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 |
|---|---|---|---|---|
| Plasma volume single CPT 78110 | $224.80 | $281.00 | $7.18 – $1,112.68 | 9 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $66.33 – $184.72 | 7 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $89.62 – $228.05 | 7 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $963.51 – $2,703.83 | 7 |
| Plastic surgery neck CPT 15819 | not published | not published | $1,440.48 – $2,456.22 | 5 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $2,228.30 – $5,837.41 | 7 |
| Platelet aggregation each agent teg CPT 85576 | $95.72 | $119.64 | $10.94 – $101.69 | 9 |
| Platelet automated CPT 85049 | $33.57 | $41.96 | $2.69 – $35.67 | 9 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $22.10 – $423.23 | 7 |
| Platelet pheresis each unit HCPCS P9034 | $682.10 | $852.62 | $338.48 – $724.73 | 11 |
| Platelet pheresis irr ea HCPCS P9036 | $682.10 | $852.62 | $394.76 – $930.48 | 11 |
| Platelets each unit HCPCS P9019 | $302.84 | $378.55 | $64.74 – $321.77 | 11 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $691.84 | $864.80 | $227.84 – $1,231.08 | 11 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $115.73 – $214.99 | 8 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $682.10 | $852.62 | $107.20 – $724.73 | 11 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $682.10 | $852.62 | $175.06 – $724.73 | 11 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $682.10 | $852.62 | $193.69 – $724.73 | 11 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $682.10 | $852.62 | $391.41 – $727.14 | 11 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $682.10 | $852.62 | $394.76 – $771.28 | 11 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $682.10 | $852.62 | $394.76 – $1,005.18 | 11 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $682.10 | $852.62 | $394.76 – $929.89 | 10 |
| Platelet survival CPT 78191 | $362.40 | $453.00 | $22.83 – $342.49 | 9 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $51.89 – $132.03 | 7 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $174.82 – $407.93 | 7 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $6,195.62 | $7,744.52 | $234.72 – $6,582.84 | 11 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $13,428.93 | $16,786.16 | $180.75 – $14,268.24 | 9 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $6,243.07 | $7,803.83 | $181.85 – $6,633.26 | 11 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $6,873.60 | $8,592.00 | $304.87 – $6,633.26 | 11 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $1,964.00 | $2,455.00 | $678.40 – $1,815.49 | 7 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $2,208.00 | $2,760.00 | $75.66 – $764.41 | 11 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $934.40 | $1,168.00 | $38.13 – $764.41 | 9 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $792.00 | $990.00 | $272.89 – $730.84 | 7 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,505.60 | $1,882.00 | $57.06 – $151.08 | 7 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $872.22 | $1,090.27 | $44.46 – $926.73 | 9 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $948.00 | $1,185.00 | $37.83 – $926.73 | 9 |
| Plerixafor injection HCPCS J2562 | not published | not published | $24.98 – $414.30 | 7 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $562.09 | $702.61 | $10.92 – $597.22 | 11 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | $2,222.40 | $2,778.00 | $797.91 – $2,128.16 | 7 |
| Plmt access bil tree sm bwl CPT 47541 | $13,548.52 | $16,935.65 | $298.09 – $14,395.30 | 11 |
| Plmt biliary drainage cath CPT 47534 | $6,195.62 | $7,744.52 | $328.68 – $6,582.84 | 11 |
| Plmt nephroureteral catheter CPT 50433 | $6,243.07 | $7,803.83 | $227.30 – $6,633.26 | 11 |
| Plmt ureteral stent prq CPT 50694 | $6,243.07 | $7,803.83 | $237.75 – $6,633.26 | 11 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $43.60 – $110.96 | 7 |
| Pm device progr eval dual CPT 93280 | $164.80 | $206.00 | $31.78 – $88.87 | 9 |
| Pm device progr eval multi CPT 93281 | $180.80 | $226.00 | $31.78 – $99.19 | 9 |
| Pml/raralpha 1 breakpoint CPT 81316 | $520.00 | $650.00 | $124.39 – $322.50 | 7 |
| Pmp22 gene dup/delet CPT 81324 | $1,516.80 | $1,896.00 | $421.34 – $1,061.78 | 9 |
| Pmp22 gene full sequence CPT 81325 | $1,539.20 | $1,924.00 | $461.75 – $1,077.47 | 7 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $27.96 – $66.60 | 7 |
| Pm phone r-strip device eval CPT 93293 | $118.40 | $148.00 | $12.83 – $34.55 | 9 |
| Pms2 gene dup/delet variants CPT 81319 | $407.20 | $509.00 | $113.06 – $284.92 | 9 |
| Pms2 gene full seq analysis CPT 81317 | $1,353.60 | $1,692.00 | $375.86 – $947.17 | 9 |
| Pms2 known familial variants CPT 81318 | $662.40 | $828.00 | $198.60 – $463.42 | 7 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $31.41 – $83.95 | 9 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $106.10 – $297.76 | 7 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $318.40 | $398.00 | $82.26 – $526.95 | 9 |
| #pnh-flow cytometry interp CPT 88187 | $121.60 | $152.00 | $32.94 – $129.49 | 7 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $8.33 – $21.80 | 6 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $86.42 | $108.02 | $15.64 – $91.82 | 9 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $118.78 – $161.58 | 7 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $113.02 – $315.19 | 7 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $2,172.00 | $2,715.00 | $122.85 – $867.14 | 9 |
| Polysom any age 1-3> param CPT 95808 | $1,424.80 | $1,781.00 | $75.18 – $867.14 | 9 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,795.92 | $3,494.90 | $112.75 – $2,970.67 | 11 |
| Polyvalent mult org ea ag ia CPT 87451 | $26.40 | $33.00 | $6.31 – $14.92 | 7 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $2,785.47 – $27,054.68 | 7 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $7.69 – $91.74 | 7 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $32.76 – $91.74 | 7 |
| Positional change of finger CPT 26555 | $3,372.80 | $4,216.00 | $1,232.52 – $6,088.70 | 9 |
| Positional nystagmus test CPT 92532 | $42.40 | $53.00 | $31.20 – $42.87 | 6 |
| Positioner proc acufex leg acs HCPCS E0190 | not published | not published | $3.76 – $50.37 | 4 |
| Post-coital mucous exam HCPCS Q0115 | $50.40 | $63.00 | $16.77 – $65.00 | 7 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $45.64 – $146.47 | 6 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $1,831.20 | $2,289.00 | $648.39 – $1,732.62 | 7 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $283.30 – $738.72 | 7 |
| Postop app non-wgt bear dsg HCPCS L5450 | $2,500.42 | $3,125.52 | $294.73 – $2,656.69 | 9 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $386.59 – $983.76 | 7 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $810.53 – $2,062.58 | 7 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,091.99 – $2,778.83 | 7 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $357.68 – $910.18 | 7 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $301.28 – $766.65 | 7 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $900.79 – $2,488.02 | 7 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $766.57 – $1,950.73 | 7 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $273.38 – $695.68 | 7 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,077.50 – $2,741.92 | 7 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $668.54 – $1,876.09 | 7 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $155.92 – $530.60 | 6 |
| Postpartum Care Only CPT 59430 | $501.60 | $627.00 | $154.67 – $415.71 | 7 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $1,837.60 | $2,297.00 | $653.52 – $1,743.22 | 7 |
| Potassium 24 hour urine CPT 84133 | $33.57 | $41.96 | $2.84 – $35.67 | 9 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $15.57 | $19.46 | $0.05 – $0.21 | 8 |
| Potassium hydroxide preps HCPCS Q0112 | $12.00 | $15.00 | $5.83 – $15.16 | 7 |
| Potassium serum/plasma/whole blood CPT 84132 | $33.57 | $41.96 | $2.86 – $35.67 | 9 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $1.44 – $3.65 | 7 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $2.46 – $6.27 | 7 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $3.84 – $9.78 | 7 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $3.04 – $7.74 | 7 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $1.45 – $3.68 | 7 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $2.50 – $6.36 | 7 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $2.51 – $6.37 | 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.