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 |
|---|---|---|---|---|
| Protein total serum plasma whole blood CPT 84155 | $33.57 | $41.96 | $2.20 – $35.67 | 9 |
| Protein western blot tissue CPT 88371 | $44.80 | $56.00 | $13.39 – $32.60 | 7 |
| Prothrombin complex kcentra HCPCS J7168 | $4.92 | $6.14 | $2.18 – $5.09 | 9 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $32.85 | $41.06 | $2.36 – $34.90 | 9 |
| Proton treatment complex CPT 77525 | not published | not published | $781.28 – $2,233.75 | 8 |
| Proton trmt intermediate CPT 77523 | not published | not published | $196.00 – $2,021.54 | 8 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $618.26 – $2,019.64 | 8 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $174.58 – $1,733.38 | 8 |
| Protoporphyrin rbc screen CPT 84203 | $24.00 | $30.00 | $5.84 – $13.64 | 7 |
| Provide inr test mater/equip HCPCS G0249 | $170.40 | $213.00 | $32.11 – $188.95 | 7 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $1,092.00 | $1,365.00 | $394.31 – $1,052.24 | 7 |
| Prp i/hern init block >5 yr CPT 49507 | $2,873.60 | $3,592.00 | $520.73 – $3,007.87 | 9 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $153.60 | $192.00 | $68.90 – $146.48 | 9 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $61.60 | $77.00 | $28.30 – $74.85 | 7 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,934.40 | $22,418.00 | $314.27 – $838.30 | 7 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $403.91 – $1,081.54 | 7 |
| Prq card angio/athrect addl CPT 92925 | $15,188.08 | $18,985.10 | $7,442.16 – $16,137.34 | 5 |
| Prq cardiac angio addl art CPT 92921 | $6,178.68 | $7,723.35 | $3,027.55 – $6,564.85 | 5 |
| Prq card revasc chronic addl CPT 92944 | $15,026.56 | $18,783.19 | $7,363.01 – $15,965.71 | 5 |
| Prq card revasc mi 1 vsl CPT 92941 | $10,812.70 | $13,515.87 | $565.09 – $11,488.49 | 9 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $15,763.59 | $19,704.48 | $7,724.16 – $16,748.81 | 5 |
| Prq card stent/ath/angio CPT 92934 | $13,438.64 | $16,798.29 | $6,584.93 – $14,278.55 | 5 |
| Prq card stent w/angio addl CPT 92929 | $13,438.64 | $16,798.29 | $6,584.93 – $14,278.55 | 5 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $10,812.70 | $13,515.87 | $502.63 – $11,488.49 | 11 |
| Prq revasc byp graft addl CPT 92938 | $13,438.64 | $16,798.29 | $6,584.93 – $14,278.55 | 5 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $2,665.60 | $3,332.00 | $535.15 – $6,088.70 | 9 |
| Prq skel fix epcndylr hum fx CPT 24566 | $3,526.40 | $4,408.00 | $655.01 – $1,739.30 | 9 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $3,747.20 | $4,684.00 | $711.64 – $6,088.70 | 9 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $2,292.80 | $2,866.00 | $450.74 – $6,088.70 | 9 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $830.40 | $1,038.00 | $337.49 – $6,088.70 | 9 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $10,812.70 | $13,515.87 | $502.96 – $11,488.49 | 11 |
| Prq trlml c athrc st angiop1 CPT 92933 | $13,637.24 | $17,046.54 | $564.29 – $15,304.77 | 11 |
| Prq trluml c angiop 1art&/br CPT 92920 | $7,727.77 | $9,659.71 | $452.43 – $8,210.75 | 11 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $15,575.58 | $19,469.47 | $538.97 – $16,549.05 | 11 |
| Prq trluml revsc ch occ ant CPT 92943 | $13,438.64 | $16,798.29 | $564.94 – $14,278.55 | 11 |
| Pr removal drug delivery implant CPT 11982 | $544.12 | $680.15 | $64.76 – $578.13 | 11 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $438.40 | $548.00 | $42.92 – $114.41 | 11 |
| Pr removal intrauterine device CPT 58301 | $251.20 | $314.00 | $58.95 – $259.27 | 11 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $742.40 | $928.00 | $172.63 – $466.34 | 11 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $268.80 | $336.00 | $49.23 – $267.28 | 11 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $280.80 | $351.00 | $50.98 – $267.28 | 11 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $250.01 | $312.51 | $39.58 – $265.63 | 11 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $269.60 | $337.00 | $51.94 – $265.63 | 11 |
| Pr robotic surgical system HCPCS S2900 | $668.80 | $836.00 | $720.90 – $1,835.00 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $2,119.20 | $2,649.00 | $639.80 – $1,702.47 | 9 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $76.00 | $95.00 | $36.77 – $79.11 | 7 |
| Prtl exc bone olecrn process CPT 24147 | $3,070.40 | $3,838.00 | $572.13 – $2,765.43 | 9 |
| Prtl exc bone radial h/n CPT 24145 | $2,915.20 | $3,644.00 | $539.85 – $6,088.70 | 9 |
| Prtl exchange transfuse nb CPT 36456 | $260.00 | $325.00 | $88.17 – $372.61 | 9 |
| Prtl excision bone clavicle CPT 23180 | $3,262.40 | $4,078.00 | $625.13 – $6,088.70 | 9 |
| Prtl excision bone scapula CPT 23182 | $3,240.00 | $4,050.00 | $609.74 – $6,088.70 | 9 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,285.26 | $2,856.57 | $136.88 – $2,428.08 | 11 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $32.00 | $40.00 | $14.81 – $39.75 | 7 |
| PSA (Prostate) Test CPT 84153 | $64.28 | $80.35 | $11.03 – $68.30 | 9 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $4.80 | $6.00 | $1.92 – $5.04 | 7 |
| Psychoanalysis CPT 90845 | $221.60 | $277.00 | $85.32 – $215.67 | 7 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $68.90 – $105.87 | 4 |
| Psychophysiological therapy CPT 90875 | $138.40 | $173.00 | $81.40 – $158.11 | 6 |
| Psychophysiological therapy CPT 90876 | $240.00 | $300.00 | $130.90 – $250.79 | 6 |
| Psychotherapy group therapy CPT 90853 | $62.40 | $78.00 | $23.68 – $78.84 | 9 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $168.00 | $210.00 | $67.55 – $170.59 | 9 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $209.60 | $262.00 | $89.14 – $225.73 | 9 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $313.60 | $392.00 | $131.89 – $333.11 | 9 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $270.40 | $338.00 | $102.15 – $266.92 | 9 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $207.20 | $259.00 | $71.08 – $187.46 | 7 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | not published | not published | $428.00 – $428.00 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | $80.00 | $100.00 | $30.57 – $340.11 | 9 |
| Psy evaluation of records CPT 90885 | $112.00 | $140.00 | $65.90 – $128.36 | 6 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $103.20 | $129.00 | $21.78 – $109.87 | 9 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $94.40 | $118.00 | $16.80 – $44.23 | 7 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $80.00 | $100.00 | $30.57 – $82.00 | 7 |
| Psytx complex interactive CPT 90785 | $35.20 | $44.00 | $12.00 – $32.37 | 7 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $161.60 | $202.00 | $62.50 – $158.16 | 7 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $204.00 | $255.00 | $79.39 – $200.51 | 7 |
| Psytx pt w/e&m 53+ min CPT 90838 | $268.00 | $335.00 | $105.61 – $265.41 | 7 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $12.00 | $15.00 | $5.92 – $9.80 | 7 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $131.58 | $164.47 | $17.71 – $139.80 | 9 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $97.52 | $121.90 | $13.14 – $103.62 | 9 |
| Pt application of modality traction mechanical CPT 97012 | $95.08 | $118.84 | $13.55 – $101.01 | 9 |
| Pt/caregiver traing home inr CPT 93792 | $137.60 | $172.00 | $60.39 – $162.84 | 7 |
| Pten gene dup/delet variant CPT 81323 | $288.00 | $360.00 | $123.30 – $420.04 | 9 |
| Pten gene full sequence CPT 81321 | $576.00 | $720.00 | $333.36 – $840.06 | 9 |
| Pten gene known fam variant CPT 81322 | $127.86 | $159.82 | $27.96 – $135.85 | 9 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | $3,875.20 | $4,844.00 | $718.87 – $5,042.00 | 9 |
| Pt-focused hlth risk assmt CPT 96160 | $120.00 | $150.00 | $2.66 – $6.99 | 7 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $57.60 | $72.00 | $22.43 – $59.05 | 7 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $861.29 – $2,191.75 | 7 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $99.20 | $124.00 | $32.97 – $70.70 | 9 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $117.20 | $146.49 | $11.58 – $124.52 | 9 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $87.84 | $109.79 | $28.01 – $93.32 | 9 |
| Pt wheelchair management each 15 minutes CPT 97542 | $109.80 | $137.24 | $29.26 – $116.65 | 9 |
| Pul art balloon repr percut CPT 92997 | $1,392.80 | $1,741.00 | $547.91 – $9,665.73 | 9 |
| Pul art balloon repr percut CPT 92998 | $696.80 | $871.00 | $273.37 – $716.77 | 7 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $3,300.00 – $7,150.00 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,571.28 – $9,535.10 | 7 |
| Pulmonary decortication partial 32225 CPT 32225 | $4,844.80 | $6,056.00 | $864.51 – $2,305.26 | 7 |
| Pulmonary vent imaging CPT 78579 | $2,131.44 | $2,664.29 | $20.87 – $2,264.65 | 11 |
| Pulse ox continuous overnight monitoring CPT 94762 | $146.67 | $183.33 | $21.71 – $155.83 | 11 |
| Pulse ox multiple CPT 94761 | $186.28 | $232.85 | $3.40 – $197.92 | 9 |
| Pulse ox single CPT 94760 | $95.96 | $119.95 | $3.10 – $101.96 | 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.