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 |
|---|---|---|---|---|
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $189.74 – $482.83 | 7 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $260.85 – $732.01 | 7 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,386.61 | $2,983.26 | $53.20 – $2,535.77 | 11 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,243.52 | $2,804.39 | $50.66 – $2,383.73 | 11 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,699.94 | $2,124.92 | $47.51 – $1,806.18 | 11 |
| Pelvic exenteration CPT 45126 | $6,904.00 | $8,630.00 | $2,428.98 – $6,514.36 | 7 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $833.98 – $2,122.25 | 7 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,477.34 | $5,596.67 | $96.27 – $4,757.17 | 11 |
| Pelvic MRI (with contrast) CPT 72196 | $3,521.31 | $4,401.63 | $75.45 – $3,741.39 | 11 |
| Pelvic MRI (without contrast) CPT 72195 | $2,921.37 | $3,651.71 | $63.91 – $3,103.95 | 11 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $2,616.80 | $3,271.00 | $953.32 – $6,088.70 | 9 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $900.37 – $2,347.98 | 7 |
| Pelvic Ultrasound (complete) CPT 76856 | $447.73 | $559.66 | $30.15 – $475.71 | 11 |
| Pelvic Ultrasound (limited) CPT 76857 | $366.08 | $457.60 | $21.78 – $388.96 | 11 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $196.47 | $245.58 | $7.71 – $208.74 | 11 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $295.28 | $369.10 | $11.19 – $313.74 | 11 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $83.25 – $211.85 | 7 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $61.60 | $77.00 | $56.66 – $72.45 | 7 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $80.00 | $100.00 | $3.77 – $85.68 | 7 |
| Pemivibart infusion HCPCS M0224 | $620.37 | $775.46 | $359.04 – $713.32 | 8 |
| Peng benzathine/procaine inj HCPCS J0558 | $16.80 | $21.00 | $7.33 – $22.85 | 7 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $49.35 | $61.68 | $9.28 – $52.43 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $16.45 | $20.56 | $0.78 – $6.53 | 8 |
| Penicillin g procaine inj HCPCS J2510 | $46.40 | $58.00 | $12.29 – $49.55 | 7 |
| Penile injection CPT 54235 | $220.80 | $276.00 | $67.14 – $178.13 | 7 |
| Penile vascular study CPT 93980 | $284.00 | $355.00 | $51.24 – $135.64 | 9 |
| Penile vascular study CPT 93981 | $169.60 | $212.00 | $19.40 – $90.64 | 9 |
| Penile venous occlusion CPT 37790 | $1,226.40 | $1,533.00 | $440.59 – $2,939.60 | 9 |
| Penis plastic surgery CPT 54360 | $1,820.80 | $2,276.00 | $653.95 – $2,939.60 | 9 |
| Penis study CPT 54240 | $256.80 | $321.00 | $39.28 – $265.41 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | $141.60 | $177.00 | $67.89 – $135.18 | 6 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.30 – $15.27 | 3 |
| Pentazocine injection HCPCS J3070 | $128.80 | $161.00 | $33.58 – $164.13 | 4 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $8.60 – $55.65 | 6 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,447.89 – $2,955.10 | 7 |
| Perc cryo ablate renal tum CPT 50593 | $21,107.20 | $26,384.00 | $410.84 – $8,873.63 | 9 |
| Perc d-e cor revasc chro add HCPCS C9608 | $17,073.47 | $21,341.83 | $8,366.00 – $18,140.56 | 5 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $15,763.59 | $19,704.48 | $9,123.17 – $28,432.63 | 10 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $15,763.59 | $19,704.48 | $7,724.16 – $16,748.81 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $17,073.47 | $21,341.83 | $9,665.73 – $18,140.56 | 10 |
| Perc d-e cor stent ather br HCPCS C9603 | $15,763.59 | $19,704.48 | $7,724.16 – $16,748.81 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | $15,763.59 | $19,704.48 | $9,123.17 – $28,432.63 | 10 |
| Perc drug-el cor stent bran HCPCS C9601 | $15,763.59 | $19,704.48 | $7,724.16 – $16,748.81 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | $17,073.47 | $21,341.83 | $9,665.73 – $18,140.56 | 10 |
| Perc rf ablate renal tumor CPT 50592 | $15,611.20 | $19,514.00 | $307.42 – $4,972.71 | 9 |
| Percut ablate liver rf CPT 47382 | $10,753.60 | $13,442.00 | $660.71 – $4,972.71 | 9 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $279.69 – $728.36 | 7 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $123.20 | $154.00 | $41.79 – $72.24 | 6 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $560.80 | $701.00 | $186.32 – $499.02 | 7 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $6,040.80 | $7,551.00 | $2,123.49 – $5,673.46 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,274.70 | $4,093.37 | $201.55 – $3,479.36 | 11 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $2,013.60 | $2,517.00 | $717.65 – $1,905.75 | 7 |
| Peri-implt capslc brst compl CPT 19371 | $3,896.00 | $4,870.00 | $640.91 – $3,263.75 | 9 |
| Perineoplasty rpr per nonob CPT 56810 | $667.20 | $834.00 | $243.77 – $2,709.95 | 9 |
| Peripheral vascular rehab CPT 93668 | $33.60 | $42.00 | $12.85 – $33.80 | 7 |
| Peri-proc device eval icd CPT 93287 | $109.60 | $137.00 | $19.81 – $42.96 | 9 |
| Peri-proc device eval pm CPT 93286 | $91.20 | $114.00 | $13.40 – $67.09 | 9 |
| Peritoneal cath sub q resv per CPT 49419 | $1,072.80 | $1,341.00 | $365.18 – $4,607.36 | 9 |
| Peritoneogram rs&i CPT 74190 | $813.60 | $1,017.00 | $20.10 – $743.16 | 11 |
| Perit-vens shunt pat tst CPT 78291 | $547.20 | $684.00 | $38.51 – $342.49 | 9 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $15.71 – $74.50 | 6 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $9.82 – $27.54 | 7 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,051.00 – $2,674.48 | 7 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.47 – $3.17 | 6 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $7.51 – $9.24 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | $4,081.60 | $5,102.00 | $729.79 – $1,941.50 | 7 |
| Perq clsr tcat l atr apndge CPT 33340 | $1,937.60 | $2,422.00 | $668.49 – $1,788.91 | 7 |
| Perq dev breast 1st mr guide CPT 19287 | $3,793.60 | $4,742.00 | $113.20 – $599.68 | 9 |
| Perq dev breast 1st strtctc CPT 19283 | $1,337.60 | $1,672.00 | $89.21 – $926.73 | 11 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $6,456.00 | $8,070.00 | $1,014.70 – $7,881.47 | 9 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $4,390.40 | $5,488.00 | $630.76 – $7,881.47 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $757.34 – $9,665.73 | 9 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $642.50 – $15,304.77 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $665.62 – $9,665.73 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $506.40 – $9,665.73 | 9 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $253.76 – $675.17 | 7 |
| Perq plmt bile duct stent CPT 47538 | $10,412.00 | $13,015.00 | $208.88 – $10,978.77 | 11 |
| Perq plmt bile duct stent CPT 47539 | $11,495.20 | $14,369.00 | $376.37 – $4,972.71 | 9 |
| Perq plmt bile duct stent CPT 47540 | $11,729.60 | $14,662.00 | $389.71 – $4,972.71 | 9 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $823.20 | $1,029.00 | $77.51 – $350.89 | 11 |
| Perq skel fix rad/uln dislc CPT 25671 | $2,609.60 | $3,262.00 | $489.68 – $2,765.43 | 9 |
| Perq skel fix ulnar styld fx CPT 25651 | $2,398.40 | $2,998.00 | $449.49 – $2,765.43 | 9 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $161.00 – $161.00 | 2 |
| Perq transcath closure each CPT 93592 | $893.60 | $1,117.00 | $348.26 – $913.51 | 7 |
| Perq transcath closure pda CPT 93582 | not published | not published | $565.09 – $15,304.77 | 9 |
| Perq transcath cls aortic CPT 93591 | $2,031.20 | $2,539.00 | $795.70 – $15,304.77 | 9 |
| Perq transcath cls mitral CPT 93590 | $2,449.60 | $3,062.00 | $961.09 – $15,304.77 | 9 |
| Perq transcath septal reduxn CPT 93583 | $1,604.00 | $2,005.00 | $633.97 – $1,664.31 | 7 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $496.19 – $1,328.29 | 7 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $2,222.40 | $2,778.00 | $251.66 – $2,765.43 | 9 |
| Perq tx malar fracture CPT 21355 | $2,113.60 | $2,642.00 | $298.26 – $2,764.11 | 9 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $1,726.40 | $2,158.00 | $403.08 – $5,042.00 | 9 |
| Perq tx nasoethmoid fx CPT 21340 | $1,848.00 | $2,310.00 | $682.22 – $2,764.11 | 9 |
| Pertussis ag if CPT 87265 | $38.58 | $48.22 | $7.19 – $40.99 | 9 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $17.60 | $22.00 | $15.31 – $20.06 | 7 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $62.99 – $87.17 | 7 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $141.60 | $177.00 | $35.30 – $89.83 | 7 |
| Pessary reusable rub anytype HCPCS A4561 | $57.60 | $72.00 | $14.19 – $36.11 | 7 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,528.18 | $5,660.22 | $104.62 – $4,811.19 | 11 |
| Pet CT whole body initial CPT 78816 | $4,528.18 | $5,660.22 | $105.68 – $4,811.19 | 11 |
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.