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 |
|---|---|---|---|---|
| Opscpy extnd on/mac draw CPT 92202 | $40.80 | $51.00 | $13.28 – $50.62 | 9 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $52.80 | $66.00 | $20.62 – $54.26 | 9 |
| Optical endomicroscpy interp CPT 88375 | $86.40 | $108.00 | $43.02 – $85.88 | 7 |
| Optokinetic nystagmus test CPT 92534 | $40.80 | $51.00 | $20.40 – $46.50 | 6 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $3,216.00 | $4,020.00 | $586.55 – $6,088.70 | 9 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $2,820.80 | $3,526.00 | $519.15 – $6,088.70 | 9 |
| Optx acute shoulder dislc CPT 23660 | $2,873.60 | $3,592.00 | $531.60 – $6,088.70 | 9 |
| Optx carpl scphd fx int fixj CPT 25628 | $3,547.20 | $4,434.00 | $654.80 – $6,088.70 | 9 |
| Optx clavicular fx w/int fix CPT 23515 | $3,540.80 | $4,426.00 | $652.06 – $6,088.70 | 9 |
| Optx complicated mndblr fx CPT 21470 | $2,940.80 | $3,676.00 | $1,054.38 – $5,042.00 | 9 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,548.32 – $4,115.05 | 7 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $640.15 – $1,699.05 | 7 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,820.38 – $4,838.58 | 7 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,260.67 – $3,349.76 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $2,801.60 | $3,502.00 | $519.71 – $2,765.43 | 9 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $3,836.80 | $4,796.00 | $706.81 – $6,088.70 | 9 |
| Optx lunate dislocation CPT 25695 | $3,116.80 | $3,896.00 | $575.35 – $6,088.70 | 9 |
| Optx medial ankle fx CPT 27766 | $2,976.00 | $3,720.00 | $549.82 – $6,088.70 | 9 |
| Optx mndblr cndylr fx CPT 21465 | $4,236.80 | $5,296.00 | $740.40 – $5,042.00 | 9 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $4,925.60 | $6,157.00 | $930.65 – $5,042.00 | 9 |
| Optx mndblr fx xtrnl fixj CPT 21454 | $1,285.60 | $1,607.00 | $454.70 – $5,042.00 | 9 |
| Optx mndblr/max alv ridge fx CPT 21445 | $1,920.00 | $2,400.00 | $562.94 – $5,042.00 | 9 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $572.12 – $5,042.00 | 9 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $712.47 – $1,899.76 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $5,353.60 | $6,692.00 | $975.49 – $10,966.57 | 9 |
| Optx post ankle fx CPT 27769 | $3,590.40 | $4,488.00 | $656.13 – $6,088.70 | 9 |
| Optx prox humrl fx w/int fix CPT 23615 | $4,347.20 | $5,434.00 | $796.59 – $10,966.57 | 9 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $6,096.00 | $7,620.00 | $1,105.03 – $15,674.10 | 9 |
| Optx radial shaft fracture CPT 25515 | $3,292.80 | $4,116.00 | $609.83 – $6,088.70 | 9 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $3,107.20 | $3,884.00 | $574.13 – $6,088.70 | 9 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $2,988.80 | $3,736.00 | $551.42 – $6,088.70 | 9 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $3,878.40 | $4,848.00 | $716.20 – $6,088.70 | 9 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $4,692.80 | $5,866.00 | $862.63 – $6,088.70 | 9 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $4,435.20 | $5,544.00 | $817.82 – $6,088.70 | 9 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $3,312.00 | $4,140.00 | $614.70 – $6,088.70 | 9 |
| Optx scapular fx w/int fixj CPT 23585 | $4,825.60 | $6,032.00 | $877.04 – $6,088.70 | 9 |
| Optx sho dislc fx CPT 23670 | $4,302.40 | $5,378.00 | $787.67 – $6,088.70 | 9 |
| Optx sho dislc neck fx fixj CPT 23680 | $4,576.00 | $5,720.00 | $837.82 – $10,966.57 | 9 |
| Optx strclv dslc aq/chrn grf CPT 23532 | $3,070.40 | $3,838.00 | $569.01 – $6,088.70 | 9 |
| Optx strnclav dislc aqt/chrn CPT 23530 | $2,819.20 | $3,524.00 | $523.12 – $6,088.70 | 9 |
| Optx thigh fx CPT 27269 | not published | not published | $1,107.53 – $2,943.70 | 7 |
| Optx tmprmand dislocation CPT 21490 | $4,179.20 | $5,224.00 | $730.33 – $2,764.11 | 9 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $3,616.00 | $4,520.00 | $665.00 – $6,088.70 | 9 |
| Optx ulnar shft fx int fixj CPT 25545 | $3,062.40 | $3,828.00 | $570.05 – $6,088.70 | 9 |
| Optx ulnar styloid fracture CPT 25652 | $3,060.80 | $3,826.00 | $569.35 – $6,088.70 | 9 |
| Oral aprepitant HCPCS J8501 | $9.84 | $12.29 | $3.33 – $10.45 | 8 |
| Oral busulfan HCPCS J8510 | not published | not published | $2.86 – $159.35 | 7 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.02 – $10.81 | 6 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.81 – $21.18 | 5 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $19.69 – $24.17 | 5 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $325.68 – $533.08 | 7 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,470.24 – $6,616.33 | 7 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,790.99 – $7,495.00 | 7 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,708.68 – $7,274.59 | 7 |
| Orchiectomy partial CPT 54522 | $2,974.40 | $3,718.00 | $533.72 – $2,939.60 | 9 |
| Orchiopexy (fowler-stephens) CPT 54650 | $3,592.00 | $4,490.00 | $646.80 – $3,007.87 | 9 |
| Orchiopexy ingun/scrot appr CPT 54640 | $2,188.80 | $2,736.00 | $392.70 – $3,007.87 | 9 |
| Organic acids total quant ea spec CPT 83918 | $47.20 | $59.00 | $14.16 – $34.15 | 9 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $41.93 – $53.19 | 7 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.12 – $35.87 | 7 |
| Oropharyngeal biopsy 42800 CPT 42800 | $387.20 | $484.00 | $106.68 – $1,262.52 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $94.96 | $118.70 | $6.70 – $30.62 | 8 |
| Ortho dvc repair per 15 min HCPCS L4205 | $33.60 | $42.00 | $14.24 – $62.97 | 6 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $630.40 | $788.00 | $157.21 – $417.49 | 9 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $1,092.00 | $1,365.00 | $272.24 – $692.77 | 7 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $698.01 – $1,776.24 | 7 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $1,071.62 | $1,339.52 | $386.46 – $1,138.59 | 9 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $71.44 | $89.30 | $41.35 – $371.43 | 9 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $464.36 | $580.45 | $174.85 – $493.38 | 9 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $231.20 | $289.00 | $57.48 – $146.28 | 7 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $392.94 | $491.17 | $147.44 – $417.49 | 9 |
| Orthopantogram CPT 70355 | $44.80 | $56.00 | $7.83 – $75.04 | 9 |
| Orthopedic shoe add rub insl HCPCS L3510 | $70.40 | $88.00 | $17.48 – $44.50 | 7 |
| Orthop traing pfrmd phys/qhp CPT 92065 | $111.20 | $139.00 | $15.50 – $81.82 | 7 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $23.48 – $61.02 | 7 |
| Ortho shoe add full sole HCPCS L3540 | $122.40 | $153.00 | $30.43 – $77.43 | 7 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $19.02 – $48.39 | 7 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $17.48 – $44.50 | 7 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $25.09 – $63.83 | 7 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $77.95 – $198.35 | 7 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $242.11 – $637.74 | 7 |
| Orthovisc inj per dose HCPCS J7324 | $364.80 | $456.00 | $99.65 – $248.02 | 7 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $750.40 | $938.00 | $187.06 – $511.09 | 9 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $539.84 – $1,373.75 | 7 |
| Oscillation chest wall mechanical per session CPT 94669 | $61.60 | $77.00 | $18.31 – $173.36 | 9 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $19.02 – $48.39 | 7 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $13.69 – $34.84 | 7 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $50.98 – $129.73 | 7 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $38.80 – $98.72 | 7 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $5.35 – $13.62 | 7 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $31.96 – $81.33 | 7 |
| Osmolality blood CPT 83930 | $33.57 | $41.96 | $3.97 – $35.67 | 9 |
| Osmolality urine CPT 83935 | $33.57 | $41.96 | $4.09 – $35.67 | 9 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $2,441.60 | $3,052.00 | $293.58 – $2,765.43 | 9 |
| Ostectomy scapula partial CPT 23190 | $2,817.60 | $3,522.00 | $522.65 – $2,765.43 | 9 |
| Osteoart algrft w/surf & b1 CPT 20932 | $1,780.80 | $2,226.00 | $663.63 – $1,768.74 | 7 |
| Osteochondral knee allograft CPT 27415 | $6,753.60 | $8,442.00 | $1,228.93 – $10,966.57 | 9 |
| Osteochondral knee autograft CPT 27416 | $4,822.40 | $6,028.00 | $880.83 – $6,088.70 | 9 |
| Osteochondral talus autogrft CPT 28446 | $6,019.20 | $7,524.00 | $1,097.41 – $6,088.70 | 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.