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 |
|---|---|---|---|---|
| Pet fdg brain metoblic eval sb CPT 78608 | $4,116.53 | $5,145.66 | $63.73 – $4,373.81 | 11 |
| Pet image full body CPT 78813 | $2,796.00 | $3,495.00 | $84.19 – $1,243.18 | 9 |
| Pet image ltd area CPT 78811 | $2,519.20 | $3,149.00 | $65.76 – $1,112.68 | 9 |
| Pet image skull-thigh CPT 78812 | $2,776.00 | $3,470.00 | $82.51 – $1,243.18 | 9 |
| Pet image w/ct lmtd CPT 78814 | $3,052.69 | $3,815.86 | $93.61 – $3,243.48 | 11 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $377.90 – $636.26 | 5 |
| Pet scan brain perf study CPT 78609 | not published | not published | $0.01 – $171.56 | 6 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $3,799.34 | $4,749.17 | $1,861.67 – $4,036.79 | 5 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $60.80 | $76.00 | $21.19 – $54.24 | 7 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $89.60 | $112.00 | $29.87 – $76.28 | 7 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $31.20 | $39.00 | $10.89 – $27.90 | 7 |
| Phalangectomy ea toe 28150 CPT 28150 | $1,053.60 | $1,317.00 | $258.06 – $2,765.43 | 9 |
| Pharmacologic management w/psytx CPT 90863 | $59.20 | $74.00 | $33.00 – $63.47 | 5 |
| Ph body fluid CPT 83986 | $33.57 | $41.96 | $3.58 – $35.67 | 9 |
| Phencyclidine (pcp) CPT 83992 | $43.20 | $54.00 | $15.75 – $34.15 | 8 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $109.00 | $136.25 | $6.35 – $32.77 | 8 |
| Phenobarbital therapeutic drug level CPT 80184 | $66.43 | $83.03 | $9.18 – $70.58 | 9 |
| Phentolaine mesylate inj HCPCS J2760 | $853.96 | $1,067.45 | $177.63 – $907.33 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.72 | $0.89 | $0.01 – $0.03 | 6 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $91.61 – $119.55 | 6 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.80 | $1.00 | $0.50 – $0.90 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $66.43 | $83.03 | $7.95 – $70.58 | 9 |
| Phlebotomy therapeutic CPT 99195 | $265.01 | $331.26 | $78.85 – $281.57 | 11 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $2,361.60 | $2,952.00 | $232.80 – $2,682.66 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $2,803.20 | $3,504.00 | $286.69 – $2,682.66 | 9 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $40.92 – $127.39 | 5 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $61.53 – $188.54 | 5 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $20.60 – $67.91 | 5 |
| Phosphorus CPT 84100 | $33.57 | $41.96 | $2.84 – $35.67 | 9 |
| Phosphorus 24 hour urine CPT 84105 | $33.57 | $41.96 | $3.47 – $35.67 | 9 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $245.60 | $307.00 | $50.62 – $275.94 | 9 |
| Photochemotherapy puva CPT 96912 | $210.40 | $263.00 | $50.62 – $234.73 | 9 |
| Photochemotherapy uv-a or b CPT 96913 | $304.80 | $381.00 | $133.04 – $355.60 | 9 |
| Photodynamic tx addl 15 min CPT 96571 | $59.20 | $74.00 | $22.81 – $60.03 | 7 |
| Photodynmc tx 30 min add-on CPT 96570 | $124.00 | $155.00 | $48.28 – $120.46 | 7 |
| Photo patch test CPT 95052 | $18.40 | $23.00 | $4.87 – $50.62 | 9 |
| Photopheresis CPT 36522 | $4,664.80 | $5,831.00 | $87.17 – $3,993.24 | 9 |
| Photosensitivity tests CPT 95056 | $137.60 | $172.00 | $46.66 – $121.26 | 9 |
| Phys blood bank serv authrj CPT 86079 | $97.60 | $122.00 | $29.85 – $84.60 | 9 |
| Phys blood bank serv reactj CPT 86078 | $97.60 | $122.00 | $30.04 – $93.39 | 7 |
| Phys blood bank serv xmatch CPT 86077 | $97.60 | $122.00 | $23.03 – $63.70 | 7 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $257.74 | $322.17 | $82.70 – $273.84 | 9 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $218.03 | $272.53 | $82.70 – $231.65 | 9 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $235.68 | $294.59 | $82.70 – $250.40 | 9 |
| Physical Therapy Re-Evaluation CPT 97164 | $128.80 | $161.00 | $56.66 – $133.17 | 9 |
| Physician standby services CPT 99360 | $145.60 | $182.00 | $81.90 – $138.72 | 6 |
| Phys review of motion tests CPT 96004 | $252.80 | $316.00 | $97.28 – $257.58 | 7 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $109.60 | $137.00 | $2.45 – $14.71 | 8 |
| Pierce earlobes 69090 CPT 69090 | $75.20 | $94.00 | $59.90 – $93.26 | 6 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $332.44 – $580.30 | 5 |
| Pik3ca gene trgt seq alys CPT 81309 | $263.84 | $329.80 | $152.70 – $288.57 | 9 |
| Pild/placebo control clin tr HCPCS G0276 | $840.80 | $1,051.00 | $332.35 – $875.11 | 7 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $443.02 – $1,134.28 | 7 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,435.20 | $1,794.00 | $413.20 – $1,093.79 | 9 |
| Pin finger dislocation CPT 26776 | $1,097.60 | $1,372.00 | $413.48 – $2,765.43 | 9 |
| Pin finger fracture each CPT 26756 | $1,036.00 | $1,295.00 | $389.74 – $2,765.43 | 9 |
| Pin hand dislocation CPT 26676 | $1,243.20 | $1,554.00 | $468.31 – $2,765.43 | 9 |
| Pin knuckle dislocation CPT 26706 | $1,086.40 | $1,358.00 | $413.50 – $2,765.43 | 9 |
| Pin service 60m per month HCPCS G0023 | $151.20 | $189.00 | $45.34 – $146.47 | 7 |
| Pinworm exam CPT 87172 | $38.58 | $48.22 | $4.27 – $40.99 | 9 |
| Pinworm examinations HCPCS Q0113 | $8.80 | $11.00 | $4.27 – $11.10 | 7 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $25.88 | $32.35 | $0.20 – $1.18 | 8 |
| Pituitary evaluation panel CPT 80418 | $1,453.60 | $1,817.00 | $347.69 – $901.43 | 7 |
| Place breast cath for rad CPT 19297 | $232.80 | $291.00 | $81.34 – $217.41 | 7 |
| Place breast rad tube/caths CPT 19298 | $4,883.20 | $6,104.00 | $294.09 – $5,558.33 | 9 |
| Place cath intracranial art CPT 36228 | $6,400.00 | $8,000.00 | $212.36 – $562.94 | 7 |
| Place cath xtrnl carotid CPT 36227 | $3,407.99 | $4,259.98 | $103.20 – $3,620.98 | 9 |
| Place cecostomy tube perc CPT 49442 | $2,170.40 | $2,713.00 | $186.57 – $1,004.95 | 9 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,286.77 – $2,166.50 | 5 |
| Place duod/jej tube perc CPT 49441 | $2,588.00 | $3,235.00 | $214.44 – $1,616.83 | 11 |
| Place endorectal app HCPCS C9725 | not published | not published | $777.06 – $1,443.60 | 7 |
| Place gastrostomy tube open 43832 CPT 43832 | $2,553.60 | $3,192.00 | $920.07 – $2,450.75 | 7 |
| Place gastrostomy tube perc CPT 49440 | $2,289.60 | $2,862.00 | $182.35 – $1,616.83 | 9 |
| Placement bile duct support CPT 47801 | $2,732.00 | $3,415.00 | $973.08 – $2,611.15 | 7 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,209.60 | $1,512.00 | $88.76 – $1,380.95 | 11 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $872.22 | $1,090.27 | $44.46 – $926.73 | 9 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,228.80 | $2,786.00 | $75.66 – $926.73 | 11 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,352.00 | $5,440.00 | $182.85 – $3,875.53 | 11 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $176.00 | $220.00 | $56.11 – $121.67 | 5 |
| Placement of drain pancreas CPT 48001 | $5,656.80 | $7,071.00 | $2,007.39 – $5,355.68 | 7 |
| Placement of seton CPT 46020 | $692.80 | $866.00 | $104.32 – $2,337.38 | 9 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $18,174.16 | $22,717.69 | $376.68 – $19,310.04 | 11 |
| Place ndl musc/tis for right CPT 20555 | $830.40 | $1,038.00 | $310.89 – $2,765.43 | 9 |
| Place needles h&n for right CPT 41019 | $1,234.40 | $1,543.00 | $452.07 – $5,042.00 | 9 |
| Place needles pelvic for right CPT 55920 | $1,160.00 | $1,450.00 | $425.18 – $4,207.41 | 9 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,442.36 | $5,552.95 | $171.55 – $4,720.01 | 11 |
| Placental lactogen CPT 83632 | $64.28 | $80.35 | $12.13 – $68.30 | 9 |
| Place po breast cath for rad CPT 19296 | $19,462.40 | $24,328.00 | $183.73 – $8,155.83 | 9 |
| Place right device/marker pros CPT 55876 | $361.60 | $452.00 | $93.03 – $1,166.19 | 9 |
| Place slctv cath carotd art uni CPT 36224 | $10,014.40 | $12,518.00 | $315.16 – $8,483.66 | 11 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,048.00 | $7,560.00 | $245.23 – $4,269.02 | 11 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $7,763.20 | $9,704.00 | $282.15 – $4,607.36 | 11 |
| Place slctv cath subclavian art CPT 36225 | $7,440.00 | $9,300.00 | $280.08 – $3,595.66 | 11 |
| Place slctv cath vertebral art uni CPT 36226 | $9,472.00 | $11,840.00 | $313.24 – $7,989.42 | 11 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $316.30 – $882.47 | 8 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $302.84 | $378.55 | $125.54 – $321.77 | 11 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $115.19 – $214.00 | 7 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $52.89 – $77.41 | 9 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $6.88 – $32.66 | 9 |
| Plasma volume multiple CPT 78111 | $211.20 | $264.00 | $9.63 – $1,112.68 | 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.