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 |
|---|---|---|---|---|
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $1,935.37 – $5,187.83 | 7 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,744.89 – $4,677.65 | 7 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,620.37 – $4,345.58 | 7 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,514.99 – $6,737.94 | 7 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,319.15 – $6,213.40 | 7 |
| Rdctj forehead cntrg only CPT 21137 | $1,862.40 | $2,328.00 | $675.75 – $2,764.11 | 9 |
| Rdctj forehead cntrg&prostc CPT 21138 | $2,275.20 | $2,844.00 | $821.23 – $5,042.00 | 9 |
| Rdctj forehead cntrg&setback CPT 21139 | $2,746.40 | $3,433.00 | $974.06 – $5,042.00 | 9 |
| Realignment of knee CPT 27457 | $4,732.80 | $5,916.00 | $856.98 – $2,256.55 | 7 |
| Realignment of knee CPT 27455 | $4,681.60 | $5,852.00 | $861.89 – $2,295.85 | 7 |
| Realignment of tendons CPT 26437 | $1,564.00 | $1,955.00 | $597.63 – $2,765.43 | 9 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,156.90 – $3,076.94 | 7 |
| Rebuild eardrum structures CPT 69632 | $5,278.40 | $6,598.00 | $965.15 – $5,042.00 | 9 |
| Rebuild eardrum structures CPT 69633 | $5,112.00 | $6,390.00 | $938.36 – $5,042.00 | 9 |
| Rebuild eardrum structures CPT 69636 | $6,771.20 | $8,464.00 | $1,259.31 – $5,042.00 | 9 |
| Rebuild outer ear canal CPT 69310 | $5,337.60 | $6,672.00 | $996.75 – $5,042.00 | 9 |
| Rebuild outer ear canal CPT 69320 | $7,499.20 | $9,374.00 | $1,393.88 – $5,042.00 | 9 |
| Rechanneling of artery CPT 35361 | $7,409.60 | $9,262.00 | $1,294.87 – $3,462.89 | 7 |
| Rechanneling of artery CPT 35306 | not published | not published | $376.62 – $1,006.74 | 7 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,334.24 – $3,561.79 | 7 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,380.99 – $3,691.56 | 7 |
| Rechanneling of artery 35305 CPT 35305 | $5,977.60 | $7,472.00 | $1,039.16 – $2,791.99 | 7 |
| Rechanneling of artery 35341 CPT 35341 | $6,707.20 | $8,384.00 | $1,169.96 – $3,159.89 | 7 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $6,219.20 | $7,774.00 | $1,082.88 – $2,902.15 | 7 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | $7,086.40 | $8,858.00 | $1,231.95 – $3,310.75 | 7 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $4,774.40 | $5,968.00 | $829.80 – $2,224.04 | 7 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $6,044.80 | $7,556.00 | $1,042.55 – $2,788.81 | 7 |
| Recipient nephrectomy CPT 50340 | not published | not published | $850.97 – $2,261.40 | 7 |
| Recon, cta for surg plan HCPCS G0288 | $80.80 | $101.00 | $40.16 – $98.33 | 7 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,294.14 – $5,042.00 | 9 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,291.91 – $5,042.00 | 9 |
| Reconst lwr jaw without fixation CPT 21195 | $3,458.40 | $4,323.00 | $1,211.03 – $5,042.00 | 9 |
| Reconst lwr jaw without graft CPT 21193 | $3,136.80 | $3,921.00 | $1,118.16 – $5,042.00 | 9 |
| Reconst major injured chest 32820 CPT 32820 | $3,236.80 | $4,046.00 | $1,214.01 – $3,080.84 | 7 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | $2,510.40 | $3,138.00 | $893.40 – $2,384.34 | 7 |
| Reconstr lwr jaw segment CPT 21198 | $2,764.80 | $3,456.00 | $916.92 – $5,042.00 | 9 |
| Reconstr lwr jaw w/advance CPT 21199 | $2,623.20 | $3,279.00 | $925.84 – $5,042.00 | 9 |
| Reconstruct ankle joint CPT 27702 | $4,768.00 | $5,960.00 | $865.76 – $15,674.10 | 9 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,205.26 – $3,220.94 | 7 |
| Reconstruct cleft foot CPT 28360 | $5,368.00 | $6,710.00 | $987.66 – $6,088.70 | 9 |
| Reconstruct cleft palate CPT 42200 | $2,333.60 | $2,917.00 | $829.42 – $5,042.00 | 9 |
| Reconstruct cleft palate CPT 42205 | $2,433.60 | $3,042.00 | $862.43 – $2,764.11 | 9 |
| Reconstruct cleft palate CPT 42210 | $2,714.40 | $3,393.00 | $962.86 – $5,042.00 | 9 |
| Reconstruct cleft palate CPT 42215 | $1,768.00 | $2,210.00 | $630.15 – $5,042.00 | 9 |
| Reconstruct cleft palate CPT 42220 | $1,454.40 | $1,818.00 | $519.27 – $5,042.00 | 9 |
| Reconstruct cleft palate CPT 42225 | $2,416.00 | $3,020.00 | $882.78 – $5,042.00 | 9 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,885.13 – $5,013.46 | 7 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,049.85 – $5,452.16 | 7 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,203.97 – $5,863.60 | 7 |
| Reconstruct elbow joint CPT 24360 | $4,432.00 | $5,540.00 | $812.25 – $6,088.70 | 9 |
| Reconstruct elbow joint CPT 24361 | $4,953.60 | $6,192.00 | $905.31 – $15,674.10 | 9 |
| Reconstruct elbow joint CPT 24362 | $5,216.00 | $6,520.00 | $951.58 – $10,966.57 | 9 |
| Reconstruct elbow lat ligmnt CPT 24344 | $5,392.00 | $6,740.00 | $994.53 – $6,088.70 | 9 |
| Reconstruct elbow med ligmnt CPT 24346 | $5,409.60 | $6,762.00 | $994.53 – $10,966.57 | 9 |
| Reconstruct extra finger CPT 26587 | $2,558.40 | $3,198.00 | $939.82 – $2,765.43 | 9 |
| Reconstruct finger joint CPT 26545 | $1,769.60 | $2,212.00 | $657.19 – $2,765.43 | 9 |
| Reconstruct finger joint CPT 26548 | $1,900.00 | $2,375.00 | $717.61 – $2,765.43 | 9 |
| Reconstruct head of radius CPT 24365 | $3,145.60 | $3,932.00 | $581.12 – $10,966.57 | 9 |
| Reconstruct head of radius CPT 24366 | $3,361.60 | $4,202.00 | $618.05 – $10,966.57 | 9 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,000.58 – $2,656.41 | 7 |
| Reconstruction knee CPT 27427 | $3,504.00 | $4,380.00 | $640.97 – $6,088.70 | 9 |
| Reconstruction knee CPT 27428 | $5,483.20 | $6,854.00 | $1,005.32 – $10,966.57 | 9 |
| Reconstruction knee CPT 27429 | $6,166.40 | $7,708.00 | $1,133.11 – $10,966.57 | 9 |
| Reconstruction of anus CPT 46753 | $1,508.80 | $1,886.00 | $549.40 – $2,337.38 | 9 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,368.89 – $3,649.95 | 7 |
| Reconstruction of eyelid CPT 67971 | $3,590.40 | $4,488.00 | $646.30 – $1,988.41 | 9 |
| Reconstruction of eyelid CPT 67973 | $4,622.40 | $5,778.00 | $831.39 – $2,226.69 | 9 |
| Reconstruction of eyelid CPT 67974 | $4,614.40 | $5,768.00 | $829.53 – $3,214.08 | 9 |
| Reconstruction of eyelid CPT 67975 | $3,398.40 | $4,248.00 | $612.39 – $1,988.41 | 9 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,160.52 – $3,088.23 | 7 |
| Reconstruction of hip socket CPT 27122 | $2,710.40 | $3,388.00 | $987.41 – $2,629.01 | 7 |
| Reconstruction of jaw CPT 21245 | $3,007.20 | $3,759.00 | $857.50 – $5,042.00 | 9 |
| Reconstruction of jaw CPT 21246 | $2,163.20 | $2,704.00 | $772.47 – $5,042.00 | 9 |
| Reconstruction of jaw CPT 21248 | $2,562.40 | $3,203.00 | $730.18 – $5,042.00 | 9 |
| Reconstruction of jaw CPT 21249 | $3,512.00 | $4,390.00 | $1,021.81 – $5,042.00 | 9 |
| Reconstruction of jaw joint CPT 21240 | $5,404.80 | $6,756.00 | $956.77 – $5,042.00 | 9 |
| Reconstruction of jaw joint CPT 21242 | $5,113.60 | $6,392.00 | $920.11 – $5,042.00 | 9 |
| Reconstruction of jaw joint CPT 21243 | $8,240.00 | $10,300.00 | $1,470.23 – $15,674.10 | 9 |
| Reconstruction of lower jaw CPT 21244 | $2,542.40 | $3,178.00 | $905.13 – $5,042.00 | 9 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,428.40 – $3,808.42 | 7 |
| Reconstruction of mouth CPT 40840 | $2,063.20 | $2,579.00 | $568.58 – $5,042.00 | 9 |
| Reconstruction of mouth CPT 40842 | $2,240.80 | $2,801.00 | $555.88 – $5,042.00 | 9 |
| Reconstruction of mouth CPT 40843 | $2,923.20 | $3,654.00 | $781.28 – $5,042.00 | 9 |
| Reconstruction of mouth CPT 40844 | $3,673.60 | $4,592.00 | $1,057.63 – $5,042.00 | 9 |
| Reconstruction of mouth CPT 40845 | $3,640.00 | $4,550.00 | $1,090.37 – $5,042.00 | 9 |
| Reconstruction of nail bed CPT 11762 | $731.20 | $914.00 | $171.30 – $1,559.08 | 9 |
| Reconstruction of nose CPT 30410 | $3,408.80 | $4,261.00 | $1,254.70 – $5,042.00 | 9 |
| Reconstruction of nose CPT 30420 | $3,478.40 | $4,348.00 | $1,288.70 – $5,042.00 | 9 |
| Reconstruction of orbit CPT 21256 | $6,161.60 | $7,702.00 | $1,112.18 – $5,042.00 | 9 |
| Reconstruction of throat CPT 42950 | $1,968.80 | $2,461.00 | $711.54 – $5,042.00 | 9 |
| Reconstruction of urethra CPT 53410 | $2,472.00 | $3,090.00 | $884.96 – $4,332.84 | 9 |
| Reconstruction of urethra CPT 53415 | $2,856.00 | $3,570.00 | $1,019.42 – $2,718.05 | 7 |
| Reconstruction of urethra CPT 53430 | $2,444.00 | $3,055.00 | $876.73 – $4,332.84 | 9 |
| Reconstruction of urethra CPT 54308 | $1,807.20 | $2,259.00 | $649.66 – $4,332.84 | 9 |
| Reconstruction of urethra CPT 54312 | $2,066.40 | $2,583.00 | $741.81 – $2,939.60 | 9 |
| Reconstruction of urethra CPT 54316 | $2,516.80 | $3,146.00 | $898.85 – $7,881.47 | 9 |
| Reconstruction of urethra CPT 54318 | $1,795.20 | $2,244.00 | $646.47 – $2,939.60 | 9 |
| Reconstruction of urethra CPT 54322 | $1,974.40 | $2,468.00 | $707.69 – $2,939.60 | 9 |
| Reconstruction of urethra CPT 54324 | $2,447.20 | $3,059.00 | $875.89 – $2,939.60 | 9 |
| Reconstruction of urethra CPT 54326 | $2,385.60 | $2,982.00 | $852.69 – $2,939.60 | 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.