | 9 |
| Oncology thyroid CPT 81545 | not published | not published | $3,634.00 – $3,634.00 | 2 |
| Oncology tissue of origin CPT 81504 | not published | not published | $312.00 – $728.05 | 7 |
| Oncology tum unknown origin CPT 81540 | $7,500.00 | $9,375.00 | $2,083.50 – $5,250.34 | 9 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $538.20 – $1,255.89 | 7 |
| Onco (ovar) two proteins CPT 81500 | $250.08 | $312.60 | $144.73 – $364.72 | 9 |
| Oncoprotein dcp CPT 83951 | $161.60 | $202.00 | $38.65 – $100.20 | 9 |
| Oncoprotein her-2/neu CPT 83950 | $161.60 | $202.00 | $38.65 – $100.20 | 9 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,218.00 – $2,842.20 | 7 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $2,075.60 – $5,034.90 | 7 |
| Onc prostate mrna 46 genes CPT 81541 | $7,746.40 | $9,683.00 | $2,323.80 – $5,422.56 | 7 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $2,160.00 – $4,680.00 | 7 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $4,665.60 – $10,108.80 | 7 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $1.28 | $1.60 | $0.45 – $1.36 | 8 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $0.20 | $0.25 | $0.01 – $0.07 | 6 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $17.88 | $22.34 | $0.02 – $0.09 | 8 |
| One-way allow prorated trip HCPCS P9604 | $18.57 | $23.21 | $6.96 – $27.26 | 8 |
| One way chest drain valve HCPCS A7040 | not published | not published | $28.06 – $71.40 | 7 |
| Oocyte identification CPT 89254 | $401.60 | $502.00 | $161.15 – $383.00 | 6 |
| Oophorectomy partial or total 58943 CPT 58943 | $2,901.60 | $3,627.00 | $1,077.54 – $2,886.65 | 7 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,296.30 – $3,454.46 | 7 |
| Open ablate liver tumor rf CPT 47380 | $3,552.80 | $4,441.00 | $1,269.41 – $3,387.07 | 7 |
| Open aortic tube prosth repair 34830 CPT 34830 | $4,289.60 | $5,362.00 | $1,498.08 – $4,006.06 | 7 |
| Open aortofemor prosth repr CPT 34832 | $4,612.80 | $5,766.00 | $1,610.38 – $4,306.12 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,644.04 – $4,382.17 | 7 |
| Open bx/exc inguinofem nodes CPT 38531 | $2,152.00 | $2,690.00 | $396.71 – $3,263.75 | 9 |
| Open bx of lung pleura 32098 CPT 32098 | $1,852.00 | $2,315.00 | $657.00 – $1,755.33 | 7 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | $1,439.20 | $1,799.00 | $195.91 – $525.55 | 7 |
| Open nasoethmoid fx with fixj CPT 21339 | $1,837.60 | $2,297.00 | $683.10 – $5,042.00 | 9 |
| Open nasoethmoid fx without fixj CPT 21338 | $1,616.00 | $2,020.00 | $604.09 – $5,042.00 | 9 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $3,408.00 | $4,260.00 | $604.67 – $3,263.75 | 9 |
| Open skull for drainage 61312 CPT 61312 | $4,872.80 | $6,091.00 | $1,769.92 – $4,723.81 | 7 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $2,180.80 | $2,726.00 | $263.74 – $1,781.52 | 11 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $1,503.20 | $1,879.00 | $528.47 – $4,607.36 | 9 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,253.12 – $3,352.89 | 7 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $650.36 – $1,698.11 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | $1,376.00 | $1,720.00 | $480.41 – $5,042.00 | 9 |
| Open tx nose & septal fx CPT 21335 | $1,757.60 | $2,197.00 | $643.52 – $2,764.11 | 9 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $1,223.14 – $3,183.88 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $2,913.60 | $3,642.00 | $515.47 – $6,088.70 | 9 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $3,552.00 | $4,440.00 | $624.77 – $6,088.70 | 9 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $4,822.40 | $6,028.00 | $850.40 – $2,267.39 | 9 |
| Open tx/sternum fracture 21825 CPT 21825 | $1,323.20 | $1,654.00 | $491.73 – $1,308.01 | 7 |
| Open wedge/bx lung infiltr CPT 32096 | $1,953.60 | $2,442.00 | $697.47 – $1,851.21 | 7 |
| Open wedge bx lung nodule 32097 CPT 32097 | $1,955.20 | $2,444.00 | $697.02 – $1,854.36 | 7 |
| Ophthalmic biometry CPT 92136 | $180.80 | $226.00 | $15.21 – $109.87 | 9 |
| Ophthalmic endoscope add-on CPT 66990 | $225.60 | $282.00 | $79.71 – $212.64 | 7 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $430.00 – $519.65 | 5 |
| Ophthalmodynamometry CPT 92260 | $40.80 | $51.00 | $9.87 – $33.46 | 9 |
| Ophth Ultrasound b & quant a CPT 76510 | $301.60 | $377.00 | $25.84 – $147.73 | 9 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $186.40 | $233.00 | $29.89 – $90.64 | 9 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $176.00 | $220.00 | $18.75 – $95.18 | 9 |
| Opioids & opiate analogs 3/4 CPT 80363 | $24.00 | $30.00 | $24.60 – $29.69 | 3 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,097.83 – $2,926.79 | 7 |
| Opn ax/subcla art expos CPT 34715 | $1,464.00 | $1,830.00 | $252.43 – $676.36 | 7 |
| Opn exc/dst ntra-abd CPT 49189 | $4,110.40 | $5,138.00 | $2,055.05 – $4,503.20 | 5 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $3,534.40 | $4,418.00 | $1,767.04 – $3,871.00 | 5 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | $5,073.60 | $6,342.00 | $2,536.55 – $5,551.10 | 5 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $2,957.60 | $3,697.00 | $1,478.79 – $3,239.60 | 5 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $2,327.20 | $2,909.00 | $1,163.54 – $2,534.90 | 5 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $1,324.80 | $1,656.00 | $229.20 – $612.87 | 7 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $332.49 – $1,204.53 | 7 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $3,025.60 | $3,782.00 | $539.22 – $25,973.07 | 9 |
| Opn impltj nea neuromuscular CPT 64580 | $755.20 | $944.00 | $279.52 – $18,277.35 | 9 |
| Opn impltj nea perph nerve CPT 64575 | $825.60 | $1,032.00 | $282.52 – $10,628.62 | 9 |
| Opn impltj nea sacral nerve CPT 64581 | $1,669.60 | $2,087.00 | $591.93 – $5,593.65 | 9 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $4,360.00 | $5,450.00 | $754.41 – $25,973.07 | 9 |
| Opn tx complx malar fx CPT 21365 | $5,475.20 | $6,844.00 | $979.42 – $5,042.00 | 9 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,142.29 – $5,042.00 | 9 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $978.72 – $2,620.74 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | $2,452.80 | $3,066.00 | $363.27 – $5,042.00 | 9 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $935.30 – $5,042.00 | 9 |
| Opn tx nasomax fx w/fixj CPT 21346 | $2,364.80 | $2,956.00 | $904.19 – $5,042.00 | 9 |
| Opn tx nasomax fx w/graft CPT 21348 | $2,694.40 | $3,368.00 | $986.26 – $2,640.57 | 7 |
| Opn tx orbit fx combined CPT 21387 | $3,857.60 | $4,822.00 | $686.31 – $5,042.00 | 9 |
| Opn tx orbit fx periorbital CPT 21386 | $3,243.20 | $4,054.00 | $623.07 – $5,042.00 | 9 |
| Opn tx orbit fx transantral CPT 21385 | $3,694.40 | $4,618.00 | $657.33 – $5,042.00 | 9 |
| Opn tx orbit fx w/bone grft CPT 21408 | $4,481.60 | $5,602.00 | $809.31 – $5,042.00 | 9 |
| Opn tx orbit fx w/implant CPT 21407 | $3,203.20 | $4,004.00 | $588.14 – $5,042.00 | 9 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $2,867.20 | $3,584.00 | $526.35 – $5,042.00 | 9 |
| Opn tx orbit periorbtl implt CPT 21390 | $3,985.60 | $4,982.00 | $722.83 – $5,042.00 | 9 |
| Opn tx orbit periorbt w/grft CPT 21395 | $5,022.40 | $6,278.00 | $899.92 – $5,042.00 | 9 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $238.42 – $425.82 | 6 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $303.09 – $528.92 | 4 |
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.