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 |
|---|---|---|---|---|
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $82.20 – $191.82 | 7 |
| Pq biliary strict dil s&i CPT 74363 | $593.06 | $741.32 | $36.44 – $630.12 | 9 |
| Pq dr cath chg w cont s&i CPT 75984 | $366.66 | $458.32 | $34.67 – $389.57 | 9 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $16,062.40 | $20,078.00 | $421.64 – $6,088.70 | 9 |
| Pq thr inj ext pse CPT 36002 | $799.38 | $999.22 | $91.90 – $849.34 | 11 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,095.20 | $2,619.00 | $182.70 – $487.34 | 7 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,452.80 | $5,566.00 | $387.12 – $2,765.43 | 9 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,407.20 | $5,509.00 | $364.70 – $2,765.43 | 9 |
| Pralatrexate injection HCPCS J9307 | $402.40 | $503.00 | $299.13 – $409.03 | 7 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $86.70 – $123.08 | 6 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,735.51 | $4,669.38 | $631.58 – $3,968.97 | 11 |
| Pr application of long arm splint CPT 29105 | $396.80 | $496.00 | $36.81 – $191.41 | 11 |
| Pr application splint static short arm CPT 29125 | $312.00 | $390.00 | $36.55 – $191.41 | 11 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $56.80 | $71.00 | $3.99 – $33.46 | 9 |
| Pr biopsy skin punch single lesion CPT 11104 | $417.28 | $521.60 | $42.21 – $443.36 | 11 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $5,227.20 | $6,534.00 | $548.59 – $10,966.57 | 9 |
| Pr correction hammertoe CPT 28285 | $2,688.00 | $3,360.00 | $357.81 – $2,765.43 | 9 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $48.50 | $60.62 | $10.72 – $51.53 | 9 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $695.20 | $869.00 | $248.08 – $662.71 | 7 |
| Prcrd drg 6+yr without anomly CPT 33017 | $604.80 | $756.00 | $212.07 – $568.08 | 7 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $2,228.80 | $2,786.00 | $139.80 – $2,939.60 | 9 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $148.00 | $185.00 | $73.92 – $156.83 | 7 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $209.60 | $262.00 | $104.69 – $221.61 | 7 |
| Prealbumin CPT 84134 | $64.28 | $80.35 | $8.75 – $68.30 | 9 |
| Pr ecg 12 lead report only CPT 93010 | $19.20 | $24.00 | $7.42 – $19.53 | 7 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $60.00 | $75.00 | $16.90 – $51.42 | 7 |
| Prednisolone acetate inj HCPCS J2650 | $1.20 | $1.50 | $0.58 – $0.76 | 3 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $2.00 | $2.50 | $0.06 – $0.48 | 8 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.50 | $0.62 | $0.01 – $0.03 | 6 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $135.79 – $345.57 | 7 |
| Pregabalin - sendout CPT 80366 | $72.14 | $90.17 | $13.16 – $76.64 | 8 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $502.40 | $628.00 | $177.33 – $1,616.83 | 9 |
| Pregnancy associated plasma protein-a CPT 84163 | $64.28 | $80.35 | $15.05 – $68.30 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $447.73 | $559.66 | $43.84 – $475.71 | 11 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $447.73 | $559.66 | $43.54 – $475.71 | 11 |
| Pregnancy Ultrasound (limited) CPT 76815 | $181.60 | $227.00 | $28.56 – $175.30 | 11 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $243.20 | $304.00 | $141.15 – $231.81 | 6 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $1,136.00 | $1,420.00 | $375.19 – $1,005.30 | 7 |
| Prenatal Care Only (7+ visits) CPT 59426 | $2,024.80 | $2,531.00 | $687.80 – $1,844.69 | 7 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $146.89 – $311.40 | 6 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $98.28 – $530.60 | 6 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $499.00 – $840.15 | 6 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,438.26 – $3,659.96 | 7 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $1,682.11 – $4,280.51 | 7 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,300.30 – $3,308.90 | 7 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $1,561.24 – $3,972.90 | 7 |
| Preparation for bladder xray CPT 51605 | $203.20 | $254.00 | $34.73 – $92.78 | 7 |
| Preparation palate mold CPT 42280 | $441.60 | $552.00 | $98.98 – $434.04 | 9 |
| Prepare donor heart CPT 33944 | not published | not published | $273.56 – $3,519.10 | 7 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $273.56 – $5,083.10 | 7 |
| Prepare donor intestine CPT 44715 | not published | not published | $858.71 – $2,490.26 | 6 |
| Prepare donor lung double CPT 32856 | not published | not published | $273.56 – $4,838.62 | 7 |
| Prepare donor lung single CPT 32855 | not published | not published | $227.97 – $3,999.98 | 7 |
| Prepare embryo for transfer CPT 89255 | $565.60 | $707.00 | $50.25 – $540.00 | 6 |
| Prepare fecal microbiota CPT 44705 | $277.60 | $347.00 | $136.73 – $230.90 | 6 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,505.80 – $4,015.68 | 7 |
| Prepare penis study CPT 54230 | $249.60 | $312.00 | $72.58 – $192.34 | 7 |
| Prepare sperm duct x-ray CPT 55300 | $472.00 | $590.00 | $167.71 – $446.31 | 7 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,351.90 – $3,440.19 | 7 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,219.12 – $3,102.29 | 7 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,034.71 – $2,633.06 | 7 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,101.54 – $2,902.35 | 7 |
| Prep cadaver renal allograft CPT 50323 | $476.00 | $595.00 | $135.50 – $518.05 | 7 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $65.15 – $624.98 | 7 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $330.56 – $881.20 | 7 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $235.88 – $629.59 | 7 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $572.45 – $4,189.46 | 7 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $330.11 – $881.60 | 7 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $434.10 – $4,094.72 | 7 |
| Prep donor liver/venous CPT 47146 | not published | not published | $282.70 – $754.40 | 7 |
| Prep donor liver whole CPT 47143 | not published | not published | $445.60 – $4,347.51 | 7 |
| Prep donor pancreas CPT 48551 | not published | not published | $235.29 – $3,419.76 | 7 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $202.90 – $541.93 | 7 |
| Prep donor renal graft CPT 50325 | $415.20 | $519.00 | $135.50 – $466.67 | 7 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $6,818.66 – $11,480.41 | 5 |
| Prepj tum cav iort prtl mast CPT 19294 | $404.00 | $505.00 | $142.53 – $380.38 | 7 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $956.79 – $1,610.94 | 5 |
| Prep renal graft/arterial CPT 50328 | $466.40 | $583.00 | $164.32 – $438.81 | 7 |
| Prep renal graft/ureteral CPT 50329 | $444.80 | $556.00 | $156.19 – $416.21 | 7 |
| Prep renal graft/venous CPT 50327 | $532.00 | $665.00 | $187.14 – $500.43 | 7 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $6,818.66 – $11,480.41 | 5 |
| Prep skin to 100cm2 other CPT 15004 | $987.20 | $1,234.00 | $234.24 – $633.58 | 11 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $859.20 | $1,074.00 | $195.60 – $1,559.08 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $177.60 | $222.00 | $39.02 – $105.07 | 7 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $133.35 – $247.73 | 7 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $189.79 – $507.13 | 7 |
| Pressure velocity wire add ves CPT 93572 | $767.04 | $958.80 | $45.34 – $814.98 | 9 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $252.80 – $704.92 | 7 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $164.99 | $206.23 | $19.84 – $175.30 | 11 |
| Pretreat rbc absorption reference CPT 86978 | $312.80 | $391.00 | $19.84 – $175.30 | 11 |
| Pretreat rbc density gradient separation reference CPT 86972 | $164.99 | $206.23 | $21.30 – $175.30 | 11 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $164.99 | $206.23 | $16.50 – $175.30 | 11 |
| Pretreat rbc w enzyme reference CPT 86971 | $164.99 | $206.23 | $13.16 – $175.30 | 11 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $362.40 | $453.00 | $136.94 – $419.07 | 9 |
| Preventive counseling group CPT 99411 | $35.20 | $44.00 | $11.22 – $17.48 | 6 |
| Preventive counseling group CPT 99412 | $44.80 | $56.00 | $19.24 – $29.26 | 6 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $69.60 | $87.00 | $35.31 – $55.68 | 6 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $116.00 | $145.00 | $72.65 – $114.20 | 6 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $160.00 | $200.00 | $109.09 – $168.81 | 6 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $204.80 | $256.00 | $146.29 – $225.74 | 6 |
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.