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 |
|---|---|---|---|---|
| Partial removal of esophagus CPT 43121 | not published | not published | $2,457.76 – $6,569.77 | 7 |
| Partial removal of esophagus CPT 43123 | not published | not published | $3,859.63 – $10,319.74 | 7 |
| Partial removal of esophagus 43117 CPT 43117 | $7,937.60 | $9,922.00 | $2,809.03 – $7,502.57 | 7 |
| Partial removal of esophagus 43122 CPT 43122 | $6,258.40 | $7,823.00 | $2,234.59 – $5,957.25 | 7 |
| Partial removal of eye fluid CPT 67005 | $2,340.80 | $2,926.00 | $429.74 – $1,943.90 | 9 |
| Partial removal of eye fluid CPT 67010 | $2,689.60 | $3,362.00 | $491.07 – $1,943.90 | 9 |
| Partial removal of fibula CPT 27641 | $3,283.20 | $4,104.00 | $596.51 – $2,765.43 | 9 |
| Partial removal of foot bone CPT 28288 | $1,521.60 | $1,902.00 | $399.99 – $2,765.43 | 9 |
| Partial removal of hand bone CPT 26230 | $1,232.00 | $1,540.00 | $457.23 – $2,765.43 | 9 |
| Partial removal of heart sac 33030 CPT 33030 | $4,877.60 | $6,097.00 | $1,721.00 – $4,596.13 | 7 |
| Partial removal of larynx CPT 31367 | not published | not published | $1,946.34 – $5,217.66 | 7 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,150.12 – $5,767.49 | 7 |
| Partial removal of larynx CPT 31370 | not published | not published | $1,824.78 – $4,895.13 | 7 |
| Partial removal of larynx CPT 31375 | not published | not published | $1,735.51 – $4,654.06 | 7 |
| Partial removal of larynx CPT 31380 | not published | not published | $1,711.21 – $4,589.67 | 7 |
| Partial removal of larynx CPT 31382 | not published | not published | $1,873.23 – $5,025.09 | 7 |
| Partial removal of lip CPT 40530 | $1,344.00 | $1,680.00 | $366.89 – $2,764.11 | 9 |
| Partial removal of liver CPT 47125 | $7,545.60 | $9,432.00 | $2,681.58 – $7,152.38 | 7 |
| Partial removal of liver CPT 47130 | $8,103.20 | $10,129.00 | $2,874.90 – $7,671.75 | 7 |
| Partial removal of lung 32480 CPT 32480 | $3,603.20 | $4,504.00 | $1,277.83 – $3,412.03 | 7 |
| Partial removal of nose CPT 30150 | $1,935.20 | $2,419.00 | $711.90 – $5,042.00 | 9 |
| Partial removal of pancreas CPT 48145 | $4,003.20 | $5,004.00 | $1,426.82 – $3,805.37 | 7 |
| Partial removal of pancreas CPT 48150 | $7,637.60 | $9,547.00 | $2,719.41 – $7,258.59 | 7 |
| Partial removal of penis CPT 54120 | $1,592.80 | $1,991.00 | $574.84 – $2,939.60 | 9 |
| Partial removal of pharynx 42890 CPT 42890 | $3,522.40 | $4,403.00 | $1,264.71 – $5,042.00 | 9 |
| Partial removal of radius CPT 25151 | $2,875.20 | $3,594.00 | $533.28 – $2,765.43 | 9 |
| Partial removal of radius CPT 25230 | $2,128.00 | $2,660.00 | $397.87 – $2,765.43 | 9 |
| Partial removal of rectum CPT 45111 | $2,684.00 | $3,355.00 | $961.07 – $2,571.03 | 7 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,585.98 – $4,228.39 | 7 |
| Partial removal of rectum CPT 45116 | $3,893.60 | $4,867.00 | $1,384.43 – $3,697.62 | 7 |
| Partial removal of rib CPT 21600 | $1,351.20 | $1,689.00 | $511.88 – $6,088.70 | 9 |
| Partial removal of sternum CPT 21620 | $1,236.00 | $1,545.00 | $445.49 – $1,187.92 | 7 |
| Partial removal of thyroid CPT 60220 | $1,740.00 | $2,175.00 | $632.07 – $4,972.71 | 9 |
| Partial removal of thyroid CPT 60225 | $2,298.40 | $2,873.00 | $837.57 – $4,972.71 | 9 |
| Partial removal of tibia CPT 27640 | $4,108.80 | $5,136.00 | $747.39 – $2,765.43 | 9 |
| Partial removal of toe CPT 28160 | $1,038.40 | $1,298.00 | $246.89 – $2,765.43 | 9 |
| Partial removal of tongue CPT 41120 | $2,619.20 | $3,274.00 | $942.89 – $5,042.00 | 9 |
| Partial removal of tongue CPT 41130 | $3,243.20 | $4,054.00 | $1,167.60 – $3,132.57 | 7 |
| Partial removal of ulna CPT 25119 | $2,446.40 | $3,058.00 | $458.27 – $2,765.43 | 9 |
| Partial removal of ulna CPT 25150 | $2,784.00 | $3,480.00 | $517.67 – $2,765.43 | 9 |
| Partial removal of ulna CPT 25240 | $2,113.60 | $2,642.00 | $395.04 – $2,765.43 | 9 |
| Partial removal of vaginal wall 57106 CPT 57106 | $1,283.20 | $1,604.00 | $482.27 – $2,709.95 | 9 |
| Partial removal tear gland CPT 68505 | $5,006.40 | $6,258.00 | $946.36 – $3,214.08 | 9 |
| Partial thyroid excision CPT 60210 | $1,739.20 | $2,174.00 | $632.03 – $4,972.71 | 9 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $2,508.00 | $3,135.00 | $900.97 – $4,972.71 | 9 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.55 – $14.05 | 6 |
| Part removal hip bone deep CPT 27071 | not published | not published | $866.54 – $2,322.99 | 7 |
| Part removal of metatarsal CPT 28110 | $2,313.60 | $2,892.00 | $271.92 – $2,765.43 | 9 |
| Part removal of metatarsal CPT 28113 | $2,940.80 | $3,676.00 | $394.92 – $2,765.43 | 9 |
| Part removal of metatarsal 28112 CPT 28112 | $2,433.60 | $3,042.00 | $288.87 – $2,765.43 | 9 |
| Part remove hip bone super CPT 27070 | not published | not published | $785.79 – $2,118.25 | 7 |
| Passy muir valve metal trach HCPCS L8501 | not published | not published | $72.34 – $202.98 | 7 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $3.99 – $10.15 | 7 |
| Path clin consltj high 41-60 CPT 80505 | $156.24 | $195.29 | $81.60 – $166.00 | 11 |
| Path clin consltj mod 21-40 CPT 80504 | $156.24 | $195.29 | $43.02 – $166.00 | 11 |
| Path clin consltj prolng svc CPT 80506 | $97.14 | $121.42 | $38.87 – $103.21 | 9 |
| Path clin consltj sf 5-20 CPT 80503 | $97.14 | $121.42 | $20.11 – $103.21 | 11 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $47.82 – $88.84 | 7 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $249.33 – $463.19 | 7 |
| Patient recorded spirometry CPT 94014 | $122.40 | $153.00 | $50.64 – $340.11 | 9 |
| Patient recorded spirometry CPT 94015 | $64.80 | $81.00 | $28.20 – $74.23 | 7 |
| Patten bottom HCPCS L2370 | not published | not published | $192.37 – $489.53 | 7 |
| Pca3/klk3 antigen CPT 81313 | $510.40 | $638.00 | $141.71 – $357.09 | 9 |
| Pcv21 vaccine im CPT 90684 | $530.40 | $663.00 | $259.90 – $563.55 | 9 |
| Pdgfra gene CPT 81314 | $659.20 | $824.00 | $183.07 – $461.35 | 9 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $13.69 – $34.84 | 7 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $456.00 | $570.00 | $169.36 – $531.34 | 9 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $2,216.80 | $2,771.00 | $652.83 – $1,775.82 | 9 |
| Ped crit care age 2-5 init CPT 99475 | $1,016.80 | $1,271.00 | $508.18 – $1,114.40 | 7 |
| Ped crit care age 2-5 subsq CPT 99476 | $622.40 | $778.00 | $307.54 – $675.70 | 7 |
| Ped crit care transport CPT 99466 | $434.40 | $543.00 | $210.61 – $459.40 | 7 |
| Ped crit care transport addl CPT 99467 | $217.60 | $272.00 | $105.69 – $230.40 | 7 |
| Ped critical care initial CPT 99471 | $1,446.40 | $1,808.00 | $702.97 – $1,533.50 | 7 |
| Ped critical care subsq CPT 99472 | $724.00 | $905.00 | $360.94 – $796.60 | 7 |
| Ped home apnea mntr att only CPT 94775 | $100.00 | $125.00 | $15.10 – $151.47 | 9 |
| Ped home apnea mntr dl&alys CPT 94776 | $472.00 | $590.00 | $133.35 – $555.75 | 9 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $3,306.68 – $9,100.51 | 7 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $967.84 – $2,715.98 | 7 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,969.60 | $2,462.00 | $589.13 – $1,563.74 | 9 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $793.04 – $2,018.07 | 7 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $936.29 – $2,382.58 | 7 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $741.88 – $1,887.86 | 7 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $402.93 – $1,025.35 | 7 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $195.77 – $461.25 | 4 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $889.25 – $1,149.25 | 3 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $10,221.50 – $33,515.90 | 7 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $861.57 | $1,076.96 | $19.98 – $915.42 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $79.60 – $366.29 | 7 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $562.51 | $703.13 | $138.76 – $597.66 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $233.69 – $427.23 | 7 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $351.20 | $439.00 | $105.78 – $438.88 | 7 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $152.20 – $262.57 | 7 |
| Peginesatide injection HCPCS J0890 | not published | not published | $12.97 – $15.93 | 3 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,113.42 – $1,277.52 | 5 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $1,029.60 – $4,382.40 | 7 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.60 – $241.79 | 5 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $292.75 – $744.95 | 7 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $253.87 – $646.04 | 7 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $188.88 – $530.03 | 7 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $139.18 – $390.56 | 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.