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 |
|---|---|---|---|---|
| Punc of shunt for asp or inj CPT 61070 | $861.40 | $1,076.75 | $50.05 – $915.24 | 11 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $75.20 | $94.00 | $13.60 – $109.87 | 11 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $438.91 | $548.63 | $87.69 – $466.34 | 11 |
| Puncture/clear windpipe 31612 CPT 31612 | $212.80 | $266.00 | $43.17 – $2,764.11 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $816.32 | $1,020.39 | $56.30 – $867.33 | 11 |
| Puraply 1 sq cm HCPCS Q4195 | $140.80 | $176.00 | $66.62 – $169.95 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | $172.80 | $216.00 | $73.54 – $165.77 | 5 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,452.16 | $1,815.20 | $44.15 – $1,542.92 | 9 |
| Pvb thoracic cont infusion CPT 64463 | $992.00 | $1,240.00 | $74.46 – $590.25 | 9 |
| Pvb thoracic single inj site CPT 64461 | $1,452.16 | $1,815.20 | $70.78 – $1,542.92 | 11 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $411.23 – $1,046.46 | 7 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $9,741.62 – $24,789.65 | 7 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,088.00 – $3,542.97 | 5 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $888.31 – $2,367.51 | 7 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $858.69 – $2,288.04 | 7 |
| Pyelotomy w/removal calculus CPT 50130 | $5,219.20 | $6,524.00 | $933.21 – $2,485.99 | 7 |
| Pyloroplasty 43800 CPT 43800 | $2,285.60 | $2,857.00 | $816.49 – $2,176.84 | 7 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $10.09 – $19.27 | 6 |
| Pyruvate CPT 84210 | $64.28 | $80.35 | $8.69 – $68.30 | 9 |
| Pyruvate kinase CPT 84220 | $33.57 | $41.96 | $5.66 – $35.67 | 9 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $168.32 – $472.36 | 7 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $5.46 – $28.36 | 7 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,131.44 | $2,664.29 | $35.62 – $2,264.65 | 11 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,626.43 | $2,033.03 | $31.20 – $1,728.08 | 11 |
| Quest t3 uptake CPT 84479 | $55.00 | $68.75 | $3.88 – $58.44 | 9 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $352.21 – $896.27 | 7 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.26 – $522.69 | 7 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $422.40 | $528.00 | $313.09 – $623.63 | 7 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.15 – $378.79 | 7 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $561.91 | $702.38 | $67.03 – $289.91 | 9 |
| Rabies vaccine id CPT 90676 | $340.80 | $426.00 | $221.41 – $351.64 | 6 |
| Radial keratotomy CPT 65771 | not published | not published | $1,208.60 – $1,945.24 | 6 |
| Radiation handling CPT 77790 | $170.40 | $213.00 | $13.50 – $74.08 | 7 |
| Radiation physics consult CPT 77336 | $318.95 | $398.68 | $79.89 – $338.88 | 11 |
| Radiation therapy dose plan CPT 77300 | $528.76 | $660.95 | $30.27 – $561.81 | 11 |
| Radiation therapy management CPT 77431 | $199.20 | $249.00 | $99.60 – $208.28 | 7 |
| Radiation treatment aid(s) CPT 77332 | $525.04 | $656.30 | $14.91 – $557.86 | 11 |
| Radiation treatment aid(s) CPT 77333 | $644.36 | $805.45 | $16.92 – $684.63 | 11 |
| Radiation treatment aid(s) CPT 77334 | $1,002.34 | $1,252.92 | $56.40 – $1,064.98 | 11 |
| Radiation treatment delivery CPT 77401 | $74.40 | $93.00 | $29.18 – $93.33 | 9 |
| Radiation treatment delivery CPT 77402 | $370.24 | $462.79 | $93.33 – $393.37 | 11 |
| Radiation treatment delivery CPT 77412 | $561.48 | $701.85 | $224.14 – $596.57 | 11 |
| Radiation tx management x5 CPT 77427 | $354.40 | $443.00 | $177.08 – $369.85 | 7 |
| Radical abdominal hysterectomy 58210 CPT 58210 | $4,511.20 | $5,639.00 | $1,631.46 – $4,369.40 | 7 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,343.18 – $3,571.48 | 7 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,722.39 – $4,582.04 | 7 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,573.07 – $4,184.24 | 7 |
| Radical resection of elbow CPT 24149 | $5,788.80 | $7,236.00 | $1,064.56 – $6,088.70 | 9 |
| Radical resection sternum 21630 CPT 21630 | $2,982.40 | $3,728.00 | $1,177.15 – $3,128.09 | 7 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $2,582.40 | $3,228.00 | $925.47 – $2,474.33 | 9 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $7,052.80 | $8,816.00 | $1,277.47 – $3,391.66 | 9 |
| Radiesse injection HCPCS Q2026 | $239.20 | $299.00 | $333.42 – $350.09 | 5 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $3,175.69 – $8,081.24 | 7 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $509.09 – $1,295.49 | 7 |
| Radiology port images(s) CPT 77417 | $167.02 | $208.77 | $13.41 – $177.45 | 9 |
| Radiotherapy dose plan imrt CPT 77301 | $8,842.97 | $11,053.71 | $392.83 – $9,395.65 | 11 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $174.61 | $218.26 | $85.56 – $185.52 | 9 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,654.17 | $3,317.71 | $34.15 – $2,820.05 | 11 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,654.17 | $3,317.71 | $43.01 – $2,820.05 | 11 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,131.20 | $1,414.00 | $77.62 – $1,112.68 | 9 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,654.17 | $3,317.71 | $46.19 – $2,820.05 | 11 |
| Radphm lcl tumor plr sgl day CPT 78800 | $770.94 | $963.67 | $27.94 – $819.12 | 11 |
| Radphm quant measure sgl area add-on CPT 78835 | $220.80 | $276.00 | $19.63 – $41.12 | 7 |
| Rad rescj tum dstl/shft hum CPT 24150 | $7,628.80 | $9,536.00 | $1,377.19 – $6,088.70 | 9 |
| Rad rescj tum shoulder<5 cm CPT 23077 | $5,532.80 | $6,916.00 | $1,002.33 – $2,663.89 | 9 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | $6,504.00 | $8,130.00 | $1,176.02 – $3,131.00 | 9 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | $5,102.40 | $6,378.00 | $911.07 – $2,439.36 | 9 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | $3,620.80 | $4,526.00 | $647.66 – $2,439.36 | 9 |
| Rad resect abd tumor 5 cm/> CPT 22905 | $3,262.40 | $4,078.00 | $1,178.02 – $3,128.46 | 9 |
| Rad resect hand tumor < 3 cm CPT 26117 | $1,830.40 | $2,288.00 | $676.04 – $2,439.36 | 9 |
| Rad resect hand tumor 3 cm/> CPT 26118 | $2,593.60 | $3,242.00 | $948.66 – $2,507.24 | 9 |
| Rad resection tum radial h/n CPT 24152 | $6,625.60 | $8,282.00 | $1,200.55 – $6,088.70 | 9 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $2,348.00 | $2,935.00 | $848.82 – $2,439.36 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $76.80 | $96.00 | $71.26 – $91.32 | 7 |
| Range of motion measurements CPT 95852 | $41.60 | $52.00 | $5.18 – $12.87 | 7 |
| Ranibizumab injection HCPCS J2778 | $462.40 | $578.00 | $90.41 – $456.46 | 7 |
| Rapid desensitization CPT 95180 | $424.00 | $530.00 | $94.70 – $340.11 | 9 |
| Rapid Strep Test CPT 87880 | $38.58 | $48.22 | $16.53 – $40.99 | 9 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $310.66 – $477.45 | 7 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $220.32 – $288.30 | 7 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $420.05 – $1,086.64 | 6 |
| Rbc count only automated CPT 85041 | $33.57 | $41.96 | $1.81 – $35.67 | 9 |
| Rbc deglycerolized each unit HCPCS P9039 | $302.84 | $378.55 | $175.27 – $1,035.13 | 11 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $88.76 – $423.23 | 7 |
| Rbc irradiated each unit HCPCS P9038 | $302.84 | $378.55 | $127.18 – $321.77 | 11 |
| Rbc mechanical fragility CPT 85547 | $21.60 | $27.00 | $5.16 – $13.38 | 7 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $496.84 – $771.28 | 5 |
| Rbc osmotic fragility CPT 85555 | $31.22 | $39.02 | $4.48 – $33.17 | 9 |
| Rbc serum pretx incubj drugs CPT 86975 | $364.45 | $455.56 | $17.87 – $399.00 | 11 |
| Rcm img acquisj&i&r 1st les CPT 96931 | $371.20 | $464.00 | $149.32 – $400.01 | 7 |
| Rcm img acquisj&i&r ea addl CPT 96934 | $233.60 | $292.00 | $105.95 – $278.85 | 7 |
| Rcm img acquisj only 1st les CPT 96932 | $268.00 | $335.00 | $109.42 – $295.75 | 7 |
| Rcm img acquisj only ea addl CPT 96935 | $135.20 | $169.00 | $67.33 – $180.34 | 7 |
| Rcm i&r only 1st lesion CPT 96933 | $103.20 | $129.00 | $39.91 – $104.26 | 7 |
| Rcm i&r only ea addl lesion CPT 96936 | $98.40 | $123.00 | $38.61 – $98.51 | 7 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | $5,514.40 | $6,893.00 | $1,965.71 – $5,237.54 | 9 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,514.27 – $4,028.90 | 7 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,356.00 – $3,609.06 | 7 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,405.96 – $3,741.51 | 7 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,468.24 – $3,906.58 | 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.