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 |
|---|---|---|---|---|
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $132.00 | $165.00 | $21.56 – $111.67 | 9 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $161.60 | $202.00 | $21.56 – $140.71 | 9 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $192.00 | $240.00 | $21.56 – $168.61 | 9 |
| Osteoplasty humerus CPT 24420 | $5,048.00 | $6,310.00 | $952.71 – $6,088.70 | 9 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | $3,925.60 | $4,907.00 | $1,428.77 – $3,793.55 | 7 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | $879.20 | $1,099.00 | $310.84 – $827.12 | 7 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,404.66 – $3,742.36 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | $4,100.00 | $5,125.00 | $1,522.70 – $4,055.45 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | $4,049.60 | $5,062.00 | $746.75 – $6,088.70 | 9 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $989.01 – $2,629.73 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $3,360.00 | $4,200.00 | $613.45 – $6,088.70 | 9 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $1.65 – $4.20 | 7 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $30.76 – $78.27 | 7 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $1.90 – $4.84 | 7 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $2.50 – $6.34 | 7 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $3.32 – $8.44 | 7 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.21 – $3.06 | 7 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $6.30 – $16.03 | 7 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $5.93 – $15.11 | 7 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,041.31 – $6,323.64 | 7 |
| Other immunoelectrophoresis CPT 86325 | $46.40 | $58.00 | $10.94 – $34.81 | 7 |
| Oth resp proc, group HCPCS G0239 | $191.60 | $239.50 | $11.67 – $203.58 | 11 |
| Oth resp proc, indiv HCPCS G0238 | $75.03 | $93.78 | $9.01 – $79.71 | 9 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $107.31 | $134.13 | $46.98 – $114.01 | 9 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $63.20 | $79.00 | $8.63 – $21.94 | 7 |
| Otoplasty 69300 CPT 69300 | $3,043.20 | $3,804.00 | $426.28 – $2,764.11 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $132.00 | $165.00 | $60.26 – $125.67 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $109.80 | $137.24 | $20.10 – $116.65 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $109.80 | $137.24 | $20.75 – $116.65 | 9 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,358.43 – $3,627.06 | 7 |
| Out of office emerg med serv CPT 99060 | $56.00 | $70.00 | $40.90 – $59.47 | 6 |
| Outrigger HCPCS L1080 | not published | not published | $31.10 – $87.29 | 7 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $86.51 – $242.78 | 7 |
| Ovarian cystectomy 58925 CPT 58925 | $1,884.00 | $2,355.00 | $686.35 – $4,207.41 | 9 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $134.75 – $332.96 | 4 |
| Ovulation tests CPT 84830 | $29.60 | $37.00 | $12.70 – $17.78 | 7 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.64 – $2.60 | 6 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $0.80 | $1.00 | $0.05 – $0.88 | 6 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.86 – $4.01 | 4 |
| Oxytetracycline injection HCPCS J2460 | $1.60 | $2.00 | $0.94 – $1.30 | 3 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $50.41 | $63.01 | $0.18 – $1.40 | 8 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $259.31 – $471.85 | 4 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $436.00 | $545.00 | $143.15 – $880.67 | 7 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $82.20 – $191.82 | 7 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.31 – $3.32 | 7 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $2.27 | $2.83 | $0.09 – $2.41 | 8 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $27.76 | $34.69 | $12.36 – $29.49 | 9 |
| Palb2 gene full gene seq CPT 81307 | $649.44 | $811.80 | $169.73 – $710.33 | 9 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $180.81 – $391.76 | 7 |
| Palifermin injection HCPCS J2425 | not published | not published | $12.70 – $37.71 | 7 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $206.22 – $498.22 | 5 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $286.27 – $1,335.00 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $15.20 | $19.00 | $11.30 – $18.61 | 7 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $1,749.60 | $2,187.00 | $719.87 – $1,718.96 | 6 |
| Palonosetron hcl HCPCS J2469 | $23.20 | $29.00 | $0.03 – $0.98 | 8 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $54.43 | $68.03 | $3.62 – $13.88 | 8 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $4,987.70 – $9,676.57 | 6 |
| Pancreatectomy CPT 48146 | $4,616.80 | $5,771.00 | $1,645.25 – $4,392.93 | 7 |
| Pancreatectomy CPT 48152 | not published | not published | $2,509.89 – $6,704.84 | 7 |
| Pancreatectomy CPT 48154 | $7,116.00 | $8,895.00 | $2,520.87 – $6,734.31 | 7 |
| Pancreatectomy 48153 CPT 48153 | $7,609.60 | $9,512.00 | $2,701.25 – $7,220.19 | 7 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $3,836.00 | $4,795.00 | $1,373.01 – $3,661.82 | 7 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,179.56 – $3,144.46 | 7 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $165.60 | $207.00 | $144.20 – $195.86 | 7 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $76.65 | $95.81 | $0.02 – $4.55 | 8 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $3.27 – $38.87 | 6 |
| Parathormone (pth) intact CPT 83970 | $109.28 | $136.60 | $24.77 – $116.11 | 9 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $3,424.80 | $4,281.00 | $1,257.17 – $3,328.93 | 7 |
| Parathyrd planar w/spect&ct CPT 78072 | $869.60 | $1,087.00 | $67.70 – $531.83 | 11 |
| Parathyroid autotransplantation 60512 CPT 60512 | $598.40 | $748.00 | $211.70 – $566.33 | 7 |
| Parathyroid planar imaging CPT 78070 | $681.60 | $852.00 | $34.74 – $405.82 | 11 |
| Parathyroid planar img w/tomo spect CPT 78071 | $761.60 | $952.00 | $51.37 – $405.82 | 11 |
| Paravaginal defect repair 57284 CPT 57284 | $2,071.20 | $2,589.00 | $749.58 – $4,207.41 | 9 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $12.61 – $32.99 | 6 |
| Parial mast w/lymph removal 19302 CPT 19302 | $4,406.40 | $5,508.00 | $799.59 – $5,558.33 | 9 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.81 – $2.53 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $238.58 | $298.22 | $14.13 – $253.49 | 11 |
| Parotid duct diversion CPT 42507 | $1,232.00 | $1,540.00 | $445.08 – $5,042.00 | 9 |
| Parotid duct diversion CPT 42509 | $2,048.80 | $2,561.00 | $734.96 – $5,042.00 | 9 |
| Parotid duct diversion CPT 42510 | $1,517.60 | $1,897.00 | $547.27 – $2,764.11 | 9 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $2,093.60 | $2,617.00 | $784.76 – $6,088.70 | 9 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $488.80 | $611.00 | $182.09 – $2,709.95 | 9 |
| Partial complicated cystectomy 51555 CPT 51555 | $3,190.40 | $3,988.00 | $1,135.53 – $3,026.75 | 7 |
| Partial exc bone humerus CPT 24140 | $3,460.80 | $4,326.00 | $636.75 – $2,765.43 | 9 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $2,982.40 | $3,728.00 | $404.58 – $2,765.43 | 9 |
| Partial excision of lip CPT 40500 | $1,267.20 | $1,584.00 | $336.56 – $2,764.11 | 9 |
| Partial hip replacement CPT 27125 | $5,574.40 | $6,968.00 | $1,013.18 – $2,694.57 | 7 |
| Partial hysterectomy CPT 58180 | $2,400.00 | $3,000.00 | $861.11 – $2,308.04 | 7 |
| Partial proctectomy CPT 45113 | not published | not published | $1,666.45 – $4,456.93 | 7 |
| Partial proctectomy; perineal 45123 CPT 45123 | $2,772.80 | $3,466.00 | $991.96 – $2,647.54 | 7 |
| Partial removal donor liver CPT 47140 | not published | not published | $3,125.22 – $8,321.08 | 7 |
| Partial removal donor liver CPT 47141 | not published | not published | $3,731.21 – $9,938.00 | 7 |
| Partial removal donor liver CPT 47142 | not published | not published | $4,106.35 – $10,937.61 | 7 |
| Partial removal finger bone CPT 26235 | $1,214.40 | $1,518.00 | $450.92 – $1,364.06 | 9 |
| Partial removal finger bone CPT 26236 | $1,596.19 | $1,995.23 | $405.06 – $1,695.95 | 11 |
| Partial removal foot fascia CPT 28060 | $2,612.80 | $3,266.00 | $331.05 – $2,765.43 | 9 |
| Partial removal leg bone(s) CPT 27360 | $4,315.20 | $5,394.00 | $809.14 – $2,765.43 | 9 |
| Partial removal of bladder CPT 51550 | $2,421.60 | $3,027.00 | $866.72 – $2,312.76 | 7 |
| Partial removal of esophagus CPT 43116 | not published | not published | $4,249.96 – $11,370.36 | 7 |
| Partial removal of esophagus CPT 43118 | not published | not published | $3,104.30 – $8,304.17 | 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.